Developing high quality training for wide distribution with stable content is easy compared to content that is rapidly evolving—it is like trying to paint a sports event while the event is taking place. Healthcare has always had an abundance of content that is volatile to the press of research, best practice models, scientific and technological discoveries and new medications, techniques and procedures. How do you keep the content aligned with research discoveries and new best practice strategies? This paper explores the techniques and technologies successfully used to keep critical clinical training up-to-date. While these concepts and methodologies apply to any field we will illustrate the application of the design and development techniques and technologies through the process used in Progressive Tinnitus Management training in the Department of Veterans Affairs (VA). One in three Veterans returning from Iraq and Afghanistan has some degree of disability related to tinnitus and/or hearing loss. The VA, in collaboration with researchers and clinicians, using an innovative approach created a 12 hour On-Line Curriculum of Progressive Tinnitus Management for clinicians to better help Veterans manage their reactions to tinnitus. Developers and subject matter experts, using a collaborative Learning Content Management System (LCMS), are able to rapidly prototype the content of training. This innovative development strategy allowed content and development to adapt to new information in real-time. The authors outline what it takes for a virtual interdisciplinary team to rapidly develop efficient and effective training for fields in flux.