The University of South Florida Morsani College of Medicine (USF MCOM), Tampa, Florida, and Lehigh Valley Health Network (LVHN), Allentown, Pennsylvania, jointly created a program where medical students spend years 1 and 2 on the Tampa campus and years 3 and 4 on the Allentown campus. Across all 4 years, Scholarly Excellence, Leadership Experiences, Collaborative Training program (SELECT) students interact with faculty from both campuses. Faculty members at the distant location connect to the class using videoconferencing and participate in the session as if they were in the classroom. We describe the challenges encountered and some solutions in teaching at a distance when one faculty member is in the classroom with the students and the other is 1100 miles away.