Livestreaming clinical education in general practice: practical lessons from implementation across seven UK medical schools

General practice placements are facing increasing pressure from global clinician shortages, rising workload and limited physical space. Meanwhile, medical school cohorts continue to expand to support the global clinician shortfall. This mismatch creates a growing bottleneck for authentic patient-based learning and has intensified interest in digital placement models of education. Livestreamed Clinical Experiences (LCEs) - real-time broadcast consultations between clinicians and patients - offer a potential way to extend access to clinical learning, increase exposure to diverse cases and enable participation by rural or underserved communities. However, despite growing interest, educators currently lack practical guidance on how to implement LCEs in general practice in ways that are ethically robust, technically feasible and pedagogically purposeful. Drawing from educator experience, literature and pilot data, we outline key practical considerations across five themes: planning and governance, technical setups, patient-centred consent, pedagogically purposeful delivery, and sustainable evaluation and scale-up. Our aim is to provide a concise, practice-oriented narrative reflecting what worked, what proved challenging and what may support others to implement effective LCEs. We include a practical implementation checklist and an LCE facilitation model to guide educators through the planning, ethical and technical stages of delivery.