One issue is providing the software to support collaborative 
development, I have little advice to offer here except to 
try it out and see what works.  Evolve or change the 
software if it seems to be a problem

Another issue is *WHO* exactly is going to be doing the 
collaboration.  From which follows how widely accepted the 
results will be.  This in not a technology issue and can 
make a shambles of even the slickest technology....

My 2 cents are to try involve the professional societies, at 
least here in the US, I don't know about elsewhere.  One 
very encouraging sign that health care oriented professional 
societies might have the infra-structure to support such an 
activity is the Hopkin's announcement of Medbiquitous.org.

http://www.medbiq.org/index.html

This group intends to be the infrastructure collabortive in 
back of the community efforts of the societies themselves.

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