Whitelaw C, et al. – Analysts ascertain whether the provision of In Time train the trainer courses to outer metro, rural and remote units in Western Australia had led to sustained ongoing training in those units. Ten years following the introduction of the course, they performed a survey to scrutinize which units are continuing to run In Time, what are the perceived benefits in units still using In Time, and what were the barriers to training in units that had discontinued. Local in situ training in obstetric emergencies as exemplified by the In Time course remains a popular and valued training intervention across Western Australia. This training may be of specific benefit to small and remote units, but these are the areas in which training is hardest to sustain.