Work has begun on a new training centre for medical staff at Noble's hospital.
The purpose-built annexe at Keyll Darree will house state-of-the-art simulation facilities, offering medics the opportunity to practise a wide range of ward and theatre procedures.
The new building is being funded by hospital charities, benefactors and the private sector, but its running costs will be met by the health service.
President of Tynwald Clare Christian laid the foundation stone at a ceremony on Friday, marking a new era in skills training for the Island's medical profession.
Madam President says it is about keeping up with rapid advances in the care and treatment of patients.
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