National strategies for the implementation of information and communication technologies (ICT) have seen increasing health sector interest in using ICT tools and systems, such as e-portfolios, to monitor performance and support professional development. Superficially there appears to be two distinct functions and associated purposes for e-portfolios. Firstly, from a management -monitor performance- perspective, e-portfolios are used to create a “product” for evaluation. This product is the purposeful, and directed, accumulation of digital evidence demonstrating competency, illustrating achievement and highlighting professional activities. Secondly, from and educational -professional development- perspective, individuals use e-portfolios to engage in a “process” of self-improvement. In this process mode, individuals critically review structured digital artefacts and through reflection they make meaning of their experiences and identify areas for improvement and personal growth. These superficial perceptions of e-portfolios, product and process, can create tensions that often inhibit collaboration between educationalists and managers and educational providers and employers. To explore e-portfolio functionality in the health sector the Waikato Institute of Technology and the Waikato District Health Board facilitated the, e-Portfolios for Health: A Hands on Symposium, for over 80 participants. The major aims were to dispel superficial perceptions, gain a common understanding of purpose and increase collaboration between all parties. This presentation reported on the findings of this symposium