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One feature of electronic communication media is its potential to remove the effects of occupational role identity. For better or for worse, electronic communication technologies may reduce occupational status differentials and allow individuals to communicate as equals. This article reports results from a study of health-care professionals engaged in an educational program using computer conferences over a five-month period. Results show that the content and network of communication among health-care professionals using the computer conference were significantly related to occupational roles. Specifically, physicians and hospital administrators were afforded higher status in computer conferences than nurses. The effects of occupational status differentials were manifest and became more established with greater use of the computer conferencing system. Status characteristics derived from the educational task also appeared to affect communication patterns. The importance of considering multiple social contexts when implementing information technology is discussed.