“…Universities currently face larger class sizes, distance learning, and the expectation to do more with less (Tompson, 2003;Sibbald, 2003;Alexiou, 2004;Brands, 2009). In health care education, students must not only gain knowledge, but also master clinical and personal skills (Kinkade, 1995;Schlicht, 1997;Fuhrman, 2001;Sibbald, 2003Sibbald, , 2004Kiegaldie, 2006;Kluge, 2007;Orr, 2007;Tsai, 2008;Bambini, 2009;Brands, 2009;Paige, 2009;Kameg, 2010;Liaw, 2010). Simulations have commonly been useful as supplements in teaching complex concepts in pharmacology and pharmacokinetics (Li, 1995;Sewell, 1996;Haworth, 1997;Hedaya, 1998;Boje, 2005).…”