“…A few studies have provided preliminary data (e.g., Jentsch and Bowers 1998); however, more systematic and rigorous evaluations of large-scale simulations and simulators are needed. Nonetheless, the use of simulation continues at a rapid pace in medicine (Kincaid et al 2001), maintenance, law enforcement, and emergency management settings (Kincaid et al 2003). Salas and his colleagues have noted that, unfortunately, simulation and simulators are being employed without much consideration of what has been learned about cognition, training design, or effectiveness.…”