“…The VP cases were designed by the lecturers in the course, and the VP system was Web-SP (Web-based Simulated Patient). The Web-SP was developed in the early 1990s at the Karolinska Institute in Sweden (Zary, Johnson, Boberg, & Fors, 2006) and has been used worldwide in different healthcare education programs, for example, as an assessment instrument in Swedish nursing education (Forsberg et al, 2011) and for training critical thinking (Sunnqvist, Karlsson, Lindell, & Fors, 2016). The Web-SP system has a number of features, including a waiting room (patient cases that should be used in the course), an introduction to the case, patient interview questions, physical examinations, laboratory tests,…”