Hi, Within the Faculty of Health at Birmingham City University, UK, We use online simulations to teach prioritization, problem finding, problem solving and decision skills within our health care courses. A few years back we developed a software platform that we call the Virtual Case Creator. This enables us to design open ended simulations of practice within which students can reheorifice their decision making skills. We have over 30 of these simulations todate ranging from PICU to Primary Care, Acute Medice Adult to Acute med/surg child, mental health to midwifery, perio care to speech and language therapy etc.... You can find more information from our website http://vccweb.health.bcu.ac.uk/ and I think their is a video demo uder resources. Our simulations are also being used to educate learners within the NHS and HE sectors. Let me know if you want any further information. Nigel