“…VPs have been used for conducting medical interviews (Rizzo et al, 2014;Skarbez, Welch, Brooks, & Whittoni, 2017;Stevens et al, 2006), empathetic communication skills (Johnsen, 2008), speaking up Robb et al, 2014), teaming up , how medical professionals gaze at VHs , team communication skills (Cordar et al, 2015;Cordar et al, 2017), team training-handoffs (White et al, 2015), diagnostic reasoning skills (Kotranza et al, 2009;Sia, Halan & Lok, 2016), empathy (Kleinsmith, Rivera-Gutierrez, Finney, Cenden, & Lok, 2015), negotiation (Gratch, DeVault, Lucas, & Marsella, 2015), and leadership skills (Campbell et al, 2011). Many studies noted that learners behave in a realistic manner when interacting with these applications, and are highly satisfied with them (Chuah, 2013;Cordar et al, 2015;Johnsen, 2008;Kotranza et al, 2009;Rizzo et al, 2014;Robb et al, 2014;Sia et al, White et al, 2015).…”