A number of specific indicators of success will be determined and evaluated:

The functionof the simulation process will be assessed and linked to the learning goals (understanding of clinical problems and problem solving).

The virtual collaborative environment between students from three universities, two in Sweden and one in the USA will be tested and compared to the outcome from interactions within traditional group settings.

As has been mentioned is one of the main goals in the project to support and strengthen the students beliefs in their abilities in clinical problem solving. It is also an important aspect to get the students emotionally involved. These aspects will be studied
in the students involved.

The impact on the teachers to cooperate on the advancement of simulation tools and different pedagogical methods will be studied.

An important aspect of the project is to explore the similarities and the differences between Sweden and the USA what regards educational procedures, routes in clinical problem solving, and criteria in classifications and differences in illness panorama. This will most probably have effects on student learning in general and excellence of learning in particular.

The cost-effectiveness of this potentially individualized system will be evaluated.

In excess of these more educational issues will the function of the technical base of the system be monitored and evaluated in terms of technical functioning and importance for the project workflow.