I have implemented these exercisie in my class establishing the students level of learning or the previous instructors had already informed me about certain students. I will aslo do an evaluation of the students,. I am teaching anatomy and physiology. Students may not be able to grasp this module effectively, it takes time for this course. Students that come to me are from front office and it may take awhile for some of the students to adapt to this module. I play games to enhance their learning capablities and learning with the medical challenge.It seems to work.