I found this article about the Ann Myers Medical Center in Second Life. Although I don't believe Second Life is ready for conducting formalized training that utilize things like the Ann Myers simulations, I do think that this is closer to the kinds of elements that can be added to pre-clinical (and even clinical) training to assist in the development of communication and critical thinking skills.
http://scienceroll.com/2007/04/24/virtual-medical-center-the-future...
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