Our students commented how much they like to work with Otis, and appreciate in particular the instantaneous feedback. This follows best practice for learning by doing, and is of immense benefit. With so much to learn, it is nice that the program also has a good sense of humor: the snoring patient who had to wait too long for the next stimulus put in the occasional light relief, much to the amusement of the whole class! Although the workbook tasks are graded, students can train in small groups or on their own until they are competent to pass the workbook tasks. This has resulted in good student engagement and a much higher learning outcome with better grades for the skills lab modules both for our first and second year students. We have also used this audiomentry training program for 3 rd year students who could not gain sufficient placement practice, and helped them to pass their practical assessments by providing a flexible training tool. Otis – the virtual Patient has been so popular that several students have asked for a student licence to put the program on their personal computer, so that they could train at home – so far, copies are only installed on computers in the skills lab at the University. Some clinical supervisors are interested in obtaining a copy for their hospitals, to help further training of audiologists in practice, and commented on the fact that many audiologists would appreciate more practice on non-standard cases, and that they also like to see with an objective method that they get their audiograms right!