This version of the program includes a total of 20 cases that can be run in the simulator. The first ten cases are pharmacological simulations on subjects in different physiological states including: Normal, Elderly, Obese, Alterd Cardiac Function, Pulmonary Dysfunction, Hepatic Dysfunction, Renal Dysfunction, Chronic Anemia, Hypovolemia due to Hemorrhage, Adrenal Insufficiency. The next ten cases feature two sets of 5 surgical scenarios. The first set uses only normal patient models, and does not include intraoperative complications. The second set uses the same surgical types, with various patient comorbidities and complications. The surgeries simulated are: Right Hemicolectomy; Y-grafting of Abdominal Aortic Aneurysm, Repair of Abdominal Stab Wound, Video Assisted Procedure for Pneumothorax, Drainage of Subdural Hematoma.