Set backs can occur when the instructor is use to the face to face style teaching as lecturer and when the student are refusing to participate in critical thinking or have never experience this style in past educational experiences. This active learning style may be hard to grasps by both instructor and student alike. The benefit is that the learning is place squarely on the student with instructor role as monitor of student achievements. It also provide for critical thinking through role playing, group discussion ado or games to allow retention of information. Good technology benefit both and when it fails it is important to have a back-up plan.