The Virtual Civilian Aeromedical Evacuation Sustainment Training (V-CAEST) project has a central goal to improve communication between civilian medical practitioners (i.e., first responders, EMTs, etc.) and the military during disaster situations. V-CAEST focuses on disaster situations that span multiple jurisdictions and require aeromedical evacuation. The University of Memphis, in conjunction with Arizona State University, gathered the content of an existing live-action training program (CAEST) and leveraged existing effective educational technologies (i.e., Auto Tutor Lite, a web-based intelligent tutoring system equipped with natural language processing) to develop a new virtual learning environment. Specifically, the University of Memphis worked with CliniSpace to develop a virtual world enabled with Auto Tutor Lite, to model the live-action training program CAEST. The V-CAEST project sought to develop a virtual learning environment that is more cost-effective and wide-reaching than the live-action training alternative, but as effective in producing learning gains. The final evaluation of the program compared the pre-test and post-test learning gains of both the live-action training program and the virtual learning environment. The results indicate that the V-CAEST virtual learning environment is as effective at producing significant learning gains as the live action training program.