The QSEN Institute advises and lends expertise to the Shadow Health team as they build virtual patient simulations for all courses across the Graduate and Undergraduate curriculum. ... John Larsen - Anxiety - Alaa Mahsoon, MSN, RN, Doctoral Student, Frances Payne Bolton School of Nursing, Case Western Reserve University; Nicole Diaz. Students. New to SAM? Log in with your cengage.com credentials or click New User to get started. For help with Shadow Health, it’s Digital Clinical Experiences or Digital Standardized Patients that use the Conversation Engine for more natural interactions, please visit the support section of our Shadow Health website at https://support.shadowhealth.com/hc/en-us ↗. Click to sign into Shadow Health®.