CBT occurs when a learner sitting at a computer observes information, receives a task/question, individually makes a decision, and receives feedback as to the correctness of the decision. CBT has advantages for both management and students. A management advantage is that it may determine exactly what is taught rather than assuming instructors are following lesson plans. Also, unlike an instructor, CBT is available whenever and wherever needed. CBT should also reduce the rate of instructor burnout and prove to be cost effective. Advantages for students are easy access to instruction according to individual schedules, student involvement in the learning proces and progress appropriate for each student, and the opportunity to play the key role when using CBT simulations. CBT limitations include the need for computers, restrictions on the amount of information that can be presented on a computer screeen, and high initial investment. The article discusses the steps for determining when CBT is cost effective and considerations in determining whether to buy generic off-the-shelf CBT, pay a vendor to produce it, or produce it inhouse. 4 tables and 12 footnotes.