Chapter 4 presents the results of a study by Palaganas, involving participants in an online continuing education course that used an emoji-capable, text-based platform, offered through the Center for Medical Simulation in Boston, Massachusetts. The chapter outlines the study, the compiled data, and the relevant findings. The study yields further insights into the potential for using the emoji code as an effective literacy and communication tool in a higher education context – namely, in a healthcare professional education program. Further, there is discussion of an interview with Dr. Shuhan He, a prominent proponent of emoji use in healthcare situations, wherein he goes over the impetus for his creation of the heart emoji.