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You will get lots of advice in life, but you have to make your own decisions.
In my opinion ´IMVU´ is very different to real life.
You are young, and relationships over the internet are not easy if you do not speak a common language. Boys are attracted to good looking girls, but your personality is also important. It is hard to know somebody´s real personality over the internet. Beware, people often lie about themselves on the internet.
You are a student, so you can meet lots of boys at the university. Try to build up a relationship with someone you can talk to easily. Many boys are also shy. You need to build social skills. Try to balance the time spent on medical studies with meeting new people.
My opinions on your questions are
1) continue talking on the internet if it does not upset you
2) I think you cannot know he is ´real´ for you, until you have met him in person and spent time together to know each other better. Every relationship is unique. There are never simple answers. If he comes to see you in person, then that indicates he is more serious about the relationship.
3) Men look for many things in their partner. Beauty is never really important. I can only speak personally but I found someone who is kind, and helpful to others, wanted children, enjoys life and is affectionate. If you both enjoy doing similar things, that also helps. But we also have differences, and we are both happy to compromise for each other. 
Good luck, and as a parent I suggest getting qualified is also important.
Edited (7/25/2010) by Henry
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