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Precision OS-Partnerschaft bringt fortschrittliche Frakturversorgung in unterversorgte Gemeinden weltweit

Article Summary

16. April 2020

In This Article:

Sign Nail Education PrecisionOS Partnership

SIGN Fracture Care International und Precision OS arbeiten zusammen, um Chirurgen auf der ganzen Welt auszubilden.

VANCOUVER, British Columbia, April 15th, 2020 — Epic MegaGrants recipient, Precision OS Technology, announced today a first-of-its-kind partnership that makes virtual reality (VR) surgical training for orthopedic surgeons available to physicians worldwide, expanding fracture care to 5 billion people in the world’s developing countries.

Laut einem Bericht der Lancet Commission aus dem Jahr 2015 bieten 40 Prozent der Krankenhäuser in Entwicklungsländern chirurgische Versorgung bei offenen Frakturen an. Der fehlende Zugang zur Behandlung solcher Verletzungen, die in den Industrieländern routinemäßig verfügbar ist, führt zu einer erheblichen wirtschaftlichen Belastung für Patienten und ihre Familien. Es besteht dringender Bedarf, mehr Chirurgen auszubilden, um diese Regionen zu bedienen.

“From the day we founded the company, we had a vision for using the immense scalability of virtual reality training to improve surgeon training and raise the standard of care worldwide,” states Danny Goel, M.D., CEO and co-founder of Precision OS. “SIGN Fracture Care International has been dedicated to that same mission and we are proud to support their work. We are grateful to our partners in this effort who are helping us to realize our collective vision.”

SIGN Fracture Care ist eine humanitäre Organisation, die verletzten Armen Zugang zu Frakturchirurgie bietet, indem sie Chirurgen in Entwicklungsländern orthopädische Ausbildung und Implantatsysteme spendet. Die Ausbildung lokaler Chirurgen zur Betreuung und Behandlung von Patienten in ihren Heimatgemeinden baut nachhaltige orthopädische Kapazitäten auf und verbessert die Lebensqualität und Langlebigkeit von Menschen in Ländern mit niedrigem und mittlerem Einkommen.

The use of VR education will allow SIGN Fracture Care to expand its training efforts beyond their current methods. Currently they serve in 53 countries and 365 hospitals.  They will distribute Oculus Quest wireless VR headsets among their hospitals and teach remotely using the “multiplayer” option supported by the Precision OS system. Two surgeons and SIGN Board Members, David Shearer, M.D. and Richard Gellman, M.D., will deliver the training alongside the founder and president of SIGN Fracture Care, Lewis Zirkle M.D.

“As it stands we have to spend several months a year traveling or flying surgeons to our headquarters to do training with the SIGN System,” says Dr. Shearer. “With VR, we have the opportunity to provide high-quality training remotely, which can markedly reduce the time and expense required. This has the potential to free up resources to train more surgeons, invest in manufacturing, and ultimately achieve greater impact.”

Dr. Zirkle says, “It is a pleasure to explore the educational opportunities to teach surgeons in developing countries about techniques and indications for orthopedic surgery. It is exciting to expand our training capabilities, and we want to thank Precision OS for the donation of the Oculus Quest based training solution.”

Das Precision OS-Team verwendet die Unreale Spiel-Engine from Epic Games as the technology foundation of their training solution. “Epic Games continues to support their advances in training simulation to improve healthcare delivery. Despite a very mature use of physical simulation, the healthcare domain is still at the infancy of its adoption of digital training, by making Unreal Engine more user friendly we empower subject matter experts to build training solutions for all” Sebastian Loze, Simulations Industry Manager bei Epic Games.

Die Zusammenarbeit trägt der wachsenden Bedeutung und Nutzung der virtuellen Realität für die Arztausbildung, insbesondere in der orthopädischen Chirurgie, Rechnung. Im Vergleich zu herkömmlichen Trainingsmodalitäten verleihen Virtual und Augmented Reality eine neue Tiefe des kontextuellen Lernens durch Verbesserung des Verständnisses, der technischen Fähigkeiten und der Operationsbereitschaft. Das VR-Chirurgietraining leitet eine neue Ära des On-Demand-Trainings ein, das kostengünstig und skalierbar ist.

Durch VR-Training und -Ausbildung werden Chirurgen virtuell üben und lernen, wie man Implantationsverfahren so oft wie nötig durchführt, um kritische Fähigkeiten und Selbstvertrauen zu erwerben. Dieser Durchbruch in der chirurgischen Ausbildung ist für SIGN Fracture Care besonders wichtig, da neue Chirurgen von einem erfahrenen SIGN-Chirurgen geschult werden müssen, bevor die Organisation Implantate oder Instrumente spendet. SIGN Fracture Care wird jetzt die Möglichkeit haben, die vom Precision OS-System gesammelten Daten zu verwenden, um den Fortschritt des Chirurgen zu überwachen und zu verfolgen.

“Our goal and mission has been to provide the highest quality of education on a global scale”, says Dr. Goel. “I have significant admiration for the work that Dr. Zirkle and SIGN Fracture Care have been doing. To be involved in this capacity is extremely humbling for all us at PrecisionOS.”

Um mehr über den Start des Programms und Erfolgsgeschichten zu erfahren, gehen Sie zu www.precisionostech.com

Medienkontakt

Jalila Singerff | Jive PR + Digital
e: jalila@jiveprdigital.com
m: 613.614.6777

Über Precision OS

Präzisions-Betriebssystem was founded by a team of clinical orthopedic surgeons and game developers to create the most relevant and applicable medical-grade-VR-simulation™ experience. Based in Vancouver, British Columbia and backed by the prestigious AO Foundation, the company’s mission is to provide first-in-class orthopedic surgical training on a global scale. Given its focus on surgical education, Precision OS is not only a CME provider through the Royal College of Physicians and Surgeons of Canada, but has also established partnerships with more than 10 North American orthopedic residency programs and medizinische Einrichtungen. The company’s scientifically validated product has been tested among its end users and customers resulting in business relationships with some of the top orthopedic companies in the industry.

Über SIGN Fracture Care International

SIGN Fracture Care International unterstützt seit 20 Jahren lokale Chirurgen bei der Behandlung ihrer armen Patienten in Entwicklungsländern. Unser Modell besteht darin, Chirurgen in Entwicklungsländern orthopädisch auszubilden und ihnen dann geeignete Instrumente und Implantate zu spenden, damit sie Patienten mit schweren Frakturen behandeln können. SIGN Fracture Care hat mehr als 250.000 Patienten in 53 Entwicklungsländern geholfen, sich von Knochenbrüchen und traumatischen Verletzungen zu erholen. Um mehr zu erfahren, besuchen Sie www.signfracturecare.org.

Über epische Spiele

Founded in 1991, Epic Games is the creator of Fortnite, Battle Breakers, Unreal, Gears of War, Shadow Complex, and the Infinity Blade series of games. Epic’s Unreal Engine technology, the world’s most open and advanced real-time 3D platform, is freely available at unrealengine.com. Der Epic Games Store bietet eine handverlesene Spielebibliothek, erhältlich unter epicgames.com. Folgen @EpicGames für Aktualisierungen.

Über Unreal Engine

Epic Games’ Unreal Engine is the world’s most open and advanced real-time 3D platform. Creators across games, film, television, architecture, automotive and transportation, advertising, live events, and training and simulation choose Unreal to deliver cutting-edge content, interactive experiences, and immersive virtual worlds. Follow @UnrealEngine und lade Unreal kostenlos herunter unter unrealengine.com.

Related Insights

Build Confidence For The OR, Now

Take your surgical preparedness to the next level with our immersive training ecosystem. Looking to scale your program? Request more info for your institution here.

Über PrecisionOS

PrecisionOS is a leader in virtual reality-enabled surgical education. Trusted by top academic medical centers, health systems, and professional societies worldwide, the company delivers an immersive, scalable training ecosystem designed by surgeons for residents and the next generation of healthcare professionals. By combining high-fidelity VR cadaver labs with on-the-go access via the Approaches mobile module and AI-driven performance reporting, PrecisionOS ensures surgeons are ready for the OR, today.

Häufig gestellte Fragen

Is there a step-by-step "Quick Start" guide for residents?

Yes—The Onboarding Course is your fastest path to proficiency. It walks you through account syncing, procedure selection, and your first virtual rehearsal step-by-step, ensuring you are “OR Ready” before you pick up the controllers.

Action: Follow the guided video path to standardize your learning experience.

Yes. PrecisionOS is compatible with Meta Quest 3, and 3s. If you already own a headset, you simply need to download the PrecisionOS Launcher from the App Store and sign in with your institution email and membership credentials.

Action: Download the launcher and log in.

Your Individual Membership is a month-to-month subscription ($99/mo) designed for residents who want 24/7 access to surgical rehearsal without a long-term contract.  Reach out for information about an institutional membership.

Action: Your card is billed every 30 days from the date of signup.

Hospital networks will often require a MAC address for device white-listing. You can find this in your Meta Quest headset settings under About > MAC Address.

Action: Reach out to provide your IT department with the MAC address found in your headset settings.

Both the headset firmware and the PrecisionOS app must be up to date to prevent technical glitches. Go to Settings > Software Update on your Quest and check the Launcher for app updates.

Action: Enable “Auto-updates” in your headset settings.

About The Author

Bild von Danny P. Goel, MD

Danny P. Goel, MD

Is the CEO of PrecisionOS and is a practicing surgeon and surgical educator. Dr. Goel currently practices in the Vancouver, B.C. area and also serves on the University of British Columbia’s Faculty of Medicine in the Department of Orthopedic Surgery.

He received his medical degree from the University of Manitoba, pursued his residency training in orthopedic surgery at the University of Calgary, and completed fellowship training in shoulder surgery at the University of Western Ontario and Harvard University.

Goel has co-authored more than 30 publications, and is widely sought as a presenter on surgical techniques.

21 Months of Automated VR Data

MAJOR ACADEMIC ORTHOPAEDIC RESIDENCY PROGRAM

How self-directed VR practice fills the seams of the clinical day and produces measurable learning trajectories—completely automatically.

Executive Summary:

Over a 21-month period, 30 orthopaedic residents integrated immersive VR into their training curriculum. With a simple, weekly requirement for residents to practice in headset, the platform seamlessly captured over 88,000 structured data points across 2,566 practice sessions. The resulting data proved that when residents have access to high-fidelity, frictionless simulation and are motivated, they will hone their skills and demonstrate clear performance improvements.

Frictionless Adoption: Practice doesn't compete with clinical time. The data revealed that 45% of all sessions happened organically during lunch breaks or on weekends.

Comprehensive Coverage: Usage wasn't limited to a single subspecialty. Residents attempted 61 distinct cases across 27 procedure modules, proving active engagement from Foundations & Anatomy to Complex Trauma.

Measurable Improvement: The platform didn't just track usage; it tracked skill acquisition. Across 288 scored playthroughs, longitudinal data showed a clear performance signal, with residents demonstrating an average positive learning delta of +0.36 over time.

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Own Your Progress.

Download the PrecisionOS mobile app to access Delphi’s insight reports and turn every VR session into a springboard for future success.

Step #1

State Your Intent

Tell Delphi, your AI Attending Mentor, what you are looking to practice.

Step #2

Get Practice Recommendations

Based on your request, Delphi will suggest personalized VR apps and Video training.

Step #3

Queue Apps In VR

Tap Add to Queue and the VR app will be waiting for you in headset.

Step #4

Learn From Experts

Access the video library for expert-led Virtual Grand Rounds and discover surgical pearls from industry leaders and device experts.

Step #4

Practice With A Plan

Go through the recommended VR apps to gain the skills and repetition needed for success. 

Step #5

Review Performance Insights

After your VR session, review your personalized performance insight on your phone to maximine your OR success. 

Smiling businessman in blue suit and tie against gray background.

Dr. Andrew Maeso

Orthopedic resident

From Uncertainty to Execution

“You already have a plan, now you’re just executing it.”

The Story: Bridging the "Intern Gap"

Dr. Andrew Maeso recognizes the steep reality of residency: “As an intern, you are thrown into the fire.” For him, the hurdle wasn’t just the surgery—it was the invisible mechanics (positioning, X-ray angles, and workflow) that move too fast to learn in a high-pressure OR.

The Solution: Access Over Policy

By bringing the PrecisionOS ecosystem home, Dr. Maeso replaced passive YouTube watching with active mental rehearsal. This allowed him to arrive in the OR with the “steps” already hard-coded into his muscle memory.

The Game Changer: Personal headsets issued for at-home, 24/7 training.

Clinical Focus: Mastery of Antegrade Femoral Nails and Shoulder Arthroscopy.

Program Growth: Experience led to secured funding for all incoming residents.

Smiling man wearing glasses and checkered shirt in an office setting.

Roberto Oliveira

Founder

Over his 25 years in the gaming industry, Roberto Oliveira has been known for bringing stunning realism and high fidelity to interactive experiences.

He combines an art director’s artistic vision with solid business leadership, including experience in building art teams, creative team management, project planning, project management and business development.

Over the years, his talents have been showcased in projects for major publishers including Sony, Activision, Disney and Electronic Arts.

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Dr. Ryan Lohre

MGH Staff Surgeon

From Resident to MGH Staff Surgeon

“Prepare like it matters. Because in the OR—it does.”

The Story: The Currency of Trust

Dr. Ryan Lohre’s trajectory changed during a complex pediatric case that had already seen two failed attempts by tenured surgeons. While textbooks offered the theory, Dr. Lohre used VR to master the 3D spatial intelligence required to build a mental model of the deformity and navigate C-arm imagery in real-time.

The Solution: The 18-Minute Sandbox

The night before surgery, Dr. Lohre rehearsed the procedure four times in VR from his own home. This high-fidelity rehearsal allowed him to arrive in the OR functioning at 80-90% proficiency, compared to the typical 10-20% for a resident facing a new, complex procedure.

The Game Changer: 18 minutes of at-home VR prep for a complex pediatric case.

Clinical Focus: Spatial intelligence for C-arm interpretation and screw trajectory.

Program Growth: Transitioned from trainee to Staff Surgeon at Mass General.

Dental professional in white coat with PrecisionOS logo.

Dr. Barry McDonough

Program Director

Teaching with Surgical Efficiency

“I let the junior resident do more than ever before—and still finished on time.”

The Story: Reclaiming the OR

While at West Virginia University (WVU), Dr. Barry McDonough faced a universal challenge: balancing resident education with strict OR efficiency. By the time residents step into the OR, foundational skills like camera handling and triangulation should be second nature—not a distraction that slows down the case.

The Solution: Independent Preparation

Residents were assigned just 10 minutes of asynchronous VR training per week. This allowed them to master the “invisible” basics of arthroscopy on their own time. With an average of 17 sessions completed during the pilot, residents arrived with a mental roadmap that translated into immediate technical fluency.

The Game Changer: Asynchronous prep—residents train independently at home.

Clinical Focus: Mastery of triangulation, scope control, and anchor placement.

Program Growth: Model expanded across trauma, spine, and upper extremity.

Man in blue suit with glasses smiling in front of bookshelf.

Dr. Charlie Spieser

Orthopedic Resident

Mastering the Visuo-Spatial Gap

“VR practice shifts questioning from case generalizations to technique refinement.”

The Story: From Application to Confidence

Charlie Spieser highlights a universal resident hurdle: the high-stress transition from “book knowledge” to real-world execution. Early in training, the fear of making irreversible decisions can lead to hesitation. To bridge this gap, Charlie utilized VR as a daily resource for kinetic learning and anatomical association.

The Solution: Refining Spatial Intelligence

Unlike textbooks or passive videos, PrecisionOS allowed Charlie to practice high-stakes approaches—such as the anterior total hip—in a guided, 3D environment. This repetition provided a “safe sandbox” to identify why errors occurred, building the visuo-spatial confidence required to navigate complex anatomy before ever entering the OR.

The Game Changer: Daily Integration—normalized as an expected program resource.

Clinical Focus: Anterior Total Hip and Deltopectoral surgical approaches.

Program Growth: Nuanced Mentorship—shifting focus to specific faculty preferences.

Orthopaedic virtual reality training for junior residents in surgery.

Immersive Virtual Reality Training for a Junior Orthopaedic Surgery Resident

Andres D Maeso, DO, Michael R McDermott, DO, Jerrod A Steimle, DO

How consistent iVR training accelerates technical fluency and attending trust for first-year residents.

Executive Summary: This case study follows a first-year resident’s integration of immersive VR (iVR) into their surgical curriculum. By dedicating consistent training time to virtual modules, the resident was able to master procedural steps and receive real-time feedback in a risk-free environment before ever stepping into the operating room. The study highlights that this deliberate practice led to a “noticeable improvement in overall efficiency” and significantly increased the attending’s trust and confidence in the resident’s intraoperative capabilities.

Source Attribution: Immersive Virtual Reality Training for a Junior Orthopaedic Surgery Resident, Journal of Orthopaedic Experience & Innovation (2025).

Muscle Memory Development: The repetitive nature of immersive VR (iVR) training, combined with constant real-time feedback, allows technical surgical steps to become deep-seated muscle memory.

Measurable Efficiency Gains: Residents utilizing the platform observe a "noticeable improvement" in overall efficiency and technical proficiency when performing complex orthopedic procedures.

Accelerated Attending Trust: Preoperative rehearsal in a virtual environment significantly increases attending surgeon confidence, directly leading to increased autonomy for the resident in the operating room.

Professional man in business attire for PrecisionOS.

Danny P. Goel, MD

Geschäftsführer

A practicing surgeon and surgical educator, Dr. Goel currently practices in the Vancouver, B.C. area and also serves on the University of British Columbia’s Faculty of Medicine in the Department of Orthopedic Surgery.

He received his medical degree from the University of Manitoba, pursued his residency training in orthopedic surgery at the University of Calgary, and completed fellowship training in shoulder surgery at the University of Western Ontario and Harvard University.

Goel has co-authored more than 30 publications, and is widely sought as a presenter on surgical techniques.

Professional man smiling in a blue shirt for PrecisionOS About Us page.

Colin O'Connor

Founder

Colin O’Connor brings a proven track record as a business leader and entrepreneur, as well as expertise at developing cutting-edge technology to create immersive, high-fidelity experiences.

He has overseen and played key leadership roles in the highest echelons of the video game industry, founding companies and taking more than 16 top-tier titles to market.

He has worked at the forefront in innovating new rendering technologies in the areas of lighting, motion, particle graphics and shading that bring unprecedented realism to interactive experiences.

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