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Cómo el desarrollo ágil está liderando la innovación en realidad virtual

Article Summary

mayo 6, 2019

In This Article:

orthopedic surgery VR modules

As technology continues to press forward at a relentless pace, organizations are searching for any advantage they can to keep up or get ahead. However, the road to innovation is fraught with competition, complexity, and constantly shifting market conditions. There’s no bandaid fix or plug-and-play solution at the ready – and if there was, it would no longer be innovation.

Entonces, ¿cómo innova realmente una organización en el clima empresarial moderno? En el mundo del desarrollo de software, la respuesta está en los procesos de gestión de proyectos ágiles.

¿Qué es el desarrollo de software ágil?

Agile project management is a fluid approach to managing highly complex and fragmented projects. Agile was loosely modeled after the ‘Toyota Production System’ designed in Japan – a system of lean manufacturing which aimed to eliminate unnecessary waste at every possible junction. The system worked well because it made small adjustments to an extremely complex process, rather than trying to fully strip and rebuild a segment based on a new idea. Fast forward many decades, and the lean management system has morphed into subsets, including what we now call ‘Agile’ – most commonly seen in software development teams.

En esencia, el desarrollo de software ágil es un ciclo continuo de iteración. En su forma completa, podría comenzar con una hipótesis sobre una determinada parte del software, luego una iteración, una medición de los resultados contra la hipótesis y luego una iteración adicional basada en esos resultados.

In day-to-day operations, Agile really means that there is no “large” undertaking of development work, but rather many small items which are tackled based on priority to the business. An oversimplified example may be that an organization is building a new website – but instead of planning for the entire thing page for page, function for function at the start, the team will tackle the important pages first and release them to the public before working on the rest. That way, data is coming in which can reinforce or iterate the initial work and feed into the new work.

Se consulta a los clientes desde el principio y, a menudo, durante todo el proceso de desarrollo para aceptar la posibilidad de cambios en los requisitos, en lugar de entregar el producto final después de muchos meses y luego volver para realizar los cambios inevitables (porque ¿quién puede realmente ver varios meses en el futuro con 100%? ¿precisión?).

Cross-functional teams then take part in the project from conception to deployment to ensure all team members are invested. The project typically involves cycles of development that last anywhere from 7 to 30 days, which are called ‘sprints’. At the end of each sprint, the product is demonstrated for the clients so they can give feedback or input new information which may have come to surface during the period; which then informs the next sprint.

Los enfoques ágiles promueven reuniones periódicas del equipo interno en las que los desarrolladores pueden hablar sobre lo que lograron el día anterior, sus objetivos para el día actual y cualquier obstáculo futuro que puedan enfrentar. El enfoque de las metodologías ágiles es impulsar la calidad de principio a fin mientras se mejora continuamente el producto y se asegura de que el software esté preparado para demostraciones funcionales al final de cada iteración.

Las prácticas ágiles sirven para permitir el desarrollo rápido y estable de nuevo software que se puede ajustar rápidamente a medida que se producen avances tecnológicos o se modifican los requisitos. Esto permite a los equipos ágiles mantenerse al día con las expectativas de los clientes mientras se adaptan al entorno cambiante que están desarrollando. Las metodologías ágiles son particularmente útiles cuando se trata de tecnologías emergentes que están experimentando una rápida innovación, como la realidad virtual (VR).

Innovaciones en tecnología de realidad virtual

Clever engineers and designers across the globe are discovering innovative applications for VR technology, and it’s not just in gaming and entertainment. Emotional therapy, virtual education field trips, and medical simulations are some of the industry or niche applications that take advantage of the new format. With virtual immersion comes the possibility for high fidelity simulation at vastly reduced costs and lower risk when compared to traditional training methods.

Aprovechando la realidad virtual en la medicina, por ejemplo, permite a los cirujanos perfeccionar sus habilidades quirúrgicas dentro de un módulo de capacitación en cirugía virtual en lugar de practicar con cadáveres, observar a otros o estudiar videos y texto. Estos avances en la tecnología médica han allanado el camino para una formación quirúrgica económica que ayudará a crear cirujanos mejor preparados y más capacitados, al tiempo que reduce el riesgo para los pacientes.

La cirugía ortopédica en particular es un esfuerzo muy complejo que plantea muchos desafíos. Los módulos ortopédicos virtuales, que brindan capacitación quirúrgica para algunos de los procedimientos más difíciles, permiten a los cirujanos comprender y practicar los procedimientos con anticipación mientras reciben retroalimentación en tiempo real sobre su desempeño.

Desarrollo ágil para módulos de realidad virtual de cirugía ortopédica

The human body is immensely complex – especially concerning the musculoskeletal system. No two human bodies are exactly alike, and additional layers of complexity are added when trauma, deformities, or diseases come into play. As such, the practice of orthopedic surgery is inherently difficult and nuanced while also being critical to the patient’s life and wellbeing. One mistake or miscalculation could mean the difference between an elite athlete winning a gold medal and spending the rest of their life in a wheelchair.

Educar y formación de cirujanos en cirugía ortopédica is no small feat – surgical educators are constantly searching for tools that can improve the training process, ensuring surgeons are prepared when it comes time to make their first incision on patient. VR technology has recently advanced to the point where it has become an invaluable tool for training surgeons and increasing the success rate of surgical procedures. However, creating a VR module with the detail and accuracy necessary to mimic such a complex process comes with its own challenges.

Los principales desafíos en la creación de módulos de realidad virtual de cirugía ortopédica son la complejidad del dominio de la cirugía ortopédica, la incorporación de comentarios detallados de los clientes y la rápida evolución de las tecnologías de realidad virtual. El desarrollo ágil ayuda a abordar esos desafíos de forma aislada sin comprometerse demasiado con ningún sistema o línea de pensamiento.

Por ejemplo, la ortopedia es tan compleja que los cirujanos ortopédicos se especializan en partes específicas del cuerpo, que estudian en detalle durante años. Los cirujanos ortopédicos exitosos requieren un alto grado de destreza manual y coordinación ojo-mano, así como un vasto conocimiento de la anatomía humana. Dado que las tecnologías de realidad virtual tienen la tarea de simular esta complejidad, el desarrollo de software trabaja muy de cerca con los líderes de opinión clave (KOL) en el campo para garantizar que el modelo de trabajo sea preciso. Un sistema de sprint corto permite manejar cada parte específica de la anatomía a la vez, así como los sistemas subyacentes y de conexión.

As for gathering rapid feedback, KOL’s can be consulted via remote VR sessions, allowing the product team to see exactly what the KOL sees in their testing and measure their reactions in real-time. This level of collaboration allows software developers to iterate on their work with rich insights thanks to the highly visible feedback environment.

Finally, like any early technology, VR is seeing rapid advancement as resources and expertise are committed. New input and output hardware is being developed alongside new software to run them.  As the technology evolves, VR developers need to be able to incorporate changes quickly, and deter from over-investing in anything that will soon become obsolete by updated hardware. Building ‘microservices’ rather than ‘macro-products’ is a clever way to remain current. The high speed and collaborative environment allows for the creation of incredibly accurate and detailed modules that are on the knife’s edge of technological advancement and medical expertise.

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Sobre 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.

Preguntas frecuentes

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

Imagen de Danny P. Goel, MD

Danny P. Goel, médico

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.

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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. 

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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.

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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, médico

Director ejecutivo

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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