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PrecisionOS Partners with The Maine OrthoPaedic Review to Elevate Board Exam Preparation

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Article Summary

octobre 22, 2024

PrecisionOS©, the leader in immersive virtual reality (iVR) training for healthcare professionals, and The Maine Orthopaedic Review are thrilled to announce a strategic partnership. This collaboration aims to elevate orthopaedic residency education by integrating the PrecisionOS leading-edge VR technology into a specialized training curriculum to be used in preparation for the American Board of Orthopaedic Surgery (ABOS) Part 1 Exam. 

In This Article:

Maine Orthopaedic review

PrecisionOS©, the leader in immersive virtual reality (iVR) training for healthcare professionals, and The Maine Orthopaedic Review are thrilled to announce a strategic partnership. This collaboration aims to elevate orthopaedic residency education by integrating the PrecisionOS leading-edge VR technology into a specialized training curriculum to be used in preparation for the American Board of Orthopaedic Surgery (ABOS) Part 1 Exam. 

The partnership is rooted in the shared mission of advancing orthopaedic education for senior year residents, focused on cementing key skills and knowledge as they move onto subspeciality training as fellows, into practice or recertify. PrecisionOS et The Maine Orthopaedic Review have co-developed a specialized board-focused curriculum that combines the vast library of case-based simulations and the company’s latest and exciting product, The BodyWorks™ Anatomy Studio. This integrated approach reinforces essential surgical skills and anatomical understanding and contextual application in a safe, virtual environment to enhance the learning experience while preparing for exams and ultimately independent practice.  

“We are excited to partner with The Maine Orthopaedic Review to create a more comprehensive, immersive, and data-driven approach to preparing orthopaedic residents for the ABOS Part 1 Exam,” said Dr. Danny Goel, CEO of PrecisionOS. “PrecisionOS aims to bridge the gap between theory and practice, providing residents with an opportunity to refine their skills and increase their knowledge in a safe and realistic environment. This collaboration underscores our commitment to leveraging virtual reality to advance éducation médicale and improve patient outcomes.” 

Many orthopaedic training programs around the country are already integrating PrecisionOS for their residents. For the 1St, 2nd and 3rd years of training, all simulations and content have been meticulously mapped against ACGME milestones, underscoring the platform’s versatility in addressing the comprehensive educational needs of residents across different years of training. This programme d'études offers targeted, milestone-based progression, enabling residents to track and achieve key competencies in line with their training objectives. Now, in partnership with The Maine Orthopaedic Review, it brings an additional, and valuable opportunity, for senior residents in preparation for their exams.  

“Our mission at The Maine Orthopaedic Review has always been to offer residents the highest quality education in preparation for their exams and future careers,” said Dr. Bruce Gomberg, Co-Director of The Maine Orthopaedic Review. “Integrating PrecisionOS VR technology and its curriculum into our course is the best, most unique, and logical way to enhance the exam preparation experience with a platform that fosters deeper understanding and practical application. This partnership aligns with our 66-year mission to equip residents with the tools they need to excel on their exams and in every aspect of orthopaedic surgery.” 

The integration of VR-based training marks a transformative step in orthopaedic education, ensuring that the next generation of surgeons are better equipped, confident, and prepared for the challenges of their profession. Through this partnership, PrecisionOS et The Maine Orthopaedic Review are setting a new standard for preparation not only for examinations, but for the skills needed during practice as an orthopaedic surgeon.  

About PrecisionOS: 

PrecisionOS is a leading provider of virtual reality-based surgical training platforms, committed to revolutionizing medical education through immersive simulations and data-driven insights. For orthopaedic residency programs interested in learning more about the software, please email info@precisionostech.com 

About The Maine Orthopaedic Review: 

The Maine Orthopaedic Review is the nation’s longest-running and premier educational resource for high-impact orthopaedic board preparation since 1959. See details at www.MaineOrthopaedic.com or email info@maineorthopaedic.com  

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À propos de 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.

Questions fréquemment posées

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

Image de 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.

READ FULL CASE STUDY

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Practice With A Plan

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

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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.

Read dr. Maeso's case study
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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.

Read dr. Lohre's case study
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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.

Read dr. McDonough's case study
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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.

Read dr. Spieser's case study
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.

Read Full Case Report
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Danny P. Goel, MD

Chef de la direction

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.

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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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