{"id":4916,"date":"2026-06-04T16:23:55","date_gmt":"2026-06-04T16:23:55","guid":{"rendered":"https:\/\/precisionosstg.wpenginepowered.com\/?page_id=4916"},"modified":"2026-07-17T21:28:01","modified_gmt":"2026-07-17T21:28:01","slug":"resource-hub","status":"publish","type":"page","link":"https:\/\/www.precisionostech.com\/pt\/resource-hub\/","title":{"rendered":"Resource Hub"},"content":{"rendered":"\t\t
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Resource Hub<\/h2>\t\t\t\t<\/div>\n\t\t\t\t
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Explore the Clinical Validation and Innovation behind PrecisionOS<\/p>\t\t\t\t<\/div>\n\t\t\t\t

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*Over 20+ peer-reviewed publications and institutional case studies.<\/p>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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<\/div>\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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Clinical Validation & Research<\/p>\t\t\t\t<\/div>\n\t\t\t\t

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New Publications<\/h2>\t\t\t\t<\/div>\n\t\t\t\t
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Errors in implant orientation estimation in novice vs. experienced surgeons during reverse shoulder arthroplasty for a superior glenoid wear pattern <\/div><\/span>\n\t\t\t\t\t\t\t\n\t\t\t<\/path><\/svg><\/span>\n\t\t\t<\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t
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Lohre R, Bois A, Lapner P, Pollock JW, Athwal GS, Goel DP. Errors in implant orientation estimation in novice vs. experienced surgeons during reverse shoulder arthroplasty for a superior glenoid wear pattern. JSES International. 2025 Jan 16;9(2):100612. doi: 10.1016\/j.jseint.2024.12.008.<\/em><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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Glenoid baseplate orientation in reverse shoulder arthroplasty (RSA) significantly influences clinical outcomes, complications, and failure rates. Novel technologies have been produced to decrease performance heterogeneity of low- and high-volume surgeons. This study evaluated the ability of both novice and experienced shoulder surgeons to accurately estimate glenoid component orientation in an intra-operative scenario. The research highlights the significant variability in visual estimation and underscores the critical importance of hands-on learning, skill transfer, and immersive technology to improve implant accuracy across all experience levels.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

\n\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\tRead full article<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t
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Opportunities for Remote Surgeon-to-Surgeon Education: A Novel Use Case for Immersive Virtual Reality <\/div><\/span>\n\t\t\t\t\t\t\t\n\t\t\t<\/path><\/svg><\/span>\n\t\t\t<\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t
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Lohre R, Goel DP, Williams J, Rahman O, Ochiai D. Opportunities for Remote Surgeon-to-Surgeon Education: A Novel Use Case for Immersive Virtual Reality. Journal of Orthopaedic Experience & Innovation. 2024;5(1).<\/em><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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Hip arthroscopy for the treatment of altered hip morphology contributing to femoroacetabular impingement syndrome (FAI) has been shown in large randomized trials to be beneficial and superior to conservative management. However, common complications are significant for low-volume surgeons, and the procedure is associated with an unexpectedly steep learning curve.<\/span> This publication details how the addition of contemporary, immersive virtual reality (iVR) simulator education serves as an effective means for both novice and expert surgeons to master the complex, high-stakes tasks of hip arthroscopy, reducing anxiety and increasing technical efficiency prior to real-world operations.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

\n\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\tRead full article<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t
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The Evolution Of Surgical Education And Training<\/h2>\t\t\t\t<\/div>\n\t\t\t\t
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The Evolution of Virtual Reality in Shoulder and Elbow Surgery <\/div><\/span>\n\t\t\t\t\t\t\t\n\t\t\t<\/path><\/svg><\/span>\n\t\t\t<\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t
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Lohre R., Athwal GS, Warner JP, Goel D.P. The Evolution of Virtual Reality in Shoulder and Elbow Surgery. 2020. Journal of Shoulder and Elbow Surgery International. 2020, 4(2): 215-223<\/em><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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The use of virtual reality (VR) in shoulder and elbow surgery has varying levels of evidence, from I to IV, and typically involves educational randomized controlled trials. However, the terms and definitions used in the literature are often redundant, confusing, or outdated. The purpose of this review was to characterize previous uses of VR in shoulder and elbow surgery in preoperative, intraoperative, and educational domains, including trauma and elective surgery.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

\n\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\tRead full article<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t
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Effectiveness of Immersive Virtual Reality on Orthopedic Surgical Skills and Knowledge Acquisition Among Senior Surgical Residents <\/div><\/span>\n\t\t\t\t\t\t\t\n\t\t\t<\/path><\/svg><\/span>\n\t\t\t<\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t
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Lohre R, Bois A, Athwal GS, Lapner P, Pollock J, Goel DP. Effectiveness of Immersive Virtual Reality on Orthopedic Surgical Skills and Knowledge Acquisition Among Senior Surgical Residents: A Randomized Clinical Trial JAMA Network Open. 2020, 3(12):e2031217<\/em><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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Immersive virtual reality (iVR) simulators are of increasing interest for surgical training. The training effectiveness of iVR compared with video training in complex skill acquisition was studied using a randomized, intervention-controlled clinical trial that included senior orthopedic surgery residents from multiple institutions in Canada during a single training course. Surgical training with iVR demonstrated superior learning efficiency, knowledge, and skill transfer.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

\n\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\tRead full article<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t
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Immersive Virtual Reality: A Paradigm Shift in Education and Training <\/div><\/span>\n\t\t\t\t\t\t\t\n\t\t\t<\/path><\/svg><\/span>\n\t\t\t<\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t
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Ryan Lohre, MD and Danny P. Goel, MD, MSC, FRCSC, AAOS Now, \u201cImmersive Virtual Reality: A Paradigm Shift in Education and Training\u201d, January 2020.<\/em><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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The training of both aspiring and established surgeons remains rooted in the historic model of mentorship coupled with direct learning on patients. Yet, beyond the classic Halstedian \u201csee one, do one, teach one\u201d method of learning, there are other well-researched learning methods that virtual reality supports. Applying computing power and modern, highly realistic graphics creates an immersive operating environment that affords repetition of procedures with infinite variability. Trainees test their skills, make mistakes, accept feedback, reflect, and then repeat until they achieve proficiency. This has the potential for more rapid and efficient learning gained through greater experience, creating an accelerated path to mastery.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

\n\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\tRead full article<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t
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Virtual Reality in Spinal Endoscopy: a Paradigm Shift in Education to Support Spine Surgeons <\/div><\/span>\n\t\t\t\t\t\t\t\n\t\t\t<\/path><\/svg><\/span>\n\t\t\t<\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t
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Ryan Lohre, Jeffrey C. Wang, Kai-Uwe Lewandrowski, Danny P. Goel, J Spine Surg, \u201cVirtual reality in spinal endoscopy: a paradigm shift in education to support spine surgeons,\u201d January 2020<\/em><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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With technological advances in computer processing, the state of virtual reality simulation for training in neurosurgery and orthopedic surgery continues to improve. Its use has been endorsed by medical societies and organizations, and there is a growing body of support in the medical literature. A systematic review encompassed 38 separate studies that illustrate use of virtual reality, augmented reality and mixed-reality across a wide range of procedures. The studies found improvement in both technical skills and patient outcomes in short term follow-up.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

\n\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\tRead full article<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t
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Improved Complex Skill Acquisition by Immersive Virtual Reality <\/div><\/span>\n\t\t\t\t\t\t\t\n\t\t\t<\/path><\/svg><\/span>\n\t\t\t<\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t
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Lohre R., Bois A., Athwal G.S., Goel D.P. CSES. Improved Complex Skill Acquisition by Immersive Virtual Reality: A Randomized Controlled Trial. J Bone Joint Surg Am. 2020, 102(6):e26<\/em><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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The purpose of this multicenter, blinded, randomized controlled trial was to determine the validity and efficacy of immersive virtual reality (iVR) training in orthopaedic resident education. The focus was on achieving optimal glenoid exposure. IVR demonstrated substantially improved translational technical and nontechnical skills acquisition over traditional learning. Additionally, the results demonstrate the face, content, construct and transfer validity for iVR.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

\n\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\tRead full article<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t
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The Evolution of Virtual Reality in Shoulder and Elbow Surgery <\/div><\/span>\n\t\t\t\t\t\t\t\n\t\t\t<\/path><\/svg><\/span>\n\t\t\t<\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t
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Lohre R., Athwal GS, Warner JP, Goel D.P. The Evolution of Virtual Reality in Shoulder and Elbow Surgery. 2020. Journal of Shoulder and Elbow Surgery International. 2020, 4(2): 215-223<\/em><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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The use of virtual reality (VR) in shoulder and elbow surgery has varying levels of evidence, from I to IV, and typically involves educational randomized controlled trials. However, the terms and definitions used in the literature are often redundant, confusing, or outdated. The purpose of this review was to characterize previous uses of VR in shoulder and elbow surgery in preoperative, intraoperative, and educational domains, including trauma and elective surgery.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

\n\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\tRead full article<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t
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Effectiveness of Immersive Virtual Reality on Orthopedic Surgical Skills and Knowledge Acquisition Among Senior Surgical Residents <\/div><\/span>\n\t\t\t\t\t\t\t\n\t\t\t<\/path><\/svg><\/span>\n\t\t\t<\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t
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Lohre R, Bois A, Athwal GS, Lapner P, Pollock J, Goel DP. Effectiveness of Immersive Virtual Reality on Orthopedic Surgical Skills and Knowledge Acquisition Among Senior Surgical Residents: A Randomized Clinical Trial JAMA Network Open. 2020, 3(12):e2031217<\/em><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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Immersive virtual reality (iVR) simulators are of increasing interest for surgical training. The training effectiveness of iVR compared with video training in complex skill acquisition was studied using a randomized, intervention-controlled clinical trial that included senior orthopedic surgery residents from multiple institutions in Canada during a single training course. Surgical training with iVR demonstrated superior learning efficiency, knowledge, and skill transfer.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

\n\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\tRead full article<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t
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Immersive Virtual Reality: A Paradigm Shift in Education and Training <\/div><\/span>\n\t\t\t\t\t\t\t\n\t\t\t<\/path><\/svg><\/span>\n\t\t\t<\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t
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Ryan Lohre, MD and Danny P. Goel, MD, MSC, FRCSC, AAOS Now, \u201cImmersive Virtual Reality: A Paradigm Shift in Education and Training\u201d, January 2020.<\/em><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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The training of both aspiring and established surgeons remains rooted in the historic model of mentorship coupled with direct learning on patients. Yet, beyond the classic Halstedian \u201csee one, do one, teach one\u201d method of learning, there are other well-researched learning methods that virtual reality supports. Applying computing power and modern, highly realistic graphics creates an immersive operating environment that affords repetition of procedures with infinite variability. Trainees test their skills, make mistakes, accept feedback, reflect, and then repeat until they achieve proficiency. This has the potential for more rapid and efficient learning gained through greater experience, creating an accelerated path to mastery.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

\n\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\tRead full article<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t
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Virtual Reality in Spinal Endoscopy: a Paradigm Shift in Education to Support Spine Surgeons <\/div><\/span>\n\t\t\t\t\t\t\t\n\t\t\t<\/path><\/svg><\/span>\n\t\t\t<\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t
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Ryan Lohre, Jeffrey C. Wang, Kai-Uwe Lewandrowski, Danny P. Goel, J Spine Surg, \u201cVirtual reality in spinal endoscopy: a paradigm shift in education to support spine surgeons,\u201d January 2020<\/em><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

\n\t\t\t\t\t\t\t\t\t

With technological advances in computer processing, the state of virtual reality simulation for training in neurosurgery and orthopedic surgery continues to improve. Its use has been endorsed by medical societies and organizations, and there is a growing body of support in the medical literature. A systematic review encompassed 38 separate studies that illustrate use of virtual reality, augmented reality and mixed-reality across a wide range of procedures. The studies found improvement in both technical skills and patient outcomes in short term follow-up.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

\n\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\tRead full article<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t
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Improved Complex Skill Acquisition by Immersive Virtual Reality <\/div><\/span>\n\t\t\t\t\t\t\t\n\t\t\t<\/path><\/svg><\/span>\n\t\t\t<\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t
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Lohre R., Bois A., Athwal G.S., Goel D.P. CSES. Improved Complex Skill Acquisition by Immersive Virtual Reality: A Randomized Controlled Trial. J Bone Joint Surg Am. 2020, 102(6):e26<\/em><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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The purpose of this multicenter, blinded, randomized controlled trial was to determine the validity and efficacy of immersive virtual reality (iVR) training in orthopaedic resident education. The focus was on achieving optimal glenoid exposure. IVR demonstrated substantially improved translational technical and nontechnical skills acquisition over traditional learning. Additionally, the results demonstrate the face, content, construct and transfer validity for iVR.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

\n\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\tRead full article<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t
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Competency-Based Surgical Training<\/h2>\t\t\t\t<\/div>\n\t\t\t\t
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A pilot study to evaluate the face & construct validity of an orthopaedic virtual reality simulator <\/div><\/span>\n\t\t\t\t\t\t\t\n\t\t\t<\/path><\/svg><\/span>\n\t\t\t<\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t
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Feeley A, Feeley I, Merghani K, Sheehan E. A pilot study to evaluate the face & construct validity of an orthopaedic virtual reality simulator. Injury. 2021 Jul;52(7):1715-1720. doi: 10.1016\/j.injury.2021.04.045. Epub 2021 Apr 16. PMID: 33926708.<\/em><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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This study aimed to identify the face and construct validity of the PrecisionOS trauma module proximal femoral nail procedure. Participants carried out a simulated proximal femoral nail on the POST immersive virtual platform following instruction on its use. The results demonstrated a statistically significant difference across all group\u2019s novel performance, concluding the proximal femoral nail module on the PrecisionOS platform demonstrated good face and construct validity.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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Immersive Virtual Reality in Endoscopic and Open Spine Surgical Training <\/div><\/span>\n\t\t\t\t\t\t\t\n\t\t\t<\/path><\/svg><\/span>\n\t\t\t<\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t
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Lohre R, Kim, L, Wang, J and Goel DP. Immersive Virtual Reality in Endoscopic and Open Spine Surgical Training. Technical Advances in Minimally Invasive Spine Surgery, Navigation, Robotics and Augmented and Virtual Reality. Springer Nature. (in press)<\/em><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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Simulation in surgical education provides trainees with opportunity to acquire or retain skill. Skill in spine surgery may be defined as technical or non-technical \u2013 procedural knowledge and understanding. Research into effectiveness of simulator training shows that initial and incremental improvements eventually plateau. The ability of the simulator to provide efficient and effective training correlative to real world experiences defines the simulator\u2019s transfer effectiveness of skills.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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Eight-year Outcomes of a Competency-Based Residency Training Program in Orthopedic Surgery <\/div><\/span>\n\t\t\t\t\t\t\t\n\t\t\t<\/path><\/svg><\/span>\n\t\t\t<\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t
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Markku T. Nousiainen, Polina Mironova, Melissa Hynes, Susan Glover Takahashi, Richard Reznick, William Kraemer, Benjamin Alman, Peter Ferguson & The CBC Planning Committee (2018) Eight-year outcomes of a competency-based residency training program in orthopedic surgery, Medical Teacher, 40:10, 1042-1054, DOI: 10.1080\/0142159X.2017.1421751<\/em><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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The use of simulation in training was a core element of a pilot residency training program begun in 2009 by the Division of Orthopaedic Surgery at the University of Toronto. It investigated the efficacy of a competency-based curriculum (CBC) for a subset of residents, compared to a strictly time-based approach. The modularized approach dramatically intensified the structured learning elements and assessment process. Eight of the 14 residents who participated completed their residency training in four years rather than the traditional five.As a result, the Division of Orthopaedic surgery made the decision to fully adopt the CBC as the sole mode of training and assessment in the residency training program in the 2013\u201314 academic year. That same year, the Royal College of Physicians and Surgeons of Canada mandated that all postgraduate specialty programs in Canada were to adopt a competency-based framework by the year 2022.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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Effectiveness of training with VR<\/h2>\t\t\t\t<\/div>\n\t\t\t\t
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Surgical Device Representatives Preference for Experiential Learning via Immersive Virtual Reality <\/div><\/span>\n\t\t\t\t\t\t\t\n\t\t\t<\/path><\/svg><\/span>\n\t\t\t<\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t
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Lohre R, Goel DP. Surgical Device Representatives’ Preference for Experiential Learning via Immersive Virtual Reality. Journal of Orthopaedic Experience and Innovation. 2022<\/em><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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Immersive VR training is able to assess and track SDR learner performance and is valued by SDRs greater than traditional training formats. The cost of incorporating this technology is 2.8x less than current didactic and in-person learning formats. This is the first study of its kind to assess the use of IVR in the SDR population.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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Novel Application of Immersive Virtual Reality Simulation Training <\/div><\/span>\n\t\t\t\t\t\t\t\n\t\t\t<\/path><\/svg><\/span>\n\t\t\t<\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t
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Lohre R, Goel DP, Leveille L. Novel Application of Immersive Virtual Reality Simulation Training: A Case Report. JAAOS Global Research and Reviews. JAAOS Global Research and Reviews. 2021, 5(11):e21.00114<\/em><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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There is increasing evidence for the use of immersive virtual reality (iVR) in orthopaedic education. Several randomized controlled trials demonstrate improved trainee performance relative to control when measured in analogous operating room assessments. This is the first case report demonstrating direct patient care after the use of iVR. The implications of cost-effectiveness through skill transfer and patient safety are highlighted.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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Mitigating Surgical Skill Decay in Orthopedics Using Virtual Simulation Learning <\/div><\/span>\n\t\t\t\t\t\t\t\n\t\t\t<\/path><\/svg><\/span>\n\t\t\t<\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t
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Lohre R, Warner JP, Morrey B, Athwal GS, Morrey M, Mazzocca A. Mitigating Surgical Skill Decay in Orthopedics Using Virtual Simulation Learning JAAOS Global Research and Reviews. 2021, 5(10):e21.00193<\/em><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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The COVID-19 pandemic has interrupted orthopaedic training structures. Orthopaedic surgical skill decay can occur in days to months, depending on the initial skill level. Researchers determined skill decay mitigation strategies should use the best available evidence technologies and course structures that satisfy advanced learning concepts. The virtual curriculum, including immersive virtual reality (iVR) simulators, could provide cost-effective solutions to training.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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Real Learning in a Virtual World: How VR Can Improve Learning and Training Outcomes <\/div><\/span>\n\t\t\t\t\t\t\t\n\t\t\t<\/path><\/svg><\/span>\n\t\t\t<\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t
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Deloitte Insights, Real learning in a virtual world: How VR can improve learning and training outcomes, 2018.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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Those tasked with training individuals to perform in high-risk environments face a conundrum: How can they deliver the benefits of learning from experience without the costs and dangers of putting trainees in those experiences? The answer is to recreate them using virtual reality (VR). VR presents immersive, realistic situations over and over again, building the expertise to deal with those situations before facing them in the real world. Research has shown that virtual reality reduces the time to learn while increasing the amount learned, while also improving long-term knowledge retention. In scenarios from food processing to handling dangerous industrial gases, VR is proven to promote better and faster learning. But where it truly comes into a class of its own, apart from other training methods, is when the body of knowledge to attain is complex.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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The value of VR surgical training<\/h2>\t\t\t\t<\/div>\n\t\t\t\t
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A Portable Hip Arthroscopy Simulator Demonstrates Good Face and Content Validity with Incomplete Construct Validity <\/div><\/span>\n\t\t\t\t\t\t\t\n\t\t\t<\/path><\/svg><\/span>\n\t\t\t<\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t
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Feeley A, Turley L, Sheehan E, Merghani K. A Portable Hip Arthroscopy Simulator Demonstrates Good Face and Content Validity with Incomplete Construct Validity. Arthrosc Sports Med Rehabil. 2021 Jul 17;3(5):e1287-e1293. doi: 10.1016\/j.asmr.2021.05.009. PMID: 34712965; PMCID: PMC8527255.<\/em><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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The purpose of this study was to evaluate the face, content and construct validity of a portable hip arthroscopy module in a regional orthopaedic unit. The study concluded this hip arthroscopy simulator demonstrated acceptable face and content validity. Participants reported high levels of satisfaction with the module. Additionally, the study is clinically relevant because it demonstrates good face and content validity. The addition of haptic feedback in a hip arthroscopy simulator may improve learning.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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Immersive Technologies Offer Short and Long-Term Value <\/div><\/span>\n\t\t\t\t\t\t\t\n\t\t\t<\/path><\/svg><\/span>\n\t\t\t<\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t
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Lohre R, Morrey B, Goel DP. Immersive Technologies Offer Short and Long-Term Value. AAOS NOW. 2020<\/em><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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The global orthopaedic community has seen profound changes in training and practice with the restrictions imposed during the COVID-19 pandemic. Surgical volume, practice management, and healthcare economics will see continued downstream effects, and travel restrictions have prevented surgeons from attending courses and conferences. This study reviews the impact on carbon emissions with the utility of virtual reality while delivering meaningful education and remote mentorship.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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Virtual and Augmented Reality for Surgical Training and Simulation in Knee Arthroplasty. <\/div><\/span>\n\t\t\t\t\t\t\t\n\t\t\t<\/path><\/svg><\/span>\n\t\t\t<\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t
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Lohre R, Goh G, Parvizi J, Goel DP. Virtual and Augmented Reality for Surgical Training and Simulation in Knee Arthroplasty. Archives of Orthopaedic and Trauma Surgery (AOTS), 2021. 141(12):2303-2312<\/em><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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This article examines the role of immersive virtual reality (iVR), augumented reality and mixed reality technologies in knee arthroplasty. This spectrum of extended reality technology integration enables surgeons to visualize patient-specific anatomy, enhance preoperative planning and provide intraoperative guidance. The authors concluded that extended reality technologies have a myriad of potential applications in orthopaedic surgery.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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Immersive Virtual Reality Provides Value to Orthopaedic Surgical Training Programs <\/div><\/span>\n\t\t\t\t\t\t\t\n\t\t\t<\/path><\/svg><\/span>\n\t\t\t<\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t
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Goel, DP and Lohre, R. Immersive Virtual Reality Provides Value to Orthopaedic Surgical Training Programs. Health Management Policy and Innovation<\/em><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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Immersive virtual reality (IVR) is a disruptive innovation that may significantly improve the quality of surgical training while lowering costs for such education. The evidence for IVR thus far shows that compared to traditional bioskills training, IVR demonstrates a greater effect on skill improvement for surgical trainees at a lower cost. The inherent realism of the IVR experience may partly substitute for operating room training, thus reducing the opportunity costs for training programs.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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The Use of Immersive Virtual Reality (IVR) in Pediatric Orthopaedic Education <\/div><\/span>\n\t\t\t\t\t\t\t\n\t\t\t<\/path><\/svg><\/span>\n\t\t\t<\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t
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Lohre, R., Verhofste, B., Hedequist, D., Jacobson, J., & Goel, D. (2022). The Use of Immersive Virtual Reality (IVR) in Pediatric Orthopaedic Education.\u00a0JPOSNA\u00ae,\u00a04(S1).\u00a0<\/em><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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The traditional postgraduate surgical master-apprenticeship education model is undergoing a significant paradigm shift. For the past century, the transition from trainee to orthopaedic surgeon has been accomplished through stepwise integration of theoretical knowledge, observation of senior faculty, basic surgical skill acquisition, and gradual autonomy in complex procedures. Over the past decade, the explosion of virtual reality has heightened interest in this field for surgical residency training. The core principle of simulation training is \u201clearning by doing<\/em>\u201d for acquisition and retention of surgical skills. It allows trainees to integrate theoretical knowledge with procedural skills in a risk-free setting prior to application in the operating room. Significant data supports the use of surgical simulation and virtual reality training modalities for skill acquisition in nearly every surgical specialty. The advancement in technology will allow immersive reality to become a standard educational platform in the future and this article provides a basic framework for understanding this ever-changing field.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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Platform & Product Innovation<\/p>\t\t\t\t<\/div>\n\t\t\t\t

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Video Walkthroughs & Technology in Action<\/h2>\t\t\t\t<\/div>\n\t\t
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Orthopedic Trauma - Medial Malleolus: App Walkthrough<\/h2>\t\t\t\t<\/div>\n\t\t\t\t
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A walkthrough video showcasing the medial malleolus case within the Orthopedic Trauma application. Virtual reality surgical simulation for ORIF of a medial malleolar fracture.<\/p>\t\t\t\t<\/div>\n\t\t\t\t

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April 23, 2025<\/p>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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Delphi: The Anatomy Mentor in BodyWorks<\/h2>\t\t\t\t<\/div>\n\t\t\t\t
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Delphi, your AI Attending Mentor, transforms the BodyWorks environment into a highly interactive surgical mentor. Learn how you can utilize natural language voice prompts to master complex spatial intelligence.<\/p>\t\t\t\t<\/div>\n\t\t\t\t

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April 23, 2025<\/p>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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Virtual Grand Rounds - Oct 2025 | Case Spotlight: Fibula transverse fracture plate<\/h2>\t\t\t\t<\/div>\n\t\t\t\t
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Welcome to the first episode of Virtual Grand Rounds, a webinar focused on teaching skills for Orthopedic residents - this first episode will focus on the skills of plating of a fibula fracture.<\/p>\t\t\t\t<\/div>\n\t\t\t\t

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October 16, 2025<\/p>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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Software Releases & Announcements<\/h2>\t\t\t\t<\/div>\n\t\t
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Turning Practice Into Measurable Improvement<\/h2>\t\t\t\t<\/div>\n\t\t\t\t
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Surgical training has a familiar problem: learners are motivated, but the system rarely makes it easy to translate motivation into the right practice, at the right time, with the right feedback, and the right next step.\n\nIn our April release, we have intentionally redesigned PrecisionOS around learning science to address this specific issue. <\/p>\t\t\t\t<\/div>\n\t\t\t\t

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March 31, 2026<\/p>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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Why PrecisionOS is Redefining the Future of Surgical Training by Design<\/h2>\t\t\t\t<\/div>\n\t\t\t\t
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April 1, 2026 - PrecisionOS\u2019s recent announcement, \u201cTurning practice into measurable improvement,\u201d represents an important shift from providing a library of virtual reality content to building a deliberate coaching environment.<\/p>\t\t\t\t<\/div>\n\t\t\t\t

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Read Full Article ><\/a><\/p>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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PrecisionOS Expands Into Podiatric Surgery<\/h2>\t\t\t\t<\/div>\n\t\t\t\t
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February 20, 2026 [Vancouver, BC]\u2014 PrecisionOS announced its formal expansion into podiatric surgical education, launching a case-based, just-in-time training Virtual Reality Fracture Lab featuring cases aligned with AACPM curricular recommendations.<\/p>\t\t\t\t<\/div>\n\t\t\t\t

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Read Full Article ><\/a><\/p>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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Leading In The News<\/h2>\t\t\t\t<\/div>\n\t\t
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AAOS and FDA Town Hall: Emerging advances in AR, VR, and robotics reshape orthopaedic training and patient care<\/h2>\t\t\t\t<\/div>\n\t\t\t\t
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May 26, 2026 \u2014 At the AAOS 2026 Annual Meeting, clinical experts, industry leaders, and regulators from the Food and Drug Administration (FDA) discussed the evolving role of these tools during the AAOS\/FDA Town Hall Symposium, \u201cAugmented Reality, Virtual Reality, and Robotics.\u201d <\/p>\t\t\t\t<\/div>\n\t\t\t\t

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CNN Next Frontier: How we'll learn in 2050<\/h2>\t\t\t\t<\/div>\n\t\t\t\t
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The classrooms of the future will feature AI chatbots, \"metaversities,\" VR\\AR, and smart robots. CNN meets the innovators, educators and inventors bringing these new technologies to the next generation, including CEO and co-founder of PrecisionOS, Dr. Danny Goel.<\/p>\t\t\t\t<\/div>\n\t\t\t\t

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June 14, 2023<\/p>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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The Key To Success In Medicine<\/h2>\t\t\t\t<\/div>\n\t\t\t\t
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I scrub in with my good friend and mentor, Dr. Danny Goel, who is an orthopaedic surgeon, educator and CEO of a virtual reality startup called Precision OS. \n\nWe chat about the power of mentorship, how to achieve success in your career, and how he is using innovation and technology to introduce a whole new way of learning with his company, Precision OS.<\/p>\t\t\t\t<\/div>\n\t\t\t\t

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February 21, 2022<\/p>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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Think Different: Do we really See One, Do One, Teach One?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t
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Dr. Danny Goel Presents at Grand Rounds for Mass General Brigham.\nMass General Brigham is an integrated academic health care system, uniting great minds to solve the hardest problems in medicine for our communities and the world. <\/p>\t\t\t\t<\/div>\n\t\t\t\t

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December 22, 2023<\/p>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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Institutional Success<\/p>\t\t\t\t<\/div>\n\t\t\t\t

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Real World Success Stories<\/h2>\t\t\t\t<\/div>\n\t\t
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Dr. Andrew Maeso<\/h2>\t\t\t\t<\/div>\n\t\t\t\t
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PGY-3 Orthopedic Resident\n\nKettering Health | US Air Force (Active Duty Transition)<\/p>\t\t\t\t<\/div>\n\t\t\t\t

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Dr. Ryan Lohre<\/h2>\t\t\t\t<\/div>\n\t\t\t\t
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Staff Surgeon | Massachusetts General Hospital (MGH)\n\nShoulder & Elbow Surgery | MGH\/Harvard Medical School<\/p>\t\t\t\t<\/div>\n\t\t\t\t

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Dr. Barry McDonough<\/h2>\t\t\t\t<\/div>\n\t\t\t\t
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Program Director | Orthopedic Sports Medicine\n\nWest Virginia University (WVU) School of Medicine<\/p>\t\t\t\t<\/div>\n\t\t\t\t

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Dr. Ayooluwa Grabill<\/h2>\t\t\t\t<\/div>\n\t\t\t\t
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PGY-5 Orthopedic Fellow\n\nWestern Michigan University | Kalamazoo, MI<\/p>\t\t\t\t<\/div>\n\t\t\t\t

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Dr. Charlie Spieser<\/h2>\t\t\t\t<\/div>\n\t\t\t\t
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PGY-2 Orthopedic Resident\n\nKettering Health Grandview | Dayton, Ohio<\/p>\t\t\t\t<\/div>\n\t\t\t\t

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Read Full Article ><\/a><\/p>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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Impact Consortium Updates<\/h2>\t\t\t\t<\/div>\n\t\t\t\t
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The IMPACT Consortium is a collaborative initiative by PrecisionOS that integrates virtual reality (VR) into orthopedic residency training. It unites residency programs, educators, and technology partners to improve surgical readiness by replacing variable case exposure with structured, data-driven simulation training.\u00a0<\/p>

Key components of the program include:<\/div>