1

Explore patients

Launch the app and browse a board of synthetic patients from FinchNode. Each chart is real API data. The acute story on top of it is authored and labeled as such.
2

Interview the patient

A full VR doctor’s office. You talk to the patient by voice, then go through rounds of “what do you do next?” choices. You can tap or say your pick. Scalpal isn’t in the office.
3

Interview scorecard

For each round you see your pick, the best pick and why. Your diagnosis decides which surgery comes next.
4

Operating room

You pick the room at the handoff: mixed reality on a real person lying down, or full VR with a virtual patient. Scalpal connects for the first time, runs the Time-Out and walks you through the procedure over a short flythrough.
5

Surgery

The body is a physics sandbox. You can cut anywhere, do steps out of order, even lose the patient. A checklist in the corner ticks off steps as you meet them but never blocks you. Scalpal coaches live.
6

Recap

The case ends when you reach the goals or the patient dies. The recap shows what happened and why.
7

Robot replay

Your recorded controller motion drives a simulated robot hand.

​
Mixed reality vs full VR

The operating room has two presentation modes on one shared core. Tools, anatomy, the exercise and Scalpal are the same in both.
  • Mixed reality shows passthrough of a real volunteer lying down. The headset camera finds their shoulders and hips and fits generic teaching anatomy to their torso. The organs are teaching models, not the volunteer’s own.
  • Full VR uses a virtual patient in a virtual operating room.
Mixed reality is only offered when volunteer consent, camera permissions, the pose service and the coach are all up. Otherwise the headset recommends VR and says why.

​
Real vitals in the room

In mixed reality, a phone on a stand reads the volunteer’s real pulse and breathing with Presage. At Time-Out that becomes the patient’s baseline. From then on the OR monitor shows that measured baseline plus simulated changes from the surgery, like a bleed pushing the heart rate up. See patient vitals.