Virtual Training Center · SIM Library
“No patient should be anyone’s first.”
How simulations are validated
Every simulation is validated by a subject matter expert before release. No exceptions.
Every simulation has a clinical publication behind it. See the evidence →
Updated as clinical guidelines evolve. Subscribers always get the latest version automatically.
How the SIM Library works · Subscribe · Deploy · Earn
Titles are licensed annually and deploy to your full registered user base on the Virtual Training Center.
Pick the simulations you need, per year, across three complexity tiers. Each subscribed SIM unlocks full features for all your registered users, no per-seat fees on top.
Compatible with Meta Quest, HTC Vive, Pico, Apple Vision Pro, plus tablet and desktop fallback. Every Library SIM runs on VTC infrastructure.
Author your own SIM on ORamaVR Creator or commission a Custom SIM, publish to the Library, and earn on every licence another institution buys. Distribution and billing handled by ORamaVR.
The catalogue
18 titles across five clinical areas. Titles marked free are included with every VTC account.
Orthopaedics
Full-procedure hip replacement simulation, validated in peer-reviewed RCTs.
THA — VTC Simulation
Train on any headset, no cadaver lab, no OR scheduling.
Train on any headset, on demand — no expert availability or facility booking required.
Real-time error detection surfaces weaknesses before the OR.
Co-op mode trains entire surgical teams, not just individuals.
Every learner assessed to the same objective standard.
Auto-generated competency records, IFU-aligned and audit-ready.
Learning outcomes
Upon completing this simulation, learners will be able to:
Clinical evidence
Randomized Controlled Trial — Journal of Arthroplasty, 2019
VR-trained PGY-1 residents scored 18 points higher in cadaver THA sessions vs. control. Statistically significant improvement in technical performance (p=0.048) after just 2 VR sessions.
Orthopaedics
Medial Parapatellar approach training, step-by-step, hyper-realistic.
TKA — VTC Simulation
Train on any headset, no cadaver lab, no OR scheduling.
Train on any headset, on demand, no expert availability or facility booking required.
Real-time error detection surfaces weaknesses before the OR.
Co-op mode trains entire surgical teams, not just individuals.
Every learner assessed to the same objective standard.
Auto-generated competency records, IFU-aligned and audit-ready.
Learning outcomes
Upon completing this simulation, learners will be able to:
Simulation highlights
Guides learners through every step of the Medial Parapatellar approach, from initial incision to wound closure, with comprehensive, step-by-step instruction.
Supports individual self-paced practice and live instructor-led co-op sessions, enabling flexible deployment across residency and team training programmes.
Highly detailed surgical visuals and instrument interactions that closely replicate the real OR environment, supporting effective skill transfer.
General Surgery
Step-by-step thyroidectomy training: explore the neck anatomy and rehearse every step, from incision to gland removal.
THYRO — VTC Simulation · by Hellenic Society of Endocrine Surgeons
Rehearse the entire operation on a headset, with no OR, cadaver lab or patient required.
Protect the recurrent laryngeal nerve, vessels and parathyroids with zero patient risk.
On-demand procedural guidance from JARIA AI, trained on the official IFU, at any point in the session.
Train on any headset, on demand, no expert availability or facility booking required.
Every learner assessed to the same objective standard.
Auto-generated competency records, IFU-aligned and audit-ready.
Learning outcomes
Upon completing this simulation, learners will be able to:
Clinical evidence
Blinded Prospective Randomized Controlled Trial — Updates in Surgery, 2025
19 surgery residents at the 2nd Surgical Department, Aristotle University of Thessaloniki. IVR group completed the neck-incision-through-CIONM-electrode-placement task significantly faster (27.25 vs 35.25 min, p=0.012). Superior OSATS overall scores (p=0.035), higher satisfaction (p=0.002) and enjoyment (p<0.001).
General Surgery
Controller-free electrode placement training across AR, MR, and VR modes.
HSES-Demo — VTC Simulation · by Hellenic Society of Endocrine Surgeons Included free with VTC account
Hand tracking enables natural procedure practice without hardware barriers.
AR, MR and VR support — deploy on hardware the institution already owns.
JARIA AI delivers on-demand, IFU-trained guidance at any point in the session.
XR Recorder captures every session for structured post-session review.
Every learner assessed to the same objective standard.
Auto-generated competency records, IFU-aligned and audit-ready.
Learning outcomes
Upon completing this simulation, learners will be able to:
Clinical evidence
Blinded Prospective Randomized Controlled Trial — Updates in Surgery, 2025
19 surgery residents at the 2nd Surgical Department, Aristotle University of Thessaloniki. IVR group completed the neck-incision-through-CIONM-electrode-placement task significantly faster (27.25 vs 35.25 min, p=0.012). Superior OSATS overall scores (p=0.035), higher satisfaction (p=0.002) and enjoyment (p<0.001).
General Surgery
Physics-based free-cut surgical interaction to develop genuine psychomotor skill.
EMP-Demo — VTC Simulation Included free with VTC account
Advanced free-cut algorithms let learners develop real dexterity, not scripts.
Tests both psychomotor and cognitive skills within the same session.
Collaborative mode trains entire surgical teams in a realistic OR environment.
Train on any headset, on demand, no expert availability or facility booking required.
Real-time analytics surface cognitive and psychomotor gaps as they occur.
Auto-generated competency records, IFU-aligned and audit-ready.
Learning outcomes
Upon completing this simulation, learners will be able to:
Simulation highlights
Free cuts without predefined paths give learners true surgical freedom, developing genuine psychomotor skill rather than script-following behaviour.
Tracks cognitive and motor performance simultaneously, surfacing the specific skill gaps that conventional assessment tools miss.
Supports team-based OR training alongside individual practice, covering both the social and technical dimensions of surgical competency.
Emergency & Critical
Life-saving endovascular procedure training — peer-reviewed, Inselspital Bern.
REBOA — VTC Simulation · by Inselspital Bern
Practice a rarely-performed technique without requiring live exposure.
Repeat the procedure safely until every step is second nature.
No high-fidelity manikin or animal model required, headset only.
Instructor-independent learning: train any time, any site.
Measurably increases procedural confidence before clinical practice.
Timing, precision and protocol adherence tracked automatically.
Learning outcomes
Upon completing this simulation, learners will be able to:
Clinical evidence
Prospective Feasibility Pilot — Int'l Journal of Emergency Medicine, 2023
REBOA VR training was feasible without side-effects. Trainee confidence increased significantly (p<0.001). System usability rated 'good' (SUS median 77.5). High immersion and user satisfaction scores.
Emergency & Critical
The full REBOA procedure in short form, with JARIA AI proctoring and multiplayer.
REBOA-Demo — VTC Simulation · by Inselspital Bern Included free with VTC account
Practice a rarely-performed technique without requiring live exposure.
Repeat the procedure safely until every step is second nature.
JARIA AI proctors the session: step-by-step guidance, answers to questions as they arise, and a structured debrief at the end.
Multiplayer lets learners and instructors train together in the same shared session.
No high-fidelity manikin or animal model required, headset only.
Included free with every VTC account, so the procedure can be assessed before committing to the full title.
Learning outcomes
Upon completing this simulation, learners will be able to:
Demo highlights
An abbreviated run of the REBOA procedure carrying the same features and interactions as the full title, sized for a single short session.
JARIA guides learners through each step, answers questions in the moment, and debriefs performance at the end, so the demo runs without an instructor present.
Two or more participants share the same virtual environment, so the procedure can be rehearsed as a team or supervised live from any site.
Emergency & Critical
A bundle of 8 SIMs for cardiac arrest team training, sold as one.
iREACT — VTC Simulation · by University of Michigan
100+ branching error paths expose real-team coordination breakdowns.
Non-linear scenarios replicate the dynamic chaos of real cardiac events.
XR Replay re-experiences sessions from any POV for structured review.
Train as a team on any headset, on demand, no expert availability or facility booking required.
Multi-modal data capture: actions, cognitive load, visual gaze.
Auto-generated competency records, IFU-aligned and audit-ready.
Learning outcomes
Bundle of 8 SIMs · Beginner ×2, Intermediate ×3, MegaCode, Tutorials ×2. Upon completion:
Clinical evidence
Prospective quasi-experimental RCT — ongoing (U-Michigan + ORamaVR)
Formative evaluation confirms clinical usability and educational value. Comparing VR vs. mannequin-based training across resident-physicians. Diverse metrics: learning, satisfaction, resource allocation, and CRM aptitude.
Emergency & Critical
Master the intubation sequence with real-time error detection and feedback.
ENDO — VTC Simulation
Structured in-simulation guidance replaces the need for a live expert in the room.
Real-time detection corrects technique errors before they become habits.
Sessions simulate clinical urgency, building speed alongside accuracy.
Every learner assessed to the same objective standard.
Practice on demand, without requiring patient or manikin.
Accuracy, speed and compliance tracked automatically every session.
Learning outcomes
Upon completing this simulation, learners will be able to:
Simulation highlights
Real-time error detection flags technique deviations the moment they occur — correcting habits before they transfer to clinical practice.
Covers every step from pre-oxygenation through tube confirmation, ensuring no critical phase is skipped or de-emphasised during training.
Automatically tracks accuracy, speed, and protocol compliance — providing objective data for competency assessment without requiring a live instructor.
Emergency & Critical
Dynamic, unpredictable trauma scenarios for individual and team training.
ETS — VTC Simulation
Wide range of trauma types prevents rote memorization of single paths.
Co-op mode trains full emergency teams in realistic high-pressure dynamics.
Unpredictable patient state changes force genuine clinical reasoning.
Train on any headset, on demand, no expert availability or facility booking required.
Every learner assessed to the same objective standard.
Auto-generated competency records, IFU-aligned and audit-ready.
Learning outcomes
Upon completing this simulation, learners will be able to:
Simulation highlights
Patient conditions evolve unpredictably across sessions, preventing rote memorization and forcing genuine clinical reasoning every time.
Trains individual decision-making or full emergency team coordination — adaptable to both personal skill development and team-based curricula.
Covers a comprehensive breadth of emergency presentations, ensuring broad exposure rather than mastery of a single, predictable case type.
Emergency & Critical
PPE donning/doffing and nasopharyngeal swab training, clinically validated.
CVRSB — VTC Simulation · by Inselspital Bern
Drills correct sequences until they are automatic and second-nature.
High-risk infection-control practice in a fully safe virtual environment.
No PPE or swab supplies consumed, unlimited repetitions at zero cost.
Train remotely; no need to gather for in-person instruction.
Gamified leaderboard keeps learners motivated and competing.
Detailed analytics track every error and measure overall compliance.
Learning outcomes
Upon completing this simulation, learners will be able to:
Clinical evidence
Prospective Randomized Pilot Trial — JMIR Serious Games, 2021
VR-trained medical students scored significantly higher in nasopharyngeal swab performance vs. video instruction (p=0.03). Skill gains sustained at 1-month follow-up. Higher user satisfaction (p=0.01).
Dental
VR training for horizontal bitewing X-rays of posterior molars, SSD sensor with an articulated X-ray generator.
DENTAL-XR — VTC Simulation · by VIRED
Practice the full intraoral X-ray workflow on any headset, no clinic slot or patient required.
Zero-radiation rehearsal of film placement, alignment and exposure.
No film packages, holders or developer chemistry consumed, unlimited repetitions.
Guided film, holder and ring assembly drills the correct sequence.
Every learner assessed against the same bitewing and periapical technique standards.
Auto-generated competency records, IFU-aligned and audit-ready.
Learning outcomes
Upon completing this simulation, learners will be able to:
Simulation highlights
Trains the full SSD posterior bitewing procedure — from kit selection through image capture.
Real-time score, error count and action time for every step — surfaces specific skill gaps for debrief.
Unlimited repetitions on any compatible headset — no film, no developer, no clinic slot.
Dental
VR training for periapical X-rays of the lower-anterior incisors, intraoral film with an articulated X-ray generator.
DENTAL-XR — VTC Simulation · by VIRED
Practice the full intraoral X-ray workflow on any headset, no clinic slot or patient required.
Zero-radiation rehearsal of film placement, alignment and exposure.
No film packages, holders or developer chemistry consumed, unlimited repetitions.
Guided film, holder and ring assembly drills the correct sequence.
Every learner assessed against the same bitewing and periapical technique standards.
Auto-generated competency records, IFU-aligned and audit-ready.
Learning outcomes
Upon completing this simulation, learners will be able to:
Simulation highlights
Trains the full lower-anterior periapical procedure — from film placement through processing.
Real-time score, error count and action time for every step.
Unlimited repetitions on any compatible headset — no film, no developer, no clinic slot.
Dental
VR training for posterior molar SSD X-rays, yellow-coded holder kit with an articulated X-ray generator.
DENTAL-XR — VTC Simulation · by VIRED
Practice the full intraoral X-ray workflow on any headset, no clinic slot or patient required.
Zero-radiation rehearsal of film placement, alignment and exposure.
No film packages, holders or developer chemistry consumed, unlimited repetitions.
Guided film, holder and ring assembly drills the correct sequence.
Every learner assessed against the same bitewing and periapical technique standards.
Auto-generated competency records, IFU-aligned and audit-ready.
Learning outcomes
Upon completing this simulation, learners will be able to:
Simulation highlights
Kit selection, sterile assembly, sensor placement, alignment, exposure — every step tracked.
Embedded knowledge questions on sensor sheath protocols and cross-contamination prevention.
Trains adult/child mode selection, exposure time, and post-shoot verification.
Surgical Robotics
A bundle of 11 robotic-surgery skill scenarios, sold as one.
ERMIS VR 1 — VTC Simulation · by Isle Academy
Train on robotic systems without the physical robot or OR time.
Physics-based accuracy builds genuine instrument control and feel.
Standalone XR headset, no additional hardware or infrastructure needed.
Train on any headset, on demand, no expert availability or facility booking required.
Every learner assessed to the same objective standard.
Auto-generated competency records, IFU-aligned and audit-ready.
Scenario library
Guided exercises included in this title, in order of progression:
Precise control of the instrument's wristed joints; coordinated movement in a confined workspace.
More complex wrist movements performed with precision, reinforcing fine motor control for advanced tasks.
Basic endoscopic camera control — framing, zoom and maintaining a stable surgical view.
Reposition instrument controls relative to the hands to manage workspace limits and instrument range.
Control the endoscope at a 30-degree angle; orient the view and navigate around structures.
Grasp and transfer small objects with the wristed joints — targeting, pickup and controlled placement.
Builds on Sea Spikes 1 with more precise grasping, transfer and placement under higher demand.
Guide the instrument tip along a set path; control curves, alignment and instrument orientation.
Tighter curves and varied elevations while keeping accurate alignment along the track.
Position and orient a needle within the wristed joints for effective robotic suturing.
Pick up rings at varying heights and transfer them between posts across spatial levels.
Clinical evidence Randomized Controlled Pilot Study, 2026 · Read full paper →
Surgical Robotics
A bundle of 12 advanced robotic-surgery scenarios, sold as one.
ERMIS VR 2 — VTC Simulation · by Isle Academy
Train on robotic systems without the physical robot or OR time.
Physics-based accuracy builds genuine instrument control and feel.
Standalone XR headset, no additional hardware or infrastructure needed.
Train on any headset, on demand, no expert availability or facility booking required.
Every learner assessed to the same objective standard.
Auto-generated competency records, IFU-aligned and audit-ready.
Scenario library
Guided exercises included in this title, in order of progression:
Coordinate three robotic arms passing objects between instruments — timing and spatial awareness.
Higher coordination: more complex transfers, tighter timing and greater precision.
Increases the coordination demands of three-arm operation even further.
Activate and coordinate the energy pedals during instrument actions — layout, timing, safe engagement.
Alternate between different energy modes while performing instrument actions; reinforces accuracy.
Apply energy to dissect around a vessel with controlled handling and a safe working distance.
Dissect along predefined boundaries, removing tissue while preserving surrounding structures.
Incorporate the fourth robotic arm during cutting for retraction, exposure and tissue control.
Integrates three scenarios into a single workflow with smooth, consistent transitions.
Drive a needle through a series of hoops; controlled wrist articulation and trajectory.
Tighter hoop spacing and more complex angles demanding precise wrist articulation.
Drive a needle through entry points in a soft-tissue model; accurate trajectory and depth.
Clinical evidence Randomized Controlled Pilot Study, 2026 · Read full paper →
Surgical Robotics
Physics-based robotic twin, realistic force feedback, standalone XR headset.
ERMIS-Demo — VTC Simulation · by Isle Academy Included free with VTC account
Train on robotic systems without the physical robot or OR time.
Physics-based accuracy builds genuine instrument control and feel.
Standalone XR headset, no additional hardware or infrastructure needed.
Train on any headset, on demand, no expert availability or facility booking required.
Every learner assessed to the same objective standard.
Auto-generated competency records, IFU-aligned and audit-ready.
Learning outcomes
Upon completing this simulation, learners will be able to:
Clinical evidence
Randomized Controlled Pilot Study — Preprint, March 2026
53 participants (27 ERMIS-VR, 26 control) across 2 sites. At first attempt, ERMIS-VR trainees completed tasks 9.3% faster (p=0.023) and made 58.8% fewer camera penalties (p=0.025). At second attempt, camera score improved +20.3%. Usability and acceptance rated 95–100% by survey respondents.
Surgical Robotics
The whole robotic program ready in XR: team, site and surgeons, before the first case.
Robotic Readiness — VTC Simulation Included free with VTC account
The team rehearses the full setup and workflow in XR, off the robot.
Team, site and surgeons reach readiness before the first case, and stay ready as the program grows.
Train a whole roster in XR, not just the one or two who get console time.
OR setup, arm layout, camera and instruments, room and workflow, the part console simulators leave out.
Surgeons build their console skills in XR, then finish on the console simulator.
Objective competency records for every team member and surgeon.
Learning outcomes
Upon completing this simulation, learners will be able to:
Programme highlights
Team and site readiness together with surgeon training, covering everything from OR setup to the console, not just the surgeon.
The team rehearses setup and the full workflow in XR without occupying the system. Surgeons build core console skills in XR — camera control, clutching, wrist articulation, instrument switching and energy — before finishing on the console simulator.
Every team member and surgeon is assessed to the same standard, with automatic, audit-ready competency records.
Tell us which titles your programme needs and we will scope the licences, the headsets, and the rollout with you.