“…Simulation in medicine allows for the training, certification, maintenance, and remediation of skills for a variety of healthcare providers. Since 1993 when Richard Satava first proposed the used of virtual reality simulation in surgical education 11 , simulation in surgical training has become accepted as a valuable, valid, and necessary method of training future surgeons 12,13 . In fact, starting in VirtuOHSU's core mission "is to provide outstanding leadership in education and training opportunities in surgical skills and simulation" 15 .…”