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TJ Southard

Technology, VLOG

April 19, 2026

XR for Healthcare Gowning

The Real Promise

Gowning looks simple from the outside. A sequence of steps. Gloves, gown, mask, face shield, in the right order. But in a clinical environment where infectious disease is the risk, simple is exactly where hospital systems lose ground. A sequence done from memory, under pressure, in a rush, is where small errors become the ones that matter most for infection control.

The easy framing of XR training in healthcare is that it makes learning more engaging. That’s true, but it undersells what is actually happening. What immersive rehearsal gives a healthcare worker is closer to what pilots and surgeons have built their careers on: repetition of a sequence until the sequence no longer needs thinking. Engagement is a byproduct. Automaticity under pressure is the point.

The Mechanism

At a UK hospital, we set out to improve gowning precision for staff moving in and out of live patient environments. Instead of relying on laminated posters, printed manuals, or memory, clinicians step into an immersive environment and practice the exact gowning protocol before entering clinical care. They pick up each item in virtual space. They follow the required order. If a step is missed, skipped, or performed out of sequence, the system flags it in real time so the worker can correct it on the spot.

Every repetition happens with zero patient risk. No live scenario to recover from, no colleague waiting, no infection control consequence to manage after the fact. The focus is narrow, the feedback loop is fast, and the reps accumulate quickly. That combination is what allows the skill to build in a way that a poster on the wall or a one-time orientation session cannot replicate.

Where It Connects

Healthcare gowning is one application inside a broader shift in workforce training technology. The same immersive engine that teaches PPE sequences also supports surgical rehearsal, triage simulation, equipment familiarization, and remote clinical coordination. XR for healthcare training works because the underlying problem repeats across all of those use cases: complex, high-stakes procedures performed under time pressure, where the gap between knowing the steps and executing them cleanly is where real harm lives.

For a hospital system thinking about staff preparation at scale, the question stops being whether to adopt immersive training and starts being which procedures benefit most from it first. Gowning is often the earliest answer because it touches every worker, every shift, every day. Infection control is the baseline that the rest of clinical excellence is built on top of.

What This Changes

By the time a clinician steps into the clinical space, the sequence should feel natural. Automatic. The hesitation that most traditional training leaves in place is exactly what immersive rehearsal removes. Muscle memory is built through repetition inside a safe environment, and confidence is built on top of that muscle memory. The two together are what turn a correct protocol on paper into a correct protocol in practice.

Excellence in healthcare is not a personality trait. It is the output of a system that lets people prepare properly before the moment they need to perform. Hospital staff training that treats preparation seriously produces workers who execute cleanly, recover faster from interruptions, and carry a different level of steadiness into the rest of their work. That is not a soft outcome. It is what patients feel on the other end of the care they receive.

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TJ Southard

Creative Director

TJ Southard is a seasoned digital design veteran and the visionary leader of Avatar Partners’ creative team. With over three decades of experience, TJ has been at the forefront of digital design, pushing the boundaries of innovation. His expertise lies in crafting exceptional user experiences, particularly within the dynamic realm of XR. As a key architect of XR create, TJ brings a deep understanding of human-centered design to every project, ensuring that our solutions not only look stunning but also seamlessly integrate into users’ lives.
TJ’s passion for design, coupled with his extensive knowledge, makes him an invaluable asset to Avatar Partners. His leadership inspires our team to create groundbreaking XR experiences that captivate audiences and drive results. Under TJ’s guidance, our creative department is committed to delivering innovative and user-centric solutions that redefine the future of XR technology.

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Scott Toppel

President

Scott Toppel is the President of AVATAR Partners, Inc., a pioneering company in the field of digital transformation. With a career spanning over two decades, Scott has been instrumental in driving innovation and efficiency across various industries, including defense, healthcare, and heavy industry. Under his leadership, AVATAR Partners has developed cutting-edge software solutions that simplify complex systems, improve safety, and enhance performance. Scott’s expertise lies in leveraging advanced technologies such as Augmented Reality (AR), Virtual Reality (VR), Mixed Reality (MR), and Artificial Intelligence (AI) to create immersive training and operational tools. His vision has led to the successful deployment of hundreds of use cases, from military applications to industrial maintenance and healthcare training. A strong advocate for standardization, Scott has been actively involved in the International Mixed Reality Standards Association (IMRSA), promoting best practices and technical standards for XR applications. His commitment to innovation and excellence has earned AVATAR Partners a reputation as a leader in the digital transformation space. Scott holds a deep understanding of the challenges and opportunities in modern industries, and his strategic insights have been pivotal in helping organizations navigate the complexities of digital transformation. With a focus on delivering practical, user-centric solutions, Scott continues to drive AVATAR Partners towards new heights, ensuring that the company remains at the forefront of technological advancements.

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Michael Davis

VP of Technology

Michael guides the vision, architectural design, management and quality of numerous deployed programs, including numerous Augmented Reality projects, Interactive Electronic Technical Manual (IETM) He led API’s multi-faceted development team that produced the Joint Mission Planning System(JMPS) Interactive Multi-Media Instruction (IMI) modules for the FA-18 Hornet and Super Hornet, the EA-18G Growler and Rotary Wing platforms. The JMPS IMI were designed to reduce the time to plan combat missions by providing the mission planner with accurate instructions when and where they are needed. All modules are produced via the S1000D standard.Michael Davis has 16 years’ experience as a Technical Manager for large scale programs for the US Navy,US Marine Corps and US Coast Guard, and specifically the EA-6B Prowler Naval aircraft, the TJS (Tactical Jamming System) PODs for the EA-6B Prowler and EA-18G aircrafts, the C-RAM (Counter Rocket,Artillery, Mortar) Mobile for the US Army, and the RB-M (Response Boat-Medium) and logistics management system for the USCG. Michael has served as a Mechanical Engineer, 3D Animator/Multimedia Developer, Modeling and Simulation where he led the advancement and design of the interactive Virtual Integration and Assembly (VIA) Intranet system for the AAAV (Advanced Amphibious Assault Vehicle) project.Mike earned a BS in Mechanical Engineering and a certificate in Biomedical Engineering at the Georgia Institute of Technology. He is certified in Reliability-Centered Maintenance Level II and Joint Application Design (JAD).
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Marlo Brook

Founder & Chairwoman

Marlo Brooke is Founder and Chairwoman of AVATAR Holdings, which includes a group of technology companies headquartered in Irvine CA, including AVATAR Partners, an integrated digital transformation software provider that improves profit, performance and safety in heavy industry and defense. Her portfolio also includes simpleAR, a SaaS and on-prem platforms that features an AI-driven, no-code, platform agnostic XR authoring suite that integrates seamlessly with IoT and Digital Twins, supports remote assistance, and delivers valuable user analytics. Marlo holds 11 AI and XR technology patents. Marlo serves as Co-Chair for the International Mixed Reality Standards Association (IMRSA) for worldwide open standards. Founded organically without venture capital, The AVATAR Holdings portfolio continues to maintain a stable leadership team and is committed to philanthropy and reinvesting profits to create positive impact in the world. Outside of work, Marlo’s hobbies include gardening, running, nature, and philanthropy for disadvantaged youth, women’s rights and the underprivileged.

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