“…Given the limited sample size, the pin-physeal angle was the only statistically significant improvement noted in the VR group. While the argument could be made that this is not clinically relevant as there is emerging evidence that screw angle does not necessarily affect stability, 25 the accepted standard for screw placement remains perpendicular to the physis. 26 As such, residents were instructed on perpendicular placement, and individuals who completed VR training demonstrated significantly increased accuracy, a highly transferable skill.…”