Tōge
Where Expertise Turns
Infrastructure for measuring, teaching, and scaling expert intuition — starting with surgery.
Built on Intuitional Ordinal Hierarchy (IOH) — the first framework for externalizing the tacit knowledge that experts cannot put into words.
2,702
Participants
549
Peak Concurrent
529
Clinical Questions
10
Conferences
20
CORTICES Sites
The Platform
Five integrated domains — education, communication, simulation, research, and messaging — unified by one login and one intelligence engine.
Clinical Education OS
Case-based learning with real-time team scoring, presenter analytics, spaced repetition, and research-grade data export.
- •Creator Studio — build cases & sessions
- •Live Sessions — 500+ concurrent, WebSocket sync
- •7-Factor Scoring — proprietary team analytics
- •Presenter Analytics — profession-stratified heatmaps
- •Self-Paced Learning — SM-2 spaced repetition
- •CORTICES Export — 34-column publication format
OR Communication Tool
Digital OR layout builder — replaces verbal and sketch handoff with drag-and-drop room setup sent to the whole team.
- •5 room templates (Standard, Large, Spine, Arthroscopy, Custom)
- •24 equipment items across 8 categories
- •10 named surgical personnel roles
- •Share to team via QR code, link, SMS, email
- •Mobile-friendly read-only view + acknowledge
- •Save templates by procedure type
IOH Research Engine
Expert consensus capture via pairwise comparison + Bradley-Terry modeling. Adaptive assessment via IRT/CAT. AI Socratic tutoring.
- •Expert Consensus Engine — pairwise surveys + Delphi
- •Bradley-Terry interval-scale hierarchies
- •Computerized Adaptive Testing (CAT) — coming
- •AI Socratic Tutoring — coming
- •Knowledge Graph — NLP on expert rationales
- •CORTICES multi-site deployment
OR Digital Twin
3D/VR operating room simulation. Walk through case setup in virtual space. Optimize configurations across millions of permutations.
- •React Three Fiber 3D scene (from current 2D canvas)
- •WebXR VR mode — Quest 3 primary target
- •Discrete event simulation
- •Equipment realism pipeline (FDA 510k dimensions)
Secure Clinical Messaging
HIPAA-compliant curbside consult. The feature that makes surgeons open the app multiple times a day.
- •End-to-end encrypted threads
- •De-identified case sharing with images
- •Expert reasoning feeds CLIOH NLP pipeline
- •The daily-use feature that drives adoption
Evidence-Based Intuition (EBI)
The intellectual foundation. EBI defines, measures, and teaches the 90% of expert practice that is not evidence-based medicine — the tacit ordinal hierarchies that experts carry but cannot articulate, externalized through IOH for the first time.
11-paper publication pipeline — EBI_01 Framework Paper (Academic Medicine), EBI_03 Pairwise Methodology (BMC Methods), + 9 more
The IOH Flywheel
Capture
Experts make pairwise comparisons. No verbalization required. Tacit ordinal hierarchies externalized through revealed preference.
Measure
Bradley-Terry modeling converts binary choices into validated interval-scale hierarchies. ICC tracks consensus convergence.
Teach
Adaptive assessment (IRT/CAT) calibrates to each learner. AI Socratic tutoring grounded in actual expert reasoning.
Scale
Every interaction generates research data. Live sessions measure IOH at scale. The system gets smarter with every use.