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In this work, we propose MAGES 4.0, a novel Software Development Kit (SDK) toaccelerate the creation of collaborative medical training applications inVR/AR. Our solution is essentially a low-code metaverse authoring platform fordevelopers to rapidly prototype high-fidelity and high-complexity medicalsimulations. MAGES breaks the authoring boundaries across extended reality,since networked participants can also collaborate using differentvirtual/augmented reality as well as mobile and desktop devices, in the samemetaverse world. With MAGES we propose an upgrade to the outdated 150-year-oldmaster-apprentice medical training model. Our platform incorporates, in anutsell, the following novelties: a) 5G edge-cloud remote rendering and physicsdissection layer, b) realistic real-time simulation of organic tissues assoft-bodies under 10ms, c) a highly realistic cutting and tearing algorithm, d)neural network assessment for user profiling and, e) a VR recorder to recordand replay or debrief the training simulation from any perspective.

MAGES 4.0: Accelerating the world's transition to VR training and democratizing the authoring of the medical metaverse