What you learn between cases fades fast — Tomo is where it doesn't.
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tomo · a surgical resident's case log

Stack everything your
training teaches you.

A voice-first case log for surgical residents. After a case, you say what you learned — and Tomo turns it into an attending-specific playbook, ready the next time you scrub in.

Tomo is in early access — request an invite and we’ll be in touch.
Get Tomo on your phone
fig.01 · today's case logfiled 0:34s ago
CASE #43OR 4POD 0
FILED 14:32
Tibial Plateau ORIFSchatzker II · lateral split-depression
DATEWed, May 6TIME14:32RESIDENTPGY-3ATTG.Dr. Kim
Pearls / 3
  • Raise the depressed lateral plateau as a unit through a cortical window below the metaphysis — disimpact from below, don't lever from the joint.
  • Backfill the subchondral void with graft before plating so the surface doesn't re-collapse.
  • Lateral locking plate with rafting screws just beneath subchondral bone to support the reduction.
Routed toTibial Plateau ORIF · templateDr. Kim · preferencesMay · case log
DICTATED 14:32:08 · 0:34s · ROUTED 14:32:11SIGNED A.K.
0:23 / hold to dictate
How it works

Three motions. That's the whole product.

  1. i.

    Say it.

    After a case, open Tomo and talk — what went well, what the attending preferred, what you'd do differently. No forms, no typing.

  2. ii.

    Tomo files it.

    It pulls the pearls from what you said, tags them to the procedure and attending, and writes them into your case log. The patient never enters the picture — Tomo works from technique, not identifiers.

  3. iii.

    It's ready when you need it.

    Operating with the same attending next week? Tomo hands you their playbook for that procedure, organized by the steps of the case. You walk in already one case ahead.

What you graduate with

Every case you log makes the next one sharper — the templates get richer, the attending playbooks fill in, the brief for tomorrow's list pulls from everything you've captured. A pearl you said out loud once becomes something you can lean on for the rest of residency.

Tomo stores the things that make you better in the OR — the procedure, the attending, the operative pearls, the dates. It does not store patient identifiers; the parts that touch protected information are stripped before anything is saved. Your case log is a record of technique, not patients.

PGY-1Tibial Plateau ORIF · templaten = 4
PGY-2Tibial Plateau ORIF · templaten = 38
PGY-3Tibial Plateau ORIF · templaten = 94
PGY-5Tibial Plateau ORIF · templaten = 217
vs. the notebook

Every resident has tried to keep one. Almost no one has.

The white-coat notebook

What you do now

  • Written when you have a free five minutes — which is never.
  • Indexed by date. To find a plateau pearl, you flip pages.
  • Lost when you change rotations. Lost when you change programs.
  • In your white coat for five years — and only those five.
  • If you spill coffee on it, the entire case log is gone.

Tomo

What you do instead

  • Dictated in 30 seconds between cases — no typing, no template.
  • Indexed by procedure, attending, suture, year. Searched in one tap.
  • Compounds across rotations, programs, fellowships, attending years.
  • In your phone for the next 50 years. Exportable. Yours.
  • Encrypted, redundantly backed up. PHI-safe by design.

I'm a surgery resident, and I built Tomo because I wanted to get more out of my training.

There's so much in a single day. You go case to case, and in one week a thousand pearls and subtleties get taught — small things, the kind that only come up at the table. But by the end of the day you don't have the time to sit down and capture it, and even if you do, the vivid detail is already fading — the specifics that made the lesson worth keeping. By the next time you do the case, half of it is gone. That always frustrated me.

Our attendings are too good for that. They put real effort into teaching us, and I wanted to take as much from it as I could — to actually stack that knowledge year after year instead of relearning the same things.

So I built the tool I wish I'd had on day one. After a case, you just say what you learned — right there, while it's fresh. Tomo captures it, organizes it by procedure and attending, and builds it into something that gets richer every time you log: attending-specific playbooks, ready the next time you scrub in. And it's voice-first on purpose — not ambient AI listening in the background. Saying it out loud is part of how it sticks. The act of articulating what you learned is half the value.

Whether you're a junior trying to keep your head above water or a senior refining your technique, the idea is the same: get the full value of your training, and carry it forward.

— Ryansurgery resident · founder
A gift to your future self

Start your case log tomorrow morning.

Two minutes to set up on the phone you already have. Works through scrub-sink noise, call-room doors, and Friday at 7 p.m.

Tomo is in early access — request an invite and we’ll be in touch.
Get Tomo on your phone

Set up once, on the phone in your scrubs pocket. It's yours for the rest of your training.

Tomo — a case log for surgical residents