Digital technologies offer a working environment for familiarisation with new surgical procedures and management of clinical case audit. To enhance access and control of these virtual workspaces an eXtensible Mark-up Language (XML) based interface has been developed. This links the educational environment of the Web Based Training (WBT) scheme to the clinical data collection from ongoing trials in Orthopaedics. The Virtual Orthopaedic European University (VOEU) infrastructure encompasses the normal working environment of engineers and clinicians using computer assisted surgery tools adopting dedicated interactive media. XML based interface enables users to communicate using material mediated for their specific needs allowing adaptive media based upon user experience and knowledge base. This combines declarative (factual) content with feedback from a clinical (procedural) case-based training and evaluation environment. By using XML interface, we were able to cater for the different user hardware and software resources, media content and language of presentation, and incorporate virtual environment simulations. By constructing a framework based upon already established standards, we anticipate the applicability to other surgical disciplines. This will enable the development of networking computer architectures to assist the assimilation of multiple sources and media. The interface offers the opportunity to collect data from computer assisted orthopaedic surgical systems embedded in an educational environment that is quantitative rather than descriptive. This will help the development of data repositories for mining, providing feedback upon clinical case management.