From Music to Medicine: Are Pianists at an Advantage When Learning Surgical Skills?
DOI :
https://doi.org/10.47513/mmd.v12i1.697Résumé
Background: The acquisition of procedural competence is of vital importance in the training of physicians. It has been observed that medical students with extensive musical backgrounds often learn surgical techniques more rapidly than other students, raising the question of motor skill transfer from one area to another.
Objective: It is the aim of this project to explore whether musicians can learn and perform surgical skills more rapidly than non-musicians. This study explores the claims that musicians’ proficiency in playing their instrument can translate into benefits when learning complex and refined motor skills in another domain. Even basic surgical skills, such as suturing, become difficult in cognitively demanding environments such as the operating room, containing a barrage of multisensory stimuli where the surgeon must triage and respond to clinically salient information.
Method: Participants with piano expertise and participants with no formal music training learned how to do a surgical knot and sutures. They had two practice sessions and were tested after each session. The two test parameters measured were time to complete the task and an OSATS (Objective Structures Assessment of Technical Skills) score. Results for each group (musicians and non-musicians) were analysed and compared.
Results: Musician participants performed the surgical tasks faster and received higher scores than the controls; for knot tying, the difference between the two groups was statistically significant. Gender and proficiency using chopsticks also exhibited some influence on test times and scores.
Conclusion: Musical training in piano appeared to be of benefit in the initial stage of learning new simple surgical skills. This indicates that at least some aspects of a musicians’ skillset (such as fine motor control, bimanual dexterity and good hand-eye coordination) might be transferrable to an ostensibly disparate domain, and may be important for incorporation in surgical training where the skill of suturing can impact both surgical outcomes, patient safety, and patient satisfaction.
Références
American Music Conference. Research Briefs: Did You Know? Available at:http://advocacyformusiced.weebly.com/uploads/4/9/7/1/49713193/amc_-_research_briefs,_did_you_know.pdf. Accessed May 18, 2019.
Hond P. The hippocratic overture. Columbia Magazine. 2015, spring; 1-5. Available at: http://magazine.columbia.edu/features/spring-2015/hippocratic-overture
Rui M, Lee JE, Vauthey J-N, Conrad C. Enhancing surgical performance by adopting expert musicians’ practice and performance strategies. Surgery. 2018; 163(4): 894-900.
Hughes DT, Forest SJ, Foitl R, Chao E. Influence of medical students' past experiences and innate dexterity on suturing performance. Am J Surg. 2014; 208(2): 302-306.
Cuschieri A, Francis N, Crosby J, Hanna GB. What do master surgeons think of surgical competence and revalidation? Am J Surg. 2001; 182(2): 110-116.
Francis NK, Hanna GB, Cresswell AB, Carter FJ, Cuschieri A. The performance of master surgeons on standard aptitude test. Am J Surg. 2001; 182(1): 30-33.
Datta V, Mandalia M, Mackay S, Chang A, Cheshire N, Darzi A. Relationship between skill and outcome in the laboratory-based model. Surgery. 2002; 131(3): 318-323.
Masud D, Undre S, Darzi A. Using manual dexterity to predict the quality of the final product in the small bowel anastomosis after a period of training. Am J Surg. 2012; 203(6): 776-781.
Hofstad EF, Våpenstad C, Bø LE, Langø T, Kuhry E, Mårvik R. Psychomotor skills assessment by motion analysis in minimally invasive surgery on an animal organ. Minim Invasive Ther Allied Technol. 2017; 26(4): 240-248.
Rosser JC, Rosser LE, Savalgi RS. Objective evaluation of a laparoscopic surgical skill program for residents and senior surgeons. Arch Surg. 1998; 133(6): 657-661.
Kopiez R, Galley N, Lehmann AC. The relation between lateralisation, early start of training, and amount of practice in musicians: A contribution to the problem of handedness classification. Laterality. 2010; 15(4): 385-414.
Furuya S, Altenmüller E. Acquisition and Reacquisition of Motor Coordination in Musicians. Ann N Y Acad Sci. 2015; 1337: 118-124.
Münte TF, Altenmüller E, Jäncke L. The musician’s brain as a model of neuroplasticity. Nat Rev Neurosci. 2002; 3: 473-478.
Debaere F, Wenderoth N, Sunaert S, Van Hecke P, Swinnen SP. Changes in brain activation during the acquisition of a new bimanual coodination task. Neuropsychologia. 2004; 42(7): 855-867.
Lewis PA, Wing AM, Pope PA, Praamstra P, Miall RC. Brain activity correlates differentially with increasing temporal complexity of rhythms during initialisation, synchronisation, and continuation phases of paced finger tapping. Neuropsychologia. 2004; 42(10): 1301-1312.
Zatorre RJ, Chen JL, Penhune VB. When the brain plays music: Auditory – motor interactions in music perception and production. Nat Rev Neurosci. 2007; 8(7): 547-558.
Green C, Bavelier D. The cognitive neuroscience of video games. In: Humphreys L, Messaries P, eds. Digital Media: Transformations in Human Communication. New York, NY: Peter Lang Publications; 2004: 211-224.
Fried GM, Feldman LS, Vassiliou MC, Fraser SA, Stanbridge D, Ghitulescu G, Andrew CG. Proving the value of simulation in laparoscopic surgery. Ann Surg. 2004; 240(3): 518-528.
Hegarty M, Waller D. Individual differences in spatial abilities. In: Shah P, Miyake A, eds. The Cambridge Handbook of Visuospatial Thinking. Cambridge: Cambridge University Press; 2005: 121-169.
Schlaug G, Jancke L, Huang Y, Staiger JF, Steinmetz H. Increased corpus callosum size in musicians. Neurophychologia. 1995; 33(8): 1047-1055.
Rauscher F, Shaw G, Levine L, Wright E, Dennis W, Newcomb R. Music training causes long-term enhancement of preschool children’s spatial–temporal reasoning. Neurol Res.1997; 19(1): 2-8.
Brochard R, Dufour A, Després O. Effect of musical expertise on visuospatial abilities: Evidence from reaction times and mental imagery. Brain Cogn. 2004; 54(2): 103-109.
Pietsch S, Jansen P. Different mental rotation performance in students of music, sport and education. Learn Individ Differ. 2012; 22(1): 159-163.
Boyd T, Jung I, Van Sickle K, Schwesinger W, Michalek J, Bingener J. Music experience influences laparoscopic skills performance. JSLS. 2008; 12(3): 292-294.
Rao ND, Swaby J, Nehra D. Can a hobby influence medical students’ suturing skills? Ann R Coll Surg Engl. 2015; 97(9): 387-391.
Glaser AY, Hall CB, Uribe SJ, Fried MP. The effects of previously acquired skills on sinus surgery simulator performance. Otolaryngol Head Neck Surg. 2005; 133(4): 525-530.
Jalink MB, Heineman E, Pierie JP, Ten Cate Hoedemaker HO. The effect of a preoperative warm-up with a custom-made nintendo video game on the performance of laparoscopic surgeons. Surg Endosc. 2015; 29(8): 2284-2290.
Harenberg S, McCaffrey R, Butz M, Post D, Howlett J, Dorsch KD, Lyster K. Can multiple object tracking predict laparoscopic surgical skills? J Surg Educ. 2016; 73(3): 386-390.
Madan AK, Frantzides CT, Park WC, Tebbit CL, Kumari NV, O'Leary PJ. Predicting baseline laparoscopic surgery skills. Surg Endosc. 2005; 19(1):101-104.
Nozaki D, Kurtzer I, Scott SH. Limited transfer of learning between unimanual and bimanual skills within the same limb. Nat Neurosci. 2006; 9(11): 1364-1366.
Panait L, Larios JM, Brenes RA, Fancher TT, Ajemian MS, Dudrick SJ, Sanchez JA. Surgical skills assessment of applicants to general surgery residency. J Surg Res. 2011; 170(2): 189-194.
Ackerman PL. Individual differences in skill learning: an integration of psychometric and information processing perspectives. Psychol Bull. 1987; 102: 3-27.
Ackerman PL. New developments in understanding skilled performance. Curr Dir Psychol Sci. 2007; 16(5): 235-239.
Rosenberg BH, Landsittel D, Averch TD. Can video games be used to predict or improve laparoscopic skills? J Endourol. 2005; 19(3): 372-376.
Rosser JC, Lynch PJ, Cuddihy L, Gentile DA., Klonsky J, Merrell R. The impact of video games on training surgeons in the 21st century. Arch Surg. 2007; 142(2): 181-186.
Badurdeen S, Abdul-Samad O, Story G, Wilson C, Down S, Harris A. Nintendo Wii video-gaming ability predicts laparoscopic skill. Surg Endosc. 2010; 24(8): 1824-1828.
Zeng W, Woodhouse J, Brunt LM. Do preclinical background and clerkship experiences impact skills performance in an accelerated internship preparation course for senior medical students? Surgery. 2010; 148(4): 768-776.
Harper JD, Kaiser S, Ebrahimi K, Lamberton GR, Hadley HR, Ruckle HC, Baldwin DD. Prior video game exposure does not enhance robotic surgical performance. J Endourol. 2007; 21(10): 1207-1210.
Martin JA, Regehr G, Reznick R, MacRae H, Murnaghan J, Hutchison C, Brown M. Objective structured assessment of technical skill (OSATS) for surgical residents. Br J Surg. 1997; 84(2): 273-278.
Reznick RK, Regehr G, MacRae H, McCulloch W. Testing technical skills via an innovative “Bench Station” examination. Am J Surg. 1997; 173(3): 226-230.
Faulkner H, Regehr G, Martin J, Reznick R. Validation of an objective structured assessment of technical skill for surgical residents. Acad Med. 1996; 71(12): 1363-1365.
Alam M, Nodzenski M, Yoo S, Poon E, Bolotin D. Objective structured assessment of technical skills in elliptical excision repair of senior dermatology residents: A multirater, blinded study of operating room video recordings. JAMA Dermatol. 2014; 150(6): 608-612.
Chang OH, King LP, Modest AM, Hur HC. Developing an objective structured assessment of technical skills for laparoscopic suturing and intracorporeal knot tying. J Surg Educ. 2016; 73(2): 258-263.
Khan MS., Bann SD, Darzi AW, Butler PE. Assessing surgical skill using bench station models. Plast Reconstr Surg. 2007; 120(3):793-800.
Chipman JG, Schmitz CC. Using objective structured assessment of technical skills to evaluate a basic skills simulation curriculum for first-year surgical residents. J Am Coll Surg. 2009; 209(3): 364-370.
Regehr G, MacRae H, Reznick RK, Szalay D. Comparing the psychometric properties of checklists and global rating scales for assessing performance on an OSCE-format examination. Acad Med. 1998; 73(9): 993-997.
Tsai CL, Heinrichs WL. Acquisition of eye-hand coordination skills for videoendoscopic surgery. J Am Assoc Gynecol Laparosc. 1994; 1(4, Part 2): S37.
