A Randomized Prospective Blinded Study Evaluating the Effect of Music on Novice Surgical Trainees' Ability to Perform a Simulated Surgical Task.
Identifieur interne : 000000 ( Main/Exploration ); suivant : 000001A Randomized Prospective Blinded Study Evaluating the Effect of Music on Novice Surgical Trainees' Ability to Perform a Simulated Surgical Task.
Auteurs : Andrew Shover [États-Unis] ; Janell Holloway [États-Unis] ; Christine Dauphine [États-Unis] ; Peyman Benharash [États-Unis] ; Hanning Xing [États-Unis] ; Nikhil Kansal [États-Unis] ; Nina Bowens [États-Unis] ; Mark Archie [États-Unis] ; Amy H. Kaji [États-Unis] ; Christian De Virgilio [États-Unis]Source :
- Journal of surgical education [ 1878-7452 ]
Abstract
OBJECTIVE
To determine if playing music would affect novice surgical trainees' ability to perform a complex surgical task.
BACKGROUND
The effect of music in the operating room (OR) is controversial. Some studies from the anesthesiology literature suggest that OR music is distracting and should be banned. Other nonblinded studies have indicated that music improves surgeons' efficiency with simple tasks.
DESIGN/METHODS
A prospective, blinded, randomized trial of 19 novice surgical trainees was conducted using an in vitro model. Each trainee performed a baseline vascular anastomosis (VA) without music. Subsequently, they performed one VA with music (song validated to reduce anxiety) and one without, in random order and without prior knowledge of the study's purpose. The primary endpoint was a difference in differences from baseline with and without music with respect to time to completion, acceleration/deceleration (using a previously validated hand-tracking motion device), and video performance scoring (3 blinded experts using a validated scale). The participants completed a poststudy survey to gauge their opinions regarding music during tasks.
RESULTS
Overall, 57 VAs by 19 trainees were evaluated. Average time to completion was 11.6 minutes. When compared to baseline, time to completion improved for both the music group (p = 0.01) and no-music group (p = 0.001). When comparing music to no music, there was no difference in time to completion (p = 0.7), acceleration/deceleration (p = 0.3), or video performance scorings (p = NS). Among participants, 89% responded that they enjoy listening to music while performing tasks.
CONCLUSIONS
Using three outcome measures, relaxing music did not improve the performance of novice surgical trainees performing a complex surgical task, and the music did not make their performance worse. However, nearly all trainees reported enjoying listening to music while performing tasks.
DOI: 10.1016/j.jsurg.2020.08.020
PubMed: 32917540
Affiliations:
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Kaji</name><affiliation wicri:level="2"><nlm:affiliation>Department of Emergency Medicine, Harbor-UCLA Medical Center, Torrance, California; The Lundquist Institute, Torrance, California.</nlm:affiliation><country>États-Unis</country><placeName><region type="state">Californie</region></placeName><wicri:cityArea>Department of Emergency Medicine, Harbor-UCLA Medical Center, Torrance, California; The Lundquist Institute, Torrance</wicri:cityArea></affiliation></author><author><name sortKey="De Virgilio, Christian" sort="De Virgilio, Christian" uniqKey="De Virgilio C" first="Christian" last="De Virgilio">Christian De Virgilio</name><affiliation wicri:level="2"><nlm:affiliation>Department of Surgery, Harbor-UCLA Medical Center, Torrance, California; The Lundquist Institute, Torrance, California. Electronic address: cdevirgilio@lundquist.org.</nlm:affiliation><country>États-Unis</country><placeName><region type="state">Californie</region></placeName><wicri:cityArea>Department of Surgery, Harbor-UCLA Medical Center, Torrance, California; The Lundquist Institute, Torrance</wicri:cityArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2021">2021 Mar-Apr</date><idno type="RBID">pubmed:32917540</idno><idno type="pmid">32917540</idno><idno type="doi">10.1016/j.jsurg.2020.08.020</idno><idno type="wicri:Area/Main/Corpus">000166</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000166</idno><idno type="wicri:Area/Main/Curation">000166</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000166</idno><idno type="wicri:Area/Main/Exploration">000166</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">A Randomized Prospective Blinded Study Evaluating the Effect of Music on Novice Surgical Trainees' Ability to Perform a Simulated Surgical Task.</title><author><name sortKey="Shover, Andrew" sort="Shover, Andrew" uniqKey="Shover A" first="Andrew" last="Shover">Andrew Shover</name><affiliation wicri:level="2"><nlm:affiliation>Department of Surgery, Harbor-UCLA Medical Center, Torrance, California.</nlm:affiliation><country>États-Unis</country><placeName><region type="state">Californie</region></placeName><wicri:cityArea>Department of Surgery, Harbor-UCLA Medical Center, Torrance</wicri:cityArea></affiliation></author><author><name sortKey="Holloway, Janell" sort="Holloway, Janell" uniqKey="Holloway J" first="Janell" last="Holloway">Janell Holloway</name><affiliation wicri:level="2"><nlm:affiliation>David Geffen School of Medicine at University of California, Los Angeles, California; Charles R. Drew University of Medicine and Science College of Medicine, Los Angeles, California.</nlm:affiliation><country>États-Unis</country><placeName><region type="state">Californie</region></placeName><wicri:cityArea>David Geffen School of Medicine at University of California, Los Angeles, California; Charles R. Drew University of Medicine and Science College of Medicine, Los Angeles</wicri:cityArea></affiliation></author><author><name sortKey="Dauphine, Christine" sort="Dauphine, Christine" uniqKey="Dauphine C" first="Christine" last="Dauphine">Christine Dauphine</name><affiliation wicri:level="2"><nlm:affiliation>Department of Surgery, Harbor-UCLA Medical Center, Torrance, California; The Lundquist Institute, Torrance, California.</nlm:affiliation><country>États-Unis</country><placeName><region type="state">Californie</region></placeName><wicri:cityArea>Department of Surgery, Harbor-UCLA Medical Center, Torrance, California; The Lundquist Institute, Torrance</wicri:cityArea></affiliation></author><author><name sortKey="Benharash, Peyman" sort="Benharash, Peyman" uniqKey="Benharash P" first="Peyman" last="Benharash">Peyman Benharash</name><affiliation wicri:level="2"><nlm:affiliation>Division of Cardiac Surgery at University of California Los Angeles, Los Angeles, California.</nlm:affiliation><country>États-Unis</country><placeName><region type="state">Californie</region></placeName><wicri:cityArea>Division of Cardiac Surgery at University of California Los Angeles, Los Angeles</wicri:cityArea></affiliation></author><author><name sortKey="Xing, Hanning" sort="Xing, Hanning" uniqKey="Xing H" first="Hanning" last="Xing">Hanning Xing</name><affiliation wicri:level="2"><nlm:affiliation>David Geffen School of Medicine at University of California, Los Angeles, California.</nlm:affiliation><country>États-Unis</country><placeName><region type="state">Californie</region></placeName><wicri:cityArea>David Geffen School of Medicine at University of California, Los Angeles</wicri:cityArea></affiliation></author><author><name sortKey="Kansal, Nikhil" sort="Kansal, Nikhil" uniqKey="Kansal N" first="Nikhil" last="Kansal">Nikhil Kansal</name><affiliation wicri:level="2"><nlm:affiliation>Department of Surgery, Harbor-UCLA Medical Center, Torrance, California; The Lundquist Institute, Torrance, California.</nlm:affiliation><country>États-Unis</country><placeName><region type="state">Californie</region></placeName><wicri:cityArea>Department of Surgery, Harbor-UCLA Medical Center, Torrance, California; The Lundquist Institute, Torrance</wicri:cityArea></affiliation></author><author><name sortKey="Bowens, Nina" sort="Bowens, Nina" uniqKey="Bowens N" first="Nina" last="Bowens">Nina Bowens</name><affiliation wicri:level="2"><nlm:affiliation>Department of Surgery, Harbor-UCLA Medical Center, Torrance, California; The Lundquist Institute, Torrance, California.</nlm:affiliation><country>États-Unis</country><placeName><region type="state">Californie</region></placeName><wicri:cityArea>Department of Surgery, Harbor-UCLA Medical Center, Torrance, California; The Lundquist Institute, Torrance</wicri:cityArea></affiliation></author><author><name sortKey="Archie, Mark" sort="Archie, Mark" uniqKey="Archie M" first="Mark" last="Archie">Mark Archie</name><affiliation wicri:level="2"><nlm:affiliation>Department of Surgery, Harbor-UCLA Medical Center, Torrance, California; The Lundquist Institute, Torrance, California.</nlm:affiliation><country>États-Unis</country><placeName><region type="state">Californie</region></placeName><wicri:cityArea>Department of Surgery, Harbor-UCLA Medical Center, Torrance, California; The Lundquist Institute, Torrance</wicri:cityArea></affiliation></author><author><name sortKey="Kaji, Amy H" sort="Kaji, Amy H" uniqKey="Kaji A" first="Amy H" last="Kaji">Amy H. Kaji</name><affiliation wicri:level="2"><nlm:affiliation>Department of Emergency Medicine, Harbor-UCLA Medical Center, Torrance, California; The Lundquist Institute, Torrance, California.</nlm:affiliation><country>États-Unis</country><placeName><region type="state">Californie</region></placeName><wicri:cityArea>Department of Emergency Medicine, Harbor-UCLA Medical Center, Torrance, California; The Lundquist Institute, Torrance</wicri:cityArea></affiliation></author><author><name sortKey="De Virgilio, Christian" sort="De Virgilio, Christian" uniqKey="De Virgilio C" first="Christian" last="De Virgilio">Christian De Virgilio</name><affiliation wicri:level="2"><nlm:affiliation>Department of Surgery, Harbor-UCLA Medical Center, Torrance, California; The Lundquist Institute, Torrance, California. Electronic address: cdevirgilio@lundquist.org.</nlm:affiliation><country>États-Unis</country><placeName><region type="state">Californie</region></placeName><wicri:cityArea>Department of Surgery, Harbor-UCLA Medical Center, Torrance, California; The Lundquist Institute, Torrance</wicri:cityArea></affiliation></author></analytic><series><title level="j">Journal of surgical education</title><idno type="eISSN">1878-7452</idno></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>To determine if playing music would affect novice surgical trainees' ability to perform a complex surgical task.</p></div><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>The effect of music in the operating room (OR) is controversial. Some studies from the anesthesiology literature suggest that OR music is distracting and should be banned. Other nonblinded studies have indicated that music improves surgeons' efficiency with simple tasks.</p></div><div type="abstract" xml:lang="en"><p><b>DESIGN/METHODS</b></p><p>A prospective, blinded, randomized trial of 19 novice surgical trainees was conducted using an in vitro model. Each trainee performed a baseline vascular anastomosis (VA) without music. Subsequently, they performed one VA with music (song validated to reduce anxiety) and one without, in random order and without prior knowledge of the study's purpose. The primary endpoint was a difference in differences from baseline with and without music with respect to time to completion, acceleration/deceleration (using a previously validated hand-tracking motion device), and video performance scoring (3 blinded experts using a validated scale). The participants completed a poststudy survey to gauge their opinions regarding music during tasks.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Overall, 57 VAs by 19 trainees were evaluated. Average time to completion was 11.6 minutes. When compared to baseline, time to completion improved for both the music group (p = 0.01) and no-music group (p = 0.001). When comparing music to no music, there was no difference in time to completion (p = 0.7), acceleration/deceleration (p = 0.3), or video performance scorings (p = NS). Among participants, 89% responded that they enjoy listening to music while performing tasks.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>Using three outcome measures, relaxing music did not improve the performance of novice surgical trainees performing a complex surgical task, and the music did not make their performance worse. However, nearly all trainees reported enjoying listening to music while performing tasks.</p></div></front></TEI><pubmed><MedlineCitation Status="In-Process" Owner="NLM"><PMID Version="1">32917540</PMID><DateRevised><Year>2021</Year><Month>02</Month><Day>26</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1878-7452</ISSN><JournalIssue CitedMedium="Internet"><Volume>78</Volume><Issue>2</Issue><PubDate><MedlineDate>2021 Mar-Apr</MedlineDate></PubDate></JournalIssue><Title>Journal of surgical education</Title><ISOAbbreviation>J Surg Educ</ISOAbbreviation></Journal><ArticleTitle>A Randomized Prospective Blinded Study Evaluating the Effect of Music on Novice Surgical Trainees' Ability to Perform a Simulated Surgical Task.</ArticleTitle><Pagination><MedlinePgn>638-648</MedlinePgn></Pagination><ELocationID EIdType="pii" ValidYN="Y">S1931-7204(20)30317-2</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.jsurg.2020.08.020</ELocationID><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To determine if playing music would affect novice surgical trainees' ability to perform a complex surgical task.</AbstractText><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">The effect of music in the operating room (OR) is controversial. Some studies from the anesthesiology literature suggest that OR music is distracting and should be banned. Other nonblinded studies have indicated that music improves surgeons' efficiency with simple tasks.</AbstractText><AbstractText Label="DESIGN/METHODS" NlmCategory="METHODS">A prospective, blinded, randomized trial of 19 novice surgical trainees was conducted using an in vitro model. Each trainee performed a baseline vascular anastomosis (VA) without music. Subsequently, they performed one VA with music (song validated to reduce anxiety) and one without, in random order and without prior knowledge of the study's purpose. The primary endpoint was a difference in differences from baseline with and without music with respect to time to completion, acceleration/deceleration (using a previously validated hand-tracking motion device), and video performance scoring (3 blinded experts using a validated scale). The participants completed a poststudy survey to gauge their opinions regarding music during tasks.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Overall, 57 VAs by 19 trainees were evaluated. Average time to completion was 11.6 minutes. When compared to baseline, time to completion improved for both the music group (p = 0.01) and no-music group (p = 0.001). When comparing music to no music, there was no difference in time to completion (p = 0.7), acceleration/deceleration (p = 0.3), or video performance scorings (p = NS). Among participants, 89% responded that they enjoy listening to music while performing tasks.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Using three outcome measures, relaxing music did not improve the performance of novice surgical trainees performing a complex surgical task, and the music did not make their performance worse. However, nearly all trainees reported enjoying listening to music while performing tasks.</AbstractText><CopyrightInformation>Copyright © 2020 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Shover</LastName><ForeName>Andrew</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Department of Surgery, Harbor-UCLA Medical Center, Torrance, California.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Holloway</LastName><ForeName>Janell</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>David Geffen School of Medicine at University of California, Los Angeles, California; Charles R. Drew University of Medicine and Science College of Medicine, Los Angeles, California.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Dauphine</LastName><ForeName>Christine</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Department of Surgery, Harbor-UCLA Medical Center, Torrance, California; The Lundquist Institute, Torrance, California.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Benharash</LastName><ForeName>Peyman</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Division of Cardiac Surgery at University of California Los Angeles, Los Angeles, California.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Xing</LastName><ForeName>Hanning</ForeName><Initials>H</Initials><AffiliationInfo><Affiliation>David Geffen School of Medicine at University of California, Los Angeles, California.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kansal</LastName><ForeName>Nikhil</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>Department of Surgery, Harbor-UCLA Medical Center, Torrance, California; The Lundquist Institute, Torrance, California.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bowens</LastName><ForeName>Nina</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>Department of Surgery, Harbor-UCLA Medical Center, Torrance, California; The Lundquist Institute, Torrance, California.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Archie</LastName><ForeName>Mark</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Department of Surgery, Harbor-UCLA Medical Center, Torrance, California; The Lundquist Institute, Torrance, California.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kaji</LastName><ForeName>Amy H</ForeName><Initials>AH</Initials><AffiliationInfo><Affiliation>Department of Emergency Medicine, Harbor-UCLA Medical Center, Torrance, California; The Lundquist Institute, Torrance, California.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>de Virgilio</LastName><ForeName>Christian</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Department of Surgery, Harbor-UCLA Medical Center, Torrance, California; The Lundquist Institute, Torrance, California. Electronic address: cdevirgilio@lundquist.org.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>09</Month><Day>08</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>J Surg Educ</MedlineTA><NlmUniqueID>101303204</NlmUniqueID><ISSNLinking>1878-7452</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Anastomosis</Keyword><Keyword MajorTopicYN="N">Education</Keyword><Keyword MajorTopicYN="N">Patient Care</Keyword><Keyword MajorTopicYN="N">Practice-Based Learning and Improvement</Keyword><Keyword MajorTopicYN="N">Simulation</Keyword><Keyword MajorTopicYN="N">Surgical model</Keyword><Keyword MajorTopicYN="N">Surgical training</Keyword><Keyword MajorTopicYN="N">Systems-Based Practice</Keyword><Keyword MajorTopicYN="N">Vascular anastomosis</Keyword><Keyword MajorTopicYN="N">vascular</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2020</Year><Month>05</Month><Day>31</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2020</Year><Month>08</Month><Day>06</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2020</Year><Month>08</Month><Day>11</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>9</Month><Day>13</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>9</Month><Day>13</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>9</Month><Day>12</Day><Hour>5</Hour><Minute>28</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">32917540</ArticleId><ArticleId IdType="pii">S1931-7204(20)30317-2</ArticleId><ArticleId IdType="doi">10.1016/j.jsurg.2020.08.020</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>États-Unis</li></country><region><li>Californie</li></region></list><tree><country name="États-Unis"><region name="Californie"><name sortKey="Shover, Andrew" sort="Shover, Andrew" uniqKey="Shover A" first="Andrew" last="Shover">Andrew Shover</name></region><name sortKey="Archie, Mark" sort="Archie, Mark" uniqKey="Archie M" first="Mark" last="Archie">Mark Archie</name><name sortKey="Benharash, Peyman" sort="Benharash, Peyman" uniqKey="Benharash P" first="Peyman" last="Benharash">Peyman Benharash</name><name sortKey="Bowens, Nina" sort="Bowens, Nina" uniqKey="Bowens N" first="Nina" last="Bowens">Nina Bowens</name><name sortKey="Dauphine, Christine" sort="Dauphine, Christine" uniqKey="Dauphine C" first="Christine" last="Dauphine">Christine Dauphine</name><name sortKey="De Virgilio, Christian" sort="De Virgilio, Christian" uniqKey="De Virgilio C" first="Christian" last="De Virgilio">Christian De Virgilio</name><name sortKey="Holloway, Janell" sort="Holloway, Janell" uniqKey="Holloway J" first="Janell" last="Holloway">Janell Holloway</name><name sortKey="Kaji, Amy H" sort="Kaji, Amy H" uniqKey="Kaji A" first="Amy H" last="Kaji">Amy H. Kaji</name><name sortKey="Kansal, Nikhil" sort="Kansal, Nikhil" uniqKey="Kansal N" first="Nikhil" last="Kansal">Nikhil Kansal</name><name sortKey="Xing, Hanning" sort="Xing, Hanning" uniqKey="Xing H" first="Hanning" last="Xing">Hanning Xing</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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