Evaluating the influence of music at different sound pressure levels on medical students’ performance of standardized laparoscopic box training exercises

Abstract Background The influence of music on the performance of surgical procedures such as laparoscopy is controversial and methodologically difficult to quantify. Here, outcome measurements using laparoscopic box training tools under standardized conditions might offer a feasible approach. To dat...

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Main Authors: Lisa Katharina Nees, Philipp Grozinger, Natalie Orthmann, Thomas Maximilian Deutsch, André Hennigs, Christoph Domschke, Markus Wallwiener, Joachim Rom, Fabian Riedel
Format: Article
Language:English
Published: BMC 2021-04-01
Series:BMC Medical Education
Subjects:
Online Access:https://doi.org/10.1186/s12909-021-02627-6
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author Lisa Katharina Nees
Philipp Grozinger
Natalie Orthmann
Thomas Maximilian Deutsch
André Hennigs
Christoph Domschke
Markus Wallwiener
Joachim Rom
Fabian Riedel
author_facet Lisa Katharina Nees
Philipp Grozinger
Natalie Orthmann
Thomas Maximilian Deutsch
André Hennigs
Christoph Domschke
Markus Wallwiener
Joachim Rom
Fabian Riedel
author_sort Lisa Katharina Nees
collection DOAJ
description Abstract Background The influence of music on the performance of surgical procedures such as laparoscopy is controversial and methodologically difficult to quantify. Here, outcome measurements using laparoscopic box training tools under standardized conditions might offer a feasible approach. To date, the effect of music exposure at different sound pressure levels (SPL) on outcome has not been evaluated systematically for laparoscopic novices. Methods Between May 2017 and October 2018, n = 87 students (49 males, 38 females) from Heidelberg University Medical School performed three different laparoscopy exercises using the “Luebecker Toolbox” that were repeated twice under standardized conditions. Time was recorded for each run. All students were randomly assigned to four groups exposed to the same music compilation but at different SPLs (50–80 dB), an acoustically shielded (earplug) group, or a control group (no intervention). Results Best absolute performance was shown under exposure to 70 dB in all three exercises (a, b, c) with mean performance time of 121, 142, and 115 s (p < 0.05 for a and c). For the control group mean performance times were 157, 144, and 150 s, respectively. In the earplug group, no significant difference in performance was found compared to the control group (p > 0.05) except for exercise (a) (p = 0.011). Conclusion Music exposure seems to have beneficial effects on training performance. In comparison to the control group, significantly better results were reached at 70 dB SPL, while exposure to lower (50 or 60 dB) or higher (80 dB) SPL as well as under acoustic shielding did not influence performance.
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spelling doaj.art-f11302016d5a45b8b61b99f49a6d5dc92022-12-21T22:32:28ZengBMCBMC Medical Education1472-69202021-04-012111810.1186/s12909-021-02627-6Evaluating the influence of music at different sound pressure levels on medical students’ performance of standardized laparoscopic box training exercisesLisa Katharina Nees0Philipp Grozinger1Natalie Orthmann2Thomas Maximilian Deutsch3André Hennigs4Christoph Domschke5Markus Wallwiener6Joachim Rom7Fabian Riedel8Department of Gynecology and Obstetrics, Heidelberg University HospitalDepartment of Gynecology and Obstetrics, Heidelberg University HospitalAsklepios Klinik Hamburg-Altona, Department of Gynecology and ObstetricDepartment of Gynecology and Obstetrics, Heidelberg University HospitalDepartment of Gynecology and Obstetrics, Heidelberg University HospitalDepartment of Gynecology and Obstetrics, Heidelberg University HospitalDepartment of Gynecology and Obstetrics, Heidelberg University HospitalKlinikum Frankfurt-Hoechst, Department of Gynecology and ObstetricsDepartment of Gynecology and Obstetrics, Heidelberg University HospitalAbstract Background The influence of music on the performance of surgical procedures such as laparoscopy is controversial and methodologically difficult to quantify. Here, outcome measurements using laparoscopic box training tools under standardized conditions might offer a feasible approach. To date, the effect of music exposure at different sound pressure levels (SPL) on outcome has not been evaluated systematically for laparoscopic novices. Methods Between May 2017 and October 2018, n = 87 students (49 males, 38 females) from Heidelberg University Medical School performed three different laparoscopy exercises using the “Luebecker Toolbox” that were repeated twice under standardized conditions. Time was recorded for each run. All students were randomly assigned to four groups exposed to the same music compilation but at different SPLs (50–80 dB), an acoustically shielded (earplug) group, or a control group (no intervention). Results Best absolute performance was shown under exposure to 70 dB in all three exercises (a, b, c) with mean performance time of 121, 142, and 115 s (p < 0.05 for a and c). For the control group mean performance times were 157, 144, and 150 s, respectively. In the earplug group, no significant difference in performance was found compared to the control group (p > 0.05) except for exercise (a) (p = 0.011). Conclusion Music exposure seems to have beneficial effects on training performance. In comparison to the control group, significantly better results were reached at 70 dB SPL, while exposure to lower (50 or 60 dB) or higher (80 dB) SPL as well as under acoustic shielding did not influence performance.https://doi.org/10.1186/s12909-021-02627-6LaparoscopyBox trainingSimulation-based trainingMusic exposureSound pressure level
spellingShingle Lisa Katharina Nees
Philipp Grozinger
Natalie Orthmann
Thomas Maximilian Deutsch
André Hennigs
Christoph Domschke
Markus Wallwiener
Joachim Rom
Fabian Riedel
Evaluating the influence of music at different sound pressure levels on medical students’ performance of standardized laparoscopic box training exercises
BMC Medical Education
Laparoscopy
Box training
Simulation-based training
Music exposure
Sound pressure level
title Evaluating the influence of music at different sound pressure levels on medical students’ performance of standardized laparoscopic box training exercises
title_full Evaluating the influence of music at different sound pressure levels on medical students’ performance of standardized laparoscopic box training exercises
title_fullStr Evaluating the influence of music at different sound pressure levels on medical students’ performance of standardized laparoscopic box training exercises
title_full_unstemmed Evaluating the influence of music at different sound pressure levels on medical students’ performance of standardized laparoscopic box training exercises
title_short Evaluating the influence of music at different sound pressure levels on medical students’ performance of standardized laparoscopic box training exercises
title_sort evaluating the influence of music at different sound pressure levels on medical students performance of standardized laparoscopic box training exercises
topic Laparoscopy
Box training
Simulation-based training
Music exposure
Sound pressure level
url https://doi.org/10.1186/s12909-021-02627-6
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