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This study was designed to examine how distance piano teaching might affect the verbal behaviours and physical actions of a teacher, a student and a parent. Weekly 30-minute piano lessons over a year-long period were taught to a 5-and-a-half-year-old on-site student and a 6-year-old distance student. All lessons were delivered by the same teacher who followed the Suzuki programme. All sessions were recorded and then analysed using Simple Computer Recording Interface Behaviour Evaluation (SCRIBE), a video analysis software that provides frequencies and durations of pre-coded events. The observation of recorded lessons showed that distance teaching did not slow down student progress. In addition, behavioural analysis revealed that in most aspects, distance and on-site delivery were remarkably similar. The most striking difference was the interaction between the teacher and the parent. During on-site teaching, most of the teacher’s instructions were directed to the student while the parent was listening and observing attentively; during distance teaching, half of the teacher’s instructions were addressed to the student and the other half to the parent. The distance student also tended to relate more to the parent than to the teacher. In the distance environment, when interacting with a young beginner student, the role of the parent becomes very central to the success of the lessons.

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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.

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