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A conductor was the person responsible for directing a musical performance, including the task of setting the tempo.
The Doctor acted as conductor for a performance of O, soave fanciulla with him and a hologram of Giuseppina Pentangeli in 2373. When he pointed out that she had rushed the tempo of her entrance, she reacted negatively and told him that conductors take their tempi from her, not vice-versa. (VOY: "The Swarm")