An audit of clinico-radiologic conferences

To assess the various functions of regular review conferences between clinicians and radiologists, proceedings at 19 such meetings were audited. In particular, the authors attempted to quantify their educational component.

The cases discussed during each meeting were monitored, and the educational component was assessed. Changes in imaging strategy, diagnosis, and management were noted. The participants were questioned regarding their perceptions of such meetings.

Two hundred cases were presented at 19 meetings (mean duration 44.8 minutes). Overall, 75 of the 200 cases (37.5%) were presented for routine purposes, 100 (50%) for radiologic assistance, and 25 (12.5%) for general interest. More changes in diagnosis and management and a greater educational contribution occurred in those cases presented for radiologic assistance than in those presented out of routine. Most participants considered that these meetings bestowed considerable benefit to their continuing medical education and to the management of their patients. Discussion considered of educational value developed in 88 of the 200 patients presented; this discussion required 61.7% of the total duration of these meetings.

These conferences provide benefit to the patient, as well as serving an educational role for the medical community. Discussion of imaging strategies and the presentation of controversial and interesting cases should be particularly encouraged.