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Running an Online Radiology Teaching Conference

Rationale and Objectives

At the authors’ institutions, faculty members and trainees work at multiple sites scattered miles apart, making it difficult to physically attend weekly teaching conferences. As a possible solution, a weekly online musculoskeletal teaching conference was undertaken. This quickly grew to include multiple other sites around North America. The authors share their experiences to assist other radiologists in organizing similar educational conferences.

Materials and Methods

The conferences are run using the Citrix GoToMeeting online meeting system. It runs on multiple platforms, including Mac, PC, iPhone, iPad, and Android. Attendees use a wide variety of microphones, sound cards, powered speakers, and webcams. Most users have fast institutional Internet connections, though several attend via slower connections, such as 3G.

Results

The conference has run successfully for 2 years, with participants logging in from 24 different sites in 18 states, two Canadian provinces, and three countries. About 48 sessions are held each year, with 10 to 15 sites joining the conferences each week and about 10 to 15 cases seen each week. Most attendees are from university medical centers, though several private practice radiologists attend regularly. Screen-sharing quality is superb, with no discernible difference between local and remote slide quality. Audio quality is usually quite good, particularly for those using computer audio. Audio feedback is an occasional problem, but this issue is now more easily addressed. No single time is equally convenient for participants scattered among four to six time zones. However, some sites find the conferences sufficiently valuable to rearrange their afternoon procedure schedules to reduce conflicts with the conferences. The social aspect of visiting weekly with friends and colleagues from afar is highly valued, as are seeing the wide range of pathology from other institutions and the ability to confer with colleagues on difficult cases. The conferences have also spawned several collaborative educational projects, such as an online journal club, a published book of conference cases, and an online musculoskeletal hardware atlas.

Conclusions

The weekly online musculoskeletal conference described in this report has matured over 2 years from a peculiar experiment to a very popular conference. Cases not seen locally provide enrichment, and attendees gain educational opportunities not otherwise available. Other radiology groups should be able to create and maintain similar conferences.

Our faculty members and trainees work at multiple sites scattered miles apart, making it difficult for everyone to physically attend our weekly teaching conferences. As a possible solution to this problem, we began a weekly online musculoskeletal (MSK) teaching conference in 2009. This quickly grew to include multiple other sites around North America. The purpose of this paper is to share our experiences with online conferencing: successes, problems, and solutions.

Materials and methods

Software

We currently use the Citrix GoToMeeting online meeting system (Citrix Online, LLC, Santa Barbara, CA). It runs on multiple platforms, including Mac, iPhone, and iPad (Apple Computer, Cupertino, CA), PC, and Android (Google, Mountain View, CA). PC-based software requirements include Windows 7, Vista, XP, or 2003 Server (Microsoft Corporation, Redmond, WA) and minimum Internet Explorer version 7 (Microsoft Corporation) or Mozilla Firefox version 3 (Mozilla, Mountain View, CA). Mac users can run OS X 10.4 Tiger, OS X 10.5 Leopard, or OS X 10.6 Snow Leopard (Apple Computer) with minimum Internet requirements of Safari version 3.0 (Apple Computer) or Firefox version 2.0. GoToMeeting security includes 128-bit Advanced Encryption Standard encryption, meeting passwords, and unique meeting IDs and passwords to ensure that unauthorized users are not eavesdropping or potentially copying images for Web-based or personal distribution. Our radiology department has an institutional account for the GoToWebinar service (Citrix Online, LLC), which currently costs just under $1000 per year for unlimited sessions and integrated audio conferencing.

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Hardware

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Conference Format

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Logistics

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Figure 1, Sample conference invitation gives login and audio instructions.

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Figure 2, The control panel allows the moderator to switch among presenters and to control other aspects of the conference.

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Results

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Figure 3, Sites that have joined our online conference as of September 30, 2011.

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Discussion

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Advantages of Online Conferencing

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Table 1

Technical Tips

Table 2

Social Tips

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Enrichment Activities

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App of the week

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Online MSK journal club

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Publication of an online case review book

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Figure 4, The first volume of our online case review series.

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Submission of cases as formal peer-reviewed case reports

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Submitting cases to online hardware atlas

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Figure 5, A screenshot of our online hardware atlas.

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Conclusions

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References

  • 1. Watters T.S., Cardona D.M., Menon K.S., et. al.: Aseptic lymphocyte-dominated vasculitis-associated lesion: a clinicopathologic review of an underrecognized cause of prosthetic failure. Am J Clin Pathol 2010; 134: pp. 886-893.

  • 2. Case D.B., Chapman C.N., Freeman J.K., et. al.: Best cases from the AFIP: atypical presentation of polyostotic fibrous dysplasia with myxoma (Mazabraud syndrome). Radiographics 2010; 30: pp. 827-832.

  • 3. Kransdorf M.J., Murphey M.D.: Diagnosis please. Case 12: Mazabraud syndrome. Radiology 1999; 212: pp. 129-132.

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