Advancing End User Development Through Metadesign - End User Computing Challenges and Technologies: Emerging Tools and Applications - page 156

We now describe a scenario in which a neurolo-
gist asks for a consultation to a neuroradiologist
to analyze clinical cases by studying MRI. In our
scenario, both physicians are male.
Currently, consultations occur during a real
meeting. Due to the busy schedule of the physi-
cians, these consultations cannot be frequent;
therefore, when meeting, they have to analyze
several clinical cases. During the meeting, the
cases are discussed one at a time and always with
the same procedure. The neurologist chooses a
case, gives the MRI plats to the neuroradiologist,
and begins to tell the most relevant data about the

patient history. The neuroradiologist puts three or
four MRI plats on the diaphanoscope and begins
to study them (Figure 3).
During the study of the MRI, neurologist, and
neuroradiologist exchange information in order
to clarify possible doubts and converge to an
agreed opinion (Figure 4). At the end, the diag-
nosis on which the specialists agreed is written
on the patient record and the next clinical case
is considered.
If the physicians cannot physically meet, the
consultations occur through e-mail. Obviously,
in this case, some problems arise such as limited

Figure 3. A photo taken during the direct observation of a physician meeting: The neuroradiologist is
examining an MRI

Figure 4. Another photograph of the same meeting: Neuroradiologist and radiologist are discussing a
clinical case