We have compiled a set of guidelines for effective multipoint videoconferen
cing carried out with low-cost, PC-based systems. The guidelines are based
on experience gained during multipoint videoconferences in epidemiology and
orthopaedics/radiology. Joint data inspection and manipulation were carrie
d out by application sharing between the PCs. The guidelines are categorize
d by the time of their application and also by their content. For effective
multipoint videoconferences, preparation of the agenda and of digital docu
ments is mandatory. The prevention of echo effects and half-duplex audio co
nnections are of special importance. A protocol to optimize the order of sp
eakers increases the efficient use of conference time. The guidelines worke
d well when used in a multisite research project and addressed the most imp
ortant weak points of multipoint videoconferences using low-cost equipment.