International Circulation: In terms of these meetings， how often do you think that opinions change during the meeting?
　　Dr. Bailey: Everyone has seen the cases， thought about them， and rated them before the meetings. Once the first rating is done， then they call a meeting.
　　《国际循环》：您认为在这种会议中专家意见发生变化的几率有多大？
　　Dr. Steven Bailey：在会议前每个人都看到这些病例，进行思考，作出评判。一旦作出最初评判，即可召集会议。
　　International Circulation: How often are opinions changed during the meeting after exposure to different experts?
　　Dr. Bailey: The meetings are composed of both experts and non-experts in the field. These include general physicians， internists， family practitioners， cardiologist， ED doctors， and even individuals from health care plans. This gives us a diverse opinion. They do not change radically， though sometimes it is difficult to interpret the question. The case scenario may not have been clearly written， so clarification is necessary. This is the most common reason for change. Sometimes， someone may be there that did not understand the scenario or the information. This is an educational component， where others are made aware of why others felt this case was important. In a minority of cases， this may sway them to change between areas. The other part of this is that， out of around 4000 possible scenarios for PCI， our expert panels reduced that number to 167. It is impossible to look at each and every permutation. These are meant to be a reference point. Secondly， this is a living document. If you find that one of the scenarios you did not at first consider， you have to come back to refine or add it. We fully expect the AUC to develop， expand， and allow us to deal with different scenarios than when we started.
　　《国际循环》：会议中专家意见发生变化的几率有多大？
　　Dr. Steven Bailey：参会者由该领域专家和非该领域的专家组成， 包括全科医师、内科医生、家庭医生、心脏病医生、急诊医生以及来自卫生管理的人员。这为我们提供了不同的意见。虽然有时对问题的解读非常困难，但意见的重大改变并不多。病例脚本可能写得并不明晰，因此必须加以说明。这是发生变化的最主要原因；有时有人不能很好地理解脚本传递的信息，这是教育计划的组成部分，使之理解为何其他人认为这一病例如此重要。少数情况下，一些成员可能出现在不同意见之间摇摆不定，部分原因在于，我们的专家工作组将近4000种例PCI病例精减至167种，因不可能审阅每一种患者资料。其次，这是一部实时的文件，如果你看到1例最初未考虑到的脚本，你必须回头重新提炼或添加。我们非常期待AUC不断发展、拓宽，使我们能够更好地处理不同病例。