Certain embodiments of the present invention provide an improved medical imaging and information management system and method with conferencing and control capability. Certain embodiments of the system include an initiator workstation capable of remotely controlling functionality at a slave workstation and a slave workstation including functionality capable of control by the initiator workstation. The initiator workstation is capable of remotely configuring a display protocol of said slave workstation to share diagnostic quality images. In an embodiment, the system includes a picture archiving and communication system (PACS), with first and second PACS workstations as the initiator and slave workstations, for example. In an embodiment, the initiator controls all functionality at the slave. In an embodiment, the initiator controls selected functions at the slave. The initiator workstation may display at least one diagnostic quality image on a display at said slave workstation independent of image quality of said display, for example.