Just finished another conference call. Broken voices, confusing accents and awkward silences. How do you guys handle it?

You need to have a 'spokesperson' someone who has the agenda and will guide the meeting, raising each discussion point, asking each person by name to then contribute. Take meeting minutes. Makes for an organised and productive meeting. Write up notes and mail to all in attendance. Piece of piss.

Project Manager

Greatest struggle of all times :D
This is harder than coding itself