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Donna Zulman, Abraham Verghese, Sonoo Thadaney Israni, and Juliana Marie Baratta

Overview
Internet Enduring Material sponsored by Stanford University School of Medicine.

Healthcare systems are rapidly scaling up telemedicine to reduce risk of infection and protect clinicians and patients in light of the pandemic. In the outpatient setting, many visits are taking place by video, introducing a digital barrier to the human connection that is central to patient care. This training video covers strategies to foster humanism and meaningful connection during virtual visits, as guided by the Presence 5 model.

Intended Audience

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Overview
Internet Enduring Material sponsored by Stanford University School of Medicine.

Healthcare systems are rapidly scaling up telemedicine to reduce risk of infection and protect clinicians and patients in light of the pandemic. In the outpatient setting, many visits are taking place by video, introducing a digital barrier to the human connection that is central to patient care. This training video covers strategies to foster humanism and meaningful connection during virtual visits, as guided by the Presence 5 model.

Intended Audience

Specialties - All Specialties

Professions - Advance Practice Nurse (APN), Fellow/Resident, Non-Physician, Nurse, Physical Therapist (DPT), Physician, Physician Assistant (PA), Professional Nurse (RN), Psychologist (PsyD), Social Worker

Accreditation
In support of improving patient care, Stanford Medicine is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Credit Designation
American Medical Association (AMA)

Stanford Medicine designates this Enduring Material for a maximum of 0.25 AMA PRA Category 1 Credits™️. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

If you would like to earn CME credit from Stanford University School of Medicine for participating in this course, please review the information here prior to beginning the activity.

What you'll learn

  • Apply strategies to "Prepare with intention" and center oneself prior to conducting a telemedicine visit.
  • Incorporate strategies to "Listen intently and completely" while on a virtual visit with a patient.
  • Determine goals and priorities with the patient during the virtual visit by "Agreeing on what matters most."
  • Engage virtually with the patient's family, friends, and home environment by "Connecting with the patient's story."
  • Recognize and respond to body language, facial expressions, and changes in tone by "Exploring emotional cues."

What's inside

Learning objectives

  • Apply strategies to "prepare with intention" and center oneself prior to conducting a telemedicine visit.
  • Incorporate strategies to "listen intently and completely" while on a virtual visit with a patient.
  • Determine goals and priorities with the patient during the virtual visit by "agreeing on what matters most."
  • Engage virtually with the patient's family, friends, and home environment by "connecting with the patient's story."
  • Recognize and respond to body language, facial expressions, and changes in tone by "exploring emotional cues."

Good to know

Know what's good
, what to watch for
, and possible dealbreakers
Teaches strategies to enhance human connection in a digital healthcare setting
Features highly experienced instructors from Stanford University School of Medicine
Provides strategies for fostering meaningful connection during virtual patient visits
Applies the Presence 5 model to promote effective virtual patient interactions
Covers key aspects of human connection, such as empathy, active listening, and emotional cues
Offers continuing medical education (CME) credits for healthcare professionals

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Reviews summary

Virtual presence refresher

Learners say that this course is a great refresher for those who already have a foundation in the presence model. They remark that it's quick and easy to finish, making it a good use of time.
Course can be finished in under 30mins.
"The whole course can be completed in under half an hour..."
Reinforces the 5 Presence Model from previous course.
"This course is like a review...with extra tips for online consultations."

Activities

Be better prepared before your course. Deepen your understanding during and after it. Supplement your coursework and achieve mastery of the topics covered in Virtual Care with Presence with these activities:
Review Study Materials
Review past coursework or study materials to strengthen foundational knowledge.
Browse courses on Medical Terminology
Show steps
  • Gather study materials from prior courses or programs.
  • Review textbooks, lecture notes, and other relevant materials.
  • Take practice questions or quizzes to test understanding.
Read "How Doctors Think"
Improve your critical thinking skills and learn how to approach patient care with more empathy and understanding.
Show steps
  • Read the first five chapters of the book.
  • Summarize the main points of each chapter.
  • Discuss the book with a friend or colleague.
Follow video tutorials on telemedicine best practices
Learn about best practices for conducting telemedicine visits, such as how to establish rapport, communicate effectively, and use technology effectively.
Browse courses on Telemedicine
Show steps
  • Search for video tutorials on telemedicine best practices.
  • Watch several tutorials and take notes.
  • Apply the tips you learned in your next telemedicine visit.
Nine other activities
Expand to see all activities and additional details
Show all 12 activities
Practice Telemedicine Skills
Seek out and follow tutorials to develop skills in using telemedicine platforms and techniques.
Show steps
  • Identify and enroll in online tutorials or courses that cover telemedicine best practices.
  • Practice conducting virtual patient visits using a dedicated online platform.
  • Simulate different patient scenarios and practice appropriate responses.
Practice telemedicine skills with a peer
Practice your telemedicine skills in a safe and supportive environment.
Browse courses on Telemedicine
Show steps
  • Find a peer who is also interested in practicing telemedicine.
  • Schedule a time to meet virtually.
  • Take turns playing the roles of the patient and the provider.
Develop a telemedicine patient education handout
Create a resource that will help patients understand telemedicine and how to use it effectively.
Browse courses on Telemedicine
Show steps
  • Gather information about telemedicine from reputable sources.
  • Organize the information into a clear and concise format.
  • Create a visually appealing handout.
Host Virtual Patient Case Discussions
Engage in peer practice sessions to discuss patient cases and share experiences in telemedicine.
Show steps
  • Form a study group with peers who are also enrolled in the course.
  • Select a patient case study that aligns with the course content.
  • Host a virtual meeting and facilitate a discussion of the case, focusing on telemedicine strategies.
Implement telemedicine in your own practice
Take your telemedicine skills to the next level by implementing them in your own practice.
Browse courses on Telemedicine
Show steps
  • Research different telemedicine platforms and choose one that meets your needs.
  • Set up your telemedicine equipment and software.
  • Train your staff on how to use the telemedicine platform.
Read "The Patient Will See You Now"
Learn how to create a more patient-centered and humanistic telemedicine experience.
Show steps
  • Read the first five chapters of the book.
  • Summarize the main points of each chapter.
  • Discuss the book with a friend or colleague.
Develop a Telemedicine Toolkit
Create a comprehensive guide or toolkit that summarizes best practices and lessons learned in telemedicine.
Show steps
  • Research and gather information on evidence-based telemedicine strategies.
  • Interview experts in the field to gather insights and practical advice.
  • Organize and present the information in a clear and concise format, such as a written guide or online resource.
Contribute to an open-source telemedicine platform
Give back to the telemedicine community by contributing to an open-source platform.
Browse courses on Telemedicine
Show steps
  • Find an open-source telemedicine platform that you are interested in contributing to.
  • Identify an area where you can contribute your skills.
  • Submit a pull request with your changes.
Mentor other healthcare professionals on how to use telemedicine
Share your telemedicine knowledge and skills with others to help them improve their practice.
Browse courses on Telemedicine
Show steps
  • Identify other healthcare professionals who are interested in learning about telemedicine.
  • Set up a time to meet with them and share your knowledge.
  • Provide ongoing support and guidance as they implement telemedicine in their own practice.

Career center

Learners who complete Virtual Care with Presence will develop knowledge and skills that may be useful to these careers:
Physician Assistant
Physician Assistants are licensed healthcare professionals who work under the supervision of a physician. They are responsible for diagnosing and treating illnesses, prescribing medications, and providing preventive care. This course would be helpful for Physician Assistants because it would teach them how to build rapport with patients and families, and how to provide care in a virtual setting.
Family Nurse Practitioner
Family Nurse Practitioners provide primary care to patients of all ages, from newborns to the elderly. They are responsible for diagnosing and treating illnesses, prescribing medications, and providing preventive care. This course would be helpful for Family Nurse Practitioners because it would teach them how to build rapport with patients and families, and how to provide care in a virtual setting.
Social Worker
Social Workers provide counseling and support to individuals and families who are facing challenges. They help people to cope with mental illness, addiction, and other social problems. This course would be helpful for Social Workers because it would teach them how to build rapport with clients and families, and how to provide care in a virtual setting.
Psychologist
Psychologists diagnose and treat mental illness. They use a variety of techniques, including talk therapy, medication, and behavioral therapy. This course would be helpful for Psychologists because it would teach them how to build rapport with patients and families, and how to provide care in a virtual setting.
Registered Nurse
Registered Nurses provide care to patients in a variety of settings, including hospitals, clinics, and long-term care facilities. They are responsible for administering medications, monitoring patients' vital signs, and providing wound care. This course would be helpful for Registered Nurses because it would teach them how to build rapport with patients and families, and how to provide care in a virtual setting.
Physical Therapist
Physical Therapists help people to regain or improve their ability to move. They work with people who have physical disabilities, injuries, or chronic pain. This course would be helpful for Physical Therapists because it would teach them how to build rapport with patients and families, and how to provide care in a virtual setting.
Speech-Language Pathologist
Speech-Language Pathologists diagnose and treat speech and language disorders. They work with people of all ages, from infants to the elderly. This course would be helpful for Speech-Language Pathologists because it would teach them how to build rapport with patients and families, and how to provide care in a virtual setting.
Occupational Therapist
Occupational Therapists help people to regain or improve their ability to perform everyday activities. They work with people who have physical, mental, or developmental disabilities. This course would be helpful for Occupational Therapists because it would teach them how to build rapport with patients and families, and how to provide care in a virtual setting.
Counselor
Counselors provide counseling and support to individuals and families who are facing challenges. They help people to cope with mental illness, addiction, and other social problems. This course would be helpful for Counselors because it would teach them how to build rapport with clients and families, and how to provide care in a virtual setting.
Audiologist
Audiologists diagnose and treat hearing and balance disorders. They work with people of all ages, from infants to the elderly. This course would be helpful for Audiologists because it would teach them how to build rapport with patients and families, and how to provide care in a virtual setting.
Health Educator
Health Educators teach people about health and wellness. They work with individuals and groups to develop and implement health education programs. This course would be helpful for Health Educators because it would teach them how to build rapport with clients and families, and how to provide care in a virtual setting.
Healthcare Administrator
Healthcare Administrators plan, organize, and direct the delivery of healthcare services. They work in a variety of settings, including hospitals, clinics, and long-term care facilities. This course would be helpful for Healthcare Administrators because it would teach them how to build rapport with patients and families, and how to provide care in a virtual setting.
Licensed Practical Nurse
Licensed Practical Nurses provide basic care to patients in a variety of settings, including hospitals, clinics, and long-term care facilities. They are responsible for taking vital signs, changing dressings, and assisting with bathing and feeding. This course would be helpful for Licensed Practical Nurses because it would teach them how to build rapport with patients and families, and how to provide care in a virtual setting.
Case Manager
Case Managers help people to navigate the healthcare system and get the care they need. They work with patients and their families to develop care plans, coordinate appointments, and provide support. This course would be helpful for Case Managers because it would teach them how to build rapport with patients and families, and how to provide care in a virtual setting.
Certified Nursing Assistant
Certified Nursing Assistants provide basic care to patients in a variety of settings, including hospitals, clinics, and long-term care facilities. They are responsible for bathing, dressing, and feeding patients, as well as assisting with other activities of daily living. This course would be helpful for Certified Nursing Assistants because it would teach them how to build rapport with patients and families, and how to provide care in a virtual setting.

Reading list

We've selected six books that we think will supplement your learning. Use these to develop background knowledge, enrich your coursework, and gain a deeper understanding of the topics covered in Virtual Care with Presence.
Explores the concept of presence in healthcare and provides practical tips for healthcare professionals on how to create a more human-centered and compassionate care environment.
Thoughtful exploration of the potential benefits and risks of telemedicine, providing a balanced perspective on this rapidly evolving field. It would be a valuable resource for anyone interested in the future of healthcare.
Explores the transformative potential of technology in medicine, including the role of telemedicine in improving patient care.
Explores the potential of artificial intelligence (AI), big data, and other technologies to transform healthcare. It provides insights into how these technologies are being used to improve patient care, reduce costs, and make healthcare more accessible.
Provides a framework for understanding how new technologies can disrupt established industries. It valuable read for anyone who wants to understand the challenges and opportunities of innovation in healthcare.
Provides a guide to assessing telemedicine technologies. It covers a wide range of topics, from the technical requirements to the clinical benefits of telemedicine.

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