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Tele-Presence 5: A Ritual of Connection for Virtual Visits

Learning Objectives
1. Be familiar with the 5 domains of Tele-Presence 5
2. Retain and integrate Tele-Presence 5 practices into daily clinical practice
3. Utilize evidence-based practices to improve patient-clinician trust and connection specifically during telehealth visits
0.25 Credit CME

This video describes the Tele-Presence 5 practices. The COVID-19 pandemic has upended the traditional clinic visit for patients and health care providers around the world. Health care systems are rapidly scaling up telemedicine to reduce risk of infection and protect providers and patients. While these virtual interactions offer critical services, the technology can generate a barrier to the human connection that is central to clinical care.

The Stanford Presence Center, launched in 2015 by Dr Abraham Verghese, is dedicated to the art and science of human connection. A central mission is to foster research, dialogue, and multidisciplinary collaboration to champion the human experience in medicine, and to produce measurable and meaningful change in health care.

Earlier this year, the Presence 5 team published evidence-based practices to help clinicians foster humanism during clinical encounters. In response to the challenges imposed by COVID-19, the team has now adapted the original Presence 5 practices for telemedicine.

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Video Information

All Rights Reserved. The content of this activity is protected by U.S. and International copyright laws. Reproduction and distribution of its content without written permission of its creator(s) is prohibited.

Financial Support Disclosure: None


The Stanford University School of Medicine adheres to ACCME Criteria, Standards and Policies regarding industry support of continuing medical education.

There are no relevant financial relationships with ACCME-defined commercial interests for anyone who was in control of the content of this activity.

Meredith Fischer

Social Science Research Coordinator

Stanford University


Megha Shankar, MD

VA Health Services Research and Development Fellow

Center for Innovation to Implementation (Ci2i)

Stanford University Center for Health Policy

Center for Primary Care and Outcomes Research

Stanford University School of Medicine


Sonoo Thadaney Israni, MBA

Executive Director, Presence and Program in Bedside Medicine

Stanford University School of Medicine


Abraham C. Verghese, MD

Director, Presence. The Art & Science of Human Connection

Linda R. Meler and Joan F. Lane Provostial Professor of Medicine

Vice Chair for the Theory and Practice of Medicine

Stanford University


Donna M Zulman, MD

Assistant Professor, Division of Primary Care and Population Health, Stanford University School of Medicine

Investigator, Center for Innovation to Implementation, VA Palo Alto Health Care System

Stanford University School of Medicine



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


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