Period 1	Period 2
3A. Good baseline verbal and nonverbal skills: During this baseline visit, the clinician sits on a low stool directly facing the patient and maintains eye contact with the patient while speaking. The clinician writes in the medical chart only intermittently and when the patient has finished speaking. When writing, the clinician frequently pauses and makes eye contact with the patient.	3B. Amplification of good verbal and nonverbal skills while using an exam-room computer: The same clinician sees a patient who has had several recent emergency room visits for panic attacks. After consulting the computer, the clinician notes that the patient recently started taking a medication known to produce similar symptoms as a side effect. The clinician tilts the computer screen so that both can read the drug information and visit notes, and offers the hypothesis that the medication could be responsible for the new symptoms. The clinician then reinforces the message by pushing away the computer screen, re-establishing eye contact, and checking to see whether the patient understands the discussion.
4A. Poor baseline verbal and nonverbal skills: During much of this baseline visit, the clinician focuses on the patient's paper records and speaks very little. As a result, the patient is left sitting for long periods of time while the clinician reviews the record. It is evident that when the patient does speak, many times it is simply to fill the gap in the interaction.	4B. Amplification of poor verbal and nonverbal skills using an exam-room computer: Once the clinician's logs on to the computer, a little less than halfway into the visit, he spends most of his time on the computer, and does not have much eye contact with the patient. While the clinician is still looking at the screen, the patient volunteers information about his pharmacist's recommendation to help lower his cholesterol. The clinician looks upbriefly but makes no comment. The patient continues on the topic of diet and weight loss. The clinician continues to gaze at the screen, looks up briefly and softly says “yeah” before changing the topic.