Table 1.

Key Elements and Components of Webside Manner Skills.

Key Element	Components
Proper set up	Quiet environment with minimal potential for disruptions Professional backdrop
	Test platform before first virtual visit
	Body position
	Neutral relaxed posture
	Head and one-third of upper torso should be visualized
	Maintain eye contact
	Camera at eye level
	Situate patient’s onscreen image adjacent to the camera
Acquainting the participant	Wave hello at the start of the visit
	Name the dilemma with the participant
	New or awkward format
	Unexpected disruptions and ambient noise may occur
	Check in: ‘‘How can I make this experience better?’’
Maintaining conversation rhythm	Avoid prolonged silence. Thoughtful brief pauses are favored. Minimize overtalking
	Avoid saying ‘‘mm-hmm.’’ Gently nod instead.
Responding to emotion (e.g., sadness)	Focus on verbal responses ‘‘I wish.’’ ‘‘Take your time. I am here.’’ Consider nonverbal responses
	Lean in slightly to convey intentional listening
	Nod gently
	Place hand over heart to convey empathy
Other considerations	Use phone when there are:
	Persistent technical difficulties
	Participants who either do not have access to the requisite technology or find the virtual visit platform too technically challenging to navigate
	Patients who are too ill to participate
	Non-English-speaking patients who require interpreters: Consider using a virtual visit platform that possesses interpreter services, or use the video platform to visualize the patient and use a separate interpreter phone service for audio
Closing the visit	Summarize the visit
	Verify participant understanding
	Provide opportunity for the participant to voice thoughts, questions, or concerns
	Outline next steps based on goals of care conversation

* This table was obtained from reference [25], Chua et al., with copyright permission from Mary Ann Liebert, Inc. Publishers.