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good morning all itamp;#39;s done family your senior medical director for ambulatory Ephrata Medical College we wanted to provide a basic introduction to virtual care and especially video visits for the clinician really optimize what is an exciting new part of our care model I would start by reminding you that patients are really looking for a professional experience and one of the things that I would say is what creates an environment that makes them feel comfortable and and one of the things that that starts with is an emphasis on safety because patients are when theyamp;#39;re projecting themselves over the ether they really need to be reassured that this is a secure way of communicating and that itamp;#39;s a conversation just like a conversation would happen in an exam room with the door shut so really creating a basic assumption that this is a conversation between two sets of people itamp;#39;s like in the exam room you wouldnamp;#39;t be having people coming in and out make