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International Parkinson and Movement Disorder Society
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Step 4

Set Up Your Video Exam Rooms

Provider’s side


  • Limit clutter in the field of view of the camera
  • Consider using a solid color backdrop ~1 meter from camera


  • Ensure face is well lit to optimize resolution
    • If light is bothersome cover with a light softener
  • Avoid backlighting
  • Avoid overexposure
  • Avoid excessive shadows
  • Some LED lights flicker with certain cameras-try to change lighting (non flicker LED lights), location or camera.
  • Consider scheduling televisits during naturally lit times of the day

Provider appearance:

  • Use picture-in-picture to verify your face is centered and close enough to the camera, while capturing hands for gesturing during communication
  • Wear solid-colored clothing; avoid busy patterns
  • Wear a white coat if this is your regular dress code.
  • Ensure intermittent eye contact with the patient by looking at the camera instead of the screen
  • Stand/ sit upright (avoid slouching and swiveling the chair)


Patient’s side

If patient is at home:

  • Send your patient a prep sheet with guidelines for the visit, including:
    • Have a second person available for assistance with video
    • Set up a seat 2-3 feet from the webcam
    • Set up a second seat 8-10 feet from the webcam for full body and gait exam; consider also using a hallway for gait exam
    • Close shades, blinds, doors to prevent backlighting, and sit facing a light rather than in front of one
    • Limit background clutter, reflection (pictures, mirrors and windows), and noise (turn off TV, radio)
    • Recommend using picture in picture in your video software (and explain how to do this)
    • A disclaimer if applicable – some institutions recommend having the patient sign a consent acknowledging that they have a choice between telemedicine care and in-office care, and also informs them that visit is not recorded.

If patient is at remote healthcare site:

  • Consider using a telepresenter. These are trained personnel who can assist in portions of the exam that are difficult to perform remotely (e.g. checking tone, pull-test, reflexes, eye movements, etc).  Providers should consider the cost of training and having telepresenters available.

Step 5:  Conduct a Visit

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