How does eye contact function in clinical communication?

• A. Shows empathy, concern, and engagement; one of the best ways to build positive, trusting relationships; serves as an invitation to communication.
• B. Indicates deception.
• C. Has no impact on trust.
• D. Is solely a distraction.

Answer: (A)

Eye contact communicates that you are attentive, caring, and truly present with the patient. When a clinician maintains appropriate eye contact, it signals empathy, concern, and engagement, which helps establish positive, trusting relationships and invites the patient to share concerns or ask questions. This nonverbal cue supports a sense of safety and partnership, making dialogue more open and collaborative.

It isn’t about deception or about being a distraction. Rather, eye contact is a key part of how you show you’re listening and invested in the patient’s well-being. Of course, use it in balance with other cues and respect individual and cultural differences; some patients may prefer less direct gaze or a different pacing to eye contact, but overall appropriate eye contact enhances trust and communication in clinical care.