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Vol. 18 No. 1 (2020)

Smize: A Mid-Pandemic Guide to Non-Verbal Communication

August 20, 2020


Communication, whether it be verbal or non-verbal, is a key element in establishing trust and comfort in a physician-patient relationship. In the time of COVID-19, we have seen that non-verbal communication, which is conveyed through facial expression, gestures, and other signs that a person is engaged in the conversation, is lost, largely due to the use of Personal Protective Equipment (PPE). It has become important during these times to find ways to surmount this obstacle to keep providing professional and meaningful care to our patients. This article will discuss the definition and the importance of non-verbal communication in physician-patient care, as well as why effective communication is crucial to good patient outcomes. Finally, this article will present several strategies to overcome the communication obstacles we are currently facing, in order to continue offering elevated levels of care in this time when communication is most needed.


  1. Wong CKM, Yip BHK, Mercer S, Griffiths S, Kung K, Wong MC, et al. Effect of facemasks on empathy and relational continuity: a randomised controlled trial in primary care. BMC Fam Pract. 2013 Dec;14(1):200.
  2. Heid M. I See You but I Don’t: How Masks Alter Human Connection [Internet]. Elemental Medium. 2020 [cited 2020 Jun 25]. Available from:
  3. Nonverbal Communication. In: American Psychological Association [Internet]. [cited 2020 Jun 25]. Available from:
  4. Ambady N, Koo J, Rosenthal R, Winograd CH. Physical therapists’ nonverbal communication predicts geriatric patients’ health outcomes. Psychol Aging. 2002 Sep;17(3):443–52.
  5. Hojat M, Louis DZ, Markham FW, Wender R, Rabinowitz C, Gonnella JS. Physiciansʼ Empathy and Clinical Outcomes for Diabetic Patients: Acad Med. 2011 Mar;86(3):359–64.
  6. He X, Sun Q, Stetler C. Warm Communication Style Strengthens Expectations and Increases Perceived Improvement. Health Commun. 2018 Aug 3;33(8):939–45.
  7. Hardy C. Empathizing with patients: the role of interaction and narratives in providing better patient care. Med Health Care Philos. 2017 Jun;20(2):237–48.
  8. Ambady N, LaPlante D, Nguyen T, Rosenthal R, Chaumeton N, Levinson W. Surgeons’ tone of voice: A clue to malpractice history. Surgery. 2002 Jul;132(1):5–9.
  9. Levinson W. Physician-patient communication. The relationship with malpractice claims among primary care physicians and surgeons. JAMA J Am Med Assoc. 1997 Feb 19;277(7):553–9.
  10. Gladwell M. Blink. New York: Back Bay Books; 2019.
  11. Asmelash L, Ebrahimji A. Health care workers are wearing smiling photos of themselves to put coronavirus patients at ease. CNN [Internet]. 2020 Apr 10 [cited 2020 Jun 26]; Available from:


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