Quality of communication between patient and provider has been shown to impact clinical care outcomes . Racial/ethnic health care discrepancies related to interaction factors are well documented in the adult literature . African Americans report receiving less nonverbal attention, less empathy, less courtesy, less information giving, and experiencing more verbal dominance on the part of providers as compared to White patients . Latinos report experiencing lack of respect and attention . Providers have been shown to engage in more instrumental talk as compared to affective talk in visits with minority patients . Non-verbal interactions, such as looking directly at the patient, are also important to minority patients’ perceptions and can determine whether or not a patient feels communication is culturally competent .