Retaining an Expert for Medical Malpractice Cases

Retaining a vocational, life care planning, or forensic economic expert in a medical malpractice matter requires early coordination with standard-of-care and causation experts. The retained expert should be briefed on the alleged breach, the but-for baseline, and the incremental injury attributable to the breach so that vocational, life-care, and economic opinions are properly scoped.

Checklist

  1. Confirm the case theory (alleged breach and causation) before expert retention
  2. Send the engagement letter outlining scope, hourly rate, retainer, and deliverables
  3. Provide all medical records, imaging, and prior expert reports
  4. Coordinate with standard-of-care and causation experts to align scope
  5. Schedule an initial conference to discuss methodology and deliverable timeline
  6. Confirm deposition and trial dates as early as possible to preserve expert availability

Questions to ask the expert

  • What is your credentialing and prior testimony history in medical malpractice cases?
  • How will you isolate incremental harm from baseline medical needs?
  • What peer-reviewed literature supports your methodology in this case type?
  • How do you coordinate with physician experts on causation-dependent conclusions?
  • What is your admissibility history and have you ever been excluded?

Timeline

Typical engagement from retention to report: typically 30 to 60 days from receipt of complete records, longer when records volume or an in-person evaluation requires it. Deposition follows the report on the case calendar, and trial testimony follows the court's calendar.

Required documents

  • Complete certified medical records (pre- and post-event)
  • Imaging, pathology, and lab results
  • Treating provider depositions (if available)
  • Standard-of-care expert reports
  • Causation expert reports
  • Claimant's employment history, tax returns, W-2s
  • Prior vocational testing (if any)

Common pitfalls

  • Retaining too late and truncating the records review period
  • Scope ambiguity between the vocational expert, life care planner, and economist
  • Failing to isolate incremental harm from baseline care
  • Overlapping or conflicting opinions among retained experts

Frequently Asked Questions

Do I need all three (vocational, life care planner, economist) on a med mal case?

Not always. Catastrophic outcomes typically benefit from the full combination; less severe injuries may only require one or two.

Who coordinates between the retained experts?

Retaining counsel coordinates, though KWVRS can set up inter-expert communication protocols when engaged for multiple services on the same case.

References

  1. Federal Rules of Evidence (Cornell LII)Government
  2. AHRQ - Patient Safety ResourcesGovernment

Ready to Get Started on medical malpractice cases?

Contact KWVRS to discuss scope, timing, and the deliverables appropriate to the matter. Plaintiff and defense.