What a Board-Certified Physician Looks for When You Describe a Case Scenario
Dr. Andrew Tisser, DO MBA & Gina Marra, RN LCSW LNC CLCP
Send me your hardest case. The one you are not sure about. The one that has been sitting on your desk because something about it feels worth pursuing but you cannot get a clear clinical read.
This is something I have offered attorneys individually and want to make explicit here. When you describe a clinical scenario: the specialty, the basic facts, the outcome, a board-certified emergency physician reads it differently than a legal intake does.
What a Clinical Read Looks Like
When an attorney describes a case scenario, the legal instinct is to evaluate the narrative: was the outcome bad, does the family have standing, is there a sympathetic plaintiff. These are legitimate questions. They are not clinical questions.
A clinical read starts somewhere else entirely. It starts with the specialty and the presentation and asks: what would the standard of care have required at each decision point? What is the differential diagnosis this provider should have been working through? Is the pattern described one that has historically supported viable standard of care arguments or is it a case where bad outcomes are expected even with appropriate care?
Why the Clinical Read Happens Before the Records
Even before records are reviewed, a physician familiar with medical-legal work can often identify whether a scenario is likely to support a viable case. This is not a formal screen. It is the clinical pattern recognition that allows attorneys to filter their intake before committing to full record retrieval and review.
The formal screen, with records, is where the specific deviation is identified and documented. But the initial clinical read of a scenario is often enough to tell an attorney whether the record retrieval is worth pursuing at all.
What Happens After the Screen
If the clinical pattern looks promising, we schedule a formal Converge Review. Full records are submitted, both a physician and a legal nurse consultant review independently, and findings are delivered within 5 business days with a clear proceed or decline recommendation.
If it does not look promising, you have that answer in days instead of months, and you have not committed to a retain you cannot recover.
If you have a case scenario you want a clinical read on, start at caseveritas.com or reach out directly.
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