Do I have to be Board-Certified as a Forensic Psychiatrist?
Do I have to be Board-Certified at all, if I am a licensed physician?
Are there options for Physicians in Other Specialties?
How about Forensic Psychology?
There is no question that Board-Certification is a credential most attorneys will expect when seeking an Expert Witness in medicine including psychiatry, or psychology.
You do not have to be Board-Certified in the subspecialty of Forensic Psychiatry (ABPN) or Forensic Psychology (ABPP) to render psychiatric or psychological forensic opinions.
For Physicians in OTHER subspecialties, there is no “Forensic” Board-Certification available.
Regardless of Board-Certifications you may or may not hold, the role of an Expert Witness is to be …. an expert.
The emphasis, therefore, is your mastery of your specialty and skill at medico-legal features in a particular case.
Qualities in a good expert witness, or medical-legal consultant include report-writing, synthesizing information, and testimony.
At all costs avoid the impression you are Board-Certified in some way when you are not, including by omission.
Keep reading at the end of this page to learn about one physician who faced obstacles that did not prevent her from a career in medical-legal work.
If you are not Board-Certified in your forensic subspecialty OR a specialty that informs your forensic opinions, you should consider it.
Post-graduate education and specialty certifications that are not granted by the ABMS are another way to add legitimacy without taking your 40 something practice back to residency. Criminology coursework, threat assessment training, Worker’s Compensation Evaluations, a Masters Degree in Public Health, are all available through night school and accelerated programs.
Options for Board-Certification
Some specialty Board-Certifications do not require a fellowship. Check the American Board of Medical Specialties for more information.
In Forensic Psychiatry, for example, part-time Fellowships are available from some schools.
Per the ABPN the primary requirement of Board-Certification in Forensic Psychiatry is “…successful completion of one year of ACGME-accredited fellowship training in forensic psychiatry……may be completed on a part-time basis as long as it is not less than half time; credit is not given for periods of training lasting less than one year except under special circumstances that must be approved by the ABPN Credentials Committee.” And passing the exam, of course.
The Un-Certified: Case Study Continued
The case of the Doctor Who was Not Board-Certified. Jane Doe, M.D.
Lacking Board-Certification, a physician’s medical education became a go-to touchstone for attorneys seeking to reassure themselves she had the chops for expert testimony.
School Got in the Way. In her case, she did not have a fantastic medical degree to fill in the void. She was not alone. Many practicing physicians in the US receive excellent training at “lower tier” schools, or schools outside the US.
This doctor’s skill and experience became her greatest strength.
Paths to Medical Excellence
There is more than one entry to a specialization in medicine. Doctors may start off in research, bypassing multiple residencies, Fellowships or Boards. They may need to rush into a salaried job to pay off debt, foregoing Boards to start earning.
Raising in the ranks of such a job will teach them how to practice medicine, communicate, and lead others. Achievements do not always come with a Diplomate.
Smart and Good
Jane Doe’s lack of Board-Certification did not mean she was not smart, accomplished, excellent at explaining her field of medicine to a jury. Her insight in an IME, or polished report were not contingent on Board-Certification.
Is she qualified to serve as a Subject Matter Expert Witness?
Subject matter experts must show they are knowledgeable about their subject, obviously.
This physician’s long-standing clinical practice, her publications, clinical appointments of importance, and faculty appointments reflected subject matter expertise.
In theory, the attorney’s due diligence would include verifying a doctor’s licensing with the State, any assumed Board-Certification, as well as close scrutiny of her CV.
Attorney due diligence is unreliable and often overlooked. If she were not forthcoming about her credentials, and relies on attorneys to “do their job,” she starts a blame game which is poison for building a forensic practice.
Proactive Disclosure = Good Faith.
I advise my clients that upfront disclosure of any blemishes on their CV, such as the absence of Board-Certification, is ethically obligatory.
Disclosure should take place before being retained. If the attorney wants to proceed to retain you, then your integrity is established. If they don’t retain you, I advised this doctor, move on to the next case.
Education is a Marketing Tool (yup, my motto).
Talk it out. I advised this doctor to open up a conversation with an attorney. This can happen before or after disclosure about her credentials. Before or after being retained.
It is courteous, smart and a fantastic opportunity. The attorney will learn why she is qualified, and ask questions that encourage education about her area of expertise.
In this case, she agreed with me and we proceeded.
Vulnerability to Opposing Counsel Challenges
Worst case scenario: A Motion in Limine is filed prior to trial, to disqualify or limit the scope of an Expert’s testimony.
If an attorney is faced with a Motion in Limine because the Expert is not Board-Certified, and that’s news, you will face one very angry attorney. Expect to fight over fees. Expect you won’t get work from that attorney again.
In fact, aside from a Motion in Limine, opposing counsel can file a motion to disqualify an expert on the grounds they are not…qualified, sometimes called a “Daubert Challenge.” Such challenges may fail, and the case moves to trial with the Expert Witness.
How Should She Handle Disclosure?
When an attorney first calls you, they want to know if you can address the issue at hand. Credentials are usually presented in the form of sending a CV. It may be too early to talk about the finer points of credentials.
I advised this doctor to send her CV and set up a time for the “open a conversation” call. Let the attorney see your qualifications, I advised, before discussing if something is “missing.”
Her agreement determined whether I took her on as a client.
Details about the doctor in this case study were changed to protect confidentiality.
 The price tag of medical school in the US, and difficult bars to entrance, mean there are brilliant scientists studying in countries with a lower cost of living. Their excellent 3.6 GPA or an average MCAT score, might keep them out of a US Medical School. These doctors may be skilled, exceptional practitioners. Attorney bias, however, is real.
The physician in this case study had to face this bias in every first call. It got easier to put their fears to rest and eventually she was no longer defending her education, but putting it in context: a historical footnote in a career of achievements.
Racism and Cultural Bias
Medicine and technology are fields where we find people of color, perhaps not born in the US or communicating with an accent. Juries are full of similar individuals and may prefer an Expert who looks and speaks like them. Practicing lawyers, however, are less diverse than juries.
In forensic medical-legal work many factors make for a good choice of Expert. Serving justice is what counts.
Name this Person: One South African citizen first attended the University of Pretoria, then moved to Canada to live in a Youth Hostel. Success underscores this person’s credibility. Can you guess who I mean?
She wasn’t Board-Certified in any Medical Specialty.
The MD was a licensed physician.
She can be disqualified as an Expert Witness under Daubert.
She MUST disclose all of her credentials to the attorney. A sin of omission is an ethical failure.
Learn more about this doctor by reading below.