Lex Medicus’ 12 rules to write a winning Medico Legal Report
Here are Lex Medicus' 12 rules to write a medico legal report:
1. Create a general template of a standard MLR for your practice.
2. Prior to conducting a medical examination, add on the template patients’ personal data and copy questions from the lawyers’ letter of instruction.
3. Structure the MLR into:
Client information - name, address, date of birth, DOB, date of incident, DOI
History - chronological medical history with reference to diagnostic / objective evidence and symptoms onset and further development
Past history - injurious events and other relevant facts that may affect client’s health and work capacity
Lifestyle evaluation - personal status, profession, ability to perform daily activities and recreational activities
Physical/Medical evaluation - provide measurements for range of movement for the body part of interest and the healthy counterpart, level of pain or any changes in body appearance and function
Enclosures - if available include in chronological order e.g. plaintiff and defendant medical reports
Analysis and discussion
Answers to lawyer’s questions - written concisely of max 10 lines
Examiner’s signature of the agreement on
Acknowledgment of the Expert Witness Code of Conduct.
4. Keep the report concise to a maximum of 6-12 pages
5. Use layman language and explain every medical abbreviation.
6. Write short sentences
7. Answer questions directly and adhere to the topic
8. Give a clear, objective opinion on facts and suggestions on further examinations and directions if symptoms have not been investigated properly
9. Be respectful of patients’ racial, religious, physical characteristics and sexual orientation
10. Deliver the MLR within the timeframe
11. Preserve client privacy and handle the report with maximal confidentiality
12. Set a quality assurance process in place to provide high standard and style consistent MLRs