Specialization, Referral Fees and Professional Responsibility

The practice of referring cases to specialists and dividing the fee is widespread and beneficial to the clients and attorneys involved. The concepts of specialization and fee referral, however, present possible conflicts with the present Canons of Ethics. Disciplinary Rule 2 - 107, which is part of the Code of Professional Responsibility, promulgated by the American Bar Association, states:

A lawyer shall not divide a fee for legal services with another lawyer who is not a partner or associate of his firm or law offices unless: (1) the client consents to employment of the other lawyer after a full disclosure that a division of fees will be made. (2) The decision is made in proportion to the services performed and responsibility assumed by each..."

Thus the code of ethics has made it possible for attorneys to refer matters out of their field of experience to attorneys who specialize in a particular area. It acknowledges by implication that attorneys do specialize and that cases are referred to specialists. It hardly needs stating that in a profession as many - faceted as the law that individuals would concentrate upon particular subject matters. Yet DR2 - 104 forbids lawyers to hold themselves out as specialists except in a few specified areas such as patents or admirability. Discrete announcements may be made to other attorneys.

The area of medical malpractice presents a common example of the opportunity and need for referral. Almost every case receives its first legal attention from an attorney who does not regularly handle medical malpractice and might see ten possible malpractice suits in a lifetime. The attorney has little or no knowledge of medicine, the accepted standards of medical practice, the law dealing with medical malpractice or the trail techniques peculiar to this area, where almost all evidence must come from the defendant doctor, who was the only informed witness to the treatment. Except for cases where a surgical instrument is left in a patient's body or the wrong leg is amputated, most non-malpractice attorneys are not even in a position to know whether a case exists.

The license to practice law permits any attorney to handle almost any matter. Lawyers are also permitted to place advertisements in the news media. An inexperienced lawyer undertaking to represent a client in an area such as medical malpractice, however, will almost surely commit legal malpractice before the case is concluded. Even if the attorney manages to thread the way through the morass of medical terminology, hidden records, interminable motion practice, and finding experts, the defendant's insurance carrier is unlikely to settle any case for more than nuisance value with an attorney who is an unknown commodity & who will almost certainly fare poorly against defendant's attorneys (who, as a group, are probably the most skillful adversaries practicing in the courts.)

Available to the general practitioner, however, are "specialists" whose entire practices are limited to medical questions, who have taken medical training, have access to highly qualified medical experts, who are excellent trial lawyers, and who are known to insurance companies. When handled by one of these individuals, the value of a case may be more than triple its value if prosecuted by the general practitioner.

It is customary in the medical malpractice field for the referring attorney to receive one-third of the contingent fee (which is usually one-third of the recovery). To satisfy ethical considerations, the forwarding attorney usually arranges and participates in the initial conference, handles relations between the trial lawyer and the client, and helps in the preparation of discovery and trial.

This participation by the forwarding attorney is frequently impossible because of other commitments and most often is not essential to the success of the case. Religious adherence to referral fee arrangements is the rule, however. The assurance that a referral fee will be paid to the originating attorney is the strongest guaranty that the client will be well represented and not the victim of on-the-job training of an attorney who is reluctant to lose control of a valuable piece of business.

Medical malpractice is just one example of an area beyond legal common competence. Practically every area of legal practice involves specialization of some type. General practitioners develop a competence in family matters such as wills, divorces, house sales, and simple business matters. A Wall Street lawyer is probably just as incompetent to do a good job on a one-family house sale, as a general practitioner would be to represent a client in a large corporate bankruptcy.

The legal profession must recognize that specialization is a fact of life, is necessary for the proper practice of law, and must be encouraged by liberalization of the referral fee structure and fostered by special training and certification programs of specialists.

ARTICLES:

Throwing the Book at Doctors - This article, published in Sunday Newsday, profiles Bruce G. Clark and his profession.

Million Dollar Verdicts - Written by Bruce G. Clark, this article is a discussion on large verdicts in malpractice lawsuits. Clark details which aspects of a case lead to large verdicts, and provides illustrations from his experience.

Specialization, Referral Fees and Professional Responsibility - An examination of specialization in law. This article, also written by Bruce G. Clark, describes the importance of specialization and its mechanics, paying particular attention to referral fees and their role in ensuring that plaintiffs are properly represented.

Lawyer Duty - Bruce G. Clark describes his experience when he is called upon for jury duty.




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