Insight

3 Strategies to Frame Your Medical Malpractice Case

For success in any trial, jury selection and case framing are key.

How to Frame Your Case During Voir Dire
LB

Lloyd Bell

November 14, 2018 11:35 AM

Jury selection is the single most important phase of trial. Securing an open and honest jury can be challenging, but failure to do so often makes the likelihood of obtaining a favorable verdict nonexistent. It is critical to frame a case through voir dire questions, not only to help reveal favorable and unfavorable jurors, but also to set the favorable jurors on a cognitive path that most closely aligns with the values of your case and puts you in the best position to obtain a just verdict.

The term “framing” is often tossed around by law professionals but can mean different things to different people. Framing can be used interchangeably with words such as “heuristic,” “schema,” and “theme.” In his book, Case Framing, Rhode Island trial lawyer Mark Mandell describes a case frame as “the fundamental principle that gives meaning to a case.” He identifies two essential qualities of a case frame—first it must be relevant to the facts of the case, and second, it must be a principle that has near universal application to society.

How then do legal professionals frame the jury during voir dire to ensure a plaintiff has the best chance of receiving a favorable verdict?

Before addressing how to effectively frame a jury, it’s important to recognize that experienced defense counsel also attempts to frame the jury against the plaintiff. It’s common for defense counsel to ask some version of this question: How many people think that just because a plaintiff has filed a lawsuit, she is entitled to get some money? By asking this seemingly innocuous question, counsel is communicating several negative case frames—this is a frivolous lawsuit, she’s out to get money—as a counter to whatever beneficial frames were previously put in place for the plaintiff.

To frame the jury during voir dire, you must first identify emotional triggers, what Mark Mandell refers to as the “I just can’t get over issues,” in the case. For example, a case may involve an on-call doctor who did not care enough for his patient to come to their bedside in a timely manner when called. The frame is then a medical professional who puts his own interests above those of his patients. This may lead to the following voir dire questions.

  • How many folks have been to see a doctor in the past year?
  • How many folks think that the level of care you receive from doctors today has gotten better than the care you received from doctors 20 years ago? How many think the care has gotten worse? Stayed the same?

Ideally, the jury will then consider their own experience with a doctor and move into alignment with the plaintiff who also went to the doctor. Not only do trial attorneys learn valuable information about the juror’s personal experience by asking these questions, but they are also framing the jury in a way that causes them to focus on the defendant doctor. This while exploring feelings around medical professionals not caring as much about patients now in the age of managed care as they did in the past.

Do Your Job

One of the most powerful case frames a trial lawyer can implement is Do Your Job. It doesn’t matter what profession the defendant is in—truck driver, safety manager, or a neurosurgeon—it is a universal principle that everyone must do their job. When you have a radiologist, for example, that misreads a CT image and fails to note a blood clot in the brain, on the basest level he did not do his job. During voir dire, you’ll want to begin framing the jury by introducing the Do Your Job frame through your questions.

System Failure

Another important, perhaps most important, case frame is System Failure. It’s common for jurors to forgive simple mistakes like failing to look in the right direction at the right time, or in a medical malpractice case, nicking an organ with the scalpel or over-tightening a screw. They’ll often tend to fall back on the idea that “everyone makes mistakes.” Jurors are less forgiving, however, if they perceive there are widespread system failures that endanger not just the plaintiff, but every other patient as well. For example, a system failure might be a hospital lacking adequate policies and procedures to ensure proper hand-off communications during nursing shift changes, so that critical information is not passed along and the patient, in turn, suffers harm.

Know Your Limits

Know Your Limits is another powerful case frame that has application in all types of cases. In medical malpractice cases specifically, it is increasingly common to see family care physicians working as hospitalists, gatekeepers at hospitals who admit patients from the emergency department to the mailroom floor. In my own experience, these hospitalists often do not have the neurological training to recognize stroke signs and symptoms, which can have disastrous consequences for the patient. Know Your Limits can be an effective case frame to underscore the importance of calling for a specialist consult when a patient shows neurological signs consistent with a stroke. In a trucking case, where the defendant driver is accused of driving while fatigued, the Know Your Limits frame might revolve around knowing when to pull over and rest. Again, the Know Your Limits frame has universal application and will resonate with just about every potential juror.

In the end, success at trial is a function of the preparation that takes place long before you show up to trial. It is critical to put in the work to identify the case frames for all phases of the trial, liability, and damages. Once these case frames are identified, carefully craft questions for voir dire to introduce chosen frames and set the jury down the intended path, ultimately leading to a just verdict for your client.

-------------------

With more than 25 years of legal experience, Lloyd Bell has built a sterling courtroom record and recovered millions of dollars for medical malpractice victims. A veteran of the U.S. Army JAG Corps, Bell founded his own law firm in 1999, and he is consistently recognized as one of the top attorneys in his field. In 2018, Bell Law Firm was recognized as Personal Injury Litigation Team of the Year by The Daily Report, the leading source of legal news in Atlanta.


Related Articles

The Litigation Finance Mass Tort Gold Rush


by Justin Smulison

Third-party litigation funding is transforming mass torts, propelling the high-risk area into a multi-billion-dollar industry

Gold coins with data chart backdrop

IN PARTNERSHIP

Trial Lawyers Fight to Protect Individuals from Abuse


by Esquire Bank

With Esquire Bank's financial support, Elise Sanguinetti was able to challenge and end the Forced Arbitration Act. Her legislation continues to help other trial lawyers attain justice for abuse survivors.

Lawyer Elise Sanguinetti Fights to Protect People from Abuse

Combating Nuclear Verdicts: Empirically Supported Strategies to Deflate the Effects of Anchoring Bias


by Sloan L. Abernathy

Sometimes a verdict can be the difference between amicability and nuclear level developments. But what is anchoring bias and how can strategy combat this?

Lawyer speaking in courtroom with crowd and judge in the foreground

Protecting Small Business Owners: Trial Experts Connick Law LLC Notoriously Successful with Fire Litigation


by Justin Smulison

When small business owners become the target of insurance companies in fire-related lawsuits, hiring a firm with a reputation for understanding the science of fire suppression trials can save their livelihoods.

Gold Indoor Sprinkler Heads on Red Background

Will Recent Boeing Settlements Create Tailwinds In Corporate Law?


by Justin Smulison

Prominent litigation against Boeing is setting a precedent of accountability, professionalism and commitment among company boards as well as ushering ESG further into the courtroom to help monitor and prevent safety issues.

Recent Boeing Settlements and Corporate Law

Helpful Hints & Avoidable Mistakes


by Frank L. Branson

I’ve picked up a lot in the courtroom in five decades of practice. Here are some strategies, tips and other pointers to help make your trial experience smoother—and successful.

Strategies for Plaintiff Lawyers in Trial

Colorado's Best Lawyers 2022


by Best Lawyers

Our 2022 Colorado's Best Lawyers publication features top-ranked legal talent in Boulder, Denver and Western Colorado.

Colorado's Best Lawyers 2022

Newly Launched COVID-19 Litigation Project Offers Open Access To Pandemic-Related Court Judgments From Over 70 Countries


by Sara Collin

A worldwide database of COVID-19 cases is uniting more than 70 countries as judges, lawmakers and lawyers continue to navigate pandemic related litigation and the ways in which it’s evolving amid year three.

COVID-19 Worldwide Litigation Project

Look for the Zoom Label


by Anne R. Yuengert and Matthew C. Lonergan

Will the virtual platforms that got such a boost during the pandemic replace how you interact with your employees, unions, and lawyers?

Virtual Platforms Replacing Work Interactions

Discovery in the Time of COVID-19


by H. Barber Boone

The pandemic has affected the vital process of legal discovery in ways both good and bad. Which changes are likely to become widely accepted in the years ahead?

The Impact of COVID-19 on E-Discovery

Busting a Trust


by Joseph Marrs

The rules governing trusts and asset distribution are often much more flexible than many might assume. Here’s a primer.

Rules Governing Trusts and Asset Distribution

The Next Chapter


by Patrick M. Shelby and Patrick M. Shelby

Among its uncountable other disruptions, the pandemic upended U.S. bankruptcy procedures. Congressional relief, legislative changes, amended legal provisions: What lies ahead for those looking to file?

COVID-19's Impacts on Bankruptcy Procedures

Phoning It In


by Alyson M. St. Pierre, Ashley C. Pack and Crystal S. Wildeman

It’s not easy for employers to weigh requests from employees to work from afar, even in the wake of the pandemic. Considerations include COVID-19, vaccinations, the Americans with Disabilities Act and the nature of the job itself.

Employer Considerations for Teleworking

Compelled to Compete


by Ashish Mahendru

Courts and legislatures—and now the White House—are taking an increasingly dim view of noncompete employment agreements, a development the pandemic has quickened. What can employers do to protect their confidential information?

Protection for Employers Beyond Noncompetes

Meeting Halfway


by Julia B. Meister

To resolve family and business disputes including wills, trusts, estates and more, mediation is often a more effective, gentler and cheaper option than litigation.

Mediation to Resolve Wills, Trusts, Estates

IN PARTNERSHIP

Look Out Below


by Mary Jo Larson

Employee 401(k) and other pension plans that include company stock can be a financial minefield. What’s a responsible fiduciary to do to lessen the risk of a plummeting share price—and the risk of a subsequent “stock-drop” lawsuit from aggrieved workers?

Navigating Employee 401(k) and Pension Plans

Trending Articles

2025 Best Lawyers Awards Announced: Honoring Outstanding Legal Professionals Across the U.S.


by Jennifer Verta

Introducing the 31st edition of The Best Lawyers in America and the fifth edition of Best Lawyers: Ones to Watch in America.

Digital map of the United States illuminated by numerous bright lights.

Unveiling the 2025 Best Lawyers Awards Canada: Celebrating Legal Excellence


by Jennifer Verta

Presenting the 19th edition of The Best Lawyers in Canada and the 4th edition of Best Lawyers: Ones to Watch in Canada.

Digital map of Canadathis on illuminated by numerous bright lights

Discover The Best Lawyers in Spain 2025 Edition


by Jennifer Verta

Highlighting Spain’s leading legal professionals and rising talents.

Flags of Spain, representing Best Lawyers country

Unveiling the 2025 Best Lawyers Editions in Brazil, Mexico, Portugal and South Africa


by Jennifer Verta

Best Lawyers celebrates the finest in law, reaffirming its commitment to the global legal community.

Flags of Brazil, Mexico, Portugal and South Africa, representing Best Lawyers countries

Presenting the 2025 Best Lawyers Editions in Chile, Colombia, Peru and Puerto Rico


by Jennifer Verta

Celebrating top legal professionals in South America and the Caribbean.

Flags of Puerto Rico, Chile, Colombia, and Peru, representing countries featured in the Best Lawyers

Prop 36 California 2024: California’s Path to Stricter Sentencing and Criminal Justice Reform


by Jennifer Verta

Explore how Prop 36 could shape California's sentencing laws and justice reform.

Illustrated Hands Breaking Chains Against a Bright Red Background

Tampa Appeals Court ‘Sends Clear Message,” Ensuring School Tax Referendum Stays on Ballot


by Gregory Sirico

Hillsborough County's tax referendum is back on the 2024 ballot, promising $177 million for schools and empowering residents to decide the future of education.

Graduation cap in air surrounded by pencils and money

Find the Best Lawyers for Your Needs


by Jennifer Verta

Discover how Best Lawyers simplifies the attorney search process.

A focused woman with dark hair wearing a green top and beige blazer, working on a tablet in a dimly

Paramount Hit With NY Class Action Lawsuit Over Mass Layoffs


by Gregory Sirico

Paramount Global faces a class action lawsuit for allegedly violating New York's WARN Act after laying off 300+ employees without proper notice in September.

Animated man in suit being erased with Paramount logo in background

The Human Cost


by Justin Smulison

2 new EU laws aim to reshape global business by enforcing ethical supply chains, focusing on human rights and sustainability

Worker wearing hat stands in field carrying equipment

Introduction to Demand Generation for Law Firms


by Jennifer Verta

Learn the essentials of demand gen for law firms and how these strategies can drive client acquisition, retention, and long-term success.

Illustration of a hand holding a magnet, attracting icons representing individuals towards a central

Social Media for Law Firms: The Essential Beginner’s Guide to Digital Success


by Jennifer Verta

Maximize your law firm’s online impact with social media.

3D pixelated thumbs-up icon in red and orange on a blue and purple background.

ERISA Reaches Its Turning Point


by Bryan Driscoll

ERISA litigation and the laws surrounding are rapidly changing, with companies fundamentally rewriting their business practices.

Beach chair and hat in front of large magnify glass

How Client Testimonials Fuel Client Acquisition for Law Firms


by Nancy Lippincott

Learn how client testimonials boost client acquisition for law firms. Enhance credibility, engage clients and stand out in a competitive legal market.

Woman holding blurb of online reviews

Critical Period


by Armelle Royer and Maryne Gouhier

How the green-energy raw materials chase is rewriting geopolitics

Overhead shot of mineral extraction plant

Best Lawyers Expands With New Artificial Intelligence Practice Area


by Best Lawyers

Best Lawyers introduces Artificial Intelligence Law to recognize attorneys leading the way in AI-related legal issues and innovation.

AI network expanding in front of bookshelf