Legal Nurse Consulting Expert vs. Testifying Expert: Understanding the Differences

Article by LNC Accelerator.

Legal Nurse Consulting Expert vs. Testifying Expert: What’s the Difference?

As a nurse exploring the legal field, you’ve likely encountered two terms—Legal Nurse Consultant (LNC) and Testifying Expert (TE). While they sound similar, these roles have distinct functions within litigation. Many nurses transitioning into legal consulting wonder about the difference between these positions, and more importantly, where they might fit. Let’s clear up any confusion by breaking down both roles.


What is a Legal Nurse Consultant (LNC)?

Think of an LNC as the “strategic mind” behind the scenes. Legal Nurse Consultants are experts in their field, offering invaluable support to attorneys. They don’t just deliver opinions—they shape case strategy. LNCs analyze medical records, educate attorneys about medical terms, assist in interpreting complex billing, and create reports that outline important medical facts. They even construct event timelines that attorneys can use to piece together a case.

But here’s something crucial: LNCs are protected under attorney-client privilege, meaning their reports and insights are non-discoverable. This protection allows LNCs to be candid and thorough in their evaluations without fear of being cross-examined or their work being exposed to the opposing counsel.

Unlike Testifying Experts, LNCs do not need to be actively practicing in their specialty. However, it’s critical to stay updated through continuing education and professional engagement to remain credible in the field. If you’re thinking about diving into a specific niche, be sure to check out our guide on Specializing as a Legal Nurse Consultant: Finding Your Niche for deeper insight into honing your expertise.


The Role of a Testifying Expert (TE)

A Testifying Expert, also known as an expert witness, is brought into the legal process to testify in court. While TEs share similarities with LNCs in that they offer medical opinions and analyze records, the big difference is that everything a TE does is discoverable. That means any reports, opinions, or analyses they provide can be reviewed by both sides in a legal dispute.

This level of scrutiny is why Testifying Experts need to be particularly careful about how they present themselves. A TE must not only be proficient in their field but must also excel at communicating with clarity and professionalism when under oath. Their role requires active or recent practice in their specialty, as they will often be cross-examined on their credibility and expertise.

For example, if you worked in Labor & Delivery (L&D) five years ago and are now in a different specialty, you may still qualify to testify on an L&D case from that time. But there’s a catch: if you’ve been consulting under the protection of privilege and decide to testify as a TE, all your previous work—once confidential—becomes discoverable. For attorneys, this shift can complicate case strategy significantly.

To explore more about how to navigate these complexities, be sure to review our insights on The Ethics of Legal Nurse Consulting: Navigating Potential Conflicts.


Can You Be Both? The LNC-TE Transition

It’s possible to transition from an LNC to a TE in the same case, but this shift has profound legal implications. Imagine working as a trusted consultant, carefully crafting reports for an attorney with the understanding that your insights are protected. If you then transition to a testifying role, all that privileged information becomes discoverable, which could reveal strategic insights the attorney would have preferred to keep confidential. This shift requires careful consideration and consultation with your attorney-client.


So, Which Role is Right for You?

It really depends on where your strengths lie and what kind of work you want to focus on. If you’re comfortable being behind the scenes, analyzing cases without the pressure of being questioned in court, Legal Nurse Consulting might be the best fit. However, if you enjoy the challenge of presenting your findings in court and are confident in your ability to communicate complex medical information under scrutiny, the role of a Testifying Expert could be a great path.


Interested in Learning More?

Curious about how you can make a mark in the world of legal nurse consulting? Our LNC Accelerator™ business kickstarter program provides the perfect stepping stone for nurses eager to explore new career opportunities.

For those seeking mentorship and a community of supportive LNCs, join our exclusive Facebook group and connect with nurses who’ve transformed their careers, just like you can.

Ready to dive deeper into the world of legal nursing? Click here to explore marketing strategies and check this resource to get a head start in your LNC career.


This article was provided by LNC Accelerator. Stephaney Edwards, a seasoned nurse and legal nurse consultant, leads the  LNC Accelerator. She aids nurses in transitioning to legal nurse consulting, providing coaching and support to help them build successful careers and achieve their perfect day everyday.. Visit LNC Accelerator on Medium to stay up to date.

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