Career foundation
More than 20 years in complex litigation at the trial and appellate levels. Started at Georgetown Law School and two years working for trial and appellate judges in Washington, D.C. and the federal Eighth Circuit Court of Appeals.
Medical malpractice is not one service on a long list here. It is the center of my practice and the overwhelming majority of my active work. I remain open to select serious matters outside medical malpractice, but the practice is built around serious medical negligence.
More than 20 years in complex litigation at the trial and appellate levels. Started at Georgetown Law School and two years working for trial and appellate judges in Washington, D.C. and the federal Eighth Circuit Court of Appeals.
Eight years at Boies, Schiller & Flexner in New York, a major commercial litigation firm. Five years with a plaintiff-side insurance bad-faith firm. Five years with a leading medical malpractice firm, where he served as managing partner. Then built this solo practice.
Author of Lawyers, Judges & Semi-Rational Beasts (2020), a book on persuasion, judgment, and legal decision-making. Co-taught a medical malpractice masterclass in 2023 with Lloyd Bell. Also published articles and appeared on legal podcasts discussing persuasion, trial strategy, and case analysis.
The practice is structured for a small number of substantial matters at a time, so the strategy, analysis, and written work are handled entirely by me.
Some firms have large intake operations and extensive staff, to allow handling thousands of cases at a time. A single attorney may oversee 100 or more files at a time, with much of the day-to-day work handled by non-lawyer staff or more junior lawyers. That model is well suited for routine cases.
"Big Law" firms such as Boies, Schiller & Flexner are built for matters that require many lawyers working at once. In that model, the partner in charge of the case often serves partly as a strategist and manager, while other attorneys handle much of the research, drafting, and day-to-day case development. That firm model is for massive cases that cannot be handled by a small team.
Even some smaller firms are structured so that junior lawyers or paralegals do much of the case work, with the lead attorney stepping in more heavily at major moments such as settlement conferences, hearings, or trial. This allows that lawyer to multiply the number of cases he or she can handle. That firm model is well suited for cases that can be routinized and do not require serious judgment from beginning to end.
I handle a small number of substantial matters at a time, and I handle all the work myself. The strategy, analysis, and written work stay with me. That is a strong fit for non-routine cases that require close lawyer attention and careful thought by an experienced attorney.
It is not the right model for every case. I do not handle matters that require large internal teams, and I do not handle small routine matters. I handle only a select category of cases that require deep analysis and thoughtful strategy throughout the case.
I keep my caseload small, so that I can give proper attention to each case I take. That means I sometimes have to decline cases I would like to take.
While I have a solo practice, I maintain a small network of superb, experienced attorneys whom I use to bounce ideas off of and to get other perspectives.
Mauricio Gonzalez, Senior Regulatory Counsel, GE Capital.
Lloyd Bell, member of the Inner Circle of Advocates.
Robert J. Dwyer, Partner, Boies Schiller Flexner LLP.
Patricia W., client.
Janet L., client.
Henry S., client.
Alan Markowitz, MHA, Ph.D., FACHE.
Dr. Peter Mowschenson, surgeon, Harvard Medical School & Beth Israel Deaconess Medical Center.
Dr. Howard Steinman, Mohs Surgeon and Dermatologic Surgeon.
The core of the practice: negligent care, diagnostic error, treatment delay, surgical harm, and institutional breakdowns that require close factual and legal review.
View medical malpractice pageSelect insurance bad-faith matters, business and contract disputes, and other serious litigation within scope when the case fits a practice centered on medical malpractice.
View other cases pageAppellate, dispositive-motion, and other serious briefing support for lawyers who need direct collaboration and disciplined written advocacy.
View for lawyers pageUse the structured inquiry to provide the facts I need for an initial review.
Sending a first-contact inquiry does not create an attorney-client relationship or provide legal advice.