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9/13/19 1 NAVIGATING THE CRUCIBLE OF CROSS- EXAMINATION Jenifer Markowitz ND, RN, WHNP-BC, SANE-A, DF-IAFN Sasha Rutizer, Senior Trial Attorney, U.S. Dept of Justice Disclosure The planners, presenters, and content reviewers of this course disclose no conflicts of interest. In order to receive a certificate documenting contact hours, you must evaluate the sessions you have attended, and complete the overall conference evaluation. Your contact hours received will be commensurate with your attendance. The International Association of Forensic Nurses is an accredited provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

NAVIGATING THE CRUCIBLE OF CROSS- EXAMINATION · CRUCIBLE OF CROSS-EXAMINATION Jenifer Markowitz ND, RN, WHNP-BC, SANE-A, DF-IAFN Sasha Rutizer, Senior Trial Attorney, U.S. Dept of

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  • 9/13/19

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    NAVIGATING THE CRUCIBLE OF CROSS-EXAMINATIONJenifer Markowitz ND, RN, WHNP-BC, SANE-A, DF-IAFNSasha Rutizer, Senior Trial Attorney, U.S. Dept of Justice

    Disclosure■ The planners, presenters, and content reviewers of

    this course disclose no conflicts of interest. ■ In order to receive a certificate documenting

    contact hours, you must evaluate the sessions you have attended, and complete the overall conference evaluation. Your contact hours received will be commensurate with your attendance.

    ■ The International Association of Forensic Nurses is an accredited provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

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    Road Map■ Purpose of cross■ Your role at trial■ Common areas of challenge:

    Qualifications■ Common areas of challenge: The exam■ Common areas of challenge: Expert

    myopia■ Common areas of challenge: Opinions■ Vulnerability■ Strategies for success

    “Cross-examination is the greatest legal engine ever invented for the discovery of truth. You can do anything with a bayonet except sit on it. A lawyer can do anything with cross-examination if he is skillful enough not to impale his own cause upon it.”

    – John Henry Wigmore

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    Road Map■ Purpose of cross■ Your role at trial■ Common areas of challenge:

    Qualifications■ Common areas of challenge: The exam■ Common areas of challenge: Expert

    myopia■ Common areas of challenge: Opinions■ Vulnerability■ Strategies for success

    Purpose of cross

    ■ Getting good stuff for my case– Facts that are favorable– Areas of agreement– Coopting you to make

    points for me■ Discrediting you, your

    testimony and/or another witness (e.g. treating clinician, victim) through you

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    Road Map■ Purpose of cross■ Your role at trial■ Common areas of challenge:

    Qualifications■ Common areas of challenge: The exam■ Common areas of challenge: Expert

    myopia■ Common areas of challenge: Opinions■ Vulnerability■ Strategies for success

    Know Your Role

    If you don’t fundamentally understand your role, cross examination becomes much more fraught with potential minefields

    – Role of the treating clinician– Role of the independent prosecution expert– Role of the independent defense expert

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    Road Map■ Purpose of cross■ Your role at trial■ Common areas of challenge:

    Qualifications■ Common areas of challenge: The exam■ Common areas of challenge: Expert

    myopia■ Common areas of challenge: Opinions■ Vulnerability■ Strategies for success

    QUALIFICATIONS: TO RENDER THIS/ANY OPINION

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    QUALIFICATIONS: EDUCATION

    QUALIFICATIONS: CLINICAL EXPERIENCE

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    Road Map■ Purpose of cross■ Your role at trial■ Common areas of challenge:

    Qualifications■ Common areas of challenge: The exam■ Common areas of challenge: Expert

    myopia■ Common areas of challenge: Opinions■ Vulnerability■ Strategies for success

    EXAM: DOCUMENTATION

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    Documentation

    Terms Method for obtaining history

    What wasn’t documented

    Photography: quality or absence of

    EXAM: METHOD

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    Method

    Protocols Techniques used

    EXAM: EVIDENCE COLLECTION

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    Evidence Collection

    INTEGRITY PRESERVATION

    Road Map■ Purpose of cross■ Your role at trial■ Common areas of challenge:

    Qualifications■ Common areas of challenge: The exam■ Common areas of challenge: Expert

    myopia■ Common areas of challenge: Opinions■ Vulnerability■ Strategies for success

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    REFUSAL TO MAKE CONCESSIONS

    ■ Concede what is possible– If a clinician digs their heels

    in on the question of whether something is possible, the resulting questions can leave them looking biased or argumentative

    ■ There is a difference between possible and probable

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    Road Map■ Purpose of cross■ Your role at trial■ Common areas of challenge:

    Qualifications■ Common areas of challenge: The exam■ Common areas of challenge: Expert

    myopia■ Common areas of challenge: Opinions■ Vulnerability■ Strategies for success

    OPINIONS WITHOUT SUPPORT

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    Beware of the most meaningless phrase: “best practice”

    OPINIONS WITH STATISTICS

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    Road Map■ Purpose of cross■ Your role at trial■ Common areas of challenge:

    Qualifications■ Common areas of challenge: The exam■ Common areas of challenge: Expert

    myopia■ Common areas of challenge: Opinions■ Vulnerability■ Strategies for success

    Ways People Make Themselves Vulnerable■ Refusing to concede the obvious or easy■ Failing to know the science; cherry-

    picking the science; bending the science to fit your opinion■ Straying from standards of practice

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    Ways People Make Themselves Vulnerable■ Getting snippy with counsel on cross is usually

    a losing proposition. Nothing positive can ever come from it, but plenty of negative can. – Counsel has had days to build rapport with the

    jury; you’ve had minutes. – Counsel can characterize you and your testimony

    any way they choose during closing arguments and there’s nothing you can do to rebut it.

    Road Map■ Purpose of cross■ Your role at trial■ Common areas of challenge:

    Qualifications■ Common areas of challenge: The exam■ Common areas of challenge: Expert

    myopia■ Common areas of challenge: Opinions■ Vulnerability■ Strategies for success

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    Strategies for Success

    ■ Find the supporting documents■ Familiarize yourself with your foundations■ Practice out loud■ Peer review testimony■ Assume reading is a non-negotiable part

    of your job

    Things NOT to do after a tough cross:

    1. Go back and change the way you practice

    2. Quit

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    www.forensichealth.com

    Contact

    mailto:[email protected]:[email protected]