The medical specialist commissioned to conduct this medical examination should be selected with care, having regard to qualifications, known experience or expertise in the field and – if known – the quality and comprehensiveness of previous reports.

While the cost of the doctor's services is certainly a factor, given the large sums potentially at stake in either a concession or denial of liability and the issues of client welfare, the quality of advice is a much higher priority. In general, therefore, Delegates should choose medical referees primarily on the basis of quality of advice rather than primarily on the cost of the service.