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The case record may include a specific diagnostic report that needs to be critiqued for validity or merit. This may be a VA Compensations & Pensions Examiner (C&P) report.  Or there may be an independent medical examiner report that needs to be evaluated regarding possible impact on the case. Having such a report critiqued by a trained clinician can guide the strategy of securing counterbalancing opinion. This can also prevent surprise decisions that might have been anticipated and avoided.