Proper arbitration clauses waive a medical malpractice victim's right to a jury trial. Arbitration is a alternative dispute resolution (ADR) in which an arbitrator renders a decision to resolve a dispute between parties.It is an affirmative defense to liability in a civil action brought against a physician or health care provider for a violation of Section 170A. Arbitration is a form of alternative dispute resolution. It is a way for private parties to sort out disagreements according to agreed-upon rules. In Texas, medical malpractice suits can be filed for "treatment, lack of treatment or other claimed departure from accepted standards of medical care" These contracts may be an attractive concept to physicians, but those who use them must have an understanding of federal and state law. B. Impact of Parties' Choice of Law. As in traditional negligence cases, the plaintiff in a legal malpractice case must prove that the alleged malpractice was the proximate cause of injury.