The AMA has this issue “spot on”. Delegates target courts for liability reform expansion
Doctors believe that setting stricter parameters for who is allowed to testify in the courtroom and what information is allowed before a jury can help alleviate some of the medical liability insurance problems they’ve seen.
“Holding these experts accountable is both necessary and appropriate,” said Robert M. Phillips, MD, the delegate from the American Academy of Psychiatry and the Law.
Delegates directed the Association to create model state legislation that establishes standards similar to the ones used in the federal courts, including full and timely disclosure of expert witnesses’ opinions, reports, qualifications, compensation and prior cases in which they’ve testified.
Doctors also said experts testifying about medical liability issues should meet minimum standards, including:
- Comparable education, training and occupational experience in the same field as the defendant doctor or specialty expertise in the disease or the process performed in the case.
- Active educational practice or teaching experience in the same field as the defendant physician.
- Current experience within five years of the action that initiated the lawsuit.
- Certification by a board that the American Board of Medical Specialties or the American Osteopathic Assn. recognizes or by a board with equivalent standards.
If you are being sued for malpractice, and the case depends on expert testimony, the accused deserves an expert who meets standards. I could not expertly testify in a case of radiologic interpretation – as I am not a radiologist. I can testify regarding either inpatient or outpatient generalist care – because that is what I do.
I hope no one would object to crafting criteria for defining a witness as a expert. I assume that a defense attorney could already use these criteria to challenge a witness expert standing, however, I do not know that anyone has used criteria to challenge testimony.
Malpractice cases are too important to allow substandard testimony. We can set standards, and we should.
Thanks to Point of Law for alerting me to this link.
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{ 5 comments… read them below or add one }
Excellent idea. Have standards for testifying (which we already have). Now, how do we get physicians willing to testify even when the defendant is covered by the same carrier?
The problem with expert witnesses has as much to do with access as anything. How many physicians do you know that would simply refuse to testify regardless of whether malpractice existed for fear of being dropped by their carrier or made a pariah by their peers?
All malpractice cases depend on expert testimony as you have to show that the standard of care was violated and only an expert can do that.
The defense has ample opportunity to object, and generally always does to the other side’s expert. In fact, both sides usually put the other side’s expert through the wringer. And most plaintiff’s attorneys won’t put an expert who is not experienced in the field because the defense attorney and the defense expert will cut them off at the knees if they don’t.
Courts already require timely disclosure, and most will strike attempts to put on an expert at the last minute.
For a better explanation of what it takes to be an expert in a court of law, I would say you should check out this site which discusses the issue in a readable manner. Or do a Google for Daubert, which is the seminal Supreme Court case on the issue of expert testimony:
http://daubertontheweb.com/physicians.htm
But again, when I see the phrase – “holding experts accountable”, I immediately think about how hard it already is to get a qualified expert to testify against his peers no matter how egregious the harm. And this appears to be an attempt to make it that much harder.
>>Courts already require timely disclosure, and most will strike attempts to put on an expert at the last minute.
There’s a couple states where you can still put up a “surprise” expert without notice to the other side.
One’s Oregon, or so I hear from the medical associations.
That’s very surprising. Almost every state I’ve been associated with (MO, AR, TX, and CA) allows for pretrial discovery on expert witnesses and almost every judge will strike late named witnesses, or give the other side a continuance to get their deposition.
And every judge who puts out a scheduling order for each case, which is most of them, will have a drop dead date to name experts, and I’ve never seen it less than 30 days before trial.
I would ask this of our host though. Would you testify for the plaintiff in a malpractice action if you though malpractice had occurred? If not, why not?
I have indeed provided plantiff testimony in a malpractice case.
You have a hell of a lot of nerve making comments like that about me.