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Degree of Proof Requirements

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0:01

So I would like to take a minute

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and talk about the degree of proof required.

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And as I've stated before, it is me

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or the plaintiff that has to meet the burden

0:12

of proof in going forward.

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There are some exceptions, for example,

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if a counterclaim is made, these types of things

0:18

that can alter that a bit.

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But in your general straightforward medical malpractice

0:23

case, the plaintiff has the burden of proof moving forward.

0:27

So we touched briefly on civil versus criminal lawsuits

0:31

before, and as you've probably heard, and, and you're,

0:34

and you are aware, in a criminal case, the standard

0:38

of care is very high.

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It is essentially in order to find the defendant guilty,

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it is a standard that is beyond a,

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beyond a reasonable doubt, that it's just almost impossible

0:51

to say this person didn't commit this crime.

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The standard in a medical malpractice case in the civil case

0:59

is far different.

1:01

We call it the, essentially the

1:03

preponderance of the evidence.

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So what does that mean?

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And what, how we explain it typically

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to a jury is simply saying, imagine the scales of justice.

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It is the plaintiff's responsibility to prove their case

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by tipping that scale ever so slightly.

1:23

Just moving, moving it just a little bit

1:27

that the evidence shows that more likely than not the

1:32

defendant was negligent.

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We really don't use the terms guilty

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or innocent when we're doing a civil lawsuit

1:39

or a, a medical malpractice negligence case like this.

1:43

It's whether or not the physician was negligent.

1:46

Um, and that's the standard of care.

1:48

So we're just looking to tip that scale ever so slightly

1:53

and be aware that it is my burden of proof

1:56

and that's why the process moves along the way it does,

2:00

and we'll get into more of that later in another talk.

2:04

Kelly, this also refers

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to the expert witness's opinions.

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The expert witness does not have to be absolutely certain

2:15

with regard to their opinion about something.

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The expert witness is held to the same degree of proof

2:22

that more likely than not the behavior was

2:26

a deviation from the standard of care.

2:29

That that is correct Dave.

2:31

And the, the issue that, um, I discuss with my experts

2:35

in having them testify and,

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and oftentimes comes up at trial.

2:40

Um, and there are, there are some exceptions,

2:44

but in general, the expert witnesses opinion

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and even your opinion

2:50

as the defendant testifying about whether

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or not you breached the standard of care is

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the question will be asked in your opinion,

2:59

to a reasonable degree of medical probability

3:02

or a reasonable degree

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of medical certainty depending on the state.

3:06

The question will be asked, do you believe then

3:09

that the physician violated the standard of care,

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breach the standard of care?

3:13

So that's a great point.

Report

Faculty

David M Yousem, MD, MBA

Professor of Radiology, Vice Chairman and Associate Dean

Johns Hopkins University

Kelly P. Yousem, JD

Plaintiff’s Attorney

Stephen D. Brown, MD, FACR, HEC-C

Associate Professor of Radiology (Part-time)

Boston Children's Hospital and Harvard Medical School

Tags

Non-Clinical