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113 F.4th 1
1st Cir.
2024
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Background

  • Plaintiffs, parents of a child who suffered birth injuries, sued Dr. Maryrose Concepción and Hospital Episcopal San Lucas (HESL) for medical malpractice, seeking $6,000,000 in damages.
  • Puerto Rico's Law 136 imposes a $150,000 cap on malpractice damages if the physician was a faculty member of a Regional Academic Medical Center (RAMC) at the relevant time.
  • Dispute arose over whether Dr. Concepción was a faculty member at HESL during the child's birth, with no actual annual contract produced as evidence.
  • The district court held a pretrial evidentiary hearing and, adopting the magistrate judge’s recommendation, found Dr. Concepción was a faculty member, thus applying the damages cap.
  • Plaintiffs appealed, contending the applicability of the cap was a question of fact for the jury, not for the judge.

Issues

Issue Plaintiff's Argument Defendant's Argument Held
Whether cap on damages applies hinges on fact for the jury or law for judge Faculty status in 2015 is a disputed fact for the jury to decide Applicability of statutory cap is a legal issue for the judge Jury must resolve factual dispute on faculty status
Sufficiency of evidence supporting faculty status Evidence is insufficient and credibility should be for jury Letter and testimony prove continuous faculty status since 2006 Evidence not one-sided; reasonable jury could disagree
Assignment of burden of proof Defendants must prove applicability of damages cap Not clearly disputed Defendants bear the burden of proof for statutory cap
Appropriateness of judge's pretrial finding Judge improperly weighed evidence reserved for the jury Judge correctly decided based on uncontroverted evidence Judge erred; factual dispute should go to the jury

Key Cases Cited

  • Anderson v. Liberty Lobby, Inc., 477 U.S. 242 (1986) (summary judgment improper where reasonable jury could find for the nonmoving party)
  • Pullman-Standard v. Swint, 456 U.S. 273 (1982) (distinguishing questions of fact from law is often complex)
  • Byrd v. Blue Ridge Rural Elec. Co-op., Inc., 356 U.S. 525 (1958) (federal law assigns disputed fact questions to the jury)
  • Marshall v. Perez Arzuaga, 828 F.2d 845 (1st Cir. 1987) (Seventh Amendment applies to jury trials in federal court in Puerto Rico)
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Case Details

Case Name: Perez-Perez v. Hospital Episcopal San Lucas Inc.
Court Name: Court of Appeals for the First Circuit
Date Published: Aug 13, 2024
Citations: 113 F.4th 1; 23-1018
Docket Number: 23-1018
Court Abbreviation: 1st Cir.
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