MCDOUGALL v ELIUK
Docket No. 178042
Court of Appeals of Michigan
August 27, 1996
218 Mich App 501
Docket No. 178042. Submitted April 16, 1996, at Detroit. Decided August 27, 1996, at 9:10 A.M. Leave to appeal sought.
Edward McDougall, as personal representative of the estate of Sandra M. McDougall, brought an action in the Wayne Circuit Court against Reuben D. Eliuk, D.O., and others, alleging medical malpractice by Dr. Eliuk, a specialist, in treating the decedent. The court, Paul S. Teranes, J., granted summary disposition for Dr. Eliuk on the basis that the plaintiff failed to offer a qualified expert witness in proposing Dr. Mark Robia as his expert witness. The court ruled that, although Dr. Robia was qualified under
The Court of Appeals held:
1.
2. The trial court did not abuse its discretion in qualifying Dr. Robia as an expert witness under
Affirmed in part and reversed in part.
TAYLOR, P.J., dissenting, stated that when the Legislature enacts a statute implicating a matter of public policy through a rule of evidence, as the Legislature did with respect to
1. WITNESSES — EXPERT WITNESSES — MEDICAL MALPRACTICE ACTIONS.
The statute that imposes requirements regarding the qualification of an expert witness in a medical malpractice action against a specialist beyond those required by the rule of evidence governing expert witnesses conflicts with the rule of evidence and violates the Separation of Powers Clause of the Michigan Constitution; the rule-making power of the Supreme Court in matters of practice and procedure, including rules of evidence, is superior to that of the Legislature (
2. WITNESSES — EXPERT WITNESSES — QUALIFICATION — APPEAL.
A trial court‘s decision to qualify a witness as an expert witness on the basis of the witness’ knowledge, skill, experience, training, or education is reviewed on appeal for abuse of discretion (
Lakin, Worsham & Victor, P.C. (by Sanford N. Lakin, Larry A. Smith and Ron S. Kirsch), for Edward McDougall.
O‘Leary, O‘Leary, Jacobs, Mattson, Perry & Mason, P.C. (by John P. Jacobs), for Reuben D. Eliuk.
Amici Curiae:
Mark Granzotto, for Michigan Trial Lawyers Association.
Gross, Nemeth & Silverman, P.L.C. (by James G. Gross), for Michigan Defense Trial Counsel.
Before: TAYLOR, P.J., and FITZGERALD and P. D. HOUK,* JJ.
FITZGERALD, J. In this medical malpractice action arising out of the death of plaintiff‘s thirty-year-old wife from complications arising from undiagnosed diabetes, plaintiff appeals as of right the trial court‘s finding that
The parties agree that the Supreme Court‘s rule-making power in matters of practice and procedure is superior to that of the Legislature.
The general rule in Michigan regarding qualification of expert witnesses is
If the court determines that recognized scientific, technical, or other specialized knowledge will assist the trier of fact to understand the evidence or to determine a fact in issue, a witness qualified as an expert by knowledge, skill, experience, training, or education, may testify thereto in the form of an opinion or otherwise.
In 1986, the Michigan Legislature passed a series of bills commonly referred to as the tort reform acts of 1986. One of the acts2 established new and more stringent standards for the qualification of expert witnesses in medical malpractice actions:
(1) In an action alleging medical malpractice, if the defendant is a specialist, a person shall not give expert testimony on the appropriate standard of care unless the person is or was a physician licensed to practice medicine or osteopathic medicine and surgery or a dentist licensed to practice dentistry in this or another state and meets both of the following criteria:
(a) Specializes, or specialized at the time of the occurrence which is the basis for the action, in the same specialty or a related, relevant area of medicine or osteopathic medicine and surgery or dentistry as the specialist who is the defendant in the medical malpractice action.
(b) Devotes, or devoted at the time of the occurrence which is the basis for the action, a substantial portion of his or her professional time to the active clinical practice of medicine or osteopathic medicine and surgery or the active clinical practice of dentistry, or to the instruction of students in an accredited medical school, osteopathic medical school, or dental school in the same specialty or a related, relevant area of health care as the specialist who is the defendant in the medical malpractice action. [
MCL 600.2169 ;MSA 27A.2169 .3]
In determining whether there is a real conflict between a statute and a court rule, both should be read according to their plain meaning, Buscaino v Rhodes, 385 Mich 474, 481; 189 NW2d 202 (1971), and the common-sense meaning of the words should be given the effect most likely understood by those who adopted them. Id.
First, the conflict between § 2169 and
Second, in giving effect to the common-sense meaning of each provision, the evidentiary rule clearly embodies the same determination made by the Michigan Legislature that expert testimony is required to establish the standard of care in a medical malpractice case. However, the evidentiary rule does not exclude experts who are qualified by their knowledge, skill, experience, training, or education, from testifying against a specialist solely because the expert does not specialize in the same or a related area of medicine as the defendant and does not devote a substantial portion of professional time to the practice or instruction of the same or a related area of medicine as the defendant. While the statute barred the qualification of Dr. Robia as an expert in the present case, the trial court determined that Dr. Robia would have been qualified as an expert under the evidentiary rule.
Thus, it is evident that the two provisions are not redundant, but rather reflect two different approaches in determining the qualification of an expert as a witness. Inasmuch as the two provisions stand at odds, the evidentiary rule must be found to supersede § 2169(1). See, e.g., Mumaw, supra (this Court found a direct conflict between a statute that declared that a spouse was incompetent to testify on the issue of adultery in a divorce action and a court rule declaring that all persons are competent to testify), and Dahn v Sheets, 104 Mich App 584; 305 NW2d 547 (1981) (this Court found a conflict between the dead man‘s stat-
We disagree with the dissent‘s conclusion that cases such as People v Adair, 452 Mich 473; 550 NW2d 505 (1996), have narrowed Perin‘s holding that the Supreme Court‘s rule-making power in matters of practice and procedure is superior to that of the Legislature. In Adair, the Court was not confronted with a conflict between the rape-shield statute (which calls for exclusion of evidence of past sexual conduct not incident to the alleged sexual assault when the probative value is merely outweighed by prejudicial consideration) and
The dissent suggests that it is “antimajoritarian” in a republican form of government for the judiciary to declare unconstitutional an act of the Legislature. We vehemently disagree.
On cross appeal, defendant argues that the trial court abused its discretion in finding that Dr. Robia was qualified to testify as an expert under
A party offering the testimony of an expert must demonstrate the witness’ knowledge of the applicable standard of care. Bahr v Harper-Grace Hosps, 448 Mich 135, 141; 528 NW2d 170 (1995). The plaintiff bears the burden of showing that his expert possesses the necessary learning, knowledge, skill, and experience to testify. Siirila v Barrios, 398 Mich 576, 591; 248 NW2d 171 (1976). A trial court‘s decision to qualify a witness as an expert is reviewed for an abuse of discretion. Bahr, supra at 141.
Dr. Robia testified to the trial court‘s satisfaction regarding his qualifications and familiarity, based on education and training, with the standard of care applicable to an internist. The trial court noted that Dr. Robia is board-certified in internal medicine. Dr. Robia actively practiced as an internist until 1982 and currently spends a small percentage of his professional time in consultation. Dr. Robia regularly keeps abreast of the medical literature and testified that he
Affirmed in part and reversed in part.
P. D. Houk, J., concurred.
TAYLOR, P.J. (dissenting). I respectfully dissent. I would affirm the trial court‘s dismissal of plaintiff‘s complaint because I agree with the trial court‘s conclusion that former
This case presents the question whether the people of this state, speaking through their legislators and faced with what they perceive to be a crisis threatening the delivery of health care due to runaway medical malpractice litigation and insurance costs, can fashion a remedy as part of the 1986 tort reforms that limits those who can qualify as expert witnesses in cases against medical specialists.1 We are told by the
Plaintiff filed a lawsuit alleging that defendant committed medical malpractice. In order to establish such a claim, a plaintiff must demonstrate the following four factors: (1) the applicable standard of care; (2) a breach of that standard of care by the defendant; (3) an injury; and (4) proximate causation between the alleged breach and the injury. Locke v Pachtman, 446 Mich 216, 222; 521 NW2d 786 (1994). With limited exceptions, not relevant here, expert testimony is required in medical malpractice cases to establish the applicable standard of care and to demonstrate that the defendant in some way breached that standard. Id. at 230; Birmingham v Vance, 204 Mich App 418, 421; 516 NW2d 95 (1994).
As part of the tort reform legislation of 1986, the Legislature enacted former
Section 2169 applies to defendant, because he is a specialist. Further, plaintiff conceded that his sole expert witness does not meet the qualifications of § 2169. The trial court rejected plaintiff‘s claim that § 2169 was unconstitutional and, given plaintiff‘s lack of an expert witness, the court granted summary disposition of the complaint. Contrary to the decision of the majority, I believe that the decision of the trial court should be affirmed.
The general rules we are to consider in reviewing a claim that a statute is unconstitutional are well established. This Court must presume that the statute is constitutional and construe the statute as constitutional, unless its unconstitutionality is clearly apparent. People v McDonald, 201 Mich App 270, 273; 505 NW2d 903 (1993); Johnson v Harnischfeger, 414 Mich 102, 112; 323 NW2d 912 (1982). We must presume that the Legislature intended that the statute “not conflict with constitutional requirements.” People v Hackett, 421 Mich 338, 347, n 1; 365 NW2d 120 (1984). More specifically, this Court must not lightly presume that the Legislature intended a conflict between a statute and a rule of evidence. People v Dobben, 440 Mich 679, 697, n 22; 488 NW2d 726 (1992). A court will refuse to sustain the validity of a statute only when its invalidity appears so clearly as to leave no room for reasonable doubt that it violates a provision of the constitution. People v Piasecki, 333 Mich 122, 143-144; 52 NW2d 626 (1952). In sum, we should make every effort, and engage in every presumption, to find that the Legislature acted in accordance with the constitu-
The function of enacting and amending judicial rules of practice and procedure has been committed exclusively to this Court (
Const 1908, art 7, § 5 ;Const 1963, art 6, § 5 ); a function with which the legislature may not meddle or interfere save as the Court may acquiesce and adopt for retention at judicial will. . . ,[W]e advert to what was said above—that the rules of practice and procedure include the rules of evidence. [Id. at 541.]
In People v Daniels, 394 Mich 524; 232 NW2d 171 (1975), the Supreme Court held that a statute requiring a cash or surety bond for a defendant charged with a crime committed while released on a personal recognizance bond took precedence over a court rule requiring release on personal recognizance of a defendant incarcerated more than six months to answer for a felony charge. Three years later the Supreme Court enacted the Michigan Rules of Evidence and included the following provision in
This effort to respond to the majority having been completed, it must be pointed out that this case should not, in any event, turn on the presence, or lack thereof, of a conflict between § 2169 and
The Legislature‘s primacy in matters of substantive law was demonstrated in Smith v Smith, 433 Mich 606, 619-620; 447 NW2d 715 (1989). In Smith, the Supreme Court found that a then-existing court rule allowing a trial court to order postmajority child support payments in exceptional circumstances was con-
The Legislature acted entirely within its constitutional power to amend or repeal the common law when it enacted § 2169. The Legislature may choose to change a common law cause of action, such as one for medical malpractice, or to abolish a cause of action altogether. O‘Brien v Hazelet & Erdal, 410 Mich 1, 15; 299 NW2d 336 (1980) (the Legislature‘s constitutional power to change the common law authorizes it to extinguish common-law rights of action); Fennell v John J Nesbitt, Inc, 154 Mich App 644, 649; 398 NW2d 481 (1986) (the wide-reaching power of the Legislature permits it to entirely abrogate a common-law right). See also Bean v McFarland, 280 Mich 19; 273 NW 332 (1937) (constitutional retention of common law is expressly conditioned upon the right to abrogate the same or any part thereof).
Incontestably, the power of abolition must contain within it the lesser power to modify. Where the grant of a substantive right is inextricably intertwined with the limitations on the procedures that are employed in determining the right, a litigant such as plaintiff
Accordingly, because § 2169 constitutes a substantive change in a statutory cause of action that originated from the common law, which the Legislature is authorized to effect, it takes precedence over
In summary, we need not embark upon this alarmingly antimajoritarian path if we merely thoughtfully review how our Supreme Court has applied the Perin doctrine. This will lead us to conclude that Perin need not be read so as to do violence to our most basic constitutional understandings. Further, this matter should be resolved on the basis that this statute is properly seen as an exercise in furtherance of the Legislature‘s express constitutional authority to change or repeal the common law, such that it does not come within the reach of Perin.
For all these reasons, I would affirm the decision of the trial court and find the cross appeal moot.
Notes
As a practical matter, in many courts merely a license to practice medicine is needed to become a medical expert on an issue.
This has given rise to a group of national professional witnesses who travel the country routinely testifying for plaintiffs in malpractice actions. These “hired guns” advertise extensively in professional journals and compete fiercely with each other for the expert witness business. For many, testifying is a full-time occupation and they rarely actually engage in the practice of medicine. There is a perception that these so-called expert witnesses will testify to whatever someone pays them to testify about.
This proposal is designed to make sure that expert witnesses actually practice or teach medicine. In other words, to make sure that experts will have firsthand practical expertise in the subject matter about which they are testifying. In particular, with the mal-
practice crisis facing high-risk specialists, such as neurosurgeons, orthopedic surgeons and ob/gyns, this reform is necessary to insure that in malpractice suits against specialists the expert witnesses actually practice in the same speciality. This will protect the integrity of our judicial system by requiring real experts instead of “hired guns.”
The state unquestionably has a legitimate interest in securing adequate and affordable health care for its residents. And it is reasonable to assume that a lessening of exposure to malpractice claims would encourage health-care providers to remain in this state. [Bissell v Kommareddi, 202 Mich App 578, 581; 509 NW2d 542 (1993).]
