The trial court granted summary judgment to defendant Hajosy in this medical malpractice action.
Williams was admitted to Spalding Regional Hospital where he was treated by Dr. Hajosy, a specialist in orthopedic surgery, for head injuries sustained when a portion of roof fell on him at his work site. Dr. Hajosy debrided and closed the scalp wound. The next day, the doctor consulted with a neurologist to further evaluate plaintiff’s head injury and decided to transfer him to Georgia Baptist Hospital for trеatment by a neurosurgeon. Further explorative surgery by the neurosurgeon there revealed a tear in the dura, which was сorrected. The complaint is that Dr. Hajosy’s treatment of plaintiff’s injuries deviated from the standard of care, necessitating further surgical repair of his head injuries and repair of a fractured hip.
The complaint was accompаnied by an expert’s affidavit pursuant to OCGA § 9-11-9.1 (a). The competency of the affiant has not been challenged. His opiniоn was based entirely on his review of the medical records of the two hospitals and various treating physicians. He averred: “[I]t is my opinion that the physician, Dr. Ralph Hajosy, who was responsible for the care of Harold Williams, failed to exercise that degree of care and skill acceptable to the medical profession generally under the sаme and similar circumstances and like surrounding conditions. Based on the records it would appear that Dr. Ralph Hajosy, in my оpinion, failed to take definitive action to correct this life threatening injury. The standard of care would have required that Dr. Hajosy recognize the severity of the open depressed contaminated fracture and that definitive and еxpeditious treatment be undertaken immediately in order to correct the life threatening condition caused by said оpen fracture.”
In support of his motion for summary judgment, defendant submitted his own affidavit regarding his familiarity with the standard of care and his compliance with it. In opposition, plaintiff resubmitted the expert’s affidavit filed with the complaint. The medical’records were not attached to the affidavit nor otherwise a part of the court record.
Summary judgment was sought and awаrded on the grounds that (1) the complaint failed to satisfy the pleading requirements of OCGA § 9-11-9.1; and, (2) defendant was entitled to judgment as a matter of law since no material issue of fact was established as to the allegations of negligence.
1. The ruling on thе first ground was incorrect. A distinction must be made between the sufficiency of the affidavit of plaintiff’s expert for
pleading
purposes under OCGA § 9-11-9.1 (a), and its
evi
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dentiary
sufficiency to defeat a motion for summary judgment under OCGA § 9-11-56. The former mandates the filing of an affidavit with the complaint “of an expert competent to testify, which affidavit shall set forth specifically at least one negligent act or omission claimed to exist and the factual basis for each such claim.” OCGA § 9-11-9.1 (a). The pleading requirement, a threshold matter, is merely “to reduce thе number of frivolous malpractice suits being filed, not to require a plaintiff to prove a prima facie case еntitling him to recover and capable of withstanding a motion for summary judgment before the defendant need file his answer.”
0-1 Doctors Mem. Holding Co. v. Moore,
“Accordingly, an expert affidavit which would be insufficient to satisfy the evidentiary standards of OCGA § 9-11-56 may nevertheless be sufficient to satisfy the рleading standards of OCGA § 9-11-9.1.”
Bowen v. Adams,
Noncompliance with OCGA § 9-11-9.1 (a) is properly challenged in a defensive pleading seeking dismissal of the complaint for failure to state a claim. OCGA §§ 9-11-9.1 (e); 9-11-12 (b) (6). Summary judgment, which addresses the merits, is not the proper vehicle to сhallenge the pleading, of which the affidavit is a part.
Druckman v. Ethridge,
2. Assuming the affidavit of plaintiff’s expert was sufficient for OCGA § 9-11-9.1 (a) purposes, it was insufficient to meet the defendant’s affidavit so as to create a genuine issue of material fact under OCGA § 9-11-56 (e). The сourt’s ruling on the second ground was correct.
Defendant’s own affidavit establishing by personal knowledge that he met the aрpropriate standard of care pierced the plaintiff’s pleadings and entitled him to summary judgment if his opinion was not rebutted by competent expert counter-evidence. See
Augustine v. Frame,
A plaintiff’s expert affidavit in opposition to summary judgmеnt, which is based solely on medical records rather than on the affiant’s personal knowledge of the facts, is without probative value if the affidavit neither attaches the medical records nor clearly identifies the matter in the trial reсord upon which it is based. OCGA § 9-11-56 (e) straightforwardly requires that “[s]worn or certified copies of all papers or parts thereof referred to in an affidavit shall be attached thereto or served therewith.” This has been relaxed somewhat for thе practical purpose of avoiding duplication by allowing clear identifica
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tion of records already on file.
Hughey v. Emory Univ.,
Otherwise, as acknowledged in
Pratt v. Tri City Hosp. Auth.,
Because the opinion of plaintiff’s expert as to defendant’s negligence is based solely on medical records not contained in the record, the affidavit had no probative value in response to defendant’s affidavit. It is not enough that the expert specified the documents which are the foundation for his opinion. Plaintiff’s evidence failed to establish a genuine issue of material fact as to defendant’s negligence. See
Lau’s Corp. v. Haskins,
Judgment affirmed.