Medical Malpractice Study Guide

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Questions and Answers

What is the maximum time allowed to commence a claim under the six-year statute of repose for medical malpractice?

  • 2 years
  • 4 years
  • 6 years (correct)
  • 8 years

In which situation does the six-year statute of repose not apply?

  • Fraudulent conduct by the health care professional (correct)
  • Claims involving property damage
  • Minor claims
  • Claim discovered within 2 years

What is the legal consequence if a medical malpractice claim is brought more than six years after the act or omission?

  • It is generally barred under the six-year statute of repose (correct)
  • It may still be valid if new evidence is found
  • It can be extended indefinitely under certain conditions
  • It automatically gets dismissed

What was the court's conclusion in Casey v Henry Ford Health Sys regarding the six-year statute of repose?

<p>It only applies to the discovery rule (D)</p> Signup and view all the answers

How long is the wrongful death savings statute in Michigan?

<p>2 years from appointment of personal representative (C)</p> Signup and view all the answers

What does the wrongful death savings statute not get tolled by?

<p>Notice of Intent (NOI) (D)</p> Signup and view all the answers

Which of the following best describes the purpose of MCL 600.5838a(2)?

<p>To limit the discovery rule in medical malpractice claims (B)</p> Signup and view all the answers

What can terminate the application of the six-year statute of repose for medical malpractice claims?

<p>Proving the loss of a reproductive organ (A)</p> Signup and view all the answers

What is the primary statute of limitations period for filing a medical malpractice claim?

<p>2 years from the act or omission (B)</p> Signup and view all the answers

Under which circumstance can the statute of limitations be extended according to the exceptions provided?

<p>If the plaintiff is insane (C)</p> Signup and view all the answers

What happens if a medical malpractice claim accrues before a child's 8th birthday?

<p>The claim must be filed by the child's 10th birthday. (C)</p> Signup and view all the answers

What is the maximum duration allowed under the statute of repose for filing a medical malpractice claim?

<p>6 years from the act or omission (C)</p> Signup and view all the answers

Which of the following is NOT considered a legal disability affecting the statute of limitations?

<p>Illiteracy (B)</p> Signup and view all the answers

In the case McKiney v. Clayman, what aspect was deemed irrelevant regarding the accrual of the malpractice claim?

<p>The termination of the physician-patient relationship (B)</p> Signup and view all the answers

What must happen for the statute of limitations to begin running after a disability is removed?

<p>The original time limit resumes from the accrual date (D)</p> Signup and view all the answers

Which section outlines the exceptions to the general two-year period of limitation for medical malpractice?

<p>MCL 600.5851 - .5855 (D)</p> Signup and view all the answers

What is the time frame within which a personal representative can bring a medical malpractice suit if the person died before the limitation period has run?

<p>Two years after the letters of authority are issued (D)</p> Signup and view all the answers

What happens if a personal representative dies within two years after letters of authority are issued?

<p>A successor can bring a new action alleging medical malpractice within one year (C)</p> Signup and view all the answers

What is the maximum time limit for commencing an action after the limitation period has expired?

<p>Three years (D)</p> Signup and view all the answers

What does MCL 600.5856(c) state about the statute of limitations during the notice period?

<p>It may be tolled for a period equal to the notice period (D)</p> Signup and view all the answers

How long can a plaintiff wait to file a complaint if the noticed party has not provided the required written response?

<p>154 days after the notice period (B)</p> Signup and view all the answers

What is one key provision under MCL 600.5852(2) regarding claims arising on or after March 28, 2013?

<p>The two-year period runs from the notice issue date (B)</p> Signup and view all the answers

Under what circumstance will the statute of limitations not be tolled during the notice period?

<p>If the claim is valid and not barred by limitations (D)</p> Signup and view all the answers

According to the saving provision, when does the personal representative gain the ability to file a suit?

<p>Within 30 days after the limitation period has run (A)</p> Signup and view all the answers

What expenses are included under 'Others (Death cases)'?

<p>Funeral and burial expenses (A)</p> Signup and view all the answers

What is the general cap for noneconomic damages as of 2024?

<p>$569,000 (C)</p> Signup and view all the answers

Which of the following is NOT an exception to the general cap on damages?

<p>Fraud by health care professionals (D)</p> Signup and view all the answers

What does the term 'caps' refer to in this context?

<p>Limits on noneconomic damages recoverable (C)</p> Signup and view all the answers

What is required for a plaintiff to fall under the exception for permanent impairment of cognitive capacity?

<p>Incapable of independent life decisions (D)</p> Signup and view all the answers

How does the cap apply based on the language of the law?

<p>To the verdict as a whole (B)</p> Signup and view all the answers

Which of the following conditions allows a claim to fall under the second cap?

<p>Sustaining a spinal cord injury resulting in paralysis (C)</p> Signup and view all the answers

What is the deadline for challenges to notices of intent according to the amendments?

<p>By the defendant's first responsive pleading (C)</p> Signup and view all the answers

What year has a previously specified general cap amount increased to $445,500?

<p>2017 (D)</p> Signup and view all the answers

How long does a party have to challenge an affidavit of merit after service?

<p>63 days (D)</p> Signup and view all the answers

Under the amended rules, when do amended affidavits in medical malpractice cases relate back?

<p>To the date the original affidavit was filed (B)</p> Signup and view all the answers

When can a complaint be filed after mailing a notice of intent?

<p>After the 182-day notice period has run (D)</p> Signup and view all the answers

What is one condition needed to qualify for the 91-day shortened notice period?

<p>Another 182-day notice must have been previously filed against a health care professional. (C)</p> Signup and view all the answers

Who is required to be served with the notice of intent?

<p>Any potential defendant, including corporate defendants (A)</p> Signup and view all the answers

Where must the notice of intent be mailed when an address is unknown?

<p>To the health facility where care was rendered (D)</p> Signup and view all the answers

What effect does the ruling in Bush v Shabahang have on challenges to notices of intent?

<p>It assists in preserving the statute of limitations for amendments. (A)</p> Signup and view all the answers

What is the main issue at stake in Stokes v Swofford?

<p>The qualifications required for expert testimony in medical malpractice cases (D)</p> Signup and view all the answers

Which statute outlines the qualifications for a testifying expert in Michigan?

<p>MCL 600.2169(1) (C)</p> Signup and view all the answers

What was the previous ruling in Woodard v Custer regarding subspecialties?

<p>Subspecialties are considered the same as specialties (B), Experts could be disqualified for being 'overqualified' (C)</p> Signup and view all the answers

In the Stokes case, what type of radiology was the defendant specifically practicing at the time of the alleged malpractice?

<p>General radiology (B)</p> Signup and view all the answers

What was the court's decision regarding the relationship between specialties and subspecialties?

<p>Subspecialties are not considered to be specialties (D)</p> Signup and view all the answers

Which surgery is commonly performed by both otolaryngology and facial plastics specialists, as discussed in Selliman v Colton?

<p>Rhinoplasty (B)</p> Signup and view all the answers

What did the Michigan Supreme Court decide regarding the testifying expert in Selliman?

<p>The case was reversed and remanded for reevaluation (A)</p> Signup and view all the answers

What important role did the Michigan Supreme Court affirm it could take in Stokes v Swofford?

<p>Determining if an expert is qualified to testify (C)</p> Signup and view all the answers

Flashcards

What is Stokes v Swofford?

A legal case that established a precedent which clarified the definition of a 'specialty' in the context of medical malpractice.

What did Woodard v Custer establish?

The legal precedent established by Woodard v Custer allowed subspecialties to be considered 'specialties' for expert witness qualifications.

What did Stokes v Swofford rule about subspecialties?

Stokes v Swofford overturned Woodard v Custer's ruling, stating that subspecialties are not considered 'specialties' for expert witness qualifications.

What is MCL 600.2169(1)?

This law dictates that an expert witness in a medical malpractice case must have practiced or taught in the same specialty as the defendant for at least a year before the case.

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What is a specialty?

The specific area of medical practice in which a doctor specializes, like general radiology or neuroradiology.

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What is a subspecialty?

A narrower area of expertise within a broader specialty, such as neuroradiology within general radiology.

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What was the specific issue in Stokes v Swofford?

In Stokes v Swofford, the defendant was a general radiologist who had previously held a subspecialty certificate in neuroradiology. The court ruled that his negligence involving a brain film fell under general radiology, not neuroradiology.

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What was the specific issue in Selliman v Colton?

In Selliman v Colton, both the defendant and the proposed expert were dually certified in otolaryngology and facial plastics. The court decided that the case should be retried, taking into consideration the new precedent established by Stokes v Swofford.

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Notice of Intent (NOI)

A formal document notifying a potential defendant of a potential medical malpractice claim. It's the first step in the legal process.

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Notice Period

The time period within which a party must file a response to a Notice of Intent (NOI) to avoid the lawsuit being filed.

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Challenge to Affidavit of Merit

A document that must be filed within 63 days of service of the allegedly defective affidavit. It challenges the validity of the affidavit.

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Filing a Complaint After NOI

A complaint can be filed after the 182-day notice period has passed, if the defendant fails to respond within 154 days. Or, the complaint can be filed any time during the 182-day period if the defendant explicitly refuses to settle.

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Amending Notice of Intent

If a plaintiff successfully challenges a defendant's Notice of Intent, the plaintiff may amend the notice. This means the statute of limitations is paused (tolled).

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Relating Back to the Original Date

A rule that allows a party to amend an affidavit in medical malpractice cases without restarting the statute of limitations.

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Effective Date of NOI

The mailing date is the official date used to determine the effective date of a Notice of Intent, not the filing date with the court or the date it’s received.

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Serving Notice on Potential Defendants

The notice must be served on any potential defendant, including corporations. These potential defendants are involved in the case.

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Medical Malpractice Statute of Limitations

A legal claim for medical malpractice must be filed within 2 years from the date of the alleged negligence.

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Accrual

A legal concept that determines when the time for filing a lawsuit begins to run.

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Termination of Physician-Patient Relationship

The final ending of the relationship between the doctor and the patient is not necessarily when the statute of limitations starts.

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Minors and Medical Malpractice

People under age 18 may have different time limits for filing medical malpractice lawsuits.

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Disability and Medical Malpractice

People with disabilities like mental illness may have more time to file a lawsuit.

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Discovery Rule

If you didn't know about the injury or didn't suspect negligence, you might have more time to sue.

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Statute of Repose

These types of claims have a special limit of 6 years, and the patient cannot sue after that time.

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Child's 8th Birthday Rule

If you were 8 years old when a medical negligence occurred, you can still sue before you turn 10 years old.

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Tolling of Statute of Limitations

A period of time when the legal clock for filing a lawsuit is paused, preventing the statute of limitations from expiring.

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Saving Provision (MCL 600.5852)

This legal provision allows the personal representative of a deceased individual to file a medical malpractice claim after the person died, if certain conditions are met.

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Time Limitation for Filing Suit After NOI

This law defines the time allowed to file a lawsuit after a notice of intent (NOI) is served in a medical malpractice case.

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Complaint Filing after 154 Days (MCL 600.2912b(8))

This law sets a specific period within which a plaintiff must file a complaint after the defendant fails to respond to a notice of intent.

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Effective Date of a Notice of Intent

The official date used to determine the effective date of a notice of intent (NOI) is the date it is mailed, not the date it's filed or received.

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Medical Malpractice Lawsuit Process

This legal concept outlines the process for filing a medical malpractice lawsuit, including the requirement for a notice of intent (NOI) and potential time extensions.

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Medical Malpractice Statute of Repose

A specific type of statute of repose that applies to medical malpractice claims. It limits the time to file a claim to six years after the medical act or omission that caused the injury.

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Fraudulent Conduct Exception

The period for filing a claim is extended if the plaintiff can prove that the defendant's fraud prevented the plaintiff from discovering the cause of their injury. This is an exception to the statute of repose.

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Disability Tolling

A legal doctrine that delays the running of the statute of limitations until the plaintiff reaches a specific age, often 18 years old.

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Wrongful Death Savings Statute

A state law that allows a person to bring a claim for wrongful death if the deceased person would have had a valid claim had they lived.

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Wrongful Death Claim Deadline

The time allowed to file a wrongful death claim. It begins two years after the date the personal representative is appointed.

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Wrongful Death Savings Statute and Tolling

The Wrongful Death Savings Statute is not subject to the same tolling provisions as statutes of limitations or repose. It cannot be extended by events like a notice of intent (NOI) to file a claim.

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Non-economic Damage Cap

A legal cap on the total amount of non-economic damages recoverable by all plaintiffs in a medical malpractice case. Represented by a dollar amount that is adjusted annually based on the consumer price index.

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What are non-economic damages?

Non-economic damages include things like pain, suffering, mental anguish, loss of companionship, and loss of enjoyment of life. It does not include medical expenses, lost wages, or other economic losses.

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How does the damage cap apply to multiple plaintiffs and defendants?

The cap applies to the total amount of non-economic damages recoverable by all plaintiffs in a case, regardless of how many defendants there are.

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What kind of negligence does the damage cap apply to?

The cap applies to the total amount of non-economic damages recoverable by all plaintiffs in a case. It does not apply to claims of ordinary negligence.

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What is an exception to the general non-economic damage cap?

The general cap is subject to certain exceptions. One exception is if the plaintiff suffers a permanent impairment of cognitive capacity that renders them incapable of making independent, reasonable life decisions.

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What happens to claims that meet the exceptions?

Claims that fall within the exceptions to the general cap are subject to a second, higher cap.

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What is the current amount of the non-economic damage cap?

The original damage cap applied in Michigan was set at $280,000. The amount has been adjusted annually to reflect the consumer price index. In 2017, the cap was $445,500 and in 2024, it was $569,000.

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What is the main argument against a non-economic damage cap?

The cap is a controversial topic in medical malpractice law. It is intended to limit the amount of compensation that can be awarded in medical malpractice cases, but critics argue that the cap is too low and does not adequately reflect the costs of medical negligence.

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Study Notes

Medical Malpractice Study Guide

  • This study guide supplements, not replaces, individual review and outlines.
  • Exam may cover material not explicitly included in the guide.
  • The guide may contain information not covered on the exam.
  • The goal is to understand subject matter and become an exceptional practitioner.

What is Medical Negligence?

  • Central case: Bryant v Oakpointe Villa, uses the Michigan Compiled Laws accrual statute (MCL 600.5838a) to define actionable parties and timelines.
  • The statute details to whom the cause of action applies and when the limitations clock starts.
  • Relevant jury instructions outline malpractice elements, proof, and burden of proof.
  • Wrongful life claims are prohibited by common law and statute.

Procedural Differences

  • Accrual period starts at negligence, not harm.
  • Shortened statutes of limitations exist.
  • Statutes of repose are included.
  • Pre-suit notice requirements (NOI) and specificity of complaints are essential.
  • Expert witness requirements and specifications are detailed.
  • Economic/non-economic limitations are part of damages.

General Elements of Malpractice

  • Duty: Standard of care as compared by peers (ordinary learning, training, and experience).
  • Breach: Failure to meet the applicable standard of care.
  • Causation: The breach must cause the injury.
  • Damages: The injury suffered has to be established.

Bryant v. Oakpointe Villa Two-Prong Test

  • Claim arising during professional relationship:
  • Claim involving medical judgment.

Professional Relationship

  • Applicable to licensed healthcare professionals under specific Michigan Public Health Codes.
  • Includes hospitals and corporations. Their actions, through individuals, can lead to medical malpractice suits.

Accrual Statute

  • MCL 600.5838a.

Professional Negligence and Malpractice

  • Failure to provide ordinary learning, knowledge, judgment, or skill is defined as professional negligence.
  • The court considers educational and professional training, areas of specialization, length of practice, the testimony's validity, and what is reasonable in the circumstances.

Michigan Does Not Recognize Wrongful Birth

  • There are prohibitions on wrongful birth or wrongful life claims (MCL 600.2971).

Res Ipsa Loquitur

  • A doctrine used in medical malpractice that allows an inference of causation.
  • It relies on four essential elements relating to the event's nature, the defendant's control of the instrumentality, lack of voluntary action by the plaintiff, and easy access for the defendant to the event's true cause.

Ostensible Agency - Grewe Doctrine

  • Hospitals are usually not liable for independent contractor physicians using the facilities.
  • Exceptions exist under certain circumstances, including the relationship and representation by the hospital.

Expert Witness Qualifications

  • Expert Must Meet Criteria (MCL 600.2169) to testify in malpractice cases.
  • Includes active clinical practice, instruction, education, specialization, time spent in the field, and the testimony's relevance.
  • Relevant expert testimonies are required in the specific field of practice where the malpractice occurred.

Statute of Limitations

  • MCL 600.5838a defines the two-year period to file a medical malpractice claim.
  • The time period begins from the incident or actions that caused it.
  • Exceptions exist for disabilities, minors, and if the claim is discovered or should have been discovered later.

Statute of Repose

  • MCL 600.5838a(2), typically setting a six-year limit for commencing a medical malpractice claim.
  • Different procedures exist for the six-year limit.
  • There are exceptions (such as minors' disabilities).

Wrongful Death Act

  • MCL 600.2922(6) defines damages in action regarding death.
  • Caps on damages are not applicable or dependent on the Act.

Notice of Intent (NOI)

  • A notice of intent to file a medical malpractice claim. Time limits for a delayed complaint or actions for challenge exist.
  • Filing, mailing, timelines, and specific content requirements, all must be followed to satisfy requirements for tolling.

Affidavit of Merit (AOM)

  • The plaintiff's or defendant's responsibility for filing a sworn statement of a qualified medical expert.
  • It certifies the appropriate standard of care was breached and how .
  • It defines the medical record and notice details.

Proximate Cause

  • Legal causation between actions and injuries; proving that the defendant's actions directly led to the damages.
  • It's a factual determination for the jury.

Damages and Caps

  • Economic damages (medical bills, lost wages) vs. noneconomic damages (pain and suffering).
  • A cap, dependent on the circumstances, is placed on noneconomic damages based on specific laws and factors.

Medical Malpractice Action, Duty of Plaintiff to Furnish Security

or File Affidavit

  • (MCL 600.2912d).

Affidavit of Meritorious Defense

  • (MCL 600.2912e).

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