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</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</p> Signup and view all the answers

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

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

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

    <p>Illiteracy</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</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</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</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</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</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</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</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</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</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</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</p> Signup and view all the answers

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

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

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

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

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

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

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

    <p>2017</p> Signup and view all the answers

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

    <p>63 days</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</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</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.</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</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</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.</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</p> Signup and view all the answers

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

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

    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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    Description

    This study guide provides an overview of medical malpractice, focusing on key cases and legal principles such as Bryant v Oakpointe Villa. It covers definitions, procedural differences, and essential concepts needed for practitioners to understand negligence and liability in healthcare. Prepare effectively for your exam with this comprehensive resource.

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