First Department: Expert Witness Testimony Admissible In Absence Of Expression Of Knowledge Or Background In Specialty At Issue

At trial in Bronx County Supreme Court, plaintiff successor of deceased patient who was treated in defendant hospital's emergency room sought to lead expert testimony from an internal medicine doctor who did not express he had a background or knowledge in emergency medicine. The Supreme Court declined to allow that doctor's expert testimony. The First Department unanimously reversed and allowed the plaintiff''s expert doctor's testimony in Ocasio-Gary v Lawrence Hosp. 2010 NY Slip Op 00003.

"The trial court should not have rejected the expert's opinion on the ground that the expert failed to expressly state that he or she possessed the requisite background and knowledge in emergency medicine to render an opinion. The expert, who is board certified in internal medicine, is qualified to render an opinion as to diagnosis and treatment with respect to the symptoms presented by the decedent. In contrast, the expert's affirmation in Browder v New York City Health & Hosps. Corp. (37 AD3d 375 [2007]), cited by the trial court, failed to indicate either the expert's specialty or that he or she possessed the requisite knowledge to furnish a reliable opinion."

In the cited case of Browder v New York City Health & Hosps. Corp. (37 AD3d 375 [2007]) First Department had held:

"In opposition to defendant's prima facie showing based on the hospital records, the deposition testimony and the affirmation of an expert pediatric urologist with many years of experience in that field, plaintiff in this medical malpractice action failed to raise an issue of fact. The affirmation of plaintiff's purported expert was insufficient since it did not indicate either the affiant's specialty or that he or she possessed the requisite background and knowledge to furnish a reliable opinion (
cf. Joswick v Lenox Hill Hosp., 161 AD2d 352, 354-355 [1990]). The affidavit was also insufficient since it failed to address the detailed affirmation of defendant's expert, addressed the alleged departures from the standard of care and proximate cause only in conclusory terms, was contradicted by the record (see Wong v Goldbaum, 23 AD3d 277, 279-280 [2005]), was based on a hospital record notation whose source was unknown and thus inadmissible (see Quispe v Lemle & Wolff, Inc., 266 AD2d 95, 96 [1999]), and was otherwise lacking in evidentiary foundation. We decline to address plaintiff's unpreserved spoliation argument."

Court of Appeals: Supreme Court's Granting of Motion To Preclude Evidence Of Expert Witness's Interest In Defendant's Insurance Carrier Was Proper

The Court of Appeals examined a question faced often by counsel in matters where the existence of a defendant's liability insurance is at risk of being raised when examining a witness as to his or her interest in a liability insurance carrier connected to the defendant. The Court of Appeals found that the Supreme Court, in a dental malpractice jury trial, had not erred in allowing defendant's motion to preclude plaintiff's counsel's cross-examination of an expert witness as to his shareholding in the defendant dentist's malpractice liability insurer in Salm v Moses 2009 NY Slip Op 07479.

In granting the defendant's counsel's in limine motion to preclude this questioning of the witness, who with the defendant also had an interest in the defendant's insurance carrier, the Supreme Court had found that the probative value of the questioning was outweighed by the prejudicial effect of revealing the existence of the insurance. First Department affirmed and was affirmed in turn by the Court of Appeals.

"Although cross-examination is a matter of right (see Matter of Friedel v Board of Regents of Univ. of State of N.Y., 296 NY 347, 352 [1947]), it is well settled that its scope and manner are left to the sound discretion of the trial court (see Bernstein v Bodean, 53 NY2d 520, 529 [1981]; Feldsberg v Nitschke, 49 NY2d 636, 643 [1980], rearg denied 50 NY2d 1059 [1980]). Therefore, absent an abuse of discretion, a trial court's determination is beyond our review.

Evidence that a defendant carries liability insurance is generally inadmissible (see Leotta v Plessinger, 8 NY2d 449, 461 [1960], rearg denied 9 NY2d 688 [1961]; Simpson v Foundation Co., 201 NY 479, 490 [1911]). The rationale underlying this rule is twofold. First, "it might make it much easier to find an adverse verdict if the jury understood that an insurance company would be compelled to pay the verdict" (Loughlin v Brassil, 187 NY 128, 135 [1907]). Second, evidence of liability insurance injects a collateral issue into the trial that is not relevant as to whether the insured acted negligently. Although we have acknowledged that liability insurance has increasingly become more prevalent and that, consequently, jurors are now more likely to be aware of the possibility of insurance coverage, we have continued to recognize the potential for prejudice (see Oltarsh v Aetna Ins. Co., 15 NY2d 111, 118-119 [1965]; see also Barker and Alexander, Evidence in New York State and Federal Courts § 4:63, at 260-261 [5 West's NY Prac Series 2001] ["Because the prejudice quotient is obvious, the rule barring such evidence is one of the least controversial in the law of evidence"]).

The rule, however, is not absolute. If the evidence is relevant to a material issue in the trial, it may be admissible notwithstanding the resulting prejudice of divulging the existence of insurance to the jury. For example, we have held that evidence that a defendant insured a premises is relevant to demonstrate ownership or control over it (see Leotta, 8 NY2d at 462). Likewise, it was proper to allow cross-examination of a physician regarding the fact that the defendant's insurance company retained him to examine the plaintiff in order to show bias or interest on the part of the witness (see Di Tommaso v Syracuse Univ., 172 App Div 34, 37 [4th Dept 1916], affd without opn 218 NY 640 [1916]).

Here, we perceive no abuse of discretion in Supreme Court's evidentiary ruling. Such evidence may be excluded if the trial court finds that the risk of confusion or prejudice [*3]outweighs the advantage in receiving it (see Kish v Board of Educ. of City of N.Y., 76 NY2d 379, 384-385 [1990]). In this case, plaintiff speculated during the colloquy that a verdict in defendant's favor could result in a $100 benefit — at the time of the expert's death, disability or retirement — based on the expert's shareholder status in OMSNIC. The trial court's finding that any such financial interest was likely "illusory" and that the possibility of bias was attenuated was reasonable on this record. Absent a more substantial connection to the insurance company — or at least something greater than a de minimis monetary interest in the carrier's exposure — the court did not engage in an abuse of discretion in precluding the testimony. We note that a voir dire of an expert outside the presence of the jury can better aid the court in exploring the potential for bias. "


Because plaintiff's counsel did not seek that the witness be cross-examined in the absence of the jury, it was held that the Supreme Court was correct in granting the motion before hearing the evidence in question and reserving its decision.

First Department: Manhattan Supreme Court Directed Verdict Precluding Expert Testimony Vacated Because Expert Was Sufficiently Qualified

In Board of Mgrs. of the 195 Hudson St. Condominium v 195 Hudson St. Assoc., LLC (2009 NY Slip Op 04950) the First Department vacated a New York County Supreme Court directed verdict on the issue of the preclusion of expert testimony and confirmed the standards relevant when assessing the qualification of an expert witness and the circumstances in which that discretion is non reviewable.

The New York County Supreme Court had entered a directed verdict for the plaintiff at trial but precluding expert testimony of the future costs of rectifying a construction defect sought by the plaintiff.

The plaintiff had filed an Expert Disclosure under CPLR 3101(1) which disclosure identified that the expert witness would lead evidence not only with respect to the construction defects. but also with respect to the costs of rectifying those defects. The plaintiff argued on appeal that the New York County Supreme Court had erred in directing that it was precluded from leading testimony as to future costs.

The First Department determined that the right of appellate review of the exercise of that discretion was preserved:

Plaintiff's argument that the court abused its discretion by precluding their expert from testifying as to future costs is preserved (see CPLR 5501[a][3]; Kalisch-Jarcho, Inc. v City of New York, 58 NY2d 377, 382 [1983]). "Given the lengthy colloquy on the subject, the court obviously was aware of the nature of the objection and, more importantly, it recognized that the issue would be subject to appellate review"
CPLR 3101(1)
1. Experts. (i) Upon request, each party shall identify each person whom the party expects to call as an expert witness at trial and shall disclose in reasonable detail the subject matter on which each expert is expected to testify, the substance of the facts and opinions on which each expert is expected to testify, the qualifications of each expert witness and a summary of the grounds for each expert's opinion. However, where a party for good cause shown retains an expert an insufficient period of time before the commencement of trial to give appropriate notice thereof, the party shall not thereupon be precluded from introducing the expert's testimony at the trial solely on grounds of noncompliance with this paragraph. In that instance, upon motion of any party, made before or at trial, or on its own initiative, the court may make whatever order may be just. In an action for medical, dental or podiatric malpractice, a party, in responding to a request, may omit the names of medical, dental or podiatric experts but shall be required to disclose all other information concerning such experts otherwise required by this paragraph.

CPLR 5501(a)(3)
Scope of review. (a) Generally, from final judgment. An
appeal from a final judgment brings up for review:
3. any ruling to which the appellant objected or had no opportunity to object or which was a refusal or failure to act as requested by the appellant, and any charge to the jury, or failure or refusal to charge as requested by the appellant, to which he objected.

The First Department then examined and confirmed the standards for the review of the trial court's discretion in assessing the qualification of an expert witness and the circumstances in which that discretion is non reviewable:

"While the "qualification of an expert witness is within the court's sound discretion, and its determination will not be disturbed in the absence of serious mistake, an error of law or abuse of discretion" (People v Jones, 171 AD2d 609, 610 [1991], lv denied 77 NY2d 996 [1991]), this expert should not have been precluded from testifying as to future cost estimates (see generally Isaacs v Incentive Sys., 52 AD2d 550 [1976]). Licensed professionals acting as experts have been found qualified to give their opinions regarding future or estimated costs (see Matter of City of Troy v Town of Pittstown, 306 AD2d 718, 719 [2003], lv denied 1 NY3d 505 [2003]), and this witness's education, training and experience qualified him to testify as an expert in connection [*2]with estimating costs. The computer database utilized by plaintiff's expert to prepare prebid cost estimates was based on the same methodology employed in connection with the completed remediation work—specifications and bids of hundreds of prior projects on which the expert had worked. Furthermore, "any alleged lack of knowledge in a particular area of expertise goes to the weight and not the admissibility of the testimony," and could have been cured with a limiting instruction to the jury (see Moon Ok Kwon v Martin, 19 AD3d 664, 664 [2005])."




Court of Appeals: Sufficient Expert Evidence When Not "Utterly Irrational" That Hard To Quantify "Larger Stroke" Arose From Malpractice

In Lang v Newman 2009 NY Slip Op 04696 the trial plaintiff experienced symptoms and was transported for treatment to hospital where she was examined by defendant doctors in succession, the latter of which ordered a CT scan, but not admit her for treatment and gave her headache medication after she declined to undertake a more invasive diagnostic procedure.

Shortly after, after ordering the plaintiff undertake an MRI, the plaintiffs primary physician (not a defendant) diagnosed her as having suffered a stroke and admitted the plaintiff to a different hospital where she was given anti-coagulant medication.

The plaintiff commenced an action against the defendant doctors and their medical groups and was successful against the second doctor (who had assumed her care on the first doctor's ending of his shift) on the grounds that she had suffered permanent injuries from the stroke, by reason that she was not admitted to hospital for further diagnosis and treatment. The plaintiff was not successful on grounds that the doctors had failed to administer an anti-coagulant drug.

The Appellate Division affirmed the trial verdict, over a 2 justice dissent.

The Court of Appeals affirmed:

"Evidence is legally insufficient to support a verdict if "there is simply no valid line of reasoning and permissible inferences which could possibly lead rational men to the conclusion reached by the jury on the basis of the evidence presented at trial" (
Cohen v Hallmark Cards, 45 NY2d 493, 499 [1978]). Plaintiff's expert testified that if Firman had admitted plaintiff to the hospital rather than discharging her, the stroke would have been diagnosed, she would have been given an anticoagulant, and the failure to administer that medicine resulted in "a little larger stroke than she should have had if she was properly treated." Despite the fact that the expert also stated that it was "very hard to quantify" precisely how much additional damage plaintiff suffered as a result of Firman's negligence, we cannot say that the jury's finding of liability on this theory was "utterly irrational" (id.) or that no basis of proof existed to support the verdict. Consequently, the verdict was based on legally sufficient evidence."

Court of Appeals Affirms First Department: Expert Witness's Reliance Upon Purportedly Held "Human Factor" Industry Design Standards Not Sound

In Hotaling v The City of New York 2009 NY Slip Op 04303 the Court of Appeals affirmed the decision of the First Department in Hotaling v City of New York 2008 NY Slip Op 07951 [55 AD3d 396] and held that the expert witness's testimony was insufficient at law to sustain a prima facie case of negligent design, referring to Buchholz v Trump 767 Fifth Ave., LLC 2005 NY Slip Op 04613 [5 NY3d 1].

The appellant had been awarded damages at trial before a jury for an accident that occurred while he was employed by the City. The basis of the appellants claim was negligent design. The appellant walked through a double swinging door during a fire drill and while turning right to continue to a staircase to exit the building was immediately hit by the second of the swinging doors being used by another exiting person.

At trial the appellant led evidence through an expert witness, the doors were negligently designed in that they allowed for an accident of the type in question, where a person was walking immediately to the staircase, that they were not restricted from swinging too quickly, and that the narrow viewing panel in the doors were too restrictive such as to prevent a person using the door from establishing it was safe to use. In contrast to the plaintiff, who did not lead any evidence that the City had violated the Building code at the time the building had been built, the City led evidence through its expert witness that the building design fully complied with the Building Code, and that the plaintiff's expert witness's conclusions that the design of the doors violated industry standard were erroneous.

First Department held:

The absence of a violation of the New York City Building Code may not always establish, as a matter of law, the absence of negligent design. Especially if there is no Building Code provision directly applicable to a particular design feature, other types of industry-wide standards may be applicable to determine whether a party was negligent. In either event, however, in this matter there is insufficient support for plaintiffs' negligent design claim. Before a claimed industry standard is accepted by a court as applicable to the facts of a case, the expert must do more than merely assert a personal belief that the claimed industry-wide standard existed at the time the design was put in place. Nor are mere nonmandatory guidelines and recommendations sufficient (see Diaz v New York Downtown Hosp., 99 NY2d 542, 544-545 [2002]; Capotosto v Roman Catholic Diocese of Rockville Ctr., 2 AD3d 384, 386 [2003]). The expert must offer concrete proof of the existence of the relied-upon standard as of the relevant time, such as "a published industry or professional standard or . . . evidence that such a practice had been generally accepted in the relevant industry" at the relevant time (Jones v City of New York, 32 AD3d 706, 707 [2006]).

In Buchholz v Trump 767 Fifth Ave., LLC (5 NY3d 1 [2005]), the Court affirmed a grant of summary judgment dismissing the complaint of a plaintiff who had accidentally fallen through a 13th-floor window in the course of roughhousing, where the plaintiff's expert had asserted that industry standards required installation of either tempered glass or a protective barrier bar, because "[p]laintiff's expert cited no authority, treatise, standard, building code, article or other corroborating evidence to support his assertion that good and accepted engineering and building safety practices" required these measures (id. at 8-9).

The essence of plaintiffs' claim was the assertion by Lustbader that the design of the doors at issue deviated from "human factors" design standards. Lustbader primarily relied upon the Human Factors Design Handbook, by Woodson and Tillman, for the industry standards he applied. However, he failed to establish that these purported standards were published, generally accepted, or even in existence in 1970. His testimony on that point was limited to his asserted "belief" that the first edition of the handbook "goes back some 30, 40 years," and that "the early versions predate 1970." However, not only did he fail to establish the existence of any such pre-1970 version, but also he did not verify that any such purported pre-1970 version contained the same standards as the later edition upon which he relied. Indeed, defendants established in their posttrial motion that the first edition of the Woodson handbook was published in 1981, rendering Lustbader's reliance on the standards set forth in the handbook inapplicable as a matter of law.

As to plaintiffs' contention that, although the handbook had not yet been published, the underlying principles were widely accepted prior to 1970, they merely cite three cases that discuss the admissibility of testimony regarding human factors standards without addressing whether the standard existed at the relevant time so as to be applicable to the facts at issue (see Wichy v City of New York, 304 AD2d 755 [2003]; Nowlin v City of New York, 182 AD2d 376 [1992], affd 81 NY2d 81 [1993]; Elmlinger v Board of Educ. of Town of Grand Is., 132 AD2d 923, 924 [1987]). While expert testimony as to human factors design standards has been ruled [*3]admissible, nevertheless, plaintiffs' expert failed to establish that the human factors design industry standards he relied upon were published or in general acceptance in the building construction industry in 1970.

Since the testimony of plaintiffs' expert failed to support plaintiffs' claim that the design of the doors in question violated accepted industry standards at the time the school was built, plaintiffs failed as a matter of law to make out a prima facie case of negligent design. The judgment must therefore be reversed and the complaint dismissed.

Supreme Court, Manhattan: Expert Testimony Reliant Upon Non Mandatory Guidelines & Fresh Particulars Not Sufficient To Defeat Summary Judgment Motion

In Alpert v Gymboree Play Programs, Inc. (2008 NY Slip Op 32988(U)) the Supreme Court in Manhattan examined the proper standard of expert testimony required to support a prima facie showing in the context of a CPLR 3212 motion.

The plaintiff was an infant injured when using playground equipment in a private supervised children playground in Manhattan. The plaintiff's complaint alleged that there was a lack of proper supervision and that the playground equipment lacked proper padding. The defendant moved for summary judgment under CPLR 3212.

The plaintiff led expert testimony from an expert witness who cited the American Society for Testing Materials Standard relating to consumer standards for home playground equipment and further to the US Consumer Product Safety Commission. The expert witness gave testimony through his report, that:

"...the proximate cause of the accident suffered by [plaintiff] was the absence of required handrails on the subject equipment and the failure of Gymboree, Inc., to require approved slip-resistant footwear. Further, it is my additional considered opinion, rendered to a reasonable degree of certainty in my areas of expertise enumerated below, that had either of the two items enumerated as the aggregate proximate cause of the accident been corrected and had there been either handrails or approved sneakers in use, the accident would not have occurred and the injuries not suffered..."

The court restated the principle that once the moving party had established a prima facie showing of entitlement to summary judgment, the burden shifted to the opposing party "to produce evidentiary proof sufficient to establish the existence of material issues of fact"

In examining the expert witness's report, the court found:

First, [the expert witness's] report alleges that the proximate cause of the accident was the lack of handrails on the A-frame apparent failure of Gymboree to require children to wear slip-resistant footwear. Neither negligence was alleged by plaintiff in the bill of particulars. “A plaintiff cannot defeat an otherwise proper motion for summary judgment by asserting a new theory for negligence for the first time in opposition to the motion.... Second, [the expert witness] bases his conclusions on rules promulgated by the American Society for Testing and Materials and the United States Consumer Product Safety Commission. Absent evidence that a particular non-mandatory guideline or recommendation promulgated by government or professional entities have been adopted into actual practice, it will not be held to place a higher standard of‘ care on a defendant...Guidelines established by the American Society for Testing and Materials and the United States Consumer Product Safety Commission are not mandatory and are not considered in determining whether a playground apparatus was negligently designed or installed.