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Medical Glossary

Volume 4, Issue 5March 1999

CAUSAL CONFUSION
Full text articles and references are available by subscription.

PRACTICE POINTS:


Medical and Legal Causation are so dissimilar that counsel must patiently and explicitly educate medical expert witnesses

Medical concepts of causation:

1. all possible factors
2. most important influences
3. multifactorial interplay
4. proportional contribution
5. alternative theories
6. rigorous scientific validity
7. not yet established

When a butterfly tortiously flaps its wings in Saint John, New Brunswick and causes a thunderstorm in Regina, Saskatchewan, physicians and lawyers have different frames of reference

Legal Causation curriculum for medical expert witnesses:

1. narrow focus
2. any influence, however small
3. precipitate, hasten, aggravate
4. total responsibility
5. "equally plausible" irrelevant
6. >50% probability
7. best available evidence

Ask your medicolegal resource physician to translate the central legal causation issues into medically meaningful questions which the expert witnesses should address

 GLOSSARY: Click on the appropriate letter

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