Majors v. Owens , 365 P.3d 165 ( 2015 )


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    2015 UT App 306
    THE UTAH COURT OF APPEALS
    DANIEL MAJORS AND PATRISHA MAJORS,
    Appellants,
    v.
    KENT OWENS AND KENNECOTT UTAH
    COPPER CORPORATION,
    Appellees.
    Opinion
    No. 20140465-CA
    Filed December 24, 2015
    Third District Court, Salt Lake Department
    The Honorable Paul G. Maughan
    No. 110916080
    Karra J. Porter, Barton H. Kunz II, William R.
    Rawlings, and Travis B. Alkire, Attorneys
    for Appellants
    Michael P. Petrogeorge, Attorney for Appellees
    JUDGE KATE A. TOOMEY authored this Opinion, in which JUDGES
    STEPHEN L. ROTH and JOHN A. PEARCE concurred.
    TOOMEY, Judge:
    ¶1      Daniel and Patrisha Majors appeal from the district
    court’s grant of summary judgment in favor of Kent Owens and
    Kennecott Utah Copper Corporation (collectively, Defendants).
    The Majorses contend that the district court erred by excluding
    the causation testimony of their treating physicians and by then
    granting summary judgment on the basis that the Majorses
    failed to offer evidence regarding the causation element of their
    tort claim. We agree and therefore reverse and remand.
    Majors v. Owens
    BACKGROUND
    ¶2      On July 18, 2009, the Majorses were involved in a motor
    vehicle collision in Magna, Utah. Kennecott employee Kent
    Owens was driving the other vehicle involved in the crash. The
    Majorses sued Owens and Kennecott, raising a claim for
    negligence against Owens and seeking to hold Kennecott
    vicariously liable. The Majorses alleged that the motor vehicle
    collision caused them to suffer various injuries, including neck
    and back pain.
    ¶3     In support of their claim, the Majorses disclosed several
    treating physicians as witnesses: Benjamin Krogh, Layne
    Hermansen, and Kade Huntsman. The physicians were
    designated as witnesses who would provide expert testimony
    ‚with regard to the treatment they have provided‛ and
    ‚regarding the issue of causation as it relates to their treatment
    to the subject accident.‛ Defendants deposed each of these
    witnesses.
    ¶4      After discovery, Defendants filed a combined motion in
    limine and motion for summary judgment. As to the motion in
    limine, Defendants argued that the court should preclude the
    Majorses’ treating physician experts from testifying on the issue
    of causation because the physicians’ opinions were not based on
    any reliable facts or methodology. They supported this
    argument by asserting that the physicians’ opinions were based
    on the Majorses’ reports and unverified factual information
    about the collision and that the opinions did not take into
    consideration prior traumas or preexisting conditions. Relying
    on these purported shortcomings and one treating physician’s
    statement that he ‚assumed‛ that the Majorses’ injuries were
    caused by the motor vehicle collision, Defendants asserted that
    all of the Majorses’ designated experts ‚merely assumed that the
    Accident was the cause of the alleged injuries.‛ Thus,
    Defendants argued, the proposed testimony of the treating
    physicians failed to establish a causal connection between the
    Majorses’ alleged damages and the collision and did not meet
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    the threshold requirements for admissibility under rule 702 of
    the Utah Rules of Evidence. Defendants therefore urged the
    court to grant their motion for summary judgment because the
    Majorses failed to produce admissible evidence to support a
    necessary element of their claim.
    ¶5      The Majorses opposed the motions. They argued that
    their treating physicians’ testimony on the issue of causation met
    the threshold for admissibility and that their physicians’
    opinions were based on reliable facts and methodology because
    the physicians ‚took a history of the subject event, a medical
    history, performed physical examinations, provided treatment
    and reviewed imaging studies in arriving at their opinions.‛ The
    Majorses asserted that Defendants’ ‚attacks on the reliability of
    *the physicians’+ testimony would go only to the weight of the
    evidence, not to the . . . admissibility.‛ The Majorses further
    argued that summary judgment was inappropriate because they
    offered admissible evidence supporting the elements of their
    claim and because disputed issues of fact remained for trial.
    ¶6     The district court granted both motions. It agreed with
    Defendants and determined that the Majorses’ ‚treating
    physicians’ causation opinions are unreliable and inadmissible
    under rule 702.‛ It reasoned that ‚an expert must do more than
    merely establish a chronological relationship between an
    accident and the patient’s symptoms.‛ The court explained that
    instead ‚there must be an analysis of the evidence which
    establishes a causal link that goes beyond a temporal
    relationship.‛ It then determined that the treating physicians
    ‚reach*ed+ assumptions based on chronology without any
    underlying analysis of the *Majorses’+ prior medical problems.‛
    The court added,
    [T]he deposition testimony reveals that each of the
    three physicians have uniformly arrived at their
    opinions based on assumptions, without
    performing any independent analysis or evaluation
    or considering the *Majorses’+ significant medical
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    Majors v. Owens
    histories as contributing or aggravating factors to
    their medical conditions. Indeed, . . . in reaching
    their causation opinions, the physicians simply
    make a temporal connection between the accident
    and the *Majorses’+ self-reported onset of
    symptoms. . . . [T]heir singular assumption is that
    the accident must have caused the alleged injuries.
    Yet, the physicians appear to acknowledge their
    complete failure to independently analyze other
    potential causes . . . .
    The court then concluded that if the treating physicians were
    allowed to testify, ‚the jury would engage in speculation rather
    than fact finding.‛ As a result, the court excluded the treating
    physicians’ testimony and ruled that in the absence of this
    testimony, the Majorses could not establish the required element
    of causation. Accordingly, the district court dismissed the
    Majorses’ claim with prejudice. This appeal ensued.
    ISSUES AND STANDARDS OF REVIEW
    ¶7     The Majorses contend the district court exceeded its
    discretion by excluding their treating physicians’ testimony on
    the issue of causation. ‚‘The trial court has wide discretion in
    determining the admissibility of expert testimony,’ and we will
    disturb a court’s exclusion of expert testimony only when it
    ‘exceeds the limits of reasonability.’‛ Gunn Hill Dairy Props., LLC
    v. Los Angeles Dep’t of Water & Power, 
    2012 UT App 20
    , ¶¶ 16, 31,
    
    269 P.3d 980
     (quoting Eskelson v. Davis Hosp. & Med. Ctr., 
    2010 UT 59
    , ¶ 5, 
    242 P.3d 762
    ).
    Our review of the district court’s exercise of its
    discretion include[s] review to ensure that no
    mistakes of law affected a lower court’s use of its
    discretion. Thus, if the district court erred in
    interpreting Utah Rule of Evidence 702 when it
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    [excluded the expert testimony], it did not act
    within the limits of reasonability, and we will not
    defer to the evidentiary decision.
    Eskelson, 
    2010 UT 59
    , ¶ 5 (first alteration in original) (citation and
    internal quotation marks omitted).
    ¶8     The Majorses also contend that the district court erred in
    granting summary judgment on the ground that they failed to
    provide admissible evidence to support the causation element of
    their claim. This court ‚reviews a trial court’s legal conclusions
    and ultimate grant or denial of summary judgment for
    correctness, and views the facts and all reasonable inferences
    drawn therefrom in the light most favorable to the nonmoving
    party.‛ Orvis v. Johnson, 
    2008 UT 2
    , ¶ 6, 
    177 P.3d 600
     (citations
    and internal quotation marks omitted).
    ANALYSIS
    I. Expert Testimony
    ¶9     The parties implicitly agree that expert witness testimony
    on causation is required to establish a causal link between
    Defendants’ alleged negligent act and the Majorses’ injuries. See
    Fox v. Brigham Young Univ., 
    2007 UT App 406
    , ¶ 22, 
    176 P.3d 446
    .
    The parties similarly do not dispute that treating physicians are
    capable of providing such testimony. And the parties agree that
    the treating physicians in this case offered opinions with regard
    to causation. But they disagree about whether the methods used
    by the physicians in coming to those opinions are reliable. In
    particular, the Majorses contend that the district court
    improperly concluded that the experts’ testimony did not meet
    the threshold indicia of reliability required for admission under
    rule 702 of the Utah Rules of Evidence. Thus, the issue on appeal
    is whether the treating physicians’ opinions regarding causation
    were sufficiently reliable to be admissible under rule 702.
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    ¶10 Rule 702 allows a court to admit a qualified expert’s
    testimony, Utah R. Evid. 702(a), if the proponent makes ‚a
    threshold showing that the principles or methods that are
    underlying in the testimony (1) are reliable, (2) are based upon
    sufficient facts or data, and (3) have been reliably applied to the
    facts,‛ 
    id.
     R. 702(b). The district court in this case concluded that
    the Majorses’ treating physicians did not meet rule 702’s
    threshold, because, in the district court’s view, the physicians
    merely assumed causation based on the ‚temporal connection
    between the accident and the *Majorses’+ self-reported onset of
    symptoms‛ and they did not consider the Majorses’ ‚medical
    histories as contributing or aggravating factors.‛ The district
    court faulted the treating physicians for failing to perform
    independent analyses or evaluations, concluding that they
    reached ‚assumptions based on chronology without any
    underlying analysis of the *Majorses’+ prior medical problems.‛
    ¶11 The Majorses contend that the district court erred in
    excluding the treating physicians’ testimony on this basis. They
    assert that in reaching conclusions regarding the causation of
    their injuries, their treating physicians appropriately relied upon
    the temporal relationship between the collision and injuries and
    upon the patients’ descriptions of trauma and the onset of
    symptoms. Defendants seemingly concede that treating
    physicians may take such considerations into account.1 But
    Defendants contend that ‚under the facts of this case, it was not
    sufficient for the treating physicians to merely assume causation
    1. This is consistent with Utah law. See, e.g., Eskelson v. Davis
    Hosp. & Med. Ctr., 
    2010 UT 59
    , ¶¶ 13, 16, 
    242 P.3d 762
    (concluding that a medical expert could base his opinion on the
    plaintiff’s mother’s description of a trauma in her deposition
    testimony); Florez v. Schindler Elevator Corp., 
    2010 UT App 254
    ,
    ¶ 25, 
    240 P.3d 107
     (discerning no error in the expert’s ‚reliance
    on the timing of the onset of *the plaintiff’s+ symptoms‛
    following injury).
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    based on these factors alone.‛ The Majorses respond that their
    experts’ opinions were based on other appropriate
    considerations, including physical examinations and review of
    imaging studies or records.
    ¶12 The district court acts as an evidentiary ‚‘gatekeeper,’‛
    performing ‚a crucial but limited function‛ under rule 702 by
    screening out unreliable expert testimony. State v. Jones, 
    2015 UT 19
    , ¶ 26, 
    345 P.3d 1195
    . In this role, the court must ‚ensur*e+ a
    minimal ‘threshold’ of reliability for the knowledge that serves
    as the basis of an expert’s opinion.‛ 
    Id.
     Although courts should
    approach ‚proposed expert testimony with rational skepticism,‛
    the threshold showing under rule 702(b) ‚requires only a basic
    foundational showing of indicia of reliability for the testimony to
    be admissible, not that the opinion is indisputably correct.‛ Utah
    R. Evid. 702 advisory committee note; see also Eskelson v. Davis
    Hosp. & Med. Ctr., 
    2010 UT 59
    , ¶ 12, 
    242 P.3d 762
    .
    ¶13 ‚Under [rule 702], the line between assessing reliability
    and weighing evidence can be elusive,‛ Gunn Hill Dairy Props.,
    LLC v. Los Angeles Dep’t of Water & Power, 
    2012 UT App 20
    , ¶ 47,
    
    269 P.3d 980
    , but the Utah Supreme Court has cautioned that
    district courts ‚must be careful not to displace the province of
    the factfinder to weigh the evidence,‛ Jones, 
    2015 UT 19
    , ¶ 26. In
    other words, the district court’s ‚role is only preliminary; the
    factfinder bears the ultimate responsibility for evaluating the
    accuracy, reliability, and weight of the testimony.‛ Gunn Hill,
    
    2012 UT App 20
    , ¶¶ 33, 47; see also State v. Sheehan, 
    2012 UT App 62
    , ¶ 28, 
    273 P.3d 417
     (‚*T+here are two separate reliability
    determinations: admissibility, which is a legal determination the
    court makes, and the weight assigned to the evidence admitted
    at trial, which is a factual determination made by the fact
    finder.‛); Utah R. Evid. 702 advisory committee note (‚Contrary
    and inconsistent opinions may simultaneously meet the
    threshold [under rule 702]; it is for the factfinder to reconcile—or
    choose between—the different opinions.‛). Indeed, ‚*v+igorous
    cross-examination, presentation of contrary evidence, and
    careful instruction on the burden of proof are the traditional and
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    appropriate means of attacking shaky but admissible evidence.‛
    Daubert v. Merrell Dow Pharm., Inc., 
    509 U.S. 579
    , 596 (1993).
    ¶14 The Utah Supreme Court’s decision in Eskelson v. Davis
    Hospital & Medical Center, 
    2010 UT 59
    , 
    242 P.3d 762
    , in which it
    reversed a district court’s exclusion of a non-treating physician’s
    expert testimony, illustrates the proper application of rule 702.
    Id. ¶ 22. In that case, the child plaintiff alleged that the defendant
    physician perforated his eardrum during an attempt to extract a
    foreign object from his ear. Id. ¶ 1. First, the supreme court
    concluded that under rule 702(b)(1), the expert’s testimony
    ‚regarding his experience as a physician, in dealing with
    situations similar to *the plaintiff’s+, constitute*d+ a threshold
    showing of reliability.‛ Id. ¶ 15. The court explained that ‚*w+hat
    is required for a threshold showing of reliability will vary
    depending upon the complexity of the particular case,‛ noting
    that ‚*i+dentification of a methodology is not necessary where
    exposure to a nearly identical situation forms the basis of the
    expert’s opinion.‛ Id.
    ¶15 Second, the supreme court concluded that under rule
    702(b)(2), the expert had based his opinion on sufficient facts or
    data. Id. ¶¶ 16–17. It explained that ‚*a+lthough an expert cannot
    give opinion testimony that flies in the face of uncontroverted
    physical facts also in evidence, an expert can rely on his own
    interpretation of facts that have a foundation in the evidence,
    even if those facts are in dispute.‛ Id. ¶ 16 (citation and internal
    quotation marks omitted). Once the expert’s opinion was
    admitted, the court explained, the defense would ‚have the
    opportunity to explore the factual basis‛ for the opinion and
    ‚point out the dispute over the facts on which *the expert+
    relies.‛ Id. ¶ 17.
    ¶16 Third, the supreme court determined that the expert had
    reliably applied his specialized knowledge to the facts of the case
    as required by rule 702(b)(3). Id. ¶¶ 18–19. In reversing the
    district court’s decision that the expert’s testimony ‚was mere
    speculation and not sufficient to show causation,‛ the supreme
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    court concluded that by relying on his specialized knowledge of
    removing objects from childrens’ ears to testify that a ‚sudden
    instance of pain accompanies‛ the plaintiff’s claimed injury, the
    expert ‚did more than establish a chronological relationship‛
    between the plaintiff’s injury and the defendant’s allegedly
    negligent action. Id. ¶ 19. Because the expert’s opinion met all
    three requirements of rule 702(b), the supreme court ruled that
    the opinion should be admitted at trial. Id. ¶ 22.
    ¶17 In a slightly different context, this court evaluated
    whether a plaintiff introduced adequate expert medical
    testimony on the issue of causation in Beard v. K-Mart Corp., 
    2000 UT App 285
    , 
    12 P.3d 1015
    . There, the plaintiff, who fell after a K-
    Mart employee accidently struck her, offered the testimony of
    her treating surgeon. Id. ¶¶ 2, 18. The surgeon testified
    extensively about the causes of the plaintiff’s pain and the
    surgeon’s treatments, and he explained that there was a
    chronological association between the time of the incident and
    the plaintiff’s onset of symptoms. Id. ¶ 18. But ultimately, the
    surgeon testified that he could not say to a reasonable degree of
    medical probability that the accident in question caused the need
    for her surgeries. Id. ¶¶ 3, 18–19. On appeal, this court
    determined that this expert testimony was not sufficient to allow
    the jury to consider the issue of causation. Id. ¶ 20. It concluded
    that the surgeon’s expert testimony ‚merely established a
    chronological relationship between the accident and [the
    plaintiff’s+ symptoms.‛ Id. The court explained, ‚Without the
    required expert medical opinion linking the injury to the
    necessity of the *plaintiff’s+ surgery, a jury would simply be
    speculating about a linkage that is beyond its knowledge and
    experience.‛ Id.
    ¶18 Although Beard’s analysis addressed the adequacy of the
    expert’s causation testimony, not its admissibility, the district
    court analogized this case to Beard, explaining that ‚precisely
    like the expert testimony in Beard, the *Majorses’+ treating
    physicians reach assumptions based on chronology without any
    underlying analysis of the [Majorses’+ prior medical problems.‛
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    But the present case is distinguishable from Beard in a significant
    respect. There, the physician expressly testified that he could not
    tie the plaintiff’s accident to her symptoms to ‚any degree of
    reasonable probability.‛ Id. ¶ 19. In contrast, the treating
    physicians here testified during their depositions that at least
    some of the Majorses’ symptoms were caused by the motor
    vehicle collision. Huntsman specifically testified that ‚the motor
    vehicle accident caused [Daniel’s+ disc herniation,‛ and
    Huntsman’s deposition included testimony that he ‚‘believe*d+
    beyond a reasonable degree of medical probability’‛ that the
    collision was ‚the most likely . . . cause‛ of Patrisha’s pain and
    herniation. Similarly, Hermansen testified that the Majorses’
    complaints were a ‚direct result‛ of the auto accident. And
    although Krogh stated that he ‚assumed‛ some injuries were the
    result of the collision, he did not qualify his conclusion at other
    points in his deposition. Particularly, he stated, ‚*T+he main
    cause of the *Majorses’ injuries+ was a result of the accident.‛
    Krogh then specified that Daniel suffered neck and back pain
    and Patrisha suffered neck and upper-back pain ‚as a result of‛
    the accident. Thus, all three physicians offered their opinions on
    causation.
    ¶19 Given these opinions and the framework set out in
    Eskelson, to determine whether the district court exceeded its
    discretion in excluding the Majorses’ expert evidence, we must
    evaluate whether the principles underlying the treating
    physicians’ opinions are reliable, are based upon sufficient facts
    or data, and were reliably applied to the facts of this case. See
    Utah R. Evid. 702(b). First, bearing in mind that a threshold
    showing of reliability depends on the complexity of a specific
    case, we conclude that the treating physicians’ opinions met this
    threshold. These physicians testified that they each examined
    and treated the Majorses and considered the cause of the
    Majorses’ physical complaints. From the portions of the
    depositions in the record, it is evident that the physicians’
    methodology involved personally examining the Majorses as
    patients, reviewing imaging studies, and taking into account the
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    Majors v. Owens
    Majorses’ statements about their medical histories. This
    methodology appears consistent with the methodology any
    treating physician would employ when evaluating whether a
    patient’s symptoms were caused by the patient’s involvement in
    an automobile collision. Thus, the evidence established that the
    treating physicians’ opinions were sufficiently reliable to meet
    rule 702(b)(1)’s threshold.
    ¶20 Next, under rule 702(b)(2), we assess whether the treating
    physicians’ principles or methods underlying their testimony
    ‚are based upon sufficient facts or data.‛ See 
    id.
     R. 702(b)(2).
    Defendants seem to contend that the physicians’ opinions failed
    to meet this threshold because their assessments about causation
    relied solely on the Majorses’ patient statements and on the
    temporal proximity between the collision and onset of
    symptoms. Although the treating physicians did take these
    factors into consideration, their opinions were also informed by
    their physical examinations and the imaging studies. These
    factors, taken together, provide sufficient facts or data to support
    the treating physicians’ opinions on causation. Rule 702(b)(2)
    was therefore satisfied. Furthermore, we are not convinced the
    treating physicians were required to conduct an independent
    investigation to verify the Majorses’ accounts of the collision and
    the onset of the symptoms. Rather, treating physicians are
    justified in relying on patients’ statements as long as ‚experts in
    the particular field would reasonably rely on those kinds of facts
    or data in forming an opinion on the subject.‛ See 
    id.
     R. 703.
    ¶21 Finally, we consider whether the treating physicians
    reliably applied their principles or methods to the facts. See 
    id.
    R. 702(b)(3). Again, the Majorses were required to make only a
    threshold showing on this point. The district court’s reasoning
    for excluding the treating physicians’ causation opinions
    centered on the physicians’ application of their methods to the
    facts. But the district court’s stated basis for exclusion is
    insufficient to convince us that the threshold was not met.
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    ¶22 The district court’s rationale for excluding the expert
    opinions focused on testimony that indicated the treating
    physicians did not consider other potential causes of the
    Majorses’ injuries. According to Defendants and the district
    court, this failure renders the treating physicians’ causation
    analyses unreliable as applied to the facts and thus inadmissible.
    But this failure does not necessarily lead to a conclusion that
    their opinions did not meet rule 702’s threshold for admission.
    Even though the treating physicians indicated that they did not
    consider other potential causes, their testimony implicitly
    indicates that their evaluations of the Majorses revealed
    conditions that were consistent with injuries sustained in an
    automobile collision.2 As such, Defendants’ argument that the
    physicians should also have eliminated other potential
    contributors to the Majorses’ physical condition provides fodder
    for cross-examination and seems more targeted to the weight of
    their opinions, not the admissibility. We therefore disagree with
    the district court that these physicians’ testimony would allow
    the jury only to speculate as to causation.
    ¶23 Furthermore, as in Eskelson, the treating physicians’
    testimony did more than establish a chronological relationship
    between the Majorses’ physical injuries and the motor vehicle
    collision. Not only did all three physicians explain that they
    relied on the Majorses’ description of their injuries as beginning
    after their involvement in the collision, but they also testified
    that the Majorses did not exaggerate their symptoms. Through
    this testimony, the physicians opined that the Majorses’
    complaints were consistent with injuries sustained in a motor
    vehicle collision. Specifically, Huntsman and Hermansen both
    testified to the effect that the Majorses’ complaints were
    consistent with their symptoms. Both added that their findings
    2. We note that the deposition transcript suggests that Huntsman
    did consider degeneration in relation to the causation of
    Patrisha’s symptoms.
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    Majors v. Owens
    from the physical exams matched Daniel’s MRI results.
    Huntsman also indicated that although he first treated the
    Majorses in late 2010, it is ‚pretty common‛ for patients like the
    Majorses to receive treatment a year after a collision. Similar to
    the other physicians, Krogh, who evaluated the cause of the
    Majorses’ complaints within a week after the collision, testified
    that he was ‚not so much‛ concerned that Daniel exaggerated
    his symptoms, and that Daniel’s degree of pain ‚seemed to be
    more consistent‛ with what Krogh found on his physical exam.
    Thus, the treating physicians indicated that the Majorses’
    complaints would be explained by their involvement in the
    collision with Owens.
    ¶24 Although the foundation for the treating physicians’
    causation opinions appears somewhat thin, we believe the
    treating physicians’ application of their knowledge to the facts
    met the minimal threshold showing of reliability under rule
    702(b)(3). In our view, the district court’s preliminary assessment
    of the treating physicians’ reliability displaced the role of the
    jury to evaluate the weight to be given to the evidence. See Gunn
    Hill Dairy Props., LLC v. Los Angeles Dep’t of Water & Power, 
    2012 UT App 20
    , ¶¶ 47–48, 
    269 P.3d 980
    . Certainly Defendants and
    the district court have identified weaknesses in the treating
    physicians’ expert opinions—the failure to consider other
    potential causes, for example—but Defendants will have the
    opportunity to expose and probe such weaknesses once the
    opinions are admitted at trial. See Eskelson v. Davis Hosp. & Med.
    Ctr., 
    2010 UT 59
    , ¶ 17, 
    242 P.3d 762
    . Because the treating
    physicians’ opinions regarding causation met the threshold
    indicia of reliability for admission under rule 702, we conclude
    that the district court exceeded its discretion in granting
    Defendants’ motion to exclude the evidence.
    II. Summary Judgment
    ¶25 The Majorses contend that because the district court’s
    ‚sole basis for granting summary judgment was its ruling
    excluding all of Daniel and Patrisha’s expert testimony on
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    causation,‛ the district court’s grant of summary judgment must
    also be reversed. Causation is indisputably an essential element
    of the Majorses’ claim. See Fox v. Brigham Young Univ., 
    2007 UT App 406
    , ¶ 21, 
    176 P.3d 446
    . Generally, ‚*a+ plaintiff’s failure to
    present evidence that, if believed by the trier of fact, would
    establish any one of the [elements] of [a] prima facie case justifies
    a grant of summary judgment to the defendant.‛ United Fire
    Group v. Staker & Parson Cos., 
    2014 UT App 170
    , ¶ 8, 
    332 P.3d 394
    (alterations in original) (citation and internal quotation marks
    omitted). After first excluding the testimony of the Majorses’
    designated expert witnesses on the issue of causation, the district
    court next determined that ‚*w+ithout *those+ causation opinions
    . . . there is no admissible evidence in the record by which the
    [Majorses] can prove the causation element of their negligence
    claim.‛
    ¶26 Because we have concluded that the district court
    exceeded its discretion in excluding the Majorses’ expert
    testimony on the issue of causation, see supra ¶ 24, we conclude
    that the Majorses offered admissible evidence on causation that
    was sufficient to create a material dispute of fact. Accordingly,
    we also reverse the district court’s grant of summary judgment.3
    3. In the alternative, Defendants contend that even if we reverse
    the district court’s exclusion of the treating physicians’ testimony
    as to the issue of cause in fact, we should nevertheless affirm the
    grant of summary judgment because the physicians’ testimony
    could not establish proximate cause. We disagree. A finding of
    cause in fact assesses whether ‚a defendant’s negligence, as a
    factual matter, played a role in bringing about the plaintiff’s
    injury,‛ Raab v. Utah Ry., 
    2009 UT 61
    , ¶ 22, 
    221 P.3d 219
    , whereas
    ‚*p+roximate cause is ‘that cause which, in a natural and
    continuous sequence, unbroken by any new cause, produced the
    injury, and without which the injury would not have occurred,’‛
    Dee v. Johnson, 
    2012 UT App 237
    , ¶ 4, 
    286 P.3d 22
     (quoting Bunker
    (continued…)
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    CONCLUSION
    ¶27 We conclude that under the facts of this case, the district
    court exceeded its discretion in excluding the Majorses’ expert
    testimony on the issue of causation because the court excluded
    the expert evidence due to its lack of weight rather than its
    failure to meet the threshold showing of reliability under rule
    702. Accordingly, we reverse the court’s grant of Defendants’
    motion to exclude the expert evidence. Because the district court
    granted summary judgment to Defendants on the ground that
    the Majorses failed to offer admissible evidence on the causation
    element of their claim, we also reverse that order and remand
    the matter for trial.
    (…continued)
    v. Union Pac. R.R., 
    114 P. 764
    , 775 (Utah 1911)). We conclude that
    the physicians’ expert opinions are admissible as to proximate
    cause for the same reasons they are admissible as to causation in
    general. Once evidence of factual causation is shown, it is up to
    the jury to determine on all the facts if it also meets the legal
    requirements of proximate cause. Accordingly, we conclude that
    the Majorses have offered admissible evidence to create a
    disputed issue as to proximate cause.
    20140465-CA                    15              
    2015 UT App 306