Pauline v. United States of America , 962 F. Supp. 2d 301 ( 2013 )


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  •                   UNITED STATES DISTRICT COURT
    FOR THE DISTRICT OF COLUMBIA
    _____________________________
    )
    JOHN PAULINE,                 )
    )
    Plaintiff,          )
    )
    v.                  )       Civil Action No. 08-1788 (RWR)
    )
    UNITED STATES OF AMERICA,     )
    et al.,                       )
    )
    Defendants.         )
    _____________________________ )
    MEMORANDUM ORDER
    Plaintiff John Pauline brings professional malpractice,
    survival and wrongful death claims against the United States and
    the Armed Forces Retirement Home (“AFRH”) (collectively, the
    federal defendants), Dr. Pearson Sunderland, the Professional
    Services of America (“PSA”), and Viola Johnson-Robinson.1    The
    defendants move for summary judgment on all of Pauline’s claims
    arguing that Pauline’s experts failed to identify a national
    standard of care and show that national authorities support their
    proposed national standard of care.
    For a medical malpractice negligence claim, D.C. courts have
    required a plaintiff to show: 1) “the applicable standard of
    care,” 2) “a deviation from that standard” and 3) “a causal
    1
    On February 22, 2011, Pauline dismissed under Federal Rule
    of Civil Procedure 41(a) the claims against defendant Teamstaff
    Government Solutions Inc.
    - 2 -
    relationship between the deviation and the injury.”     Hill v.
    Medlantic Health Care Grp., 
    933 A.2d 314
    , 325 (D.C. 2007);
    Nwaneri v. Sandidge, 
    931 A.2d 466
    , 470 (D.C. 2007).     In an action
    for negligence, the plaintiff bears the burden of proving the
    national standard of care by a preponderance of the evidence.
    Cárdenas v. Muangman, 
    998 A.2d 303
    , 307 (D.C. 2010); see also
    Frazza v. United States, 
    529 F. Supp. 2d 61
    , 69 (D.D.C. 2008)
    (citing Varner v. District of Columbia, 
    891 A.2d 260
    , 265 (D.C.
    2006)).    The D.C. Court of Appeals has “been demanding in
    requiring proof of a national standard of care” and requires that
    the plaintiff’s experts articulate a clear standard and how it
    was violated by comparing specific standards with specific facts
    alleged.    Clark v. District of Columbia, 
    708 A.2d 632
    , 634-35
    (D.C. 1997).    The expert must also link the standard asserted by
    the expert to national authorities or sources.    
    Id.
    Some courts have recognized that there is a lower standard
    for an expert’s identification of a national standard of care
    when considered at the summary judgment stage than when the
    expert’s testimony is considered in the directed verdict context,
    after the expert has testified.    See Liser v. Smith, 
    254 F. Supp. 2d 89
    , 103-04 (D.D.C. 2003); see also Robinson v. Washington
    Metro. Area Transit Auth., 
    858 F. Supp. 2d 33
    , 41 n.7 (D.D.C.
    2012) (quoting Varner, 
    891 A.2d at 270
    ) (“This is a relevant
    distinction because, although ‘the test for deciding a motion for
    - 3 -
    summary judgment is essentially the same as that for a motion for
    a directed verdict,’ . . . [the expert’s] testimony at trial,
    when subjected to direct and cross-examination, will provide an
    opportunity to resolve any ambiguity in [the expert’s]
    statements.”); Dorn v. McTigue, 
    157 F. Supp. 2d 37
    , 44 (D.D.C.
    2001) (“Unlike at trial, the plaintiff opposing a
    summary-judgment motion does not have the burden of providing
    persuasive evidence on every element of her case.    . . .   Thus,
    the plaintiff has not yet had a full opportunity to prove what
    the national standard of care is in this case.”).    Under this
    analysis, the plaintiff’s experts must assert only “a colorable
    basis to believe that [the expert’s] testimony may satisfy” the
    standard for identifying the national standards of care and
    linking an expert’s opinion to them.     Liser, 
    254 F. Supp. 2d at 103-04
    ; see Dorn, 
    157 F. Supp. 2d at 44
     (requiring the expert to
    provide “a specific and articulated basis for his expert opinion
    to survive summary judgment”).
    Pauline designated three expert witnesses for this
    litigation: Barbara Darlington in nursing, Dr. Diane Mirabito in
    social work and Dr. Harold Bursztajn in psychiatry.    Federal
    Defs.’ Mot. for Summ. J., Ex. 7, Pl.’s Second Am. Expert
    Designation ¶¶ 1-3.   Pauline’s opposition to the defendants’
    summary judgment motion attaches and cites to supplemental
    affidavits from two of their experts --    Darlington and
    - 4 -
    Bursztajn.   Mem. of P. & A. in Supp. of Pl.’s Opp’n to Defs.’
    Mots. for Summ. J., Exs. 1, 2.    These affidavits supplement the
    experts’ reports and depositions produced during discovery and
    discuss the bases for their expert opinions.   In particular, both
    experts assert that they could refer to national authorities
    supporting their opinions regarding the national standard of care
    in this case.   
    Id.,
     Darlington Aff. Ex. 1 at 2; 
    id.,
     Bursztajn
    Aff. Ex. 2 at 6.   However, the plaintiff did not move for leave
    to supplement discovery or seek to re-open discovery to
    supplement the experts’ reports.    The defendants argue that these
    opinions should not be considered because Federal Rule of Civil
    Procedure 26(a)(2) requires the plaintiff’s experts to have
    provided a complete statement of their opinions during discovery.
    Federal Defs.’ Reply at 14-16.    That bar would limit the experts’
    testimony at trial to the issues addressed in the experts’
    reports and the experts’ deposition testimony.
    In order to facilitate the resolution of the summary
    judgment motions, the parties will be directed to file
    supplemental briefs regarding three issues.    First, the parties
    shall identify the appropriate standard for identifying a
    national standard of care at the summary judgment stage.    Second,
    the parties shall discuss whether the plaintiffs’ supplemental
    expert reports should be considered at this stage, and if so,
    under what circumstances.   Third, the parties shall assess
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    whether the plaintiffs’ experts in all their submissions have
    satisfied the standard for identifying a national standard of
    care and showing that national authorities support their
    testimony regarding the national standard of care.    Accordingly,
    it is hereby
    ORDERED that the plaintiffs file a memorandum addressing
    these issues by September 17, 2013.   It is further
    ORDERED that the defendants respond to the plaintiffs’
    memorandum on these issues by October 1, 2013.
    SIGNED this 27th day of August, 2013.
    /s/
    RICHARD W. ROBERTS
    Chief Judge