No. 28463 - Edward L. Daniel v. Charleston Area Medical Center, Inc., a West Virginia Corporation, and John Doe
Davis, J., concurring:
This case presented a medical malpractice procedural issue that was of first
impression for this Court. Namely, whether the trial court was required to afford the
plaintiff a reasonable period of time to retain a medical expert to address the issue of
proximate cause. The majority opinion correctly determined, as is set out in Syllabus point
4 of the opinion, that [u]pon a trial court's determination that an expert witness is
required to prove standard of care or proximate cause in an action brought under the West
Virginia Medical Professional Liability Act, West Virginia Code §§ 55-7B-1 to 11 (1986)
(Repl.Vol. 2000), a reasonable period of time must be provided for retention of an expert
witness. The majority holding in this case was dictated by statute. I, therefore, concur
with the majority decision. I write separately because I believe trial courts and lawyers
need additional guidance in understanding and applying the holding in this case.
A scheduling order was entered in this matter pursuant to Rule 16(b) of the
West Virginia Rules of Civil Procedure.See footnote 1
1
Pursuant to the scheduling order, the parties
were required to identify experts by December 10, 1999. The deadline for expert
identification expired without the plaintiff designating an expert. The trial court ultimately
granted summary judgment to CAMC because it determined that Mr. Daniel was required
to use a medical expert, but failed to identify one within the time frame of the scheduling
order. This Court recently stated that Rule 16(e) specifically provides that a scheduling
order controls litigation 'unless modified by a subsequent order.' State ex rel. Crafton
v. Burnside, 207 W. Va. 74, ___, 528 S.E.2d 768, 772 (2000). In State ex rel. State Farm
Fire & Casualty Co. v. Madden, 192 W. Va. 155, 161, 451 S.E.2d 721, 727 (1994), we
explained that the circuit court was acting within his discretion . . . by refusing to allow
[the defendant] to designate experts after the expiration of the deadlines established in the
scheduling order. See also Bartles v. Hinkle, 196 W. Va. 381, 392, 472 S.E.2d 827, 838
(1996) (A succession of violations . . . indicating a general unwillingness to comply with
a court-imposed scheduling order, is enough for us even to justify a default [as a
sanction].).
As demonstrated by the foregoing case law, precedent would appear to require affirming the trial court in this case. Indeed, had this not been a medical malpractice case within the confines of W. Va. Code § 55-7B-6, under the Rules of Civil Procedure we would be compelled to affirm the trial court's decision since the court was correct in requiring plaintiff to use an expert. However, the Rule 16(b) scheduling order in this case was qualified by the application of W. Va. Code § 55-7B-6, which, as discussed below, controls the issue of identifying a medical expert in actions for medical professional liability.See footnote 2 2
(1) The required status conference. Under W. Va. Code § 55-7B-6(a) a
mandatory status conference must occur in a medical malpractice case not less than nine
nor more than twelve months following the filing of answer by all defendants[.] This
provision of the statute must be harmonized with Rule 16, which includes no time period
specifically designated for holding any type of status conference under Rule 16.
In practice, trial courts should address the § 55-7B-6 mandatory status
conference through the Rule 16 scheduling procedure. In other words, the initial
scheduling order should provide the date that the court and parties will convene for the
mandatory status conference. When this procedure is followed, the problem presented in
the instant case should not arise, so long as the status conference is scheduled reasonably
prior to the date the parties are required to designate their expert witnesses.See footnote 3
3
This last
requirement is elaborated on below.
(2) Determining the need for medical experts at the required status
conference. When a mandatory status conference is held pursuant to W. Va. Code § 55-
7B-6, the statute specifically requires the issue of medical experts be discussed. In this
respect, § 55-7B-6(a)(2) expressly requires that during the conference a plaintiff certify
to the court that either an expert witness has or will be retained to testify on behalf of the
plaintiff as to the applicable standard of care or that under the alleged facts of the action,
no expert witness will be required. The statute also provides that [i]f the court
determines that expert testimony will be required, the court shall provide a reasonable
period of time for obtaining an expert witness[.] These provisions must also be
harmonized with the scheduling order entered pursuant to Rule 16(b).
Typically, trial courts will enter an initial scheduling order that establishes
the cutoff date for identifying experts, as was done in this case. However, W. Va. Code
§ 55-7B-6(a)(2) qualifies this practice in the context of medical malpractice cases.
Establishing a cutoff date for identifying a medical expert must be done at the mandatory
status conference under W. Va. Code § 55-7B-6. As ruled in the instant case, establishing
a cutoff date in an initial scheduling order for identifying a medical expert in a medical
malpractice case is not controlling.
Also, the statute contemplates a meaningful hearing on the issue of a medical
expert. During the conference the parties should be prepared to discuss substantive issues
in the case as they relate to medical expert testimony. This is necessary as the trial court
must ultimately determine whether to require medical expert testimony. An accurate
record of the conference should be made to allow for a meaningful review should a party
later challenge the basis of the trial court's decision.
Finally, it must be understood that an initial Rule 16(b) scheduling order may
continue to establish a cutoff date for identifying nonmedical experts. The mandatory
status conference under W. Va. Code § 55-7B-6 applies only to medical experts.
(3) Other considerations at the mandatory status conference. It is also
required by W. Va. Code § 55-7B-6(a)(1) that, during the status conference, the parties
[i]nform the court as to the status of the action, particularly as to the identification of
contested facts and issues and the progress of discovery and the period of time for, and
nature of, anticipated discovery[.] This provision, simply requires updating the trial court
on the progress of matters that are ordinarily covered in the scheduling order, except for
the issue of medical experts.
With these additional observations, I concur in the decision rendered in this case. I am authorized to state that Justice Maynard joins me in this concurring opinion.
(b) Scheduling and Planning. Except in categories of
actions exempted by the Supreme Court of Appeals, the judge
shall, after consulting with the attorneys for the parties and any
unrepresented parties, by a scheduling conference, telephone,
mail or other suitable means, enter a scheduling order that
limits the time:
(1) To join other parties and to amend the pleadings;
(2) To file and hear motions; and
(3) To complete discovery.
The scheduling order also may include:
(4) The date or dates for conferences before trial, a final pretrial
conference, and trial; and
(5) Any other matters appropriate in the circumstances of the case.
A schedule shall not be modified except by leave of the judge.
Further, [u]nder Article VIII, Section 8 [and Section 3] of the Constitution of West
Virginia (commonly known as the Judicial Reorganization Amendment), administrative
rules promulgated by the Supreme Court of Appeals of West Virginia have the force and
effect of statutory law and operate to supersede any law that is in conflict with them. Syl.
pt. 1, Stern Brothers, Inc. v. McClure, 160 W. Va. 567, 236 S.E.2d 222 (1977).
In prior decisions of this Court we have approved of specific provisions in the
Medical Professional Liability Act, which touched upon procedural matters that fell under
the direct constitutional supervisory authority of this Court. In Robinson v. Charleston
Area Medical Center, Inc., 186 W. Va. 720, 414 S.E.2d 877 (1991), this Court held that
the legislature could limit noneconomic damages recoverable for medical malpractice. In
McGraw v. St. Joseph's Hospital, 200 W. Va. 114, 488 S.E.2d 389 (1997), we approved
of the legislature granting trial courts discretion under W. Va. Code § 55-7B-7 to require
expert testimony in medical professional liability cases. However, in Mayhorn v. Logan
Medical Foundation, 193 W. Va. 42, 49, 454 S.E.2d 87, 94 (1994), we indicated that the
legislature could not outline when an expert is qualified to testify in a medical malpractice
action. In Gaither v. City Hospital, Inc., 199 W. Va. 706, 487 S.E.2d 901 (1997), we
approved of the legislature imposing an outside limit of ten years on the filing of medical
malpractice claims, regardless of the date of discovery, unless there is evidence of fraud,
concealment, or misrepresentation of material facts by the health care provider.
In my judgment, the procedural issues promulgated in W. Va. Code § 55-7B-6 are not in conflict with Rule 16(b), but rather they supplement the Rule. However, as I indicated, the issue of whether W. Va. Code § 55-7B-6 offends the constitutional authority of this Court to regulate procedural matters in the trial courts of this State was not presented to this us. Thus, this issue is still alive until properly presented to this Court for resolution.