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Science on the Witness Stand: Evaluating Scientific Evidence in Law, Adjudication, and Policy
Tee L. Guidotti, MD, MPH | Susan G. Rose, JD, MPH
$50.00
Product Code: 23070

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Science on the Witness Stand will be a welcome addition to the library of any medical or legal professional whose work involves presenting medical evidence in a legal context. More and more often, occupational and environmental health specialists are being asked to provide expert testimony in legal proceedings related to their line of work. Yet despite advanced study and training in the medical area, many have had little experience in the legal proceedings, documents, and standards for admissible evidence required for presenting a legal case. Legal experts, on the other hand, may be completely familiar with the legal procedures, but uninformed about medical procedures and protocols used to diagnose medical conditions, recommend treatment plans, and report work-related medical problems. This book serves as the critical bridge between the two disciplines required to bring cases to a successful conclusion.
A Systematic Approach to Assessing Evidence In their preface, the authors state, We believe that a systematic approach to assessing scientific evidence in the context of law is possible. However, there is no easy formula. The inspiration for what we are attempting to achieve with this approach comes from the development of clinical epidemiology and critical appraisal, schools of thought that contributed decisively to the development of evidence-based modern clinical practice. Thus, we offer a set of principles that may be used by expert witnesses and lawyers to present scientific knowledge and apply it in the courtroom and in claims adjudication. Drawing on the additional expertise of contributing authors, the book offers a complete look at the factors to be considered in a variety of legal proceedings, from claims adjudication to liability and other medical/legal proceedings. It begins by introducing an innovative approach the authors call evidence-based medical dispute resolution, then moves on to discuss the elements and logic to be presented in a medical opinion, the principles and procedures of civil litigation, and the jurist's view of scientific evidence. Issues of causality and admissibility of evidence and testimony are presented, along with individualized medical evaluation and personal risk, impairment, and evidentiary needs in environmental law and occupational health law. Specific topics such as smoking, substance abuse, mental health issues, workers' compensation, the Americans with Disabilities Act, and the professional standard of care are also covered in depth. The book ends with three case studies illustrating the principles in specific applied situations.
Valuable for Anyone Involved in Workers' Comp and other Medical/Legal Claims • Lays a foundation for greater consistency and more accurate representation of scientific knowledge in the courtroom and in the claims office. • Draws on the principles of evidence-based modern clinical practice • Illustrates general concepts with specific examples throughout • Creates a bridge between the conservative and collaborative culture of science and the adversarial process inherent in the legal process • Provides critical background information and valuable insights for policy makers • Advises on appropriate language and terminology and how to avoid misunderstandings
An Indispensable Reference for Expert Witnesses and Lawyers Reflecting the expertise of a physician and a lawyer who have worked in close collaboration with other experts for ten years, Science on the Witness Stand weaves together principles and vocabulary commonly used by health care practitioners or by lawyers, but not often by both. The authors note that the cultures of science and law operate within different sets of beliefs and values, resulting in differing languages which can produce undesirable outcomes such as misunderstanding, frustration of purpose, and unintended consequences. For this reason, they have carefully crafted their work to promote greater cross-disciplinary communication between the legal community and the public health community as well as a better understanding of the language and professional constraints of both the scientific/medical and legal cultures.
New Tools, Better Communication Science on the Witness Stand is a must-have resource for lawyers and expert witnesses who need to present scientific knowledge and apply it in the courtroom or in claims adjudication. Its evidence-based medical dispute resolution approach gives legal and health care professionals a useful new way to evaluate evidence from the biomedical and population health sciences as it applies to law and the resolution of social issues. And it offers an effective new way for legal and medical professionals to collaborate smoothly and successfully.
What the Critics Say "Well written and enjoyable to read. It provides a practical approach to addressing medical disputes." AOEC News, Winter 2002, Volume 9, #4
Table of Contents
Preface Foreword
Stephen A. Saltzburg, Howley Professor of Trial Advocacy, Litigation, and Personal Responsibility, The George Washington University.
1 Introduction: Evidence Based Medical Dispute Resolution - Tee L. Guidotti, Susan G. Rose 2 Constructing the Medical Opinion: Elements, Expression, and Logic - Gary Rischitelli 3 Civil Litigation: Principles and Procedures - Susan G. Rose, Karen E. Read 4 Adjudicating Cases Involving Scientific Evidence: The View from the Bench - Leo Wenden 5 Establishing Causation with Epidemiology - David F. Goldsmith, Susan G. Rose 6 The Daubert Decision: Effects on the Admissibility of Scientific Evidence and Testimony - Karen E. Read, Susan G. Rose 7 The Nature of Science - Tee L. Guidotti 8 Looking Backward: The Bayesian Approach to Assessing Causation - Sorell L. Schwartz 9 Causation - Tee L. Guidotti 10 The Problem of Smoking - Tee L. Guidotti 11 Apportionment - Tee L. Guidotti 12 Impairment - Stephen L. Demeter 13 Individualized Medical Evaluation and Personal Risk - Ernest C. Levister, Jr. 14 Presumption - Tee L. Guidotti 15 Communication in Medical Dispute Resolution - Michael D. Roback 16 The Era of Juriscience: Evidentiary Needs in Environmental Law - Larry A. Reynolds 17 Evidentiary Needs in Occupational Health Law - Ilise L. Feitshans 18 Medical Disputes Involving Substance Use in the Workplace and in Athletic Competition - Kent W. Peterson, William J. Judge, Donna R. Smith 19 Evidentiary Issues in Workers Compensation - Michael G. Holthouser 20 Evidentiary Requirements Under the Americans with Disabilities Act - Christina Guerola Sarchio 21 Parity for Mental Health Issues - Susan Silverman 22 Medical Evidence and the Professional Standard of Care - Sara Rosenbaum
Appendices Introduction
Case Study 1: Cancer Risk Associated with Chromium Exposure from Drinking Water by Harold E. Hoffman Case Study 2: Risk Associated with Exposure to Transformer Fluids by Harold E. Hoffman Case Study 3: Apportionment of Asbestos-Related Disease by Tee L. Guidotti Index
About the Authors
Tee L. Guidotti, MD, MPH is Professor and Chair, Department of Environmental and Occupational Health, School of Public Health and Health Services, The George Washington University Medical Center, Washington, D.C
Susan G. Rose, MPH, JD is an attorney specializing in toxic torts and pharmaceutical products liability law. She is a partner in the law firm of Stanley and Rose, Oakland, CA and Washington, DC
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Exam Dates:
MROCC Onsite Exams:
Oct 10, 2010 - Boston (Course Oct 9-10)
Nov 7, 2010 - Seattle (Course Nov 5-6)
Dec 12, 2010 - Washington DC (Course Dec 10-12)
Study Aides:
MRO Certification:
Medical Review Officer's Manual
Medical Review Officer Team Manual
MRO Re-Certification:
Medical Review Officer Team Manual
COHN:
Occupational and Environmental Health: Recognizing and Preventing Disease and Injury
Core Curriculum for Occupational and Environmental Health Nursing
Bates' Guide to Physical Examination and History Taking
Occupational Health Nursing Guidelines for Primary Clinical Conditions
Casarett & Doull's Toxicology
COHN-S:
All COHN books plus
Effective Management of Health and Safety Programs
Preventive Medicine
Epidemiology, Biostatistics, and Preventive Medicine
Maxcy-Rosenau-Last Public Health and Preventive Medicine
Study Guide to Epidemiology & Biostatistics
Effective Management of Health and Safety Programs
Preventive Medicine and Public Health
Occupational Medicine
Proctor & Hughes' Chemical Hazards of the Workplace
Current Occupational and Environmental Medicine
Practical Approach to Occupational and Environmental Medicine
Effective Management of Health and Safety Programs
Clinical Environmental Health and Toxic Exposures
Physical and Biological Hazards of the Workplace
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