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Marsingill v. O'MALLEY

Citations: 128 P.3d 151; 2006 Alas. LEXIS 11; 2006 WL 204982Docket: S-11578

Court: Alaska Supreme Court; January 27, 2006; Alaska; State Supreme Court

Narrative Opinion Summary

In this case, the plaintiff filed a negligence suit against a physician, alleging medical malpractice due to inadequate communication about the severity of her condition and the necessity for emergency care. The jury initially ruled in favor of the physician. On appeal, the court addressed multiple issues, including the adequacy of jury instructions and the admissibility of expert testimony on informed consent. The court upheld the jury instructions, affirming that they correctly reflected the legal standard by requiring the disclosure of 'material information' without necessitating 'all' material information. It also found the expert testimony on the standard of care and patient expectations admissible, as it provided relevant insights into the physician's disclosure duty under Alaska Statute 09.55.556(a). However, the court vacated the attorney's fee award to the physician due to the inclusion of non-compensable work such as lobbying efforts and fees related to a prior appeal. The case was remanded for reassessment of the fee award, while the jury’s verdict in favor of the physician was affirmed, emphasizing the requirement for a physician to provide sufficient information for informed patient decision-making.

Legal Issues Addressed

Admissibility of Expert Testimony

Application: The court found that expert testimony on the standard of care for physician disclosures and patient expectations was relevant and admissible, assisting the jury in assessing the adequacy of information provided by Dr. O'Malley.

Reasoning: Under Alaska Rule of Evidence 702, expert testimony must assist the trier of fact in understanding evidence or determining factual issues... The trial court could reasonably conclude that their insights would aid jurors in assessing whether Dr. O'Malley adequately informed Marsingill for an informed decision.

Attorney's Fees Award under Alaska Civil Rule 82(b)(2)

Application: The court vacated the attorney's fee award as the trial court improperly included fees for non-compensable work, such as lobbying and appellate work.

Reasoning: The court recognized that it has discretion over the reasonableness of billed hours but agreed with Marsingill that fees for legislative work and appeal-related tasks were improperly included.

Informed Consent under Alaska Statute 09.55.556(a)

Application: The court held that a physician's duty to disclose is based on what a reasonable patient needs to know to make informed decisions, rather than a traditional professional standard.

Reasoning: The court has previously rejected a traditional professional standard in favor of a patient-centered approach, determining a physician's disclosure duty based on what a reasonable patient needs to know to make informed decisions.

Jury Instructions on Informed Consent

Application: The court affirmed that the jury instructions were correct, emphasizing that the physician's duty was to disclose 'material information' without needing to specify 'all' such information.

Reasoning: The instructions accurately reflected the law, clarifying that the physician's duty was to disclose material information without needing to specify 'all' such information.

Standard for Reviewing Jury Instructions

Application: The court reviews jury instructions de novo and requires reversal only if an erroneous instruction prejudices a party.

Reasoning: The standard for reviewing jury instructions is established in Lynden Inc. v. Walker, where a legally erroneous instruction warrants reversal only if it prejudices a party.