When a person becomes ill, they go to a doctor. Someone seeking legal advice goes to a
lawyer. A person in search of an architect, engineer, accountant or member of the clergy looks
for a professional in that specific field, to help them solve their situation. It is important to trust
these professionals since we typically need them at a vulnerable time in our life. Unfortunately,
there may come a time in this relationship when the professional becomes negligent and fails
to perform his job in the manner generally associated with his profession. If this negligence
causes an injury, professional malpractice has occurred. Malpractice is any action or behavior on the part of a professional who does not meet
the principles of his profession. Our textbook defines malpractice as professional misconduct or
the failure to exercise the requisite degree of skill as a professional1. Although malpractice
can occur in many disciplines, the medical and legal professions are the most self-evident. Medical malpractice is the carelessness of a doctor or medical facility in the treatment of
a patient and as a result of this negligence the patient is injured or dies. According to the Journal
of the American Medical Association (JAMA), medical malpractice follows only heart disease
and cancer as a leading cause of death in the United States. More than 225,000 lives are claimed
each year due to this medical neglect2.
To set the foundation for medical malpractice, the tort of negligence must be established.
Four elements are necessary when proving a malpractice claim; a duty of care, a breach of duty,
a proximate cause, and damages. A duty of care relationship must be demonstrated between
the health care provider and the patient. This relationship usually begins once the doctor
initiates the treatment. The doctor now has a duty to use the established standards of care with
his patient. The second element, a breach of duty, is probably the most difficult element to
prove. The plaintiff must show the healthcare provider failed to conform to the required level
of care and the treatment administered was below the normal standard. If a doctor performs a
stapendectomy on the wrong ear, it would be easy to make a case for malpractice. Normally,
most cases are not this obvious and a physician of this caliber would not make this kind
of error. For this reason, an expert medical witnesses is called upon to testify that in his
professional opinion, the doctor committed a breach of duty. This must be done no later than
one hundred and twenty days after filing a medical negligence claim. The next element is
proximate cause. Proximate cause is the event that caused the injury. In other words, whatever
the doctor did or did not do caused the injury. However, a surgeon might perform the perfect
surgery or a doctor might give excellent medical treatment and still the patient might
experience complications. These complications are not necessarily grounds for malpractice.
Finally, the plaintiff must prove he suffered damages as a result of his injury. Only then, will
he be successful in his malpractice claim.
There are two categories of damages recoverable in a malpractice claim; compensatory
and punitive. Compensatory damages include money paid for medical bills, medical equipment,
loss of wages, pain and suffering and disability. Punitive damages may be awarded if the patient
can prove the health care provider acted willfully, maliciously, or fraudulently. In Texas, the
amount of the judgment a plaintiff can receive for winning a malpractice case for a non-
economic loss is capped at $750,0003.
In 2003, the Texas Legislature passed amendments to re-codify the Medical Liability and
Insurance Improvement Act (MLIIA) in Chapter 74 of the Texas Civil Practice & Remedies
Code. In regards to the statute of limitations, a person has two years from the date