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Public Health Law Map - Beta 5 - Medical and Public Health Law Site

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years. If the practitioner violates the terms of these contracts, the courts are often<br />

willing to grant an injunction to force the practitioner to quit the noncomplying job.<br />

Unlike an order to do a job, which can require ongoing supervision, an order to not<br />

do a job is simple to enforce.<br />

B. <strong>Medical</strong> Malpractice Claims<br />

A plaintiff initiates a lawsuit by filing papers with the court claiming that he or she was<br />

harmed by the defendant <strong>and</strong> is entitled to legal redress. These papers must set out the<br />

plaintiff’s prima facie case: the statement of facts <strong>and</strong> legal theories that establish that<br />

the plaintiff has a legally enforceable claim against the defendant. There are four<br />

elements to a prima facie case of medical negligence:<br />

1. Duty—a statement of the facts that establishes the legal relationship between the<br />

physician <strong>and</strong> the patient<br />

2. Breach—a statement of facts that illustrate that the defendant breached the legal<br />

duties implied in the physician–patient relationship or duties generally imposed on<br />

members of society<br />

3. Causation—that the breach of the defendant’s duty caused the plaintiff’s injuries<br />

4. Damages—the monetary value of the plaintiff’s injuries<br />

Upon the filing of these claims, the defendant may ask the judge to dismiss the<br />

plaintiff’s lawsuit for deficiencies in prima facie case. For the purpose of a motion to<br />

dismiss, the judge will assume that the facts presented by the plaintiff are correct. If,<br />

despite this assumption, the plaintiff’s prima facie case is incomplete or legally<br />

unfounded, it may be dismissed, or the plaintiff may be given an opportunity to amend<br />

it to satisfy the defense’s objections. During the pretrial phase of the lawsuit, the<br />

plaintiff must present legally sufficient evidence to support the allegations in the prima<br />

facie case.<br />

1. Duty<br />

A basic rule of Anglo-American law is that an individual has no duty to another<br />

person unless there is a legally recognized relationship with that person. Physicians<br />

have many legal relationships, all of which have accompanying duties that might<br />

form the basis of a lawsuit. In some cases, the defendant will deny that there was a<br />

legally recognized relationship with the plaintiff. If the plaintiff’s claim is based on<br />

medical malpractice, the plaintiff must allege facts to support the existence of a<br />

physician–patient relationship. If the patient does not make the factual allegations<br />

necessary for the court to find a physician–patient relationship, the plaintiff’s lawsuit<br />

will be dismissed. This often happens if a patient sues several physicians <strong>and</strong><br />

includes one who did not treat the patient <strong>and</strong> had no legal relationships with the<br />

physicians who did treat the patient.<br />

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