
Drain v Ziesmann: Medical Negligence Found Without Expert Evidence
A Manitoba decision in which a physician was found negligent without expert evidence, illustrating the narrow common-sense exception under ter Neuzen v Korn.
Representing Victims of Medical Malpractice Across Ontario
Expert evidence is the engine of medical malpractice litigation. Because judges and juries are not expected to know what a reasonable physician, nurse, or other regulated health professional would have done in a given clinical situation, qualified experts are needed to define the standard of care, explain the mechanism of injury, and address causation. In most Ontario medical malpractice trials, expert evidence is the difference between success and failure.
Expert reports and testimony in the Ontario Superior Court are governed by Rule 53.03 of the Rules of Civil Procedure, which sets out service deadlines, content requirements, and the expert’s duty to the court. The admissibility framework was refined by the Supreme Court of Canada in White Burgess Langille Inman v Abbott and Haliburton Co, 2015 SCC 23, [2015] 2 SCR 182, which clarified the role of expert independence and impartiality at the threshold stage.
Posts tagged Expert Evidence analyze how Ontario courts have ruled on the qualifications of medical experts, the scope of permissible opinion, challenges to admissibility, and the weight given to competing expert opinions at trial.

A Manitoba decision in which a physician was found negligent without expert evidence, illustrating the narrow common-sense exception under ter Neuzen v Korn.

A plaintiffs’ motion to pierce litigation privilege over expert communications fails despite real credibility concerns about a defendant doctor’s evidence.

The essential evidence required to prove a medical malpractice claim in Ontario. From a 2023 guest lecture at the University of Windsor Faculty of Law.

Reflections on two medical malpractice trials in post-COVID Ontario, one jury and one judge-alone. From Gluckstein’s 2022 Risky Business CLE.

Where literature, medicine, and the law intersect at a medical malpractice trial in Ontario. From a 2022 OTLA medical malpractice conference panel.

Paul as guest on Justice in Pieces, the legal education YouTube series with John-Paul Rodrigues. On the realities of plaintiff-side medical malpractice practice.

Why screening medical malpractice cases matters at intake, and what to recommend patients when civil litigation is not economical. From a 2021 CLE panel.

The Ontario Court of Appeal upheld Paul Cahill’s trial verdict in Hacopian-Armen Estate v Mahmoud, clarifying the foreseeability test in delayed cancer cases.

How Ontario judges gatekeep expert opinion evidence, and what plaintiff counsel can do to clear that bar. From a 2021 MLST panel.

Three episodes on the Inside Medical Malpractice podcast with Chris Rokosh. Paul on the trials of Hacopian, O’Neill-Renouf, and Woods v Jackiewicz.

Paul Cahill on Girao v Cunningham, s. 52 of the Evidence Act, and trial fairness for self-represented litigants. From a May 2020 Law Times feature.

Expert evidence, defence resourcing, and high-risk ER scenarios shape Ontario medical malpractice cases. From OTLA’s 2020 medical malpractice conference.
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