Oncologists are not Qualified to Provide Endocrinology Expert Opinions

ByWendy Ketner, M.D.

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Updated onFebruary 3, 2020

Oncologists are not Qualified to Provide Endocrinology Expert Opinions

Court: United States District Court for the Southern District of Texas, Houston DivisionJurisdiction: FederalCase Name: Tsao v. Ferring Pharms., Inc.Citation: 2018 U.S. Dist. LEXIS 49173

Facts

The plaintiff filed a suit for breach of warranty and trade practices against the defendant alleging that she had been given sub-potent and defective medication as part of her fertility treatment. She designated herself as an endocrinology expert to offer her opinion about the administration of the medication in question and the resulting implications.

The Endocrinology Expert

The plaintiff was an oncologist at a cancer center and the director of a mesothelioma and thoracic chemo-radiation center. She appointed herself to testify as an endocrinology expert witness. The defendant moved to exclude the plaintiff’s endocrinology expert testimony, arguing that she was not sufficiently qualified in the field of reproductive endocrinology and that her testimony included opinions that were beyond her personal knowledge of treatment that had been provided to her as an IVF patient. In her rebuttal to the challenge, the plaintiff asserted that her qualifications as a practicing medical doctor were sufficient to justify her testimony in the capacity of endocrinology expert.

The Endocrinology Expert Testimony

The plaintiff offered her opinion regarding the potency of her fertility treatment medication and its subsequent effect on her reproductive health and treatment. The plaintiff testified that the medication she was prescribed was supposed to stimulate her ovaries to the point that they were mature enough to harvest. However, the medication was sub-potent and thus, increased the period of ovarian stimulation. According to the plaintiff, this was problematic because prolonged ovarian stimulation adversely affected the quality of the eggs. The plaintiff testified that she had relied on the internet and consulted fertility and IVF treatment websites to form her opinion.

Discussion

The court noted that the plaintiff had no education or formal training in reproductive endocrinology. She was not a gynecologist, obstetrician, or embryologist and had not completed any training in reproductive endocrinology. She had never worked as a reproductive endocrinologist or written an article on reproductive endocrinology. The court observed that her only experience with reproductive embryology was her time as a fertility patient.

The court further noted that her opinions were not founded on her medical expertise, as she did not possess specific medical knowledge that would qualify her as a medical expert in the relevant topics. The court was of the opinion that she failed to show that her role as a medical and educational oncologist in any way requires the care, evaluation, or assessment of the issues for which she had named herself as an expert. The court also found that the defendant had not shown any expertise, ability, experience, education or training that would qualify her as a drug recall expert with respect to her testimony concerning the drug recall. The court further noted that the plaintiff had not followed reliable methodology to base her causal opinions because they did not provide any scientific basis for the opinions.

Held

The court held that the plaintiff was not an endocrinology expert, as she had designated herself. It was determined that the plaintiff’s testimony was based on unreliable methodology, namely, internet research. Thus, her testimony was excluded.

About the author

Wendy Ketner, M.D.

Wendy Ketner, M.D.

Dr. Wendy Ketner is a distinguished medical professional with a comprehensive background in surgery and medical research. Currently serving as the Senior Vice President of Medical Affairs at the Expert Institute, she plays a pivotal role in overseeing the organization's most important client relationships. Dr. Ketner's extensive surgical training was completed at Mount Sinai Beth Israel, where she gained hands-on experience in various general surgery procedures, including hernia repairs, cholecystectomies, appendectomies, mastectomies for breast cancer, breast reconstruction, surgical oncology, vascular surgery, and colorectal surgery. She also provided care in the surgical intensive care unit.

Her research interests have focused on post-mastectomy reconstruction and the surgical treatment of gastric cancer, including co-authoring a textbook chapter on the subject. Additionally, she has contributed to research on the percutaneous delivery of stem cells following myocardial infarction.

Dr. Ketner's educational background includes a Bachelor's degree from Yale University in Latin American Studies and a Doctor of Medicine (M.D.) from SUNY Downstate College of Medicine. Moreover, she is a member of the Board of Advisors for Opollo Technologies, a fintech healthcare AI company, contributing her medical expertise to enhance healthcare technology solutions. Her role at Expert Institute involves leveraging her medical knowledge to provide insights into legal cases, underscoring her unique blend of medical and legal acumen.

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