Key Takeaway
Medical malpractice claims require expert evidence to establish departure from standard of care and causation.
This article is part of our ongoing evidence coverage, with 161 published articles analyzing evidence issues across New York State. Attorney Jason Tenenbaum brings 24+ years of hands-on experience to this analysis, drawing from his work on more than 1,000 appeals, over 100,000 no-fault cases, and recovery of over $100 million for clients throughout Nassau County, Suffolk County, Queens, Brooklyn, Manhattan, and the Bronx. For personalized legal advice about how these principles apply to your specific situation, contact our Long Island office at (516) 750-0595 for a free consultation.
McKenzie v Abrahams, 2010 NY Slip Op 03081 (2d Dept. 2010)
“To establish liability in a medical malpractice action, a plaintiff must prove a departure from the accepted standard of medical care and that such departure was a proximate cause of the plaintiff’s injuries (see Flanagan v Catskill Regional Med. Ctr., 65 AD3d 563). The plaintiff established her prima facie entitlement to judgment as a matter of law on the issue of liability on so much of the complaint as alleged that the defendant surgeon’s error caused her to undergo an otherwise unnecessary second surgery and, in opposition, the defendants failed to raise a triable issue of fact. However, because the plaintiff failed to include in her initial moving papers expert medical opinion evidence demonstrating that the defendant’s error also caused her need for a third surgery and her ongoing injuries, she failed to establish her prima facie entitlement to judgment as a matter of law on the issue of liability on that portion of the complaint (see Fischer v Edward M. Weiland, M.D., P.C., 241 AD2d 439; Ritt v Lenox Hill Hosp., 182 AD2d 560). Contrary to the plaintiff’s assertions, such evidence was required, as the question of whether her third surgery and other ongoing back problems resulted from the defendant surgeon’s admitted error is not “one which is within the experience and observation of the ordinary ”
Once again, issues of medical usefulness, utility of the service, departures from proper standards of care and other medical are beyond the province of a lay person. This rationale, although obvious, is quite applicable in PIP litigation.
Also, as you can tell from the non-bolded portion of this opinion, Plaintiff successfully moved for summary judgment on the issue of departure from the standard of care. This is about as rare as the instance in a 5102(d) case where a plaintiff successfully moves to satisfy one of the myriad threshold categories.
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Legal Update (February 2026): The standards for expert evidence in medical malpractice cases discussed in this 2010 post may have been modified by subsequent court decisions and amendments to CPLR provisions governing expert testimony requirements. Additionally, Insurance Regulation 5102 referenced has undergone several revisions since 2010, potentially affecting how medical malpractice claims intersect with no-fault coverage determinations. Practitioners should verify current expert witness standards and regulatory requirements before relying on the specific procedural guidance outlined in this post.
Legal Context
Why This Matters for Your Case
New York law is among the most complex and nuanced in the country, with distinct procedural rules, substantive doctrines, and court systems that differ significantly from other jurisdictions. The Civil Practice Law and Rules (CPLR) governs every stage of civil litigation, from service of process through trial and appeal. The Appellate Division, Appellate Term, and Court of Appeals create a rich and ever-evolving body of case law that practitioners must follow.
Attorney Jason Tenenbaum has practiced across these areas for over 24 years, writing more than 1,000 appellate briefs and publishing over 2,353 legal articles that attorneys and clients rely on for guidance. The analysis in this article reflects real courtroom experience — from motion practice in Civil Court and Supreme Court to oral arguments before the Appellate Division — and a deep understanding of how New York courts actually apply the law in practice.
About This Topic
Evidentiary Issues in New York Litigation
The rules of evidence determine what information a court or arbitrator may consider in deciding a case. In New York no-fault and personal injury practice, evidentiary issues arise constantly — from the admissibility of business records and medical reports to the foundation requirements for expert testimony and the application of hearsay exceptions. These articles examine how New York courts apply evidentiary rules in insurance and injury litigation, with practical guidance for building admissible evidence at every stage of a case.
161 published articles in Evidence
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Disclaimer: This article is published by the Law Office of Jason Tenenbaum, P.C. for informational and educational purposes only. It does not constitute legal advice, and no attorney-client relationship is formed by reading this content. The legal principles discussed may not apply to your specific situation, and the law may have changed since this article was last updated.
New York law varies by jurisdiction — court decisions in one Appellate Division department may not be followed in another, and local court rules in Nassau County Supreme Court differ from those in Suffolk County Supreme Court, Kings County Civil Court, or Queens County Supreme Court. The Appellate Division, Second Department (which covers Long Island, Brooklyn, Queens, and Staten Island) and the Appellate Term (which hears appeals from lower courts) each have distinct procedural requirements and precedents that affect litigation strategy.
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