Beahm v. Shortall

368 A.2d 1005, 279 Md. 321, 1977 Md. LEXIS 904
CourtCourt of Appeals of Maryland
DecidedFebruary 7, 1977
Docket[No. 50, September Term, 1976.]
StatusPublished
Cited by103 cases

This text of 368 A.2d 1005 (Beahm v. Shortall) is published on Counsel Stack Legal Research, covering Court of Appeals of Maryland primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Beahm v. Shortall, 368 A.2d 1005, 279 Md. 321, 1977 Md. LEXIS 904 (Md. 1977).

Opinion

Orth, J.,

delivered the opinion of the Court.

This appeal requires that we look again at the rule followed in this jurisdiction concerning the admissibility of the testimony of a physician employed to examine a person, not for the purpose of treatment, but in order to qualify as an expert witness during litigation.

I

We have made a distinction between a treating physician and a nontreating physician. Our latest word on the matter *324 appears in Candella v. Subsequent Injury Fund, 277 Md. 120, 353 A. 2d 263 (1976), in which we summarized the law:

“We have applied in this State the universally-recognized principle that an attending physician may testify as to the medical history [ 1 ] related to him by his patient,[ 2 ] and may also state his conclusions reached on the strength of that history. .. . Such testimony is admitted under an exception to the hearsay rule, the underlying rationale being that the patient’s statements to his doctor are apt to be sincere when made with an awareness that the quality and success of the treatment may largely depend on the accuracy of the information provided the physician.
“In Maryland, however, we have not extended this principle to include the case in which the patient’s history has been related to a nontreating physician, . ..; in these instances, the trustworthiness which characterizes the declaration is no longer assured, since the patient is aware that the statements are being received primarily to enable the physician to prepare testimony on his behalf rather than for purposes of diagnosis and treatment.” 277 Md. at 123-124.

*325 The principle with respect to the testimony of an attending physician was set out in Yellow Cab v. Henderson, 183 Md. 546, 552-553, 39 A. 2d 546 (1944). 3 The question of the admissibility of the testimony of a nontreating physician, left open in Yellow Cab, was decided in Parker v. State, 189 Md. 244, 249, 55 A. 2d 784 (1947), which declared it to be inadmissible. That rule has been consistently recognized from Parker to Candella. Francies v. Debaugh, 194 Md. 448, 457, 71 A. 2d 455 (1950); Adams v. Benson, 208 Md. 261, 269, 117 A. 2d 881 (1955), the court noting: “[The Parker] decision has never been overruled”; Wolfinger v. Frey, 223 Md. 184, 190, 162 A. 2d 745 (1960); Connor v. State, 225 Md. 543, 557, 171 A. 2d 699, cert. denied, 368 U. S. 906 (1961); Penn Fruit, Inc. v. Clark, 256 Md. 135, 140-141, 259 A. 2d 512 (1969). See Hodge v. Duley, 22 Md. App. 392, 394, 323 A. 2d 607, cert. denied, 272 Md. 743 (1974).

We have been aware of the criticism aimed at the restrictive rule of Parker. Candella v. Subsequent Injury Fund, supra, 277 Md. at 124. We have noticed that courts in other jurisdictions have taken a more liberal view. In Adams v. Benson, supra, 208 Md. at 267, after observing that “[t]he majority of the American courts have held that descriptive statements of present pain or symptoms made to a doctor employed only to testify do not qualify for admission under the exception to the hearsay rule for statements of bodily condition”, we said:

“On the other hand, some courts have adopted the rule that expert witnesses may testify to the information upon which they have relied in reaching their conclusions, and this practice permits a medical doctor to give a general account not only of the facts observed but also of the history of the case, including the patient’s statements as to *326 injury, past symptoms, and present feelings at the time of the examination. These courts have explained that the patient’s statements, when presented for this purpose, are considered, not as evidence of the matters stated, and hence not hearsay, but merely as the grounds and reasons for the opinion to be given in evidence by the witness.”

But there was no need for us to express a preference between that view and the rule of Parker because we found, in the circumstances there, that although the testimony was erroneously admitted under the Parker rule, the error was harmless. Adams v. Benson, supra, 208 Md. at 269-270. Cases decided subsequent to Adams, involving application of of the Parker rule, were decided without mention of the less restrictive view noticed in Adams. Wolfinger v. Frey, supra, 223 Md. at 190; Connor v. State, supra, 225 Md. at 556-557; Wilhelm v. State Traffic Comm., 230 Md. 91, 97, 185 A. 2d 715 (1962); Rossello v. Friedel, 243 Md. 234, 241-242, 220 A. 2d 537 (1966); Penn Fruit, Inc. v. Clark, supra, at 140-141. It was in Candella v. Subsequent Injury Fund, supra, that we next made express comment with respect to the view contrary to Parker.

“We recognize that a number of states [ 4 ] make a *327 distinction which permits the nontreating physician to present his conclusions and the information, including the history received from the patient, upon which he has relied for those conclusions. In those states, the history is not admitted as substantive evidence, but merely for the nonhearsay purpose of explaining the conclusions reached by the physician.” 277 Md. at 124.

Because the circumstances of Candella were not appropriate for a determination of whether to adopt the less restrictive rule as to the testimony of a nontreating physician, we adhered to the rule of Parker in deciding that case. The case sub judice, however, places squarely before us whether we shall continue to adhere to the rule of Parker. We have decided that we shall not.

We hold that a physician, who examines a patient, not for the purpose of treatment, but in order to qualify as an expert witness, may present his medical conclusions and the information, including the history and subjective symptoms, received from the patient which provide the basis for the conclusions. The conclusions are admissible as substantive evidence. The statements made by the patient, as narrated by the physician, are admissible, with a qualifying charge to the jury, only as an explanation of the basis of the physician’s conclusions and not as proof of the truth of those statements. 5

*328 II

Francis E. Shortall, Jr. incurred injuries to his person and damage to his property in a collision between a car driven by him and a tractor driven by Eugene L.

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Bluebook (online)
368 A.2d 1005, 279 Md. 321, 1977 Md. LEXIS 904, Counsel Stack Legal Research, https://law.counselstack.com/opinion/beahm-v-shortall-md-1977.