<span itemprop="author">Howard Smith, MD

Author's posts

How to hold ambulance chasers and hired guns accountable for frivolous medical malpractice lawsuits at little to no cost

Until now, when a lawsuit is frivolous, once a doctor who is the defendant prevails, the case concludes. However, there is a next step. Whether it is taken depends on this doctor. Prevailing means there is 95 percent confidence that the lawsuit is friv…

Riding out a frivolous lawsuit: a physician’s experience with medical malpractice claims

On August 6, 2021, a medical malpractice lawsuit was filed against me. The case involved care I provided between June 29, 2018, and August 3, 2018, while I was an employee at a medical weight loss clinic in Bethesda, Maryland. I resigned from that clin…

The missing link in medical malpractice: a strategy to reduce lawsuits

Despite the heralded To Err Is Human, there is still no effective risk management strategy to prevent medical liability. Past discussions on KevinMD have explored a risk-management strategy that differentiates medical errors from random errors of natur…

What happens if medical malpractice attorneys take over

Senator Dick Durbin proudly describes his career in the following quote: “Before I was elected to Congress, I worked in a courtroom. For years, I defended doctors and hospitals, and for years, I sued them on behalf of people who were victims of m…

The cost-driver in every medical malpractice lawsuit

“Whatever is measured is managed” is the fundamental principle in management science. Nowhere is this better exemplified than in a small, obscure reciprocal insurance company in Washington, D.C., once the provider of choice for two-thirds o…

The cost-driver in every medical malpractice lawsuit

“Whatever is measured is managed” is the fundamental principle in management science. Nowhere is this better exemplified than in a small, obscure reciprocal insurance company in Washington, D.C., once the provider of choice for two-thirds o…

My personal experience in medical malpractice litigation

In 2004, the AMA declared a “medical malpractice crisis.” At that time, 34 percent of all physicians in the United States had been sued. The practice of medicine was at risk. Hospitals were closing. Coverage for certain high-risk specialtie…

How legal exploitation shaped the U.S. medical malpractice system

Random mal-occurrences have always accompanied medical interventions, even under the best of circumstances. These are errors of nature. In the 1960s, some attorneys in California were the first to exploit these unfortunate random outcomes to their adva…

When it comes to medical malpractice lawsuits, forewarned is forearmed

Medical malpractice is a subject about which I am passionate. I am an obstetrician-gynecologist; I have been sued five times (one case ends in a mistrial, two in settlements of convenience, and two are dismissed with prejudice); I paid over $1 million …

Medical malpractice lawsuits: the hidden cost of social bias

I write these words after a full week of jury deliberation in the Daniel Penny trial. I now realize that what I have been describing about medical malpractice litigation is a signal of a much more serious problem infecting the social order of the entir…