SMITH V. FINCH
681 S.E.2d 147 (Ga. 2009)
NATURE OF THE CASE: Smith (P) sued various physicians and other health care providers for
medical malpractice. This appeal by P was taken upon a jury verdict and affirmation by the
court of appeals to dispute the propriety of the so-called 'hindsight' jury instruction
prescribed for use in medical malpractice actions at Section 62.311 of the Georgia Suggested
Pattern Jury Instructions.
FACTS: It is undisputed that the appellee physicians were incorrect in diagnosing P's son
with a viral illness and that the correct diagnosis was Rocky Mountain Spotted Fever. At
trial, P presented expert medical testimony that Ds, physicians, had breached the standard
of care by (1) failing to obtain a sufficiently detailed medical history for Justin,
specifically with respect to the fact and/or timing of his recent tick exposure, to enable
them to actively consider RMSF as the cause of Justin's symptoms; and (2) failing to
consider as a diagnosis and prophylactically treat Justin for RMSF due to the nature of his
symptoms and the time and place where RMSF is endemic. The court instructed the jury on
general concepts of professional negligence, the standard of care, foreseeability and
proximate cause. Over appellants' objections, the court also gave the so-called hindsight
instruction: In a medical malpractice action, a defendant cannot be found negligent on the
basis of an assessment of a patient's condition that only later, in hindsight, proves to be
incorrect as long as the initial assessment was made in accordance with reasonable standards
of medical care. In other words, the concept of negligence does not include hindsight.
Negligence consists of not foreseeing and guarding against that which is probable and likely
to happen, not against that which is only remotely and slightly possible. The jury gave the
verdict to Ds and this was affirmed by the Court of Appeals. This appeal resulted.
ISSUE:
RULE OF LAW:
HOLDING AND DECISION:
LEGAL ANALYSIS:
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