                                SUPERIOR COURT
                                     OF THE
                               STATE OF DELAWARE

JOHN A. PARKINS, JR.                                    NEW CASTLE COUNTY COURTHOUSE
      JUDGE                                         500 NORTH KING STREET, SUITE 10400
                                                    WILMINGTON, DELAWARE 19801-3733
                                                           TELEPHONE: (302) 255-2584



                                May 11, 2016

Richard Galperin, Esquire
Joshua H. Meyeroff, Esquire
Morris James LLP
500 Delaware Avenue, Suite 1500
P.O. Box 2306
Wilmington, Delaware 19899-2306

              Re:   Alissa Porter
                    v. Christiana Care Health Services, Inc.,
                    a Delaware corporation, et al
                    C.A. No. N16C-02-231 JAP

Dear Counsel:

      Presently before the court are requests from some of the defendants to

determine whether the Affidavit of Merit filed by Plaintiff satisfies 18 Del. C.

§ 6853.   The court has done so and finds that the affidavit satisfies the

requirements found in section 6853.

      In their requests to review the Affidavit of Merit the defendants ask the

court to determine if the “Affidavit of Merit states all its opinions with

reasonable medical probability.” The affiant expresses his opinions to a

reasonable degree of medical probability. The court takes this occasion to

note that this may be greater than the standard required by section 6853.

Nowhere does the statute require that opinions in Affidavits of Merit be
expressed to a reasonable degree of medical probability. All that is required

is that a qualified expert attest “that there are reasonable grounds to believe

that the applicable standard of care was breached by the named defendant

or defendants and that the breach was a proximate cause of injury or

injuries claimed in the complaint.” 18 Del. C. § 6853(c). It seems to the

court that the “reasonable grounds to believe” specified in the statute is not

as stringent as “reasonable degree of medical probability.”       The court is

aware, of course, that expert trial testimony must meet the reasonable-

degree-of-medical-probability standard. But the purpose of affidavit of merit

requirement of section 6853 is to screen frivolous medical negligence claims.

That limited purpose does not require the same degree of reliability required

of trial testimony. As the Supreme Court has written:

            This Section requires that a qualified medical
            professional review a plaintiff's claim, to determine
            and then to state that there are reasonable grounds
            to believe that the health care provider breached the
            applicable standard of care that caused the injuries
            claimed in the complaint. Medical experts need not
            couch their opinions in legal terms, state the facts
            that underly their determination, or to articulate the
            standard of care with a high degree of legal precision
            or “magic words.”


Dishmon v. Fucci, 32 A.3d 338, 344 (Del. 2011) (internal footnotes omitted.)

                                           Very truly yours,


                                           John A. Parkins, Jr.

oc:   Prothonotary

cc:   Robert J. Leoni, Esquire, Shelsby & Leoni, Wilmington, Delaware

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