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    Role of the Medical Examiner as an

    Expert Witness in Court

    Michael Iliescu, MD

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    Introduction

    The fact witness: can testify only to firsthand

    knowledge of the situation at issue

    The expert witness is given the power tointerpret the facts and draw inferences that a jury

    would not be competent to draw

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    Subpoena

    Subpoena duces tecum: the court commands awitness to produce at the trial physical evidence

    pertinent to a case likeDocuments

    Papers

    Articles

    Records

    Exhibits

    Radiographs

    Microscopic slides

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    What to do when subpoenaed

    1. Determine the legality of subpoena

    2. Respond by contacting the attorney whose name

    appears on it3. Understand the requirements stated in the subpoena

    4. Understand the professional liability involved in

    subpoena and failure to respond (failure to respond isconsidered contempt of court)

    5. Attempt to resolve issues concerning appearance andtestimony prior to trial (e.g. Problems with credential,

    legal ramifications concerning trial issues)

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    What to do when subpoenaed

    6. Discuss the financial aspects of your response (time,

    research, travel)

    7. Find what the attorney would like to discuss orpresent in trial

    8. Prepare a CV

    9. Prepare note, diagrams, records that will berequested by attorney

    10. Discuss all potential problems and pitfalls in the case

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    Time of Appearance

    If subpoena for trial ME is requested to appear at

    the beginning of the trial, but after

    Discovery

    Jury selection

    Motions

    Expert witness qualifications

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    Physical evidence

    The physical evidence (autoptic evidence) consists of:

    Articles

    Records

    Exhibits

    Other things that jurors can see and inspect

    Such evidence is called exculpatory evidence

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    Physical evidence

    Types of physical evidence:

    Real evidence (a weapon, clothing, laboratory instruments,

    drugs, etc)Documentary evidence: writings, inscriptions, tax records, lab

    logs, copies of accounts or billings, tapes, medical records, lab

    manual, QA procedures, lab operating manual

    Demonstrative evidence which is visual or auditory evidence

    prepared to help the judge and the jurors to understand the

    testimony

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    Demonstrative evidence

    1. Blackboard and chalk (to be placed directly in front of the jury)

    2. Flip-charts (can be retained as evidence)

    3. Overhead projector4. Prepared diagrams, drawings and charts

    5. Radiographs, MRIs on a CD etc

    6. Anatomic models; human torso, skeletons, organ models7. Organs: fixed or plastinated

    8. Photographs

    9. Microscopic slides

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    Demonstrative evidence

    10. Analogies (for ex. the use of five steel balls on stringedapparatus to illustrate the transmission of energy in a rear-endcollision)

    11. Reenactment (in court or other designated location)

    12. Experimental demonstrations

    13. Notes

    14. Audiovisuals15. 35 mm slides (best used in conjunction with diagrams)

    16. Slide projection combined with diagrams

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    Problems in presentation- instructions for an ME

    Dont bore the jury

    Dont present highly technical evidence

    Avoid improper analogy, e.g., He was chained like a dog

    Dont try to deliberately prejudice or shock the jury withdemonstrative evidence that is out of place in the courtroom

    Dont use a poorly constructed experiment

    Never use poor photos, artistry, prerecorded tapes etcAvoid the appearance of being an advocate at the expenseof your objectivity

    Let the attorney be advocate for your demonstrative

    evidence and opinions

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    The Dos

    1. Witness should make arrangements with attorney as to

    the time and place for pretrial meetings and be punctual

    2. Witness should inform the attorney about new findingsfrom review and research

    3. Witness should become familiar with the courtroom

    4. Witness should be pleasant and have a good attitude and

    present evidence with confidence

    5. Witness should wear conservative clothing

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    The Dos

    6. Witness should be relaxed on the stand

    7. Witness should face the jury while testifying

    8. Witness should use terminology that is understood

    by jury

    9. Witness should answer only the questions asked

    10. Witness can/should disagree with other authorities

    11. Witness must give impartial testimony and must be

    a good communicator

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    Trial preparation

    Pretrial meeting with attorney: to discuss tactics and case

    details

    Review of old or new case materials allows the expert tofind errors or moot points

    Bring to court as little as possible (the court may order the

    expert witness to turn over everything he/she brought tocourt that day)

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    Medicolegal and Other Specimens or

    Samples- questions that may be asked1. Name of person from whom the sample was obtained

    2. Laboratory and other identification numbers

    3. Time and date of collection

    4. Location of collection

    5.Demographic information

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    Medicolegal and Other Specimens or

    Samples- questions that may be asked6. Description of sample

    7. Proper collecting container

    8. Sufficient quantity of sample

    9. Proper sealing and safeguarding

    10.Warning labels for infectious materials

    11. Request for specific type of analysis

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    Laboratory errors questions

    What is your laboratory error rate?

    Were the collection procedures followed correctly?

    Was the sampled properly identified and labeled?Was there any computation and transmissionerrors?

    Was there possibility of contamination?What system do you use to monitor errors andtechnicians?

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    Trial traps and correct answers

    Q: Are you certified or licensed

    A: Not all of us need or are required to be licensed or certified in

    this subject, nor is there any means in this country to allow this tohappen, but I am qualified by education and experience

    Q: What are you being paid for your testimony?

    A: I am not being paid for my testimony. I am being reimbursed for

    my professional knowledge, experience, research results, time,

    services and studies in preparing for this case

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    The End