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Ten Years of Judicial Gatekeeping Under Daubert
and certainty dissolves into probability.”2
In the ten years since Daubert v Merrell Dow Pharmaceuticals, Inc, the standards
for admissibility at trial of expert testimony in general and scientific evidence in
Legal doctrines developed to guide judges in
particular have become more demanding. Reviews of recent cases and empiri-
considering such difficult issues of science
cal studies of federal judges’ and attorneys’ practices indicate that judges are
also are likely to be complex. However, it is
more likely to consider the admissibility of expert evidence prior to trial, to inquire
worth noting as a preliminary matter that
more deeply into the reasoning and methodology that supports the expert opin-
much of the testimony offered by testifying
ions, and to limit or exclude such evidence from presentation at trial. Studies of
experts does not rise to this level of complex-
ity. Such expert testimony requires special
Recent cases consider more difficult questions arising from the differing meth-
expertise, but much of this specialized testi-
odologies used in various areas of science. The current legal framework that as-
mony appears rather routine when measured
sesses admissibility in terms of professional practice outside the courtroom is
against the evidence presented in Daubert or
poorly suited to cases that require expertise across a wide range of specialties and
other cases involving the effects of exposures
force judges to choose from among different scientific methodologies. Futureresearch should focus on the pretrial screening of expert testimony and interac-
tions between the attorneys and experts in shaping that testimony. (Am J Pub-
In one of the earliest empirical studies of
lic Health. 2005;95:S74–S80. doi:10.2105/AJPH.2004.044776)
expert testimony, Gross analyzed reports froma California jury verdict reporting service todetermine the type and frequency of experts
Many federal judges were uncertain how the
the tips of the trees that sway in the winds
testifying in state civil trials that ended in a
1993 Supreme Court decision in Daubert v
while the forest floor remains unstirred?
jury verdict.4 Drawing on this data set, Gross
Merrell Dow Pharmaceuticals, Inc,1 would af-
I review here the limited amount of empiri-
and Syverud reported that more than half of
fect their work. But Judge Alex Kozinski, au-
cal research that has assessed the effect of the
the testifying experts were physicians, with
thor of the Ninth Circuit appellate court deci-
Daubert decision on civil litigation as well as
only 3% identified as scientists.5 Champagne,
an emerging series of research studies in-
Schuman, and Whitaker surveyed attorneys,
further consideration by the Supreme Court,
tended to strengthen our understanding of
judges, jurors, and experts in civil cases in
was worried. In reconsidering the case in light
the role of expert testimony in courts. I also
Texas and confirmed that about half of the
of the standards expressed in Daubert, Judge
examine a recent case involving conflicting
experts were physicians, with scattered repre-
evidence from court-appointed scientists, indi-
cating the difficulties that arise in applying a
More recently, my colleagues and I at the
Our responsibility, then, unless we badly mis-
standard based on professional practice in
read the Supreme Court’s opinion, is to resolvedisputes among respected, well-credentialed sci-
cases that require multiple areas of expertise.
judges regarding expert testimony in their
entists about matters squarely within their ex-
most recent civil trial.7 We then surveyed at-
pertise, in areas where there is no scientific
torneys who served those same trials. In both
consensus as to what is and what is not “goodscience,” and occasionally to reject such expert
the judge and attorney surveys, we asked re-
testimony because it was not “derived by the
spondents to describe the types of experts
scientific method.” Mindful of our position in
Discussions of admissibility of expert testi-
who testified in terms of the occupational cat-
the hierarchy of the federal judiciary, we take adeep breath and proceed with this heady task.
mony typically focus on some of the most de-
egories used by Gross. Again, medical and
manding areas of science. Although judges
mental health specialists were the most fre-
often consider evidence similar to that used
quently presented category of experts, ac-
sors and other scholars have filled the law
in assessment of public health issues, judges
counting for more than 40% of the experts
library shelves with articles analyzing pub-
must consider such evidence in the context of
presented overall. More specifically, medical
lished cases following Daubert. But published
deciding an individual case rather than the
doctors (from all specialties) accounted for
cases represent only a portion of the litiga-
establishment of a broad social policy. The
approximately one third of all experts pre-
tion; many more cases are resolved without a
Daubert case involved conflicting testimony
sented. Specialists from business, law, and
published order or decision.3 Are these pub-
regarding epidemiology, toxicology, and phar-
lished cases indicative of broad shifts in the
macology, characterized by Judge Kozinski as
orientation of the courts that extend through-
concerning “matters at the very cutting edge
out litigation? Or are the published cases like
of scientific research, where fact meets theory
were by far the most common type of expert
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American Journal of Public Health | Supplement 1, 2005, Vol 95, No. S1
within this category, as well as the most com-
became clear that the interpretation of the de-
dence (and, therefore, are likely to follow
cision was resulting in a more restrictive ap-
Daubert) felt that their gatekeeping role had
almost 12% of all experts. (Economists were
proach to admissibility of scientific testimony.
changed as a result of Daubert, and only a
included in the financial category because
A recent analysis by the Rand Corporation of
third of the judges believed the intent of
they most often present estimates of lost prof-
a sample of 399 published and unpublished
Daubert was to raise the threshold for admis-
its or wages and other financial projections
federal district court decisions appearing in
sibility. The study also found that state court
rather than apply broad economic theories to
the Westlaw database over a 20-year period
the facts of a case.) Engineers and other
indicates the extent to which courts have
of the meaning of the scientific criteria sug-
safety or process specialists registered close
shifted toward excluding proffered scientific
gested by Daubert and raised questions
behind the business/law/financial sector, ac-
and technical evidence.8 That analysis indi-
about the ability of the state trial courts to
counting for about 22% of all experts. Such
cates that challenges to case “elements” in-
experts respond to a wide variety of issues
volving expert evidence rose in the 3 years
thoughtful manner. Few judges, for example,
following the Daubert decision.
were able to define the concept of “falsifia-
Scientists composed a small portion of the
This interpretation is consistent with much
bility,” which was one of the factors men-
testifying experts. Specialists from scientific
of the commentary that followed Daubert.
tioned in Daubert. Other studies have
fields such as chemistry, ballistics, toxicology,
Many cases decided soon after Daubert in-
demonstrated that judges may be insensitive
and metallurgy accounted for only 8% of the
volved clear instances of evidence that was
to methodological problems in social science
experts that testified at trials. In this group,
not well supported by acceptable scientific
research such as experimenter bias or the
chemists were the most frequent type, repre-
methodology and permitted easy application
senting 1.6% of the total number of experts.
of the Daubert standards. For example, the
Epidemiologists and toxicologists, who were
courts rejected the use of an industrial rather
change in the pattern of federal litigation. Be-
the focus of the Daubert decision, were rare,
than medical methodology in assessing the
ginning in 1997, the proportion of cases that
together constituting just over 1% of the testi-
presence of asbestos fibers in lung tissue,9 the
were challenged for unreliable evidence de-
fying experts. In comparing these results with
substitution of visual inspection for appropri-
clined, as did the success rate for such chal-
a similar 1991 survey, we concluded that the
ate medical testing to conclude that cataracts
lenges.8 The authors interpret this as evidence
distribution of types of expert testimony in
were cause by radiation exposure,10 and sub-
that parties responded to the post-Daubert
civil trial has changed very little following
jective opinions that failed to consider other
standards by strengthening the quality of the
plausible explanations for harmful effects.11
expert testimony or abandoning those cases
Judges reported that the most frequent is-
Exclusion of expert testimony in such cases
that were unlikely to meet the higher stan-
sues addressed by experts at trial were the
was generally straightforward and increased
dards. Changes in publication practice once
existence, nature, or extent of injury or dam-
the confidence of judges in reviewing the
the case law interpreting Daubert became es-
age (68%) and the cause of injury or damage
tablished may also have contributed to the
(64%), which finding is consistent with the
The Federal Judicial Center survey of fed-
fact that tort cases represented almost half
eral judges and attorneys also confirmed a
As the federal courts evolved to consider
of all cases reported. Testimony as to the
shift toward more demanding standards for
more difficult issues of expert testimony, the
amount of recovery to which plaintiff was en-
distinction between methodology and conclu-
titled was offered by experts in 44% of trials;
judges and attorneys indicated that judges
sions became blurred, and application of the
this type of testimony is consistent with the
were more likely to scrutinize expert testi-
Daubert standards became more difficult. The
mony before trial and to limit or exclude
Supreme Court decision in General Electric Co
ported as having testified. Other issues ad-
v Joiner 14 illustrates the increasing difficulty in
dressed by expert testimony were the reason-
Daubert litigation practice in 1991.7 The
considering issues of scientific evidence dur-
ableness of a party’s actions (in 34% of trials),
survey revealed that motions filed early in
ing this period. In such cases, often the issue
industry standards/“state of the art” (30%),
litigation have become a favored pretrial de-
is not the absence of scientific evidence, but
vice for challenging the admissibility of ex-
rather whether the existing scientific evidence
(25%), design or testing of a product (25%),
pert testimony and that judges are focusing
can be generalized to address the specific
and knowledge or intent of a party (16%).
more attention in pretrial proceedings on
causal relationships alleged in the case. In
Joiner, for example, the plaintiff contended
DAUBERT AS A GATEKEEPING
that exposure to polychlorinated biphenyls
clear. A 1998 survey of state court judges
had promoted the development of his small-
by Gatowski et al. found judges split in their
cell lung cancer. After establishing an abuse-
At the time of the Daubert decision, there
assessment of the effect of the Daubert deci-
of-discretion standard for appellate review,
was considerable uncertainty about its effect
sion.12 Only about half of the judges from
on admissibility of scientific evidence. It soon
states that follow the Federal Rules of Evi-
ord in the case and demonstrated the limited
Supplement 1, 2005, Vol 95, No. S1 | American Journal of Public Health
Cecil | Peer Reviewed | Public Health Matters | S75
extent to which courts should permit experts
Daubert (i.e., in 1991 and 1998), the most
THE REVEALING CASE OF SOLDO v
to generalize beyond established scientific
SANDOZ PHARMACEUTICALS CORP
counter is “experts who abandon objectivity
The plaintiff in Joiner had presented a se-
Under these Daubert/Jointer/Kumho stan-
ries of epidemiology studies that offered
hired them.” This perceived lack of objectiv-
dards, expert testimony such as clinical med-
equivocal findings when taken separately,
ity may have a number of different sources.
ical testimony that employs a mix of tradi-
but according to the plaintiff, demonstrated a
Experts are selected by the parties based on
causal relationship when considered together.
the extent to which their testimony will ad-
rigorous case study and observational meth-
The plaintiff also presented studies with in-
vance the parties’ claims, a practice that may
odologies is especially problematic. In effect,
fant mice showing that injections of large
favor the selection of extreme viewpoints.19
the Kumho decision tethered the standard for
doses of polychlorinated biphenyls led to
admissibility of testimony by physicians to the
cancer. The Supreme Court rejected such evi-
offer testimony involves a socialization pro-
professional standards of medical practice.
dence after focusing on the breadth of gener-
cess that is likely to encourage the expert to
But many courts have been reluctant to ac-
alization implied by the plaintiff’s expert testi-
identify with the interest of the party.4 It is
cept opinions based on these less rigorous
reasonable that judges, who likely were ex-
methodologies, even though they are widely
posed to such practices prior to their arrival
used in clinical medicine.21 More is going on
Trained experts commonly extrapolate from
on the bench, would be skeptical of testi-
here than a straightforward distrust of wit-
existing data. But nothing in either Daubert orthe Federal Rules of Evidence requires a dis-
nesses. Even when the experts are clearly ob-
trict court to admit opinion evidence which is
undergone such selection and coaching.
jective, that is, appointed by the court with no
connected to existing data only by the ipse
The gatekeeping role has evolved beyond a
previous association or contact with the par-
dixit of the expert. A court may conclude thatthere is simply too great an analytical gap be-
device for reviewing only scientific evidence
ties, a judge may question the extent to which
tween the data and the opinion proffered.
to include all types of expert testimony. In
the appointed expert’s testimony can properly
Kumho Tire Co v Carmichael,20 which involved
inform consideration of the issues in the case.
an allegedly defective automobile tire, the
The recent case of Soldo v Sandoz Pharma-
this analytical gap between research data and
ceuticals Corp22 is revealing of the manner in
expert opinion regarding the issues presented
approach to all types of expert testimony.
which courts take account of different areas
in specific litigation. Because such cases often
Prior to Kumho, the courts were divided on
of expert testimony. Although this is a single
examine opinions based in part on research
whether expert testimony based on experi-
case rather than a research study, it incorpo-
methodologies that are employed in the nor-
ence and clinical medical testimony in partic-
rates many aspects that would be desirable in
mal course of scientific inquiry, they cannot
ular should be subject to the Daubert screen-
a research study. Reputable scientists from
be dismissed out of hand in the manner of
ing process. In extending the trial court’s
different disciplines with no ties to the parties
those early cases decided soon after Daubert.
gatekeeping obligation to all expert testimony,
Instead of dismissing the methodology used
the Supreme Court noted that “no clear line”
prepared independent reports regarding the
by the experts, judges who exclude such testi-
can be drawn between the different kinds of
scientific validity of the proffered testimony,
mony typically focus on the reasoning process
knowledge, and “no one denies that an expert
which was then reconciled by the judge in re-
of the experts, questioning whether the meth-
might draw a conclusion from a set of obser-
solving a motion to exclude the testimony.
ods and findings relied on by the experts can
vations based on extensive and specialized
Viewed in this light, it might be properly con-
reasonably be extended to the facts of the
experience.” Although the specific factors
sidered a “case study” incorporating critical
case at hand. As part of such an analysis, re-
mentioned in Daubert may not be relevant to
elements that no formal research study has
cent courts have dismissed experts’ reliance
nonscientific expert testimony, other factors
yet achieved and is therefore appropriate to
on animal studies15 cautioned against extrapo-
may provide a suitable standard for assessing
lation of dosage levels16 and objected to gen-
such testimony. The Supreme Court indicated
In Soldo, a young mother sustained an
that all expert witnesses should employ “in
intracranial hemorrhage and resulting stroke
In questioning the propriety of generaliz-
the courtroom the same level of intellectual
soon after giving birth. She claimed that
ing research findings to the facts of specific
rigor that characterizes the practice of an ex-
the stroke was a result of her ingestion of
litigation, courts often imply that the experts
pert in the relevant field.” In effect, this deci-
Parlodel, a drug manufactured and marketed
have abandoned an objective and impartial
sion tethered the standard for admissibility of
by the defendant to prevent lactation. Be-
role appropriate for scientists and become
expert testimony to standards of professional
cause a heightened risk of stroke occurs in
advocates for the parties.18 Judges have indi-
practice. This reliability requirement has also
cated persistent concern regarding the possi-
the tasks facing the court was to determine if
ble lack of objectivity on the part of testify-
eral Rule of Evidence 702, strengthening the
role of the court in assessing the foundation
taken Parlodel following pregnancy exceeds
of all expert testimony proffered for litigation.
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American Journal of Public Health | Supplement 1, 2005, Vol 95, No. S1
miologic research, it would require a tremen-
nancy. No meaningful clinical trials or epide-
The three court-appointed experts, working
dous amount of indirect evidence to reach the
miology studies of Parlodel exist, so the plain-
independently, developed three different in-
point that even in the absence of research, the
tiff’s experts considered a series of animal
terpretations of the scientific reliability of the
linkage is ‘obvious’ in the way that the tornado
studies, case studies, and other clinical reports
testimony by the plaintiff’s experts, thereby
in concluding that Parlodel caused the injury.
Regarding the possibility of legitimate and
In assessing the scientific reliability of the
ployed by various scientific disciplines in as-
reasonable disagreement with his views, the
testimony by the plaintiff’s experts, the court
sessing a similar body of evidence. All of the
epidemiologist acknowledged that views vary
sought the assistance of three court-appointed
experts—a clinical pharmacologist, a neurolo-
plaintiff’s experts had made the most of the
gist, and an epidemiologist. The three court-
data that exist, but they differed in the extent
[T]he vast majority of scientists who routinely
appointed experts were identified with the
consider these sorts of evidence (epidemiolo-gists, researchers in clinical medicine) would
assistance of the Registry of Independent Sci-
meeting the standards of “scientific knowl-
agree with my general conclusions. If forced to
entific and Technical Advisors, administered
edge.” The epidemiologist and the neurologist
guess the proportion, I would estimate 80% of
by the Private Adjudication Center of Duke
found that the testimony did not meet the
my peers would concur. Those who studybasic mechanisms of disease causation (physiol-
University School of Law (http://www.law.
standards of scientific knowledge, but for very
ogists, pharmacologists, toxicologists) might
duke.edu/pac/registry/index.html). Unfortu-
different reasons. The clinical pharmacologist
well dispute my views in that the plausibility
nately, this service has been suspended. A
found that the testimony, with one exception,
based on those lines of evidence is more sup-portive of the potential for causality. The
similar service for identification of court ap-
met the standards of scientific medical testi-
counterargument to my view is that the di-
pointed experts for federal litigation is avail-
verse threads based on mechanism of actions
able through the American Association for
for Parlodel, analogy to other agents in thesame broad category of drug, and temporal
linkage of the medication and the illness can
information to be sufficiently reliable to be
be integrated scientifically into a scientifically
(http://www.aaas.org/spp/case/case.htm).
deemed “scientific knowledge” was offered
reliable conclusion. However, essentially all sci-entists recognize that when the issue is the
All were well-regarded scholars with aca-
by the court-appointed epidemiologist. He
causation of clinical disease in humans, there is
demic appointments at distinguished universi-
focused on the “analytical gap” in applying
a sizable gap between what is plausible based
ties and medical schools. The experts had no
the research to the facts of the case, noting
on indirect evidence and what is proven basedon clinical and epidemiologic studies. In the
previous association with any of the parties
chain of reasoning, most scientists would likely
and had not previously considered the role
share the view that leaping across the huge
“[B]ecause the information is so indirectly ap-
gulf of critical data moved the person making
plicable and hypothetical in nature, the appli-
the inference beyond the scope of science.
cation of it to form an opinion is not a “scien-
advice of the appointed experts on “whether
tifically reliable” process. The linkage between
The least demanding standard for assessing
those shreds of potentially relevant informa-tion and the opinion that results is so murky
a causal relationship was offered by the clini-
plaintiff’s medical witnesses . . . in formulat-
that it is very difficult to see how the evidence
ing their opinions is scientifically reliable
leads to the opinions that are offered. Apply-
epidemiologic and clinical trial data would be
ing any reasonable standards of scientific evi-dence as the basis for drawing a conclusion
helpful in assessing the causal relationship,
can be properly applied to the facts of this
leads to the judgment that we do not know
case.” The court recited an expanded ver-
enough to offer an opinion on this matter that
sion of the Daubert factors and noted that
is reasonably well grounded in science.
[M]any important and well-recognized adverse
published studies need not be required as a
drug reactions are not documented by well
basis for testimony, that “differential diagno-
The court-appointed epidemiologist was es-
conducted epidemiologic studies that have
pecially critical of the absence of human studies
been specifically conducted to detect them andthat we still believe that the weight of the sci-
formed, would generally meet the factors,”
and was unwilling to extrapolate findings across
entific evidence is sufficient to implicate their
and that there must be a proper “fit” be-
species, noting that, “Some form of epidemio-
involvement to such an extent that we would
tween the expert’s opinion and the facts in
logic or clinical evidence, even if flawed and in-
remove a drug from the market. . . . [M]ostclinical practice is not guided by data from
the case. The court further instructed that if
complete, is needed for drawing inference
[prospective, randomized, placebo-controlled
about general causation in making a judgment
clinical trials], because they are so difficult and
that the testimony of the party’s expert is
about Parlodel and intracerebral hemorrhage.”
expensive to conduct. In addition, aggregatedata from such trials often do not apply to the
not “scientifically reliable,” then the ap-
He acknowledged that causal attributions may
specifics of individual cases. To assert that any
pointed expert should also indicate if opin-
be made without such studies if the causal
medical practice has no scientific basis because
ion by the party’s expert might represent a
pathway is clear, such as injuries that arise
a randomized, placebo-controlled trial to an-swer the pertinent question was not conducted,
“legitimate and reasonable” minority view
when a tornado hits a mobile home park, but
would be to obviate the vast majority of clini-
continued, “In the absence of clinical or epide-
cal practice. It follows that other tools must
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Cecil | Peer Reviewed | Public Health Matters | S77
usually be used to provide sufficient evidence
ies. In the absence of specific human or ani-
though most courts have excluded such testi-
mal evidence that Parlodel causes vasocon-
mony regarding Parlodel,23,24 at least one
striction in cerebral arteries, he found the as-
other federal court decided that such differ-
sertion of such an association to be without
gist found the plaintiff’s experts’ assertion of
The Soldo court took no comfort in the
a causal link to be scientifically reliable (with
diversity of views presented by the experts.
one minor exception). In reaching this con-
plaintiff’s experts was not scientifically reli-
Faced with such conflicting opinions, the
clusion, the clinical pharmacologist used a
able, the court-appointed neurologist then as-
court attempted to reconcile disputes over sci-
“totality of the evidence” approach, bringing
sessed the extent to which others in his field
entific validity that the scientific community
together assessments of animal studies, case
might express “a legitimate and responsible”
itself had not resolved. In so doing, the court
studies, and other available evidence, “none
contrary opinion. He acknowledged that oth-
of which taken separately may be determi-
ers outside his specialty of experimental phar-
Kumho in assessing whether the methodology
and techniques met “the same level of intel-
may be considered convincing.” Although
might disagree with his conclusion because
lectual rigor that characterizes the practice of
such an approach is common in public health
they are unfamiliar with the published scien-
an expert in the relevant field” and moved on
assessments, judges tend to consider sepa-
tific evidence regarding the difference in re-
to establish legal policy regarding how such
rately the validity of each piece of evidence.
sponse of cerebral vasculature and peripheral
disputes among scientists were to be recon-
Although the epidemiologist dismissed case
vasculature to such drugs; he also stated that
studies as inherently unreliable, the clinical
such knowledge is not typically part of the
pharmacologist relied on a series of case
training of specialists in the broader fields of
published pages, the court dismisses the views
studies, including one case study reported in
neurology and cerebrovascular disease.
of the court-appointed clinical pharmacologist
a peer-reviewed journal that recorded vaso-
and the plaintiff’s experts and concludes that
constriction changes in carotid arteries with
may be found in medical textbooks and peer-
the opinions expressed by the plaintiff’s ex-
reviewed articles and, in the absence of a
perts “failed to use a reliable scientific method-
clear cause for the hemorrhage, some mea-
ology” to demonstrate general causation and
In finding a causal link, the clinical phar-
sure of subjective judgment is required in as-
specific causation. The court does not explicitly
macologist reasoned that evidence of vaso-
sessing the evidence. In conclusion, he noted
address the use by the court-appointed clinical
constriction in peripheral arteries of dogs
that other persons generally qualified in this
pharmacologist of the “totality of the evidence”
and humans caused by Parlodel and related
field of expertise might legitimately disagree
test, but it notes that while expert opinions
substances would permit the inference that
may make “appropriate use of all of the avail-
Parlodel would cause similar vasoconstriction
able information, . . . in the absence of some
in cerebral arteries, which may then lead to
minimum amount or level of scientific evi-
intracranial hemorrhage and stroke. Such rea-
dence, the opinions cannot be scientifically de-
soning far exceeds the modest stretch across
opinions from three distinguished scholars
rived because there is too little science from
the “analytical gap” that would have been al-
from three different disciplines. One can
which to derive them. Although it is sometimes
lowed by the court-appointed epidemiologist.
necessary in a clinical, regulatory, or business
The third court-appointed expert, a neurol-
regret, felt by the judge when he reviewed
practice to make decisions based on less than
ogist, was willing to consider animal studies
these three reports that shared little in com-
sufficient and/or reliable scientific evidence
mon. It is likely that in calling for indepen-
due to practical demands that require immedi-
more direct evidence of a vasoconstrictive
dent assessments from three different special-
ate decision-making, such guesses, although
effect of Parlodel on cerebral arteries. When
ties, he had hoped that the opinions would
perhaps reasonable hypotheses based on the
the neurologist applied this standard to the
converge, thereby strengthening assessment
best available evidence, do not constitute a sci-
proffered testimony of the plaintiff’s experts,
of the scientific methodology underlying the
entifically reliable approach when used to as-
he too found it lacked necessary scientific
experts’ opinions. Instead, he found a dra-
sess causality via the scientific method.”
matic illustration of the variation in accept-
clinical or epidemiologic data are not neces-
able methodologies across well-established
court-appointed epidemiologist and neurologist:
sary to declare a causal relationship, but he
objected to reasoning by analogy that evi-
At first glance, one might assume that three
The body of scientific evidence relating toParlodel and stroke is simply insufficient
dence of vasoconstriction in peripheral and
different opinions from highly qualified court-
to support a scientifically reliable application
carotid arteries is indicative of a similar rela-
appointed experts would in itself be evidence
of plaintiff’s expert methodology. . . . Without
tionship in cranial arteries. He pointed out
of “a legitimate and responsible disagree-
sufficient evidence of general causation,plaintiff’s experts could not reliably apply a
that cerebral arteries respond differently to
ment” regarding the disputed issues and re-
differential diagnosis that comports with the
drugs like Parlodel than do peripheral arter-
quire that a jury resolve the conflict. Al-
scientific method, notwithstanding the fact
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American Journal of Public Health | Supplement 1, 2005, Vol 95, No. S1
that physicians in clinical practice may be re-
broadly approved professional practices are
Through a series of case studies, the Sci-
quired to proceed with a differential diagno-
scientifically unsound and, therefore, do not
ence, Technology & Law Panel plans to exam-
sis on the basis of guesses or hypotheses dueto the exigency of the need to treat their
meet the standards for admissibility.
ine a number of distinctive features of such lit-
igation, including the litigation circumstances
that brought about the research, the extent to
Having excluded the testimony of the plain-
which the participants in litigation participate
tiff’s experts, the court then granted summary
in the design, analysis, and interpretation of
The skepticism of courts toward expert tes-
the research, and the extent to which the re-
timony in general and scientific testimony in
search finds an audience beyond the partici-
appointed clinical pharmacologist did not
particular seems rooted in a view of science
pants in the litigation. This study is intended
meet a sufficient standard of scientific reliabil-
and litigation that has caused the courts to
to identify criteria that courts can use to assess
ity, the court made clear what many previous
be extremely cautious in acknowledging the
the quality of such scientific studies.
decisions have obscured; that is, conclusion
value of some scientific methodologies in pro-
The Science, Technology & Law Panel of
of a casual relationship by a distinguished
viding an informed assessment of causal rela-
the National Academies also has developed a
scholar unaffiliated with the parties and using
tionships. Consequently, courts often declare
proposal to examine the scientific foundation
generally accepted methods of clinical infer-
common methods of professional assessment
of forensic science testimony submitted in
ence may not be sufficient to allow a court to
based on animal research or clinical inference
criminal cases. This topic has been generally
submit such differences of opinion to a jury.
to be so lacking in scientific rigor that they
neglected by the broad scientific community,
Such a view would appear to conflict with the
fail to meet a suitable standard for considera-
assurance of the Supreme Court in KumhoKumho decision with the extension of eviden-
that expert opinions are admissible if they
Several research projects currently under
tiary standards of reliability to all area of ex-
employ “in the courtroom the same level of
development are likely to shed new light on
pert testimony. An empirical analysis of appel-
intellectual rigor that characterizes the prac-
the use of scientific and clinical medical testi-
late decisions in criminal cases by Groscup et
tice of an expert in the relevant field.” For this
mony in litigation. Carl Cranor and David
al. indicates that the Daubert factors have
court and an undetermined number of others,
been rarely used outside of forensic areas that
admissible evidence requires more than meet-
National Science Foundation to develop re-
are clearly scientific.26 A more explicit role in
ing appropriate standards of professional
views by independent scientists of synopses
screening expert testimony in criminal cases
practice; it also requires demonstration of a
of expert testimony used in a particularly
has emerged following Kumho and the amend-
relationship through methodologies that are
difficult toxic tort case. The assessments of
ments to Federal Rule of Evidence 702. The
not an essential part of clinical practice.
the scientists can then be compared with the
panel will convene a committee to formulate
The court in Soldo indicated as much when
court’s interpretation of what constitutes reli-
a research agenda for forensic science disci-
it noted that even if the plaintiff’s expert opin-
able scientific evidence. Such a study is likely
plines related to identification (e.g., fingerprints,
ions were admissible under Daubert, “such evi-
to sharpen the comparison of the interpreta-
tool marks, footprints, tire treads, question doc-
dence provides but a scintilla of support for
tions of scientific methodology inside and out-
uments, and handwriting) to strengthen the sci-
plaintiff’s position and would not be sufficient
entific methodology underlying these areas of
to allow a reasonable jury to find that plain-
The Science, Technology & Law Panel of
forensic science and to promote academic re-
tiff’s [intracerebral hemorrhage] had been
the National Academies has developed a pro-
caused by Parlodel.” One might argue that this
posal to examine the characteristics of “litiga-
is a more appropriate basis for making such a
tion science,” or science that has been devel-
which attorneys identify, recruit, and prepare
decision rather than for striking the testimony
oped in the context of the litigation process.
experts for testimony. Most difficult will be iden-
as inadmissible because of some perceived
Judge Kozinski recognized that science devel-
tifying the manner in which consulting experts
flaw in methodology and reasoning. Even if
oped in the context of litigation may be sub-
who are not designated to testify at trial are
the experts use methods and reasoning appro-
ject to pressures that may distort the findings
used to shape the claims and defenses, because
priate to their profession, the courts may set,
such activities are protected by attorney work-
as a matter of law, a minimum threshold for
product privilege. Finding a similar opportunity
One very significant fact to be considered is
evidence that is sufficient to justify submission
whether the experts are proposing to testify
to explore these issues with those who have
to a jury. Of course, if such a legal standard is
about matters growing naturally and directly
served as experts will also be difficult.
established in an explicit manner as being in-
out of research they have conducted indepen-
dent of the litigation, or whether they have de-
sufficient as a matter of law, then that decision
veloped their opinions expressly for purposes of
extent to which courts conduct pretrial in-
would be subject to appellate review on a de
testifying. . . . [I]n determining whether pro-
quiries into the reliability of expert testimony.
novo basis and more vulnerable to reversal on
posed expert testimony amounts to good sci-
The Federal Judicial Center examined such
ence, we may not ignore the fact that a scien-
appeal. Specifying such a legal standard, how-
tist’s normal workplace is the lab or the field,
activities in cases that went to trial, but that
ever, would seem preferable to declaring that
not the courtroom or the lawyer’s office.
study missed those cases in which such an
Supplement 1, 2005, Vol 95, No. S1 | American Journal of Public Health
Cecil | Peer Reviewed | Public Health Matters | S79
examination resulted in the case terminating
in a post-Daubert world. Law Hum Behav. 2001;25:
prior to trial. We do not know the extent to
which judges engage in the screening of ex-
13. Kovera M, McAuliff B. The effects of peer reviewand evidence quality on judge evaluations of psycho-
pert testimony as part of a routine pretrial
logical science: are judges effective gatekeepers? J Appl
process and how this screening process varies
14. General Electric Co v Joiner, 522 US 136 (1997).
15. Newman v Motorola, Inc, 218 FSupp2d 769, 780-1(D Md 2002).
16. Amorgianos v National Railroad Passenger Corp,The author is with the Federal Judicial Center’s Programon Scientific and Technical Evidence, Washington, DC.
17. Mitchell v Gencorp Inc, 165 F3d 778, 782 (10th
Requests for reprints should be sent to Joe S. Cecil, Fed-eral Judicial Center, One Columbus Circle, NE, Washing-ton, DC 20002 (e-mail: jcecil@fjc.gov).
18. Cacciola v Selco Balers, Inc, 127 FSupp2d 175,
This article was accepted August 9, 2004.Note. The views expressed in this article are those of
19. Elliott ED. Toward incentive-based procedure:
the author and do not necessarily represent the views of the
three approaches for regulating scientific evidence. Boston Univ Law Rev. 1989;69:487–508.
20. Kumho Tire Co, Ltd. v Carmichael, 526 US 137
Portions of this paper were presented at the Coronado
21. Kassirer JR, Cecil JS. Inconsistency in evidentiary
Conference on Scientific Evidence and Public Policy,
standards for medical testimony: disorder in the courts.
Coronado, Calif, March 2003. Portions of the discus-
sion of the Soldo v Sandoz case also appear in “Constru-ing science in the quest for ‘ipse dixit ’: a comment on
22. Soldo v Sandoz Pharmaceuticals Corp, 244
23. Glastetter v Novartis Pharm Corp, 252 F3d 986(8th Cir 2001). Daubert v Merrell Dow Pharmaceuticals, Inc, 509
24. Rider v Sandoz Pharmaceuticals Corp, 295 F3d
Daubert v Merrell Dow Pharmaceuticals, Inc
25. Globetti v Sandoz Pharmaceuticals Corp, 111
(Daubert II), 43 F3D 1311, 1316 (9th Cir 1995).
Songer DR. Nonpublication in the United States
26. Groscup JL, Penrod SD, Studebaker CA, Huss MT,
district courts: official criteria versus inferences from
O’Neil KM. The effects of Daubert on the admissibility
appellate review. J Politics. 1988;50:206–215.
of expert testimony in state and federal criminal cases. Psychol Public Policy Law. 2002;8:339–372.
Gross SR. Expert evidence. Wisc Law Rev. 1991;
27. Cecil JS. Construing science in the quest for “ipsedixit ”: a comment on Sanders and Cohen. Seton Hall
Gross SR, Syverud KD. Don’t try: civil jury ver-
dicts in a system geared to settlement. UCLA Law Rev. 1996;44:1–64.
Champaign A, Schuman D, Whitaker E. Expert
witnesses in the courts: an empirical examination. Judi-cature. 1992;76:5–10.
Krafka CL, Dunn MA, Johnson MT, Cecil JS,
Miletich D. A survey of judges’ and attorneys’ experi-ences, practices, and concerns regarding expert testi-mony in federal civil trials. Psychol Public Policy Law. 2002;8:309–332.
Dixon L, Gill B. Changes in the standards for ad-
mitting expert evidence in federal civil cases since theDaubert decision. Psychol Public Policy Law. 2002;8:251–308. Braun v Lorillard Inc, 84 F3d 230, 234 (7th Cir
10. O’Conner v Commonwealth Edison Co, 13 F3d1090, 1106-7 (7th Cir 1994).
11. Claar v Burlington Northern R. Co, 29 F3d 499,502 (9th Cir 1994).
12. Gatowski SI, Dobbin SA, Richardson JT, GinsburgGP, Merlino ML, Dahir V. Asking the gatekeepers: anational survey of judges on judging expert evidence
S80 | Public Health Matters | Peer Reviewed | Cecil
American Journal of Public Health | Supplement 1, 2005, Vol 95, No. S1
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