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Facts

A third-party non-patient, the Plaintiff, was injured in a car accident caused by a patient of the Defendant physician. The Plaintiff alleged that the Defendant negligently prescribed and monitored medications, including lithium, which impaired the patient’s ability to drive. The accident occurred five days after the Defendant last treated the patient (paras 1-2).

Procedural History

  • U.S. District Court for the District of New Mexico: Certified the legal question to the Supreme Court of New Mexico regarding whether the Defendant physician owed a duty to the Plaintiff under the circumstances (headnotes, para 1).

Parties' Submissions

  • Plaintiff: Argued that the Defendant owed a duty to warn the patient about the side effects of lithium and to properly monitor the patient’s medication levels to prevent harm to third parties (para 2).
  • Defendant: Contended that no duty existed to third parties under these circumstances, emphasizing the remoteness of the connection between the alleged negligence and the Plaintiff’s injury (paras 2-3).
  • Amicus New Mexico Medical Society: Supported the Defendant, arguing against extending physicians' duties to third parties in prescription cases.
  • Amicus New Mexico Trial Lawyers Association: Supported the Plaintiff, advocating for the recognition of a duty to third parties in such cases.

Legal Issues

  • Does a physician owe a legal duty to a non-patient injured in a car accident caused by a patient whose ability to drive was allegedly impaired by medications prescribed by the physician? (para 2).

Disposition

  • The Supreme Court of New Mexico held that the Defendant physician did not owe a duty to the Plaintiff under the facts of the case (para 25).

Reasons

Per Serna J. (Franchini C.J., Baca J., and McKinnon J. concurring):

  • The Court applied the balancing test from Wilschinsky v. Medina, which considers the foreseeability of harm, the burden of preventing it, and the consequences of imposing a duty. It concluded that the likelihood of injury in this case was too remote, as the accident occurred five days after the Defendant last treated the patient, and the effects of lithium on driving were less direct than the narcotics in Wilschinsky (paras 6-7).
  • The Court emphasized that the Defendant had less control over the patient’s actions compared to the physician in Wilschinsky, where the drugs were administered in the physician’s office under direct supervision (para 7).
  • Public policy considerations, including the potential chilling effect on the use of prescription medications and the need to preserve the physician-patient relationship, weighed against extending a duty to third parties in this context (paras 8-11).
  • The Court noted that the Legislature had already limited physicians’ liability through the Medical Malpractice Act, and further expansion of liability should be left to the Legislature (paras 9-11).
  • The Court reviewed case law from other jurisdictions and found a split in authority. It aligned with jurisdictions that declined to impose a duty on physicians to third parties in prescription cases, citing concerns about foreseeability, control, and public policy (paras 16-24).
  • The Court concluded that the Defendant owed a duty to the patient to act within professional standards but did not owe a duty to the Plaintiff under the facts presented (para 25).
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