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MARCIE ISOM FITZSIMMONS (SBN: 226906) EILEngfié’
H]EU T. WILLIAMS (SBN: 280585)
GORDON REES SCULLY MANSUKHANI, LLP JAN-5 IA 3 :59 l
275 Battery Suite 2000
new
Street,
San Francisco, CA 94111
CLE- K 0F TOHE COURT
Telephone: (415) 986—5900
Facsimile: (415) 986-8054
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$UN1Y0RF 05mm CLARA!
MIsom@grsm.com B DEPU
HWilliams @gr sm.co In
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two,
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Attorneys for Defendant
PALO ALTO FOUNDATION MEDICAL GROUP, INC.
LINDBERGH PORTER (SBN: 100091)
LITTLER MENDELSON, P. C.
333 Bush Street, 34Lh Floor
San Francisco, CA 94104
Telephone: (415) 433-1940 T
F acsimile: (415) 399-8490
LPorter@1ittler.com
MAIKO NAKARAI-KANIVAS (SBN: 271710)
2000
LITTLER MENDELSON, RC.
94111
1255 Treat Blvd., Suite 600
LLP
Suite Walnut Creek, CA 94597
CA
Telephone: (925) 932-2468
Rees
Street,
Facsimile: (925) 946-9809
& MNakaraikanivas@littler.com
Francisco,
Gordon
Battery Attorneys for Defendants
SUTTER HEALTH and PALO ALTO MEDICAL FOUNDATION
San
275
NNNNNNNNND—Ib—lv—‘h—‘D—lb—lh—lur—IP‘
SUPERIOR COURT OF CALIFORNIA
COUNTY OF SANTA CLARA
OOQONUIJAWNt—‘OKOOOVONUI-PWNv-‘O
DIANA P. BLUM, M.D., ) CASE NO. llSCV277582
)
Plaintiff, ) DEFENDANTS’ JOINT
) MOTION 1N LIMINE
vs.
)
TO LIMIT TI-IE TESTIMONY 0F
PLAINTIFF’S EXPERT
SUTTER HEALTH, a California corporation; ) DR. ALAN H. ROSENSTEIN
PALO ALTO FOUNDATION MEDICAL )
GROUP, INC., a California corporation; ) No. 4 of 16
PALO ALTO MEDICAL FOUNDATION, a )
California corporation; and DOES I through ) Trial Date: January 8, 2018
20, ) Time: 8:45 a.m.
) Dept: 16
Defendants. )
) Complaint Filed: March 4, 2015
) FAC Filed: August 7, 2015
DEFENDANTS’ JOINT MOTION IN LIMNE NO. 4
TO LIMIT THE TESTIMONY OF PLAINTIFF’S EXPERT DR. ALAN H. ROSENSTEIN
TABLE OF CONTENTS
Page
INTRODUCTION ............................................................................................................... 7
#m
II. RELEVANT FACTS ........................................................................................................... 7
A. Dr. Rosenstein’s Qualifications ............................................................................... 7
B. Testimony that Plaintiff Did Not Engage in “Disruptive Behavior” ....................... 8
C. Testimony that Defendants Did Not Treat Plaintiff “With Dignity and
\DOOQON Respec ” ...................................................................................................................
9
D. Testimony That the Performance Improvement Plan (“PIP”) Was .
Inappropriate ............................................................................................................ 9
10 E. Testimony that Defendants “Pressured” Plaintiff to Resign .................................... 9
11 F. Testimony that Defendants Became “Confrontational” When Plaintiff and
Other Physicians “Spoke Out” ............................................................................... 10
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G. Dr. Rosenstein’s Preparation for Rendering His Opinions .................................... 10
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III. LEGAL ARGUIVLENT ....................................................................................................... 1 1
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14
A. Testimony That Plaintiff Was Not A “Disruptive Physician” Should Be
&
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Battery
15 Excluded ........................................... 1 1
16 1. Dr. Rosenstein’s Testimony that Plaintiff Was Not a “Disruptive
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Physician” Is Irrelevant .............................................................................. 11
17
2. Dr. Rosenstein’s Opinion On Whether Plaintiff Engaged In
18 “Disruptive Behavior” Is Not A Proper Subject Of Expert Opinion ......... 12
19 3. Dr. Rosenstein Was Not Disclosed as an Expert Regarding
“Disruptive Physician Behavior” ............................................................ 12
20
4. Dr. Rosenstein Cannot Testify Under the Guise Of Expert Opinion
21 to a Central Issue at Hand .......................................................................... 13
22 B. Testimony That Defendants Did Not Treat Plaintiff “With Dignity and
Respect” Is Not A Proper Subject Of Expert Opinion and Should Be
23 Excluded ................................................................................................................
14
24 C. Testimony That the PIP Was Not Warranted Should Be Excluded ....................... 15
25 1. Dr. Rosenstein Is Not Qualified As An Expert On The
Reasonableness of PIPs .............................................................................. 15
26
2. Dr. Rosenstein’s Opinion On The Reasonableness of PIP Invades
27 The Province Of The Jury and Is Improper ............................................... 15
28
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DEFENDANTS’ JOINT MOTION IN LIMINE NO. 4
TO LIMIT THE TESTIMONY OF PLAINTIFF ’S EXPERT DR. ALAN H. ROSENSTEIN
D. Testimony That Defendants “Pressured” Plaintiff to Quit As a Form of
“Harassment” Should Be Excluded ....................................................................... 16
1.
Termination or Harassment .......................
Dr. Rosenstein Is Not Qualified As an Expert On Constructive
16
2. Dr Rosenstein Was Not Disclosed as an Expert on Constructive
Termination or Harassment ........................................................................ 16
OO\IO\UIJ>WN
3. Dr. Rosenstein’s Testimony Is Improper Because It Invades The
Province Of The Jury ................................................................................. 17
4. Dr. Rosenstein’s Testimony Is Irrelevant Because There is No
Claim for Harassment ................................................................................ 18
5. Dr.‘ Rosenstein’s Testimony Based on Allegations in the FAC is
\O Speculative ................................................................................................. 18
10 E. Testimony That Defendants Retaliated Against Plaintiff Should Be
Excluded ................................................................................................................ 1 9
11
1. Dr. Rosenstein Is Not Qualified As An Expert On Retaliation ................. 19
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2. Dr. Rosenstein Attempts to Usurp the Jury’ 5 Function to Decide
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13' the Ultimate Issue of Reta11at10n ................ ... ................... l9
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14 3. Dr. Rosenstein’s Testimony About Defendants’ Propensity to Be
& “Confrontational” is Improper Character Evidence ................................... 20
Francisco,
15
Gordon
Battery 4. Dr. Rosenstein’s Testimony Regarding Frye and Crozier is
16 Speculative and Will Cause Unfair Prejudice, Confusion and
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Waste of Time ................................................................................. 20
17
F. Any Probative Value is Substantially Outweighed by the Danger of Undue
1s Prejudice ................................................................................................................ 21
19 IV. CONCLUSION .................................................................................................................. 21
20
21
22
23
24
25
26
27
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DEFENDANTS’ JOINT MOTION IN LIMINE NO. 4
TO LIMIT THE TESTIMONY OF PLAINTIFF’S EXPERT DR. ALAN H. ROSENSTEIN
, K/
TABLE OF AUTHORITIES
N Page(s)
Cases
'
Bonds v. Roy
(1999) 20 Cal. 4th 140 ........................................................................................................
12, 16
Cota v. County of Los Angeles
(1980)
\OOOVO‘UI-bm
105 Cal.App.3d 282 ......................................................................................................
18
Dee v. PCS Property Management, Inc.
(2009) 174 Ca1.App.4th 390 .....................................................................................................
19
Downer v. Bramet et a1.
(1984) 152 Cal.App.3d 837 ................................................................................................
13, 15
10 Hughes v. Blue Cross ofNorthern California
(1989) 215 Cal.App.3d 832 ......................................................................................................
18
11
Hyatt v. Sierra Boat Co.
2000
12 20
(1978) 79 CaI.App.3d 325 ........................................................................................................
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Suite 13 Korsak v. Atlas Hotels, Inc.
CA (1992) 2 Ca1.App.4th 1516 .......................................................................................................
15
Rees
Street,
14
& Kotla v. Regents of the University of California
Francisco,
15 (2004) 115 13,14,15,16,17
Cal. App. 4th 283 .............................................................................
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16 Long v. California-Western States Life Ins. Co.
San
(1955) 43 Ca1.2d 871 20
................................................................................................................
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17
0stling v. Loring
18 (1994) 27 CaI.App.4th 1731 .....................................................................................................
18
19 People v. Erickson
(1997) 57 Ca1.App.4th 1391 .........................................................................
17
20
People v. Gardeley
21 (1996) 14 Ca1.4th 605 ...............................................................................................................
19
22 People v. Hogan
(1982) 31 Ca1.3d 817 ................................................................................................................
15
23
People v. Louie
24 (1984) 158 CaI.App.3d Supp. 28 ..............................................................................................
11
25 People v. Loving
(1968) 258 Cal. App. 2d 84 ........................................................................................................
14
26
People v. McDowell
27 (2012), 54 Ca1.4th 395 ..............................................................................................................
14
28
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DEFENDANTS’ JOINT MOTION IN LIMINE N0. 4
TO LIMIT THE TESTIMONY OF PLAINTIFF’S EXPERT DR. ALAN H. ROSENSTEIN
People v. Parrison
(1982) 137 Cal.App.3d 529 ......................................................................................................
11
People v. Price
LA.)
(1991) 1 _
20
Cal. 4th 324 ......... .......................................................................................................
People v. Prince
(2007) 40 Ca1.4th 17
1179 .............................................................................................................
People v. Richardson
(2008) 43 Ca1.4th 959 ...............................................................................................................
18
People v. Smith
\DOOQO" (2003) 30 Cal.4th 581 14
...............................................................................................................
Sanchez v. Brooke
(2012) 204 Cal.App.4th 126 .....................................................................................................
14
1o Schweitzer v. Westminster Investments
(2007) 157 Cal.App.4th 1195 ...................................................................................................
18
11
Summers v. A.L. Gilbert Co.
2000
12 (1999) 69 Cal.App.4th 13, 17, 19
1155 .........................................................................................
94111
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Suite 13 Statutes
CA
Rees
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14 Business and Professions Code
& Section 2056 20
..............................................................................................................
Francisco,
15
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Code of Civil Procedure
16 Section 2034.260 ......................................................................................................................
12
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17 Evidence Code
Section 1 101 20
.............................................................................................................................
1s
Evidence Code ‘
19 Section 312 ...............................................................................................................................
13
20 Evidence Code
Section 350 .........................................................................................................................
11, 18
21
Evidence Code
22 Section 352 .........................................................................................................................
18, 21
23 Evidence Code
Section 608 ...............................................................................................................................
13
24
’
Evidence Code
25 Section 720 14, 16, 19
.............................................................................................................
15,
26 Evidence Code
Section 801 13, 14,17,19, 20
.................................................................................................
12,
27
Evidence Code
28 Section 805 ...............................................................................................................................
13
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DEFENDANTS’ JOINT MOTION 1N LIMNE NO. 4
To LIMIT THE TESTIMONY OF PLAINTIFF’S EXPERT DR ALAN H. ROSENSTEIN
Regulations
California Civil Jury Instructions ‘
CACI 25 10 ................................................................................................................................
17
\lONUI-b
00
10
11
2000
12
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CA
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14
& Francisco,
15
Gordon
Battery
16
San
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17
18
19
20
21
22
23
24
25
26
27
28
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DEFENDANTS’ JOINT MOTION IN LIMINE NO. 4
TO LIMIT THE TESTIMONY OF PLAINTIFF’S EXPERT DR. ALAN H. ROSENSTEIN
I. INTRODUCTION
Plaintiff disclosed Dr. Alan H. Rosenstein as an expert regarding Defendants’
éwN disciplinary actions and alleged other retaliatory conduct. (See Plaintiffs Amended Designation
of Experts, pg. 3:17-22, Ex. 27 to Declaration of Marcie I. Fitzsimmons In Support of
Defendants’ Motions in Limine [“Fitzsimmons Decl.”].) In his deposition testimony, however,
Dr. Rosenstein provided five opinions regarding the instant case that are outside the scope of his
expertise, transverse subjects for which he was not disclosed as an expert, and not fire proper
\DOOQQUI
subject for expert testimony. Dr. Rosenstein’s opinions on these topics will cause undue
prejudice, mislead the jury, confuse the issues, and waste time. In particular, Dr. Rosenstein
1o offered the following five opinions during his deposition that should be excluded at trial:
11
(1) Plaintiff did not engage in “disruptive behavior” in the workplace;
12
Defendants did not treat Plaintiff “with dignity and respect;”
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(2)
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Street,
14 Improvement Plan (“PIP”);
& Francisco,
15
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(4) Defendants “pressured” Plaintiff “to leave the organization;” and
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16
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(5) Defendants became “confrontational” when Plaintiff and other physicians
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17 “spoke out.”
1s Accordingly, Defendants PALO ALTO FOUNDATION MEDICAL GROUP, INC. (“the
19 Physician Group”), SUTTER HEALTH and PALO ALTO MEDICAL FOUNDATION
20 (“PAMF”) (collectively referred to hereinafter as “Defendants”) jointly move for an order
21 limiting Dr. Rosenstein’s testimony solely to matters for which he is qualified, for which he was
22 properly disclosed as an expert witness, and for which are the proper subject for expert testimony
23 and therefore for an order excluding testimony related to those five opinions.
24 II. RELEVANT FACTS
25 A. Dr. Rosenstein’s Qualifications
26 Plaintiff disclosed Dr. Rosenstein as an expert who will proffer testimony:
27 [C]onceming defendants’ disciplinary actions and other retaliatory conduct,
including termination of Dr. Blum, as well as Dr. Blum’s and defendants’ conduct
28 related to Dr. Blum’s protests of defendants’ business policies, procedures,
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DEFENDANT S’ JOINT MOTION IN LIMINE NO. 4
TO LIMIT THE TESTDVIONY OF PLAINTIFF’S EXPERT DR. ALAN H. ROSENSTEIN
practices and decisions.
(Id. at pg. 3:17-22, Ex. 27 to Fitzsimmons Decl.) Rosenstein practices internal medicine on a
mN
part-time basis and is a “consultant in health care management.” (See CV, Ex. 29 to
Fitzsimmons Decl.) He does not have any training, background, or certifications in Hmnan
Resources. (See Transcript of Deposition of Dr. Alan H. Rosenstein [“Rosenstein Depo.”] pp.
147:24-25, 14823-5, Ex. 28 to Fitzsimmons Decl.) He also has no experience directly managing
\OOOQQUI-b
other physicians. (Id. at 136:16-18, 136224-13726.) He has never placed anyone on a
Performance Improvement Plan nor has he participated in the disciplinary process related to
Performance Improvement Plans. (Id.at 136:24-13721.)
10 Dr. Rosenstein has not published any articles nor had any speaking engagements on
11 Performance Improvement Plans, doctors protesting an organization’s policies or practices, or on
2000
12 the retaliatory conduct of doctors. (Id. at 23:25-24:4, 24:10—25:3, 26:14-20.) He is admittedly
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Suite 13 not an expert on employee harassment or discrimination. (Id. at 159:1-6.)
CA
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14 B. Testimony that Plaintiff Did Not Engage in “Disruptive Behavior”
& Francisco,
15 Dr. Rosenstein testified that he did not “see any evidence of any disruptive behavior
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16 whatsoever” from Plaintiff. (Id. at 699-10.) He defined “disruptive behavior” as “behavior that
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17 has a significant impact on staff relationships.” (Id. at 81:17-20.) Dr. Rosenstein testified that he
18 did very little to ascertain whether Plaintiff engaged in “disruptive behavior”:
19 Q. And I want to talkjust a little bit about Dr. Blum's conduct: Okay?- You've
testified at little bit about it, but I have some follow up questions. Now, you were
20 obviously not present and didn't witness any of her conduct: Correct?
21 A. Yes.
22 And you've never talked with [Plaintiff]?
23 Never.
24 p>p>pYou never read her deposition testimony?
25 I only read what is here. I assume her deposition testimony is not here, and if
it's not I didn't read it.
26
43 Okay. And you haven't spoken with anyone other than Theresa Barta
27 [Plaintiffs counsel] about Dr. Blum's conduct: Right?
28 A. Yes. Correct.
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DEFENDANTS’ JOINT MOTION IN LIMNE NO. 4
TO LIMIT THE TESTIMONY OF PLAINTJFF’S EXPERT DR. ALAN H. ROSENSTEIN
(Id. at 1175-19.) He likewise admitted that he did not speak to Plaintiff or any of the staff
members regarding Plaintiffs conduct in the workplace. (Id. at 117:8-12.)
C. Testimony that Defendants Did Not Treat Plaintiff “With Dignity and Respect”
Dr. Rosenstein testified that there was “no respect, no dignity, and there was no really
organizational
“\IOUI-IRWN
help to help [Plaintiff] be successful.” (Id. at 72:15-17.) He testified that, “no one
was really trying to get to the core issue of what was going on and what they could do to help
[Plaintiff].” (Id.at 69:14-16.)
D. Testimony That the Performance Improvement Plan (“PIP”) Was Inappropriate
RD Dr. Rosenstein admitted that he was not familiar with the term “Performance
10 Improvement Plan,” but he nevertheless opined that it was not appropriate for Defendants to
11 place Plaintiff on a PIP Plan because “there was not enough information, nor enough homework,
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12 nor enough discussions around this to get to that stage.” (Id. at 103 :20-104:2, 1665-7, 101 :1-4.)
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Suite 13 He testified that he did not see any evidence thatjustified a performance improvement plan or
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14 that an “investigation” was conducted. (Id. at 16529-18, 167:8-9.) He testified that “a
& Francisco,
15 performance improvement plan is a punitive step,” describing it as “extreme,” that “a lot of other
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16 supportive type of actions that should have occurred” and that the issues could have been
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17 resolved in an “amicable manner.” (Id.at 101:13-16; 102:7-8, 16529-16.)
18 E. Testimony that Defendants “Pressured” Plaintiff to Resign
19 Dr. Rosenstein testified that Plaintiff “was pressured to leave the organization.” (Id. at
2o 72:11-14.) He testified, “[Plaintiff] felt that she was pressured to -- based on what I read that
21 she was pressured to leave the organization.” (Id.at 94:15-17.) Dr. Rosenstein testified that in
22 his opinion, pressuring Plaintiff to resign is “a form of harassment.” (Id. at 159:19-16024.) He
23 further testified:
24 I’m not an expert on harassment. I know part of the harassment is the idea if you
are trying to do certain things and you're not able to do that and putting pressure
2s upon you, you know, in a way you're being harassed.
'26 (Id. at 159:23-16024.)
27 M
28 M
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DEFENDANTS’ JOINT MOTION IN LIMINE NO. 4
TO LIMIT THE TESTlMONY OF PLAlNTlFF’S EXPERT DR. ALAN H. ROSENSTEIN
Dr. Rosenstein testified that his opinion regarding his belief that Plaintiff was “pressured”
is based entirely on the allegation in the First Amended Complaint that “someone may have
given her three options,” to “leave with a severance,” or termination, or face the “third
alternative” which he could not recall at the time of the deposition. (Id.at 92:9-12, 94:5-11,
94:18-95:1, 93:20-22.)
F. Testimony that Defendants Became “Confrontational” When Plaintiff and Other
xoooxiaxuue.
Physicians “Spoke Out”
Dr. Rosenstein testified that “when [Plaintiff] spoke out... it turned into more of a
confrontational-type of relationship, rather than a supportive-type of relationship.” (Id. at 71 :1-4,.
1o 163216-20.) He testified that “[flor whatever reason, when [Plaintiff] spoke out about issues
11 which other physicians have also spoke out. . .it turned into confrontational relationships.” (Id. at
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12 71:16-23.) He testified that he saw “inferences that because she spoke out on certain sensitive
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14 163 : 1 3-1 9.)
& Francisco,
15 Dr. Rosenstein further testified that there were other doctors, Dr. Kathryn Crozier and Dr.
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16 Adama Frye, whom Defendants treated “in the same or similar way” as Plaintiff. (Id. at 91 :16-
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17 25.) He based on the deposition transcripts ofDrs. Crozier and Frye, and text messages he
18 reviewed. (Id. at 9221-25.) He admitted that he did not speak with either Drs. Crozier or Frye,
19 land that he did not review their personnel files. (Id. at 35:16-18, 9225-7.) In fact, he admitted
20 that he did not speak with anyone at the Physician Group or PAMF regarding Drs. Crozier’s or
21 Frye’s separation and thus, he does not actually know if Defendants’ handling of the
22 employment of either of those individuals was appropriate or inappropriate. (Id. at 9211-4.) He
23 likewise admitted that he does not know anything about the circumstances of their separation
24 from employment. (Id. at.92:1-25.)
25 G. Dr. Rosenstein’s Preparation for Rendering His Opinions
26 Dr. Rosenstein testified that he based his opinions related to this case based on his review
27 of the following:
28 ///
.10.
DEFENDANTS’ JOINT MOTION IN LIMNE N0. 4
T0 LIMIT THE TESTIMONY OF PLAINTIFF ’S EXPERT DR. ALAN H. ROSENSTEIN
/ N
0 “Facts” made known to him through conversations with Plaintiff’s counsel;
- A limited number of documents provided to him by Plaintiff s counsel, of which he
only reviewed some of;
a five of the more than 50 deposition transcripts that were taken in this case; and
LII-AWN
- Plaintiff’s First Amended Complaint.
(Id. at 31:12-18, 66:2—8, 117:8-19, 139:20-140z8, 14224-24.) Dr. Rosenstein did not read a single
page of Plaintiff’s five-volume deposition transcript or the deposition transcripts of the three key
\ODOQO‘
witnesses (Drs. Curtis, Fischer, Smith) who counseled Plaintiff and participated in the
Performance Improvement Plan. (Id.) Dr. Rosenstein also did not speak with any witnesses in
10 this case and only reviewed excerpts from two physicians who no longer work at PAMF and had
11 no supervisory authority over Plaintiff (Drs. Crozier and Frye). (Id)
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12 Not surprisingly, Dr. Rosenstein admitted that he might be “missing some of the facts”
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14 case. (Id. at 55 :4-8.)
Street,
& Francisco,
15 III. LEGAL ARGUMENT
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16 A. Testimony That Plaintiff Was Not A “Disruptive Physician” Should Be Excluded
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17 1. Dr. Rosenstein’s Testimony that Plaintiff Was Not a “Disruptive Physician” Is
Irre evant
18
19 Only relevant evidence is admissible. (Evid. § 350.) Evidence is not relevant if it can
20 prove a fact only by inferences or deductions that are speculative or conj ectural in nature.
21 (People v. Louie (1984) 158 Cal.App.3d Supp. 28, 47; People v. Parrison (1982) 137 Cal.App.3d
22 529, 539.) As a threshold matter, Dr. Rosenstein’s testimony that he did not “see any evidence
23 of any disruptive behavior whatsoever” from Plaintiff is not relevant to any of the disputed facts