Court Opinion

ID: 1055825
Source: CourtListenerOpinion
Date Created: 2013-10-08 21:01:46.044977+00
Date Added: 2024-06-11T11:50:00.294885
License: Public Domain

IN THE COURT OF APPEALS OF TENNESSEE
                               AT JACKSON
                                    January 20, 2004 Session

           BRENDA J. SNEED v. THOMAS G. STOVALL, M.D., ET AL.

                    Direct Appeal from the Circuit Court for Shelby County
                          No. 57955 T.D.   Karen R. Williams, Judge

                      No. W2003-00779-COA-R3-CV - Filed April 1, 2004

Plaintiff filed suit against Defendants alleging that Defendants committed medical malpractice. At
the conclusion of the trial, the jury returned a verdict in favor of Defendants. Plaintiff appeals the
trial court’s limiting Plaintiff’s voir dire concerning his medical expert, denial of Plaintiff’s renewed
motion in limine, refusal to include proposed jury instructions, and refusal to strike a third party
opinion from the deposition of Plaintiff’s expert. We affirm the decisions of the trial court.

   Tenn. R. App. P. 3 Appeal as of Right; Judgment of the Circuit Court Affirmed; and
                                       Remanded

DAVID R. FARMER , J., delivered the opinion of the court, in which W. FRANK CRAWFORD , P.J., W.S.,
and HOLLY M. KIRBY , J., joined.

Robert L. Green and Bruce Kelley, Jr., Memphis, Tennessee, for the Appellant, Brenda J. Sneed.

William H. Haltom, Jr., for the appellees, Thomas Stovall, M.D., and University Physician
Foundation d/b/a U.T. Medical Group, Inc.

William W. Dunlap and Tabitha F. McNabb, Memphis, Tennessee, for the appellee, Guy Voeller,
M.D.

                                              OPINION

         This Court first addressed this case in Sneed v. Stovall, 22 S.W.3d 277 (Tenn. Ct. App.

1999):

               [Brenda J. Sneed] Plaintiff [(Plaintiff)] filed a complaint on November 23,
         1992, against Dr. Thomas G. Stovall [(Dr. Stovall)], University Physicians
         Foundation, d/b/a UT Medical Group, Inc. [(UT Medical Group)], and Dr. Guy R.
       Voeller [(Dr. Voeller, or collectively with Dr. Stovall and UT Medical Group as the
       Defendants)], alleging that the defendants committed medical malpractice in their
       care and treatment of the plaintiff. On May 10, 1996, counsel for the defendants took
       the discovery deposition of plaintiff’s medical expert, Dr. David Swan [(Dr. Swan)].
       During the course of the deposition, defense counsel examined Dr. Swan about the
       status of his medical license, and whether he had been the subject of any disciplinary
       proceedings. Dr. Swan responded that he had not. Several months later, however,
       defense counsel learned that Dr. Swan had been the subject of investigations and
       hearings before the Kentucky State Board of Medical Licensure (KSBML). Plaintiff
       filed a Motion in Limine on October 15, 1997, to prohibit defendants from “making
       a disclosure of any disciplinary action taken by the Board of Medical Licensure for
       the State of Kentucky against [David S. Swan, M.D.], during the voir dire of the jury
       or at any time during the trial of the cause.”

                The facts leading up to the investigation by the KSBML are as follows:
       David Swan, M.D., is board-certified in obstetrics and gynecology. In June 1995, an
       “initiating grievance” was filed with the [KSBML] alleging that Dr. Swan engaged
       in inappropriate sexual behavior with some of his patients. On September 26, 1995,
       Dr. Swan gave a statement to Doug Wilson, a KSBML investigator regarding the
       complaints and grievances against him. Swan admitted that between early 1975 and
       late 1981, he engaged in inappropriate sexual behavior with some of his patients. On
       February 15, 1996, [t]he KSBML held a hearing regarding the complaints and
       grievances against Dr. Swan. The Board's Inquiry Panel asked that Dr. Swan enter
       into an Agreed Order of Probation to avoid issuing an Administrative Complaint
       against Dr. Swan's Kentucky medical license. Dr. Swan entered into an Agreed
       Order of Probation on June 24, 1996, which, among other things, put Swan on
       probation for five years.

               Upon consideration of the evidence, the trial court denied plaintiff's Motion
       in limine. The order denying the motion states: “The Court is of the further opinion
       because of Dr. Swan's untruthfulness, that at the trial of this cause counsel for the
       defendants shall be permitted to inquire into the alleged facts underlying Dr. Swan's
       disciplinary proceeding.” Plaintiff’s motion in the trial court for interlocutory appeal
       pursuant to T.R.A.P. 9 was granted, and this Court granted plaintiff's application for
       permission to appeal.

Sneed, 22 S.W.3d at 278-79. In addressing the Plaintiff’s first issue of whether the court erred in
concluding that Dr. Swan had exhibited a “pattern of untruthfulness,” this Court held:

               Considering the record before us, we conclude that the trial court did not err.
       At the time of the deposition on May 10, 1996, Dr. Swan knew that a complaint had
       been filed against him in the past with the Grievance Committee of the Fayette
       County Kentucky Medical Society alleging improper sexual contact with a patient

                                                 -2-
       and that the Medical Society issued an Opinion on October 31, 1978, finding that his
       conduct was inappropriate. Dr. Swan was also aware that a complaint was filed with
       the Kentucky State Board of Medical Licensure on June 15, 1995. He was also
       aware that he gave a statement on August 8, 1995 to Mr. Doug Wilson, an
       investigator of the KSBML, regarding the complaints against him and that on
       September 26, 1995, Swan submitted a report to Mr. Wilson responding to the
       specific allegations in the complaint. Based on the foregoing, it is apparent that Swan
       knew he was under investigation by the licensing board. . . . Simply stated, Dr.
       Swan answered untruthfully at his deposition.

Id. at 279-80.

        In addressing Plaintiff’s second issue of whether the trial court erred in denying her motion
in limine thereby allowing Defendants to present proof regarding Dr. Swan’s past conduct, this Court
stated:

       Specifically, plaintiff asserts that the specific instances of inappropriate sexual
       conduct committed by Dr. Swan are excluded by Tennessee Rules of Evidence, 608
       (b), which provides:

                 Rule 608. Evidence of character and conduct of witness.
                 (b) Specific Instances of Conduct. - Specific instances of conduct of
                 a witness for the purpose of attacking or supporting the witness's
                 credibility, other than convictions of crime as provided in Rule 609,
                 may not be proved by extrinsic evidence. They may, however, if
                 probative of truthfulness or untruthfulness and under the following
                 conditions, be inquired into on cross-examination of the witness
                 concerning the witness's character for truthfulness or untruthfulness
                 or concerning the character for truthfulness or untruthfulness of
                 another witness as to which the character witness being cross-
                 examined has testified. The conditions which must be satisfied
                 before allowing inquiry on cross-examination about such conduct
                 probative solely of truthfulness or untruthfulness are:

                         (1) The court upon request must hold a hearing outside the
                 jury's presence and must determine that the alleged conduct has
                 probative value and that a reasonable factual basis exists for the
                 inquiry;

                         (2) The conduct must have occurred no more than ten years
                 before commencement of the action or prosecution, but evidence of
                 a specific instance of conduct not qualifying under this paragraph (2)
                 is admissible if the proponent gives to the adverse party sufficient

                                                  -3-
       advance notice of intent to use such evidence to provide the adverse
       party with a fair opportunity to contest the use of such evidence and
       the court determines in the interests of justice that the probative value
       of that evidence, supported by the specific facts and circumstances,
       substantially outweighs its prejudicial effect . . .

Tenn.R.Evid. 608(b).

         Plaintiff also argues that the conduct occurred more than seventeen years ago,
that the conduct is not "probative solely of truthfulness or untruthfulness," and that
the probative value of such evidence does not "substantially outweigh its prejudicial
effect."

       Defendants assert that Tenn. R. Evid. 608(b) is not applicable in this case, but
Rule 402 and Rule 403, Tenn. R. Evid., are the appropriate rules:

       Rule 402. Relevant evidence generally admissible; irrelevant
       evidence inadmissible.
       All relevant evidence is admissible except as provided by the
       Constitution of the United States, the Constitution of Tennessee,
       these rules, or other rules or laws of general application in the courts
       of Tennessee. Evidence which is not relevant is not admissible.

       Rule 403. Exclusion of Relevant evidence on grounds of
       prejudice, confusion, or waste of time.
       Although relevant, evidence may be excluded if its probative value is
       substantially outweighed by the danger of unfair prejudice, confusion
       of the issues, or misleading the jury, or by considerations of undue
       delay, waste of time, or needless presentation of cumulative evidence.

Tenn.R.Evid. 402 and 403.

        Defendants assert that 608(b) deals with impeachment of a witness by cross-
examination concerning a witness's "prior bad acts" and that they are not seeking to
impeach Dr. Swan's credibility by evidence of prior convictions, prior bad acts,
subsequent convictions, or subsequent bad acts. They argue that they will present
evidence regarding his current medical licensure, medical status, and medical
practice. However, defendants acknowledge that cross-examination and extrinsic
evidence regarding Swan's medical licensure will include evidence of Dr. Swan's past
misconduct. Defendants also argue that the current state of Dr. Swan's medical
licensure and the history and circumstances regarding it are relevant issues in this
case. They further point out that even though the misconduct occurred sixteen years
ago, the restrictions on his license are in place now.

                                         -4-
       Tennessee Law of Evidence provides:

       § 608.1. Overview.
       It prescribes when . . . specific instances of conduct, other than
       criminal convictions, may be used to impeach or rehabilitate a
       witness by proving the truthful or untruthful character of that witness.
       It should be obvious that Rule 608 is an exception to the general
       principle of Rule 404(a) that character evidence is inadmissible . . .
       Rule 608 is based on the idea that sometimes character evidence
       should be admitted. By implication, the rule accepts the idea that a
       person's character is both a relevant and important factor in assessing
       that person's credibility. But it should be noted that Rule 608 opens
       the door to proof of only certain aspects of a person's character. This
       rule authorizes proof of a person's character for truthfulness or
       untruthfulness. Proof of other facets of character is not affected by
       Rule 608.

Neil P. Cohen, et al., Tennessee Law of Evidence § 608.1 at 345 (3d ed. 1995).

         As above noted, the trial court correctly determined that Dr. Swan answered
untruthfully in his discovery deposition and that the defendants can question him
concerning the inconsistencies. Plaintiff asserts that no inquiry should be made to
elicit evidence of Dr. Swan's specific acts with patients because: these acts occurred
more than ten years before the commencement of this action; they do not constitute
untruthful behavior; and, in any event, the probative value of the evidence does not
substantially outweigh its prejudicial effect. Where the cross-examination leads will,
of course, depend on the witness's answer. Under 608 (b), Dr. Swan's specific acts
may only be inquired into on cross-examination and may not be established by
extrinsic evidence. Consequently, if Dr. Swan is questioned about the specific acts
and denies their occurrence, the question would arise as to whether extrinsic evidence
is appropriate.

        Defendants assert that Rule 608(b) is not applicable to this case, because the
appellees are not attempting to impeach Dr. Swan's credibility as to the specific
"prior bad acts." Rather, they seek to impeach his credibility because of his
untruthful answers under oath concerning prior disciplinary proceedings, and they
seek to show his current status as a practicing physician.

       The trial judge has wide discretion in the matter of qualification of expert
witnesses. Otis v. Cambridge Mut. Fire Ins. Co., 850 S.W.2d 439 (Tenn. 1992).
However, "credibility is to be distinguished from the testimonial competency of a
witness." 81 Am.Jur.2d, Witnesses Sec. 1027 at p. 841.

                                         -5-
                       Essentially the same basic tests which are commonly applied
               in the evaluation of ordinary evidence should be used in judging the
               weight and sufficiency of expert and opinion testimony.

       31 Am.Jur.2d Expert and Opinion Evidence Sec. 129 at p. 137.

               In the instant case, Dr. Swan's role as a witness will be to establish the
       standard of care for practicing physicians in the community and that the conduct of
       the defendants breached or violated that standard of care. Obviously, there will be
       countervailing proof concerning the standard of care and the violation thereof, and
       the jury must give the testimony of every witness who testifies the weight, faith, and
       credit that the testimony deserves. Certainly, the truthfulness of the witness will be
       a matter of grave concern for the jury in making this determination. Dr. Swan was
       bound by the ethical rules of his profession, and yet engaged in a practice of
       deception for a number of years even though he knew that his acts could constitute
       grounds for revocation of his license. His veracity as a witness should surely be
       questioned by virtue of this conduct.

                Moreover, we must consider the context of Dr. Swan's role. He is, in effect,
       pronouncing a judgment as to the conduct of fellow physicians. It seems to this
       Court that one who undertakes such a task is exposed to a determination of his own
       view of the profession by virtue of his own conduct. Dr. Swan's conduct could be
       construed to show disdain for a physician's obligation to practice the profession on
       the highest ethical plane with an ongoing deception during the continuance of the
       activities.

               In short, the jury must determine whether Dr. Swan's testimony concerning
       the conduct of the defendants is truthful and in giving weight to his testimony, the
       jury should have the benefit of evidence concerning his veracity and character.

               The trial court obviously determined that defendants' proposed cross-
       examination would elicit relevant evidence, and that the probative value of the
       evidence, under the facts of this case, substantially outweighs its prejudicial effect.
       The trial court did not abuse its discretion in denying the motion in limine.

               Accordingly, the order of the trial court is affirmed, and this case is remanded
       for such further proceedings as may be necessary. Costs of the appeal are assessed
       against the appellant.

Sneed, 22 S.W.3d at 280-82. Plaintiff subsequently filed an application for appeal to the Tennessee
Supreme Court which was denied on May 22, 2000. Id. at 277.

                                                 -6-
        Upon remand, the evidentiary deposition of Dr. Swan was taken. Plaintiff filed a motion in
limine to strike any testimony from the evidentiary testimony concerning the trial court’s or court
of appeals’ opinion of Dr. Swan’s truthfulness. In its order on Plaintiff’s motion in limine, the trial
court found that six portions of the deposition that referenced either the trial court’s or court of
appeals’ opinion of Dr. Swan’s truthfulness should be stricken.

        During the voir dire of this case, Plaintiff’s counsel attempted to ask the jurors about
Plaintiff’s expert, Dr. Swan. Upon the Defendants’ objection, the trial court precluded Plaintiff’s
counsel from asking the jurors any further questions concerning Dr. Swan.

         At the conclusion of proof, Plaintiff filed with the court six requested special jury instructions
which the trial court denied. The jury returned a verdict in favor of the Defendants and the trial court
entered a judgment on the jury’s verdict. Plaintiff filed a motion for new trial which was denied by
the trial court. Plaintiff timely filed her notice of appeal.

                                           Issues Presented

        Plaintiff appeals and raises the following issues, as we restate them, for our review:

        1.      Whether the trial court erred in limiting Plaintiff’s voir dire as to the jurors’
                bias or prejudice toward Plaintiff’s medical expert, Dr. Swan, because he had,
                in the past, engaged in improper sexual behavior and because he had
                erroneously responded to a question in a discovery deposition;

        2.      Whether the trial court erred in denying Plaintiff’s renewed motion in limine
                to disallow testimony about Dr. Swan’s sexual acts with his patients that
                occurred over twenty years before the trial;

        3.      Whether the trial court erred in refusing to charge the jury with Plaintiff’s
                proposed jury instructions;

        4.      Whether the trial court erred in refusing to instruct the jury on how they
                should consider evidence of Dr. Swan’s prior sexual misconduct and
                allegations that Dr. Swan had lied under oath; and

        5.      Whether the trial court erred in refusing to strike from Dr. Swan’s evidentiary
                deposition a statement made by Dr. Swan that he had been determined by
                others to have been untruthful in a prior discovery deposition.

                                                   -7-
                                                Voir Dire

         Plaintiff first argues that the trial court erred in limiting Plaintiff’s voir dire concerning its
expert, Dr. Swan. “The scope and extent of the jury examination are within the sound discretion of
the trial judge.” State v. Poe, 755 S.W.2d 41, 45 (Tenn. 1988) (citing State v. Jefferson, 529 S.W.2d
674, 682 (Tenn. 1975)). Accordingly, we will not reverse the trial court’s decision to limit Plaintiff’s
voir dire unless the trial court abused its discretion.

        Tennessee Rule of Civil Procedure 47.01, examination of jurors, provides in pertinent part:

               The court shall permit the parties or their attorneys to conduct the
        examination. At or near the beginning of jury selection, the court shall permit
        counsel to introduce themselves and make brief, non-argumentative remarks that
        inform the potential jurors of the general nature of the case.

Tenn. R. Civ. P. 47.01. Further, “a prospective juror may be examined for the purpose of showing
that he is biased or prejudiced.” Chambers v. Bradley County, 384 S.W.2d 43, 44 (Tenn. Ct. App.
1964). However, a party may not use voir dire to indoctrinate the jurors or exact a pledge from the
jurors that they will vote a certain way. C.J.S. Juries § 463 (1997); see also Chambers, 384 S.W.2d
at 44-45.

        In this case, Plaintiff’s counsel stated:

                 Now, ladies and gentleman, I have a couple of questions that I want to get
        into, and I want to preface the questions that I am going to be asking you by making
        this statement to you. In this case, Dr. David Swan, a physician who lives in the state
        of Kentucky, is going to testify by a video deposition. He is going to testify against
        Dr. Stovall and Dr. Voeller. He is going to say that in his opinion, these gentlemen
        did not comport with the standard of care expected of doctors in this community.

               In this deposition that you’re going to see, you are going to learn that some
        25 or 20 years ago back in 1975 or 1980 in that era that Dr. Swan was guilty of
        inappropriate sexual contact and conduct towards his patients. Dr. Swan . . . is an
        OB/GYN. He has female patients. He is going to tell you in that deposition that he
        had a problem back at that time and that he sought psychological care for that and
        treatment for that problem. Will you, ladies and gentlemen, be able to accept that
        testimony from Dr. Swan?

At this point, Defendants asked to approach the bench. Defendants argued that Plaintiff was arguing
his case to the jury and further that he was trying to extract a promise from the jurors. After hearing
arguments from both parties, the trial court stated:

                                                    -8-
               I’m going to disallow any further questioning about how the jury will
       approach Dr. Swan and his testimony because we’re going to get off track and we
       will never get back.

The trial court properly sustained Defendants’ objection as it could have construed Plaintiff’s
question as an attempt to exact a pledge from the jury that they would accept or believe Dr. Swan’s
testimony. After the trial court sustained Defendant’s objection, the following transpired:

               THE COURT: . . . . You may ask them if they are willing to listen to all of
       the proof and consider all aspects of a person’s testimony in rendering a decision.
       I don’t want anything more than a general question.

               (Whereupon the bench conference ended.)

               [Plaintiff’s Attorney]: Ladies and gentlemen, let me ask this question: Will
       each and every one of you listen to all of the evidence in this case, whatever it might
       be and on whatever subjects it might be on? Will you listen to all of the evidence in
       this case and then give it what weight, faith and credit you feel it’s entitled to under
       Her Honor’s charge? Can each of you do that?

               (No response given.)

              [Plaintiff’s Attorney]: Is there anybody on this panel that feels that they
       cannot listen to all the proof, whatever it might be, and then consider that along with
       everything else and return your verdict? You can all do that?

               (No response given.)

        As previously mentioned, a party may “make brief, non-argumentative remarks that inform
the potential jurors of the general nature of the case” and question jurors to determine if they are
biased or prejudiced. Tenn. R. Civ. P. 47.01; Chambers, 384 S.W.2d at 44. In this case, Plaintiff
had the opportunity to inform the jurors that this was a medical malpractice case and preview Dr.
Swan’s testimony concerning the Defendants’ actions. In addition, Plaintiff was able to inform the
jurors of Dr. Swan’s prior sexual misconduct before the trial court sustained Defendants’ objection.
Finally, after the jurors had heard all the information provided by Plaintiff, Plaintiff was allowed an
opportunity to determine the jurors’ bias or prejudice by asking the jurors whether they would be
able to listen to all of the evidence and testimony presented in the case including Dr. Swan’s prior
misconduct before rendering a decision.

       Plaintiff’s argument that the trial court erred in limiting its voir dire is also based on the
contention that Plaintiff was not allowed to ask whether, after hearing that Dr. Swan made an
untruthful statement in a deposition, the jurors would be so prejudiced that they would not consider
Dr. Swan’s medical testimony in rendering their decision. While the trial court could have allowed

                                                 -9-
Plaintiff to ask permissible voir dire questions on this issue, we cannot find that the trial court
abused its discretion. The trial court limited Plaintiff’s voir dire in the interest of time. See 47 Am.
Jur. 2d Jury § 202 (1995) (citing Centamore v. State, 632 S.W.2d 778 (Tex. Ct. App. 1982)).
Further, Plaintiff admits that “[t]he issue of an untruthful answer [in] a deposition is a significant
issue[] but the issue of inappropriate sexual conduct by a doctor with a patient is nothing less than
emotional dynamite.” Plaintiff informed the jury about Dr. Swan’s prior sexual misconduct and after
the jury learned of Dr. Swan’s conduct, Plaintiff was allowed to determine the jurors’ reaction to this
“emotional dynamite.” Accordingly, the trial court did not commit reversible error in sustaining
Defendants’ objection.

                                         Motion In Limine

         Plaintiff contends that the trial court erred in denying her renewed motion in limine.
This Court affirmed the trial court’s initial denial of her motion in limine because the trial court
did not abuse its discretion in finding that the probative value of Dr. Swan’s prior sexual
misconduct and his untruthful statement given in a discovery deposition substantially outweighed
its prejudicial effect. Sneed v. Stovall, 22 S.W.3d 277, 282 (Tenn. Ct. App. 1999). Plaintiff
contends that the initial motion was renewed because of a change in circumstances. Specifically,
Plaintiff points to the fact that at the time of this Court’s prior decision, Dr. Swan’s medical
license was placed on probation and under other restrictions. Plaintiff argues that the restrictions
on Dr. Swan’s medical license were lifted by the time of Dr. Swan’s evidentiary deposition.
However, the change in the status of Dr. Swan’s license does not change the fact that Dr. Swan
was untruthful in his discovery deposition nor does it change the instances of sexual misconduct
that led up to Dr. Swan’s probation. The trial court’s initial balancing test will not be disturbed
as the probative value of this evidence remains the same. Accordingly, the trial court did not err
in denying Plaintiff’s renewed motion in limine.

                                          Jury Instructions

        Plaintiff next contends that the trial court committed reversible error by failing to include
two of Plaintiff’s requested jury instructions in the instructions actually given to the jury.
Plaintiff requested the following jury instructions:

              1. Specific instances of sexual conduct are not probative of truthfulness or
       untruthfulness.

               2. Specific instance of misconduct by a witness may be used only to apply
       to that witnesses’ character. In deciding what weight and credibility should be
       given to such testimony, you should consider the length of time that has elapsed
       between the occurrence of the specific instances of misconduct and the date when
       the witness testified, whether the witness has shown remorse and/or is contrite for
       such acts and his conduct since those instances of misconduct.

                                                 -10-
The relevant portion of the trial court’s fifteen page jury instructions concerning the jury’s
evaluation of witnesses and expert testimony provide:

               15.04 Ordinary Observations and Experience Although you must only
       consider the evidence in this case in reaching your verdict, you are not required to
       set aside your common knowledge. You are permitted to weigh the evidence in
       the light of your common sense, observations and experience.

               ....

                2.03 Weighing Conflicting Testimony Now, although you must consider
       all the evidence, you are not required to accept all of the evidence as true or
       accurate.
                You should not decide an issue by the simple process of counting the
       number of witnesses who have testified on each side. You must consider all the
       evidence in the case. You may decide that the testimony of fewer witnesses on
       one side is more convincing than the testimony of more witnesses on the other
       side.
                2.20 Credibility of Witness You are the sole and exclusive judges of the
       credibility or believability of the witnesses who have testified in this case. You
       must decide which witnesses you believe and how important you think their
       testimony is. You are not required to accept or reject everything a witness says.
       You are free to believe all, none, or part of any person’s testimony.
                In deciding which testimony you believe, you should rely on your own
       common sense and everyday experience. There is no fixed set of rules to use in
       deciding whether you believe a witness, but it may help you to think about the
       following questions:
                ....
                7. Was the witness making an honest effort to tell the truth, or did the
       witness evade questions?
                8. Did the witness have any interest in the outcome of the case?
                9. Did the witness have any motive, bias or prejudice that would influence
       the witness’ testimony?
                10. How reasonable was the witness’ testimony when you consider all of
       the other evidence in the case?
                11. Was the witness’ testimony contradicted by what that witness has said
       or done at another time, by the testimony of other witnesses, or by other evidence?
                12. Has there been evidence regarding the witness’ intelligence,
       respectability, or reputation for truthfulness?
                13. Has the witness’ testimony been influenced by any promises, threats,
       or suggestions?
                14. Did the witness admit that any part of the witness’ testimony was not
       true?

                                                -11-
               ....

                2.30 Expert Testimony - Determination of Weight Usually witnesses
       are not permitted to testify as to opinions or conclusion. However, a witness who
       has scientific, technical, or other specialized knowledge, skill, experience,
       training, or education may be permitted to give testimony in the form of an
       opinion. These witnesses are often referred to as “expert witnesses.” In this
       case[,] several doctors, including the defendants, testified as expert witnesses.
                6.18/6.05 Standard of Medical Care Determined by Expert Testimony
       It is your obligation to determine, from the testimony of these expert witnesses,
       the recognized standard of acceptable professional practice in each defendant’s
       profession for this or a similar community. This is also referred to as the
       “Standard of Care.” In this case you must determine the Standard of Care for both
       an Obstetrician and Gynecologist as well as a General Surgeon. In making this
       determination, you must only consider the opinions of the physicians, including
       the defendants, who have testified concerning this standard. If you find that the
       physicians disagree, then you must resolve the conflict by considering the
       following:
                2.30 Expert Testimony - Determination of Weight
                        1. The education, qualifications, and experience of
                        each doctor;
                        2. The credibility of each doctor;
                        3. The facts relied upon by each doctor to support
                        his or her opinions; and
                        4. The reasoning used by each doctor to arrive at
                        his or her opinions.
                ....

              6.18 Standard (part 2) The testimony of a physician as to what that
       physician personally would do or would not do or the personal opinion of a
       physician of what should have been done or could not have been done does not
       prove the standard of care.

After comparing the proposed instructions with the instructions actually given, we find that the
substance of Plaintiff’s proposed instructions were contained in the court’s instructions,
particularly instruction 2.30 concerning the determination of weight for expert testimony. See
Wilkerson v. Altizer, 845 S.W.2d 744, 748-49 (Tenn. Ct. App. 1992). As a result, the trial court
did not commit reversible error in excluding Plaintiff’s requested instructions.

        Plaintiff also contends that the trial court committed reversible error by not properly
instructing the jury on how they should consider the evidence alleging Dr. Swan’s sexual
misconduct and untruthfulness in a discovery deposition. This Court finds that the jury

                                                -12-
instructions given were sufficient instruction on how they should consider Dr. Swan’s prior
misconduct and untruthfulness.

                             Testimony from Evidentiary Deposition

       Plaintiff contends that the trial court erred by refusing to strike from the record testimony
given by Dr. Swan at his evidentiary deposition. In Dr. Swan’s evidentiary deposition, after
being asked by Defendants whether he admitted that the previous testimony given in the
discovery deposition was untruthful, Dr. Swan responded:

                I have testified, sir, that as I understood the question at the time, I felt that
       it was a truthful statement. I have also testified, sir, that subsequent to that, other
       opinions concerning the truthfulness of that statement have been reviewed by the
       Courts and I have [been] found to be untruthful in their interpretation of it. I have
       accepted their interpretation of that question and, therefore, on that basis, yes, sir,
       I was untruthful. At the time [of the discovery deposition] to the best of my
       ability I believe I was trying to answer that question in a truthful statement.

Plaintiff subsequently filed a motion in limine requesting the trial court to strike from Dr. Swan’s
evidentiary deposition any testimony disclosing either the trial court’s or this Court’s opinion of
Dr. Swan’s untruthfulness. In the trial court’s order on Plaintiff’s motion in limine, the trial court
struck from the above quoted portion of Dr. Swan’s testimony the words “by the Courts.”

        Dr. Swan’s response to Defendants’ question was his way of admitting he lied. The trial
court properly left this testimony in the deposition for the jury to hear. Further, Plaintiff cites no
legal authority for his argument and this Court, based on the foregoing, finds this issue to be
without merit.

                                             Conclusion

        In light of the foregoing, we affirm the decisions of the trial court. Costs of this appeal
are taxed to the Appellant, Brenda J. Sneed, and her surety, for which execution may issue if
necessary.

                                                         ___________________________________
                                                         DAVID R. FARMER, JUDGE

                                                  -13-