ARCHIVES OCT 17 > 2013 Forensic Course

ACMT Seminars in Forensic Toxicology:
Consultation in the Civil & Criminal Arenas

November 12 - 13, 2013
Baltimore, MD

Many medical and forensic professionals provide consultation to attorneys and others needing expert advice. ACMT is proud to announce our next Seminar addressing not only the important role of these professionals in a legal context, but also emphasizing those concepts that are applicable to all medical legal situations. Our goal is to improve the quality and focus of the medical and forensic opinions about medications and toxins provided in both civil and criminal cases and to assure that all parties receive the best expert advice. Causation and Impairment are two concepts that will be highlighted as common and consequential issues in the forensic arena.

Course Description

Utilizing lectures, small group and panel discussions, many of which will be case-based, this practical course will allow the participant to:

  • Understand the various types of toxicological opinions requested in cases of drug and alcohol impairment, medical malpractice, product liability, and other toxic torts.
  • Differentiate the expectations of toxicological consultation in the criminal vs civil context.
  • Discuss principles of causation and expert qualification.
  • Describe scientific rational for impairment thresholds, and the interpretation and extrapolation of drug and alcohol concentrations.
  • Discuss the meaning of such terms as "standard of care", “intent”, "more likely than not", "'strict' and 'limited' liability".
  • Improve the quality of forensic consultation by optimizing case selection, improving report writing, and deposition and trial testimony.

Continuing Medical Education: Hartford Hospital is accredited by the Connecticut State Medical Society to sponsor Continuing Medical Education for Physicians. Hartford Hospital designates this educational activity for a maximum of 14 AMA PRA Category1 credit (s) ™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.


Day 1

Tuesday, November 12, 2013
Fundamentals of Being a Toxicology Medical Legal Expert

7:00-8:00am Registration and Continental Breakfast
8:00-8:05am Welcome and Introductions
So You Think You Are an Expert?
Brian N. Hail, JD, Gruber Hurst Johansen Hail Shank LLP, Dallas, TX
Stacey L. Hail, MD, University of Texas Southwestern Medical Center, Dallas, TX
Elements of a Civil Case
Brian N. Hail, JD
Elements of a Criminal Case
Joel R. Meyers, JD, Assistant United States Attorney New Mexico
Elements of Workers' Compensation and the IME Evaluation
Brent T. Burton, MD, FACMT, Private Practice Consulting Medical Toxicologist, Portland, OR
10:10-10:30am Break 
Admissibility of Evidence: Frye and Daubert
Brian N. Hail, JD
What Is Causation?
Jeffrey Brent, MD, PhD, FACMT, University of Colorado School of Medicine, Denver, CO
Lunch Served
Initial Case Management and Starting/Building a Forensic Practice
Moderator: Charles A. McKay, MD, FACMT
Panel: A. Nelson Avery, MD, FACMT; Jeffrey Brent, MD, PhD, FACMT; Brent T. Burton, MD,MPH, FACMT; Michael G. Holland, MD, FACMT
Courtroom Pearls from the Medical Examiner
James R. Gill, MD, Connecticut Chief Medical Examiner, Farmington, CT
The Toxicology Expert Written Report
Coordinator: Lewis S. Nelson, MD, FACMT, New York University School of Medicine, New York NY
Discussants: A. Nelson Avery, MD, FACMT; Michael G. Holland, MD, FACMT; Brent T. Burton, MD, FACMT
Mock Deposition
Brian N. Hail, JD and ACMT Members
6:00-7:30pm Reception 

Day 2

Wednesday, November 13, 2013
Applying Principles to Specific Cases Involving Alcohol, Drugs, and Chemicals

7:00-8:00am Continental Breakfast

Retrograde Extrapolation and other ETOH Calculations
Robert B. Forney, Jr., PhD, DABFT, Lucas County Coroner's Office, Toledo, OH


Impairment of Driving Related Abilities by Alcohol vs. "Visible Impairment" (the Dram Shop Quandary)
Robert B. Forney, Jr., PhD, DABFT; Brent T. Burton, MD, MPH, FACMT

9:20-10:00am Breakout Sessions: Ethanol Cases
10:00-10:20am Break

Issues in Post-Mortem Xenobiotic Measurements
Barry K. Logan, PhD, DABFT, NMS Labs, Willow Grove, PA


Mass Toxic Tort and Product Liability Cases
Jeffrey Brent, MD, PhD, FACMT

Environmental Toxic Tort Cases
A. Nelson Avery, MD, FACMT
12:05-1:05pm Lunch - on your own
Potpourri of Criminal Cases
Stacey L. Hail, MD; Barry K. Logan, PhD, DABFT; Joel R. Meyers, JD
Potpourri of Civil & Malpractice Cases
Lewis S. Nelson, MD, FACMT, New York University School of Medicine, New York NY
Charles A. McKay, MD, FACMT, University of Connecticut School of Medicine, Hartford, CT
Paul M. Wax, MD, FACMT, University of Texas Southwestern School of Medicine, Dallas, TX
3:00-3:15pm Break
Potpourri of Workers' Compensation and IME Cases
Brent T. Burton, MD, MPH, FACMT and Michael G. Holland, MD, FACMT
4:00-4:30pm Panel Discussion and Open Questions

Conflict of Interest Policy:  All planning committee members responsible for planning CME activities sponsored by Hartford Hospital are required to disclose any actual or apparent conflict of interest related to the content of the presentation via the CME program application. In addition, program planners have an obligation to resolve any actual conflicts by recusing themselves from planning this program so as not to appear to influence the content.


The Hilton Baltimore
401 W. Pratt Street
Baltimore, MD 21201