Dereliction of a Duty Directly causing Damages. The 4 D's are:
(1)Duty=responsibility established by physician-patient relationship.
(2)Dereliction or Neglect of Duty=physician's failure to act as any ordinary and prudent physician (a peer) would act in a similar circumstance (standard of care).
(3)Direct or Proximate Cause= the continuous sequence of events, unbroken by any intervening cause, that produces an injury and without which the injury would not have occurred.
(4)Damages=refer to any injuries caused by the defendant (physician).
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