Largey v. Rothman — Self-Test Quiz

Q1: What area of law does Largey v. Rothman primarily address?


Torts

Q2: What was the central legal issue in Largey v. Rothman?


In an informed consent action, is a physician's duty to disclose governed by the professional (physician-centered) standard or by the patient-oriented materiality standard; and, for causation, must the plaintiff prove subjectively that she would have declined the procedure if informed, or objectively that a reasonably prudent patient in her position would have decided differently?

Q3: What rule did the court apply?


New Jersey adopts the patient-oriented standard: a physician must disclose all material information that a reasonably prudent patient would consider significant in deciding whether to undergo a proposed procedure, including the nature of the condition, the nature and probability of risks, the alternatives (including no treatment), and the risks of those alternatives. Materiality turns on the frequency and severity of potential outcomes, not on medical custom. Expert testimony is not required to establish the disclosure standard but may be necessary to explain the nature, extent, probability, and gravity of medical risks and alternatives. Causation is evaluated objectively: the plaintiff must show that a reasonably prudent patient in the plaintiff's position would have declined the procedure or chosen a different course had the material information been disclosed. Recognized exceptions include emergencies, risks commonly known, risk information already known or reasonably expected to be known by the patient, and therapeutic privilege (a narrow exception when disclosure would pose a serious threat to the patient's well-being).

Q4: What was the court's holding?


The Supreme Court of New Jersey adopted the patient-oriented materiality standard for informed consent and an objective test for causation, rejected the professional disclosure standard, and affirmed the Appellate Division's remand for a new trial with proper instructions.

Q5: Why is Largey v. Rothman significant?


Largey is New Jersey's leading case on informed consent. It (1) aligns the duty of disclosure with patient autonomy by adopting a materiality standard, (2) clarifies that expert testimony goes to risk description and probabilities, not to defining the disclosure duty, (3) adopts an objective causation test, and (4) distinguishes informed consent (negligence) from unauthorized touching (battery). For students, it is a model opinion linking doctrine and policy, frequently appearing in torts and professional-responsibility contexts and shaping jury instructions and litigation strategy in medical malpractice cases.

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