Monday, February 8, 2016

Motherisk: The CBC's Ron Charles reports that "(the) Motherisk scandal highlights risk of deferring to experts without questioning credentials," - as he skillfully points out that "(the) Lab's flawed hair testing echoes Charles Smith scandal, with similarly devastating effects."..."Early in Smith's career, a judge in a murder trial admonished him for his poor work and faulty autopsy conclusions. In Koren's case, he had a public spat with his colleagues over research into an experimental drug in the 1990s, sent them nasty, anonymous letters, then lied about it, resulting in a one-week suspension. Both Smith and Koren nevertheless went on to become the go-to forensics experts on certain types of cases; In both instances, the hospital that housed their labs was found to have exercised scant oversight to ensure the labs were run by qualified experts and met international standards for forensics. "That SickKids failed to exercise meaningful oversight over MDTL's (Motherisk Drug Testing Laboratory) work must be considered in the context of the hospital's experience with Dr. Charles Smith," Lang wrote in her report. She also pointed out how in both situations, the association with the hospital bolstered the doctors' reputations and others' assumptions about their qualifications. "Just as the SickKids name assisted in positioning Dr. Smith to become a leading expert in pediatric forensic pathology, that name likely gave credibility to the work of MDTL, as well," Lang wrote." (Must, Must Read. HL);


STORY: "Motherisk scandal highlights risk of deferring to experts without questioning credentials," by reporter Ron Charles, published  on February 8, 2016 by CBC News.

SUB-HEADING: "Lab's flawed hair testing echoes Charles Smith scandal, with similarly devastating effects."

PHOTO CAPTION: "Expert' testimony given in court by physicians and scientists has a powerful, persuasive effect, and the credentials of the people giving it are often not questioned as rigorously as they should be. A 2008 inquiry into the work of the discredited pathologist Charles Smith, above, found that he made false and misleading statements in court and exaggerated his expertise."

STORY: "The scene plays out daily in courtrooms across the country. An expert witness in forensics is sworn in. Their often lengthy resume is entered into the record. A lawyer and maybe the judge ask a few questions about qualifications. Then, in almost all cases, that expert is good to go, considered qualified to testify about a wide range of forensic evidence — from autopsy results to blood splatter patterns. But a recent review of the Motherisk scandal at Toronto's SickKids Hospital has highlighted just how flawed that deference to "experts" can be. The review looked into hair analysis done at the Motherisk Drug Testing Laboratory, whose hair strand testing was used to back up allegations of drug and alcohol abuse in thousands of child protection cases in several provinces and even some criminal cases. It found that neither the lab's director, clinical toxicologist Gideon Koren, nor his staff had the qualifications or expertise to do that kind of forensic work, and those findings have now thrown 16,000 child protection cases and six criminal cases into doubt. Gideon Koren, the former head of the Motherisk Drug Testing Laboratory at SickKids Hospital in Toronto, was a clinical toxicologist but had no training or experience in forensic toxicology. Nevertheless, he testified in court on several occasions as a forensic expert. (CBC) It is the second time in a decade that a doctor at SickKids Hospital who had been serving as a forensic expert turned out to have no forensic experience or credentials that would qualify him to give expert testimony in court or analyze forensic evidence. In the previous case, a lack of "basic knowledge about forensic pathology" and faulty analysis of autopsy results by Charles Smith, the former director of the hospital's pediatric forensic pathology unit, led to at least 12 wrongful convictions of parents or caregivers for the deaths of children, according to a 2008 public inquiry. So, how did two spectacularly unqualified individuals end up as respected forensics experts working at one of the world's most renowned pediatric medical facilities? "It's a failing across the system. It's a failing of prosecutors, defence and, in some occasions, the judiciary," said James Lockyer, senior counsel to the board of the Association in Defence of the Wrongly Convicted. "Smith made himself into an icon despite warning signals. No one picked up on them. Koren has a terrible history." While there are significant differences between the two situations, the similarities are striking:  Both Smith and Koren were charismatic physicians whose charisma seemed to overshadow the fact that they were out of their depth when it came to doing forensic work, work that in both cases contributed to parents losing custody of their children or losing their own freedom and serving jail time;  Officials ignored warning signs about both men. Early in Smith's career, a judge in a murder trial admonished him for his poor work and faulty autopsy conclusions. In Koren's case, he had a public spat with his colleagues over research into an experimental drug in the 1990s, sent them nasty, anonymous letters, then lied about it, resulting in a one-week suspension. Both Smith and Koren nevertheless went on to become the go-to forensics experts on certain types of cases; In both instances, the hospital that housed their labs was found to have exercised scant oversight to ensure the labs were run by qualified experts and met international standards for forensics.  "That SickKids failed to exercise meaningful oversight over MDTL's work must be considered in the context of the hospital's experience with Dr. Charles Smith," Lang wrote in her report. She also pointed out how in both situations, the association with the hospital bolstered the doctors' reputations and others' assumptions about their qualifications. "Just as the SickKids name assisted in positioning Dr. Smith to become a leading expert in pediatric forensic pathology, that name likely gave credibility to the work of MDTL, as well," Lang wrote. Lawyer and retired newspaper reporter Harold Levy saw firsthand how Smith avoided scrutiny throughout his 15-year career by exuding charisma and confidence while testifying. 'When Smith walked in, the legend walked in.' - Harold Levy, lawyer and former reporter' "He created such a powerful, holy, godly image of himself that people accepted him for what he held himself out to be," said Levy, who now writes a blog named after the disgraced pathologist that tracks examples of flawed forensic science. "When Smith walked in, the legend walked in. And very few lawyers challenged him. Sometimes, innocent people, innocent parents, would plead guilty because they were told by their lawyers that his testimony was so powerful and influential that they would be convicted even though they were innocent.".........A lack of oversight by the world-renowned Hospital for Sick Children, known as SickKids, was cited as a contributing factor to a breakdown of accountability in both the Smith and Koren cases. The hospital says it has instituted new measures to ensure staff who will be working within the justice system receive adequate training. (CBC).........Lang writes that both the Smith and Koren debacles at SickKids "highlighted the dangers associated with having a laboratory within the institution that routinely provided a forensic service yet was led by individuals who lacked any forensic training."

The entire story can be found at:

http://www.cbc.ca/news/health/motherisk-experts-forensic-testimony-1.3433881

PUBLISHER'S NOTE: 
 
Dear Reader. Keep your eye on the Charles Smith Blog. We are following this case.
 
I have added a search box for content in this blog which now encompasses several thousand posts. The search box is located  near the bottom of the screen just above the list of links. I am confident that this powerful search tool provided by "Blogger" will help our readers and myself get more out of the site.

The Toronto Star, my previous employer for more than twenty incredible years, has put considerable effort into exposing the harm caused by Dr. Charles Smith and his protectors - and into pushing for reform of Ontario's forensic pediatric pathology system. The Star has a "topic" section which focuses on recent stories related to Dr. Charles Smith. It can be found at: 
 
http://www.thestar.com/topic/charlessmith

 
Information on "The Charles Smith Blog Award"- and its nomination process - can be found at: 


http://smithforensic.blogspot.ca/2013/12/the-charles-smith-award-presented-to_28.html


Harold Levy: Publisher;