Over the past 20 years, there have been dramatic changes in Pennsylvania—and across the United States—in how birth injury cases are litigated. While tort reform sparked many changes at the state level, other changes have been slow-rolling, and have involved advancements in medical technologies and evolving attitudes of patients, doctors and the public at large.

Below I offer a retrospect on the legal game changers that, in my opinion, have shaped the past two decades of birth injury litigation and my thoughts on what birth injury litigators should expect (and prepare for) in the future.

The Rise of the Hospitalist