A-25-14 Patricia Delvecchio v. Township of Bridgewater (074936) , 224 N.J. 559 ( 2016 )


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  •                                                     SYLLABUS
    (This syllabus is not part of the opinion of the Court. It has been prepared by the Office of the Clerk for the
    convenience of the reader. It has been neither reviewed nor approved by the Supreme Court. Please note that, in the
    interest of brevity, portions of any opinion may not have been summarized.)
    Patricia Delvecchio v. Township of Bridgewater (A-25-14) (074936)
    Argued October 27, 2015 – Decided April 28, 2016
    Patterson, J., writing for a unanimous Court.
    In this appeal, the Court considers whether a plaintiff may rely on the testimony of a treating physician,
    who has not been designated as an expert witness, to establish the existence of a disability for a claim under the New
    Jersey Law Against Discrimination (LAD), N.J.S.A. 10:5-1 et seq.
    On February 18, 1999, plaintiff Patricia A. Delvecchio commenced employment with the Township of
    Bridgewater (Township) as a dispatcher for the Police Department (Department). At that time, the Township
    maintained three shifts for police dispatchers, including a midnight shift, and required dispatchers to work each of
    the shifts on a rotating basis. In 2003, plaintiff developed inflammatory bowel syndrome (IBS), and began treatment
    with Dr. Gary Ciambotti (Ciambotti), a gastroenterologist. Ciambotti wrote to plaintiff’s supervisors and stated that
    her symptoms were under control as long as she worked regular daytime hours, but would be exacerbated by an
    assignment to the midnight shift.
    In response to plaintiff’s requests, the Township initially provided her with a steady afternoon shift, but
    subsequently stated that it was no longer possible to assign her consistently to the daytime shift due to the burden
    that this imposed on other employees who covered the remaining shifts. Plaintiff asked the Township to reconsider,
    and the Township then permitted her to continue working daytime shifts, but with no guarantee that she could
    entirely avoid midnight shifts. The Township subsequently required her to be available for an occasional midnight
    shift, as necessary.
    In September 2006, plaintiff also began treating with Dr. Joseph Rochford (Rochford), a psychiatrist, who
    diagnosed her as having anxiety and panic attacks. After a staffing change increased plaintiff’s concern that she
    would again be required to work midnight shifts, she provided the Township with notes from Rochford, who stated
    that such assignments would exacerbate plaintiff’s stress condition, and Ciambotti, who reiterated his opinion that
    she should not be compelled to work midnight shifts. In March 2007, Ciambotti stated that it was absolutely
    medically necessary that the Township refrain from assigning plaintiff to midnight shifts.
    On December 24, 2007, plaintiff declined her supervisor’s request that she work a midnight shift, and
    another dispatcher was required to remain on duty to cover the shift. This precipitated complaints by other
    dispatchers, and the Township concluded that plaintiff’s unwillingness to work a midnight shift imposed an undue
    burden on it. The Township asked plaintiff to resign. She refused, and accepted another position with the Township
    as a records clerk, but at a lower salary. On September 16, 2009, the Township terminated plaintiff's employment
    for neglect of duty and chronic/excessive absenteeism.
    Plaintiff filed a complaint for disability discrimination and retaliation under the LAD challenging her
    termination from employment. In response to defendants’ discovery requests, plaintiff stated that she had not
    retained any expert witnesses, but identified Ciambotti and Rochford as treating physicians who were expected to
    testify. Plaintiff summarized Ciambotti’s proposed testimony, but did not serve expert reports from Ciambotti or
    Rochford. The trial court sustained defendant’s objection to the testimony, and did not permit Ciambotti to opine on
    his diagnosis and treatment for plaintiff since he had not prepared an expert report. The court also limited
    Rochford’s testimony by precluding any opinion regarding plaintiff’s diagnosis.
    At the conclusion of the trial, the jury returned a verdict of no cause of action. The trial court denied
    plaintiff’s motions for judgment notwithstanding the verdict and for a new trial. Plaintiff appealed. In an
    unpublished decision, the Appellate Division reversed and remanded for a new trial on the ground that the trial court
    1
    had improperly restricted the testimony of Ciambotti. This Court granted defendant’s petition for certification. 
    220 N.J. 98
     (2014).
    HELD: The testimony of a treating physician is admissible to support a plaintiff’s disability claim under the LAD,
    provided that the proponent gives notice of the testimony to the adverse party, responds to discovery requests in
    accordance with the Rules of Court, and the testimony satisfies N.J.R.E. 701 and other applicable Rules of Evidence.
    Plaintiff provided the information that defendants requested in discovery regarding the proposed treating physician
    witnesses, and the trial court should have permitted her to present the vital testimony of these witnesses.
    1. The applicable standard of review requires that an appellate court not reverse a trial court’s determination of a
    motion for a new trial unless it clearly appears that there was a miscarriage of justice under the law. R. 2:10-1. A
    reviewing court should not disturb the findings of the jury merely because it would have found otherwise upon
    review of the same evidence; a jury verdict, which is challenged as against the weight of the evidence, is
    impregnable unless so distorted and wrong that it plainly constitutes a miscarriage of justice. (pp. 16-17)
    2. Plaintiff’s claims are premised on N.J.S.A. 10:5-4.1, which prohibits unlawful discrimination based on a
    disability unless the nature and extent of the disability reasonably precludes the performance of the particular
    employment. Plaintiff offered the treating physician testimony that the trial court excluded in an effort to address a
    pivotal element of the claim by establishing that she had a disease or condition that constitutes a disability under the
    LAD. The LAD broadly defines a protected disability, and covers both physical and non-physical disabilities. A
    claim under the LAD based on a non-physical disability, where the existence of a handicap is not readily apparent,
    must be supported by expert medical evidence in the form of objective medical testimony that will allow the jury to
    understand the disease or condition alleged to constitute a disability. (pp. 17-23)
    3. Treating physicians have been consistently permitted to offer medical testimony regarding the diagnosis and
    treatment of their patients. When treating physicians are called to offer such testimony, they are not testifying as
    expert witnesses, but, instead, are offering factual evidence and opinion evidence governed by N.J.R.E. 701. The
    Rule allows a court to admit testimony of a lay witness in the form of opinions or inferences provided that the
    testimony is rationally based on the perception of the witness, and will assist in understanding the witness’s
    testimony or in determining a fact in issue. The testimony of a treating physician must be limited to issues that are
    relevant to the diagnosis and treatment of the individual patient. If a particular claim requires medical testimony
    beyond the scope of such individual patient care, expert testimony may be required. (pp. 23-25; p. 27)
    4. Our court rules provide for pretrial disclosure to the opposing party in discovery of information relating to
    treating physicians, including by interrogatories, deposition, and provision of the treating physician’s report, in order
    to allow the adverse party to explore and assess the physician’s testimony prior to trial. A party seeking to present
    the testimony of a treating physician at trial must therefore disclose to the adverse party the substance of the
    witness’s anticipated testimony and the basis for the testimony, if requested to do so in discovery. (pp. 25-27)
    5. Prior decisions of this Court do not preclude the admission of treating physician testimony to support a LAD
    claim based on the existence of a disability. The question of disability is a medical determination, and the testimony
    of a qualified witness will assist the jury in making that determination. If the question of a plaintiff’s disability can
    effectively be addressed by testimony limited to the plaintiff’s diagnosis and treatment, a treating physician may
    provide the necessary expert medical evidence through objective medical testimony. (pp. 27-28)
    6. Under these principles, the trial court should have permitted the proposed testimony of plaintiff’s treating
    physician, limited to his diagnosis and treatment of plaintiff. The court’s constraint on the testimony of the treating
    physician was not harmless error because plaintiff was not afforded a fair opportunity to prove that she suffered
    from a disability under the LAD. The trial court also erred when it restricted the testimony of plaintiff’s treating
    psychiatrist since the opinions that plaintiff sought to elicit from him were properly confined to her symptoms,
    diagnosis and care. Due to the limitations that the trial court imposed on the testimony of the treating physician,
    there is a miscarriage of justice warranting the grant of a new trial. (pp. 28-31)
    The judgment of the Appellate Division is AFFIRMED, and the matter is remanded to the trial court for a
    new trial.
    2
    CHIEF JUSTICE RABNER; JUSTICES LaVECCHIA, ALBIN, and SOLOMON; and JUDGE
    CUFF (temporarily assigned) join in JUSTICE PATTERSON’s opinion. JUSTICE FERNANDEZ-VINA did
    not participate.
    3
    SUPREME COURT OF NEW JERSEY
    A-25 September Term 2014
    074936
    PATRICIA DELVECCHIO,
    Plaintiff-Respondent,
    v.
    TOWNSHIP OF BRIDGEWATER, TOWNSHIP OF
    BRIDGEWATER POLICE DEPARTMENT, CHIEF
    RICHARD BORDEN, and WILLIAM CONNIFF,
    Defendants-Appellants,
    and
    EDWIN J. SKIDMORE and CATHY HAMILTON,
    Defendants.
    Argued October 27, 2015 – Decided April 28, 2016
    On certification to the Superior Court,
    Appellate Division.
    Alan Bart Grant argued the cause for
    appellants (Mauro, Savo, Camerino, Grant &
    Schalk, attorneys).
    Brian M. Cige argued the cause for
    respondent.
    Thaddeus P. Mikulski, Jr., argued the cause
    for amicus curiae National Employment
    Lawyers Association of New Jersey, Inc.
    JUSTICE PATTERSON delivered the opinion of the Court.
    In this appeal, we consider whether a plaintiff employee
    may rely on the testimony of a treating physician, who has not
    been designated as an expert witness, to demonstrate a
    1
    disability in her discrimination claim under the Law Against
    Discrimination (LAD), N.J.S.A. 10:5-1 to -42.
    Plaintiff Patricia A. Delvecchio was employed by the
    Township of Bridgewater (Township) as a police dispatcher for
    the Township’s Police Department (Department).    She alleged that
    she suffered from inflammatory bowel syndrome (IBS), and that
    her condition worsened when she was assigned to work the
    midnight shift.   After repeatedly declining assignments to the
    midnight shift, plaintiff was asked to resign from her position.
    She then accepted a lower-paying job as a records clerk for the
    Township.   Plaintiff used more than her allotted sick days, and
    the Township terminated her employment.
    Plaintiff filed a LAD disability discrimination complaint
    against the Township, the Department, and individual defendants.
    She contended, among other claims, that her IBS constituted a
    disability for purposes of LAD, and that defendants failed to
    provide a reasonable accommodation for that disability when they
    set the schedule for her work as a police dispatcher.     Plaintiff
    disclosed in pretrial discovery that, in support of her
    disability claim, she intended to present the testimony of her
    treating gastroenterologist, who had diagnosed her with IBS and
    had written several notes to the Township regarding her medical
    condition and her work schedule.     She also advised defendants
    2
    that she intended to present the testimony of her treating
    psychiatrist to substantiate her claim for non-economic damages.
    The trial court barred the testimony of both treating
    physicians regarding plaintiff’s diagnosis and treatment on the
    grounds that neither physician had been retained and designated
    as an expert witness and that neither witness had prepared a
    report.    The jury determined that plaintiff had failed to
    establish that she had a disability that prevented her from
    working midnight shifts, and that she had not met her burden to
    prove retaliation.    After the jury returned a verdict in favor
    of defendants, the trial court denied plaintiff’s motion for a
    new trial.   Plaintiff appealed, and an Appellate Division panel
    reversed the trial court’s judgment.   It held that the trial
    court committed error when it limited the testimony of
    plaintiff’s treating gastroenterologist and remanded the case
    for a new trial.
    We affirm the judgment of the Appellate Division.     Subject
    to the notice and discovery requirements of our court rules and
    the requirements of N.J.R.E 701 and other Rules of Evidence, our
    case law authorizes a trial court to admit the testimony of a
    treating physician regarding the diagnosis and treatment of a
    patient.   Stigliano v. Connaught Labs., Inc., 
    140 N.J. 305
    , 314
    (1995); Ginsberg v. St. Michael’s Hosp., 
    292 N.J. Super. 21
    , 32-
    33 (App. Div. 1996); N.J.R.E. 701; R. 4:10-2(d); R. 4:17-4.     In
    3
    this case, plaintiff provided the information requested in
    defendants’ interrogatories regarding her proposed treating
    physician witnesses, and the trial court should have permitted
    her to present the vital testimony of those witnesses pursuant
    to N.J.R.E. 701.     In light of the pivotal role of the IBS issue
    in the jury’s verdict, the trial court’s decision to limit the
    testimony of the treating gastroenterologist constituted
    reversible error.    Accordingly, plaintiff is entitled to a new
    trial.
    I.
    On February 18, 1999, plaintiff commenced her employment as
    a police dispatcher for the Township.      At the time, the Township
    maintained three shifts for police dispatchers:      a morning
    shift, an afternoon shift and a midnight shift.      The Township’s
    job description for dispatchers required employees to work all
    three shifts on a rotating basis, with assignments determined in
    part by seniority.
    In 2003, plaintiff developed a digestive condition that
    would later be diagnosed as IBS.1      Shortly thereafter, she became
    1  IBS is one of the “most common functional gastrointestinal
    disorders worldwide. . . . with anywhere from 5 to 15% of the
    general population experiencing symptoms that would satisfy a
    definition of IBS[.]” Alexander C. Ford et al., American
    College of Gastroenterology Monograph on the Management of
    Irritable Bowel Syndrome and Chronic Idiopathic Constipation,
    109 Am. Journal of Gastroenterology S2 (Supp. 1 Aug. 2014). It
    is diagnosed when the patient experiences “[r]ecurrent abdominal
    4
    a patient of Gary Ciambotti, M.D., a gastroenterologist.      At
    plaintiff’s request, Dr. Ciambotti wrote a series of notes to
    her supervisors at the Township.      In several of his notes, Dr.
    Ciambotti stated that plaintiff’s IBS symptoms were under
    control as long as she worked regular daytime hours, but would
    be exacerbated by an assignment to the midnight shift.
    In response to plaintiff’s requests and Dr. Ciambotti’s
    correspondence, the Township initially provided plaintiff with a
    steady afternoon shift for six months, and extended that
    arrangement for an additional year.      In October 2005, a
    supervisor advised plaintiff that it was no longer possible for
    the Township to consistently assign her to a daytime shift, due
    to the burden imposed on other employees who covered the
    remaining shifts.    Plaintiff asked the Township to reconsider,
    and with the cooperation of plaintiff’s colleagues, she was
    permitted to continue working daytime shifts, but with no
    guarantee that she would be permitted to entirely avoid midnight
    shift assignments.   At plaintiff’s request, Dr. Ciambotti
    advised the Township in November 2005 that plaintiff could work
    an occasional midnight shift.
    pain or discomfort,” in conjunction with two or more associated
    digestive symptoms, at least three days per month over a three-
    month period. 
    Ibid.
    5
    Weeks later, however, plaintiff sought to be excused from
    work entirely until the Township limited her schedule to daytime
    shifts.   In response to another letter from Dr. Ciambotti, the
    Township granted a further accommodation, assigning plaintiff to
    afternoon shifts to the extent that such shifts were available.
    The Township required that plaintiff be available to work an
    occasional midnight shift, and denied her request for extended
    sick leave.2
    In September 2006, Dr. Joseph Rochford, a psychiatrist,
    began treating plaintiff.   He diagnosed plaintiff with anxiety
    and panic attacks and prescribed medication.   After a staffing
    change caused plaintiff to worry that she would again be asked
    to work midnight shifts, she obtained a note from Dr. Rochford,
    who stated that midnight shift assignments would exacerbate
    plaintiff’s “stress” condition, and a note from Dr. Ciambotti,
    who again opined that plaintiff should not be compelled to work
    midnight shifts.   In March 2007, Dr. Ciambotti stated that it
    2  The Township arranged for plaintiff to be examined by a
    gastroenterologist, who confirmed the diagnosis of IBS, but
    maintained that, with proper medication, plaintiff was capable
    of working “in her normal fashion.” The Township also required
    that plaintiff be evaluated by a psychologist, who found no
    evidence of “significant clinical pathology” but confirmed that
    plaintiff was under stress when she anticipated the necessity of
    working a midnight shift.
    6
    was “absolutely medically necessary” that the Township refrain
    from assigning plaintiff to midnight shifts.
    The dispute between plaintiff and the Township escalated on
    December 24, 2007, when plaintiff declined her supervisor’s
    request that she work a midnight shift, complained of heart
    palpitations, and was taken to a hospital.    Another dispatcher,
    who had already worked a shift and a half, was compelled to
    remain on duty for the shift assigned to plaintiff.    This
    development precipitated complaints by other dispatchers.      At
    that point, the Township concluded that plaintiff’s
    unwillingness to work a midnight shift had imposed an undue
    hardship on it.    After a renewed request by Dr. Ciambotti that
    plaintiff not be assigned any midnight shifts, even in
    emergencies, the Township asked her to resign.    Plaintiff
    refused, and asked whether the Township could offer her another
    job opportunity.    Plaintiff was then offered, and accepted, a
    position as a records clerk at a salary lower than the salary
    that she was paid as a police dispatcher.
    On September 16, 2009, plaintiff’s employment as a records
    clerk for the Township was terminated.    The Township cited
    plaintiff’s record of taking sick days in excess of the number
    allotted to her in 2007, 2008 and 2009.    It attributed her
    termination to “neglect of duty” and “chronic/excessive
    absenteeism.”
    7
    II.
    Plaintiff filed a LAD complaint against the Township, the
    Department and four individual defendants.3   In an amended
    complaint, plaintiff claimed that she was subjected to a hostile
    work environment as a result of her alleged disability, that
    defendants failed to provide a reasonable accommodation for her
    disability, that she was wrongfully demoted or transferred from
    her position as a police dispatcher as a result of her
    disability, that her employment as a records clerk was
    wrongfully terminated, and that she was subject to retaliation.
    Defendants denied plaintiff’s allegations of discrimination, and
    asserted that they offered reasonable scheduling accommodations.
    In her answers to interrogatories served by defendants
    during pretrial discovery, plaintiff identified Dr. Ciambotti
    and Dr. Rochford as individuals with “knowledge, information or
    evidence of the incident(s)” alleged in the complaint, and
    listed both witnesses in response to another interrogatory
    requesting the names of plaintiff’s treating physicians.      In
    response to an interrogatory seeking identification of “any
    expert witnesses you may use at trial” and “the substance of the
    opinions to be provided” by those expert witnesses, plaintiff
    3  Prior to trial, the trial court granted summary judgment
    dismissing plaintiff’s claims against two of the individual
    defendants.
    8
    stated that she had not “retained witnesses at this time,” but
    identified several “treating professionals [who] have expertise
    and are expected to testify[.]”       Plaintiff summarized Dr.
    Ciambotti’s proposed testimony as follows:
    [Dr.   Ciambotti]    will    testify    regarding
    Plaintiff’s   diagnosis   of    Irritable   Bowel
    Syndrome, namely that it is a disability, how
    it [a]ffects her everyday life as well as what
    steps need to be taken to prevent and alleviate
    symptoms such as a regular sleep schedule,
    medication regimen, and which factors, such as
    stress and constant schedule changes, aggravate
    her condition.
    Plaintiff also informed defendants that Dr. Rochford would
    testify about her “non-economic damages, particularly how the
    stress, retaliation and discrimination by Defendants caused
    plaintiff stress, anxiety.”   Based upon the appellate record, it
    does not appear that defendants requested that plaintiff serve
    written reports by her treating physicians, that plaintiff
    served such reports, or that defendants deposed the physicians.
    On the parties’ joint witness list, Dr. Ciambotti and Dr.
    Rochford were not listed among plaintiff’s experts, but were
    designated as “plaintiff’s treating doctors” expected to testify
    on her behalf.
    The case was tried before a jury over thirteen trial days.
    The issue now before the Court arose during a discussion between
    the trial court and counsel regarding the notes written to the
    Township by Dr. Ciambotti, Dr. Rochford, and two other
    9
    physicians who were not on plaintiff’s witness list.    The trial
    court decided to admit into evidence Dr. Ciambotti’s notes
    regarding plaintiff’s IBS, with a limiting instruction,
    directing the jury to consider them only as a request for a
    reasonable accommodation, and not as evidence that plaintiff
    suffered from any disease or illness.    The trial court commented
    that New Jersey law bars a treating physician from opining about
    a plaintiff’s diagnosis and the impact of a plaintiff’s schedule
    on her condition, if that physician is not designated as an
    expert witness.   The court rejected plaintiff’s counsel’s
    contention that a treating physician is permitted to testify
    about the patient’s symptoms, factors that worsen those
    symptoms, and the patient’s care.    Following that discussion,
    the trial court issued the limiting instruction.
    There remained, however, a dispute between the parties
    regarding the scope of Dr. Ciambotti’s testimony.    During the
    treating physician’s direct examination, defendants objected to
    plaintiff’s counsel’s request that Dr. Ciambotti define IBS for
    the jury, and argued that the treating physician was barred from
    any testimony about plaintiff’s diagnosis because he was not a
    designated expert witness.
    The trial court sustained defendants’ objection, stating
    that Dr. Ciambotti should not opine on “diagnosis and treatment”
    in light of the fact that he had not prepared an expert report.
    10
    The trial court permitted Dr. Ciambotti to identify the
    conditions for which he treated plaintiff, and discuss his notes
    to the Township, but barred any testimony by the treating
    physician about the impact of plaintiff’s work schedule on her
    IBS.   Plaintiff’s counsel confined his direct examination of Dr.
    Ciambotti to two subjects:    the physician’s series of notes to
    the Township and his statement that he was currently treating
    plaintiff for two digestive conditions, IBS and gastroesophageal
    reflux disease, with no explanation about either condition.
    Pursuant to Rule 1:8-8(d), members of the jury submitted
    questions to be posed to Dr. Ciambotti.    The trial court
    permitted the physician to respond to two jury questions, one
    addressing patients’ requests that physicians write notes to
    employers, and the other inquiring whether plaintiff had an
    ulcer.    The court, however, declined the jury’s request that Dr.
    Ciambotti be asked about the impact of changing work schedules
    on the efficacy of IBS medications, the importance of an IBS
    patient’s regular meal schedule, and the classification of IBS
    as a disability.
    Plaintiff also presented the testimony of Dr. Rochford.    On
    direct examination, the psychiatrist briefly described his
    treatment of plaintiff for stress and related complaints.     The
    trial court admitted into evidence a letter from Dr. Rochford to
    the Township recommending that plaintiff not be assigned to
    11
    midnight shifts, with a limiting instruction, directing the jury
    to consider the letter only as a request for a reasonable
    accommodation.   The court reiterated to plaintiff’s counsel that
    because Dr. Rochford was not designated as an expert witness,
    counsel would not be permitted to elicit from the psychiatrist
    any opinion regarding plaintiff’s diagnosis.    Dr. Rochford
    briefly testified within the limits set by the trial court.
    Plaintiff later called as a witness an expert psychologist,
    who opined that as a result of stress triggered by her work
    schedule, plaintiff suffered from an adjustment disorder with
    mixed anxiety and depression.
    Defendants called two expert witnesses.     Their expert
    gastroenterologist opined that IBS is a functional disease not
    characterized by visible structural abnormalities, that IBS
    patients can work normally if they are permitted to eat at
    normal intervals, that he had never treated a patient with IBS
    who was disabled, and that plaintiff’s digestive symptoms were
    within the normal range.   Defendants’ expert psychologist
    concurred that patients with IBS may function effectively
    despite changing conditions in the workplace.
    At the conclusion of the evidence, the trial judge repeated
    his limiting instruction, directing the jury to consider the
    physicians’ notes only as proof that plaintiff had requested
    reasonable accommodations.   The court cautioned the jury that
    12
    only three experts –- plaintiff’s expert psychologist and
    defendants’ expert gastroenterologist and psychologist –- had
    testified, and that the jury should not consider “opinions
    expressed by other witnesses as evidence of the plaintiff’s
    medical condition.”    Plaintiff did not object to the jury
    charge.
    The jury returned a verdict of no cause of action,
    determining that plaintiff had not proven by a preponderance of
    the evidence that she suffered from a disability that precluded
    her from working the midnight shift.    The jury also rejected
    plaintiff’s claim that defendants retaliated against her for
    complaining about discrimination and for filing a lawsuit.
    After her motion for judgment notwithstanding the verdict
    (JNOV) under Rule 4:40-2 was denied, plaintiff moved for a new
    trial pursuant to Rule 4:49-1(a).     She cited, among other
    grounds, the trial court’s restriction on the testimony of her
    treating physicians.   Defendants countered that the treating
    physicians had rendered “net opinions” and that the trial court
    had properly limited their testimony.
    Although the trial court conceded that treating physicians
    may be permitted to testify about the issue of causation, it
    characterized its ruling at trial as an invocation of Rule 4:17-
    4(e), based on the treating physicians’ failure to supply expert
    reports.   The court stated that the limiting instruction given
    13
    to the jury with respect to the physicians’ notes resolved any
    issue regarding their testimony.      It denied plaintiff’s motion
    for a new trial.
    Plaintiff appealed the trial court’s judgment.       In an
    unpublished opinion, an Appellate Division panel reversed the
    trial court’s judgment and remanded for a new trial on the
    ground that the trial court had improperly restricted the
    testimony of Dr. Ciambotti.    The panel reasoned that under
    Stigliano, supra, 140 N.J. at 314, and Ginsberg, 
    supra,
     
    292 N.J. Super. at 32-33
    , the trial court erred by barring Dr. Ciambotti
    from testifying about plaintiff’s diagnosis and treatment and
    when it precluded Dr. Ciambotti from explaining the reasons for
    his notes to the Township.    The panel concluded that the trial
    court’s restriction on the testimony of Dr. Ciambotti was not
    harmless error.    The panel did not specifically address a second
    issue raised by plaintiff on appeal -- whether the limitations
    imposed on the testimony of plaintiff’s treating psychiatrist,
    Dr. Rochford, constituted error.
    We granted defendant’s petition for certification.       
    220 N.J. 98
     (2014).    We also granted the motion of the National
    Employment Lawyers Association of New Jersey (NELA-NJ) to appear
    as amicus curiae.
    III.
    14
    Defendants urge the Court to reverse the Appellate
    Division’s determination and reinstate the trial court’s
    judgment.    They contend that under this Court’s decisions in
    Clowes v. Terminix International, Inc., 
    109 N.J. 575
     (1988), and
    Viscik v. Fowler Equipment Co., 
    173 N.J. 1
     (2002), a LAD
    disability claim must be supported by the testimony of retained
    expert witnesses, not the speculative testimony of treating
    physicians called as witnesses at trial.    Defendants
    characterize the panel’s opinion as an unwarranted extension of
    this Court’s decision in Stigliano, which would authorize a
    treating physician in a LAD disability case to provide opinion
    testimony unrelated to either objective standards or the
    physician’s treatment of the plaintiff.
    Plaintiff counters that the trial court’s interpretation of
    N.J.R.E. 701 contravened Stigliano and Appellate Division
    decisions applying its principles.    She contends that a treating
    physician need not be designated as an expert witness in order
    to offer a medical opinion on the cause of his or her patient’s
    condition.   Plaintiff argues that the constraints imposed by the
    trial court on the testimony of Dr. Ciambotti and Dr. Rochford
    made it impossible for her to demonstrate a disability for
    purposes of LAD.
    Amicus curiae NELA-NJ contends that the trial court’s
    restriction of the testimony of Dr. Ciambotti constituted error
    15
    because the limitations imposed by a medical condition on a
    patient’s activities are an integral component of medical
    treatment.    NELA-NJ argues that the trial court’s error
    substantially prejudiced plaintiff’s case, and that plaintiff is
    entitled to a new trial.
    IV.
    A.
    We begin our analysis with the standard of review governing
    the trial court’s denial of plaintiff’s motion for a new trial,
    pursuant to Rule 4:49-1.    An appellate court will not reverse a
    trial court’s determination of a motion for a new trial “unless
    it clearly appears that there was a miscarriage of justice under
    the law.”    R. 2:10-1; see also State v. Sims, 
    65 N.J. 359
    , 373-
    74 (1974) (“[T]he trial court’s ruling on [a motion to grant a
    new trial] shall not be reversed unless it clearly and
    convincingly appears that there was a manifest denial of justice
    under the law.”).   A reviewing court should not disturb the
    findings of the jury merely because it would have found
    otherwise upon review of the same evidence.    Carrino v. Novotny,
    
    78 N.J. 355
    , 360 (1979) (“[A] jury verdict, from the weight of
    evidence standpoint, is impregnable unless so distorted and
    wrong, in the objective and articulated view of a judge, as to
    manifest with utmost certainty a plain miscarriage of
    16
    justice.”).    That principle guides our determination of this
    appeal.
    B.
    Plaintiff’s claims are premised on N.J.S.A. 10:5-4.1, which
    construes other provisions of LAD to prohibit unlawful
    discrimination “against any person because such person is or has
    been at any time disabled or any unlawful employment practice
    against such person, unless the nature and extent of the
    disability reasonably precludes the performance of the
    particular employment.”    The Legislature intended this provision
    “to secure to handicapped individuals full and equal access to
    society, bounded only by the actual physical limits that they
    cannot surmount.”    Andersen v. Exxon Co., 
    89 N.J. 483
    , 495
    (1982); Zive v. Stanley Roberts, Inc., 
    182 N.J. 436
    , 446 (2005)
    (quoting Andersen, 
    supra,
     
    89 N.J. at 495
    ); see also Jansen v.
    Food Circus Supermarkets, Inc., 
    110 N.J. 363
    , 374 (1988) (“The
    import of the Law is that the handicapped should enjoy equal
    access to employment, subject only to limits that they cannot
    overcome.”).
    The treating physician testimony excluded at trial was
    offered to address a pivotal element of plaintiff’s claims for
    disability discrimination.    Under the statutory framework that
    governs LAD disability claims, the factfinder’s first inquiry is
    whether the plaintiff has proven that he or she had a disease or
    17
    condition recognized as a disability under the LAD.     N.J.S.A.
    10:5-4.1; N.J.S.A. 10:5-5(q); see Victor v. State, 
    203 N.J. 383
    ,
    408-09 (2010) (identifying elements of prima facie case of
    disability claims based on failure to hire, wrongful discharge,
    retaliation, and hostile work environment); Viscik, 
    supra,
     
    173 N.J. at 15
     (noting that “[t]he threshold inquiry in a
    handicapped discrimination discharge case is whether the
    plaintiff in question fits the statutory definition of
    ‘handicapped’”);4 Clowes, 
    supra,
     
    109 N.J. at 597
     (same);
    Andersen, 
    supra,
     
    89 N.J. at 499
     (same).
    For purposes of determining whether an employee meets that
    threshold burden, the LAD broadly defines “disability” as
    follows:
    “Disability”    means    physical   disability,
    infirmity, malformation or disfigurement which
    is caused by bodily injury, birth defect or
    illness including epilepsy and other seizure
    disorders, and which shall include, but not be
    limited   to,    any   degree   of    paralysis,
    amputation, lack of physical coordination,
    blindness or visual impediment, deafness or
    hearing   impediment,    muteness   or    speech
    impediment or physical reliance on a service
    or guide dog, wheelchair, or other remedial
    appliance    or   device,    or   any    mental,
    psychological or developmental disability,
    including autism spectrum disorders, resulting
    from anatomical, psychological, physiological
    or neurological conditions which prevents the
    4  On January 1, 2004, the Legislature amended N.J.S.A. 10:5-5(q)
    to delete the term “handicapped” in favor of the term
    “disability.” L. 2003, c. 180, § 5 (eff. Jan. 1, 2004)
    (amending N.J.S.A. 10:5-5(q)).
    18
    normal exercise of any bodily or mental
    functions or is demonstrable, medically or
    psychologically, by accepted clinical or
    laboratory diagnostic techniques. Disability
    shall also mean AIDS or HIV infection.
    [N.J.S.A. 10:5-5(q).]
    As this Court observed in Viscik, supra, the two categories
    of disability, “physical and non-physical,” are distinct from
    one another and require different forms of proof.     
    173 N.J. at
    15 (citing Rosemary Alito, New Jersey Employment Law, § 4-14:1,
    170 (2d ed. 1999)); see also Clowes, 
    supra,
     
    109 N.J. at 594
    (“[A]n alcoholic might suffer from either a ‘physical disability
    [or] infirmity . . . which is caused by illness’ or from a
    ‘mental [or] psychological . . . disability’ . . . or both.”)
    (third ellipsis added) (quoting N.J.S.A. 10:5-5(q)).    To
    demonstrate a physical disability, a plaintiff must prove that
    he or she is “(1) suffering from physical disability, infirmity,
    malformation or disfigurement (2) which is caused by bodily
    injury, birth defect or illness including epilepsy.”     Viscik,
    supra, 
    173 N.J. at
    15 (citing N.J.S.A. 10:5-5(q)).5
    5  To meet the standard for a non-physical disability, “a
    plaintiff must prove that he or she is suffering (1) from any
    mental, psychological or developmental disability (2) resulting
    from an anatomical, psychological, physiological or neurological
    condition that either (a) prevents the normal exercise of any
    bodily or mental functions or (b) is demonstrable, medically or
    psychologically, by accepted clinical or laboratory diagnostic
    techniques.” Viscik, 
    supra,
     
    173 N.J. at
    16 (citing Alito,
    supra, New Jersey Employment Law, § 4-14:1 at 170; Clowes,
    
    supra,
     
    109 N.J. at 594
    ).
    19
    In Viscik and Clowes, this Court addressed the evidentiary
    burden imposed on a LAD plaintiff to prove a disability that is
    not readily apparent.    Viscik, 
    supra,
     
    173 N.J. at 16-18
    ; Clowes,
    
    supra,
     
    109 N.J. at 597-99
    .    The Court’s opinion in Clowes,
    
    supra,
     arose from the plaintiff’s allegation that he was
    unlawfully discharged from his employment due to his alcoholism.
    
    109 N.J. at 584
    .    The Court found that alcoholism is a
    “handicap” within the meaning of the LAD’s provision as it then
    was drafted, based on evidence proffered by the plaintiff, which
    consisted primarily of the testimony of his expert, a recognized
    authority on alcoholism.    
    Id. at 591-93, 595
    .
    The Court concluded, however, that the plaintiff’s proofs
    “fell short of demonstrating that he was an alcoholic.”         
    Id. at 595
    .   It observed that “[t]he only evidence in the record
    regarding Clowes’s alleged alcoholism is his own assertion that
    he was an alcoholic, and a partial medical record from his
    hospitalization” at a rehabilitation center.      
    Id. at 598
    .    The
    Court noted that neither the plaintiff’s expert nor any other
    witness on his behalf had conducted a physical examination or
    reviewed the relevant medical records:
    Conspicuously absent from the record is any
    testimony from a treating or examining
    physician that Clowes had been diagnosed as an
    alcoholic. Given the complexity of the many
    diagnostic   procedures    involved,    expert
    medical testimony is required to establish the
    fact of the employee’s alcoholism.
    20
    [Id. at 597.]
    Supported only by the generic testimony of the plaintiff’s
    expert regarding alcoholism as a disease -– not by the testimony
    of an expert or treating physician familiar with his personal
    medical history -- the disability claim of the plaintiff in
    Clowes failed.   
    Ibid.
    In Viscik, 
    supra,
     the disability alleged by the plaintiff
    was her morbid obesity, attributed to two factors, a “metabolic
    disorder that prevent[ed] [her] body from breaking down fats,”
    and injuries from a car accident that triggered degenerative
    arthritis in her joints, restricted her lung capacity, and
    caused depression.    
    173 N.J. at 6
    .   In support of her claim that
    her employer discharged her because of her disability, the
    plaintiff offered the testimony of her “treating physician since
    1991,” who “testified about Viscik’s illnesses, including her
    obesity and its complications, as a medical expert qualified in
    internal medicine and weight-loss.”    
    Id. at 10
    .   The Court
    concluded that “Viscik’s testimony, medical history, and her
    expert’s opinion fully support the finding that she established
    a physical handicap within the meaning of LAD.”     
    Id. at 17
    .
    In that context, the Court held that “[w]here the existence
    of a handicap is not readily apparent, expert medical evidence
    is required.”    
    Id.
     at 16 (citing Clowes, 
    supra,
     
    109 N.J. at
    591-
    21
    93; Rogers v. Campbell Foundry, Co., 
    185 N.J. Super. 109
    , 112
    (App. Div. 1982)).   It noted that courts deciding LAD disability
    claims “place a high premium on the use and strength of
    objective medical testimony in proving the specific elements of
    each test contained in the statute.”    
    Ibid.
     (citing Clowes,
    
    supra,
     
    109 N.J. at 591-93
    ; Enriquez v. W. Jersey Health Sys.,
    
    342 N.J. Super. 501
    , 521 (App. Div. 2001)); see also Victor,
    supra, 203 N.J. at 422-23 (adhering to mandate of Viscik that
    when disability is not readily apparent, “expert medical
    evidence is required”); Wojtkowiak v. New Jersey Motor Vehicle
    Comm’n, 
    439 N.J. Super. 1
    , 15 (App. Div. 2015) (same); Domurat
    v. Ciba Specialty Chems., 
    353 N.J. Super. 74
    , 90 (App. Div.)
    (same), certif. denied, 
    175 N.J. 77
     (2002).
    This Court has thus held that a LAD disability claim, in
    which the plaintiff’s disability is not readily apparent, must
    be supported by “expert medical evidence,” also characterized as
    “objective medical testimony.”   Viscik, 
    supra,
     
    173 N.J. at 16
    ;
    see also Clowes, 
    supra,
     
    109 N.J. at 597-98
     (noting that
    diagnosis of alcoholism entails complex determinations that must
    be made by medical professionals).     By virtue of that
    requirement, a jury is guided by the testimony of witnesses
    qualified to assist it in understanding the disease or condition
    at issue in a given case.
    C.
    22
    In that setting, we consider the trial court’s conclusion
    that the testimony of a treating physician, not identified as an
    expert witness, is inadmissible to support a LAD plaintiff’s
    contention that he or she has a disability that is not readily
    apparent.
    Our courts have long permitted treating physicians to offer
    medical testimony regarding the diagnosis and treatment of their
    patients, pursuant to N.J.R.E. 701.    That rule authorizes a
    court to admit the “testimony in the form of opinions or
    inferences” of a lay witness, if that testimony “(a) is
    rationally based on the perception of the witness and (b) will
    assist in understanding the witness’ testimony or in determining
    a fact in issue.”   N.J.R.E. 701.
    This Court specifically addressed the testimonial role of a
    treating physician in Stigliano, supra, 140 N.J. at 310-17.
    There, the defendant physicians in a medical malpractice case
    sought to introduce the videotaped depositions of three
    physicians who had treated the infant plaintiff for seizures,
    which the plaintiffs claimed were caused by immunizations
    administered by the defendants.     Id. at 307-08.   The treating
    physicians testified that the child’s seizures were not caused
    by the defendants’ treatment, thus undermining the claims of
    their patient.   Id. at 309.   The trial court barred the
    defendants from presenting the treating physicians’ testimony,
    23
    and the Appellate Division reversed that determination.     Id. at
    309-10.   This Court granted the plaintiffs’ motion for leave to
    appeal.   Id. at 307.
    Noting that “the characterization of the treating doctors’
    testimony as ‘fact’ or ‘opinion’ creates an artificial
    distinction[,]” the Court identified the “critical point”
    regarding treating physician testimony:   “the treating doctors
    to treat their patients must determine the cause of a disease,
    whether that determination is characterized as fact or opinion.”
    Id. at 314.   The Court held that
    as fact witnesses, the treating doctors may
    testify about their diagnosis and treatment of
    [the infant’s] disorder, including their
    determination of that disorder’s cause. Their
    testimony about the likely and unlikely causes
    of [the infant’s] seizure disorder is factual
    information, albeit in the form of opinion.
    See N.J.R.E. 701 (permitting fact witness to
    testify in the form of opinion to assist in
    determining fact in issue).       Because the
    determination of the cause of a patient’s
    illness is an essential part of diagnosis and
    treatment, a treating physician may testify
    about the cause of a patient’s disease or
    injury.     That holding should not deter
    patients from freely disclosing information
    necessary for proper treatment and diagnosis.
    Only after patients put their injury or
    disease in issue may a treating doctor testify
    about the diagnosis and treatment of that
    injury or disease.
    [Ibid.]
    The Court thus acknowledged that a treating physician may
    be permitted to testify as to the diagnosis and treatment of his
    24
    or her patient, pursuant to N.J.R.E. 701.6   Ibid.; see also
    Ginsberg, 
    supra,
     
    292 N.J. Super. at 32
     (holding that “[i]t is
    well settled that treating physicians may testify as to any
    subject relevant to the evaluation and treatment of their
    patients”); Biunno, Weissbard & Zegas, Current N.J. Rules of
    Evidence, comment 4 to N.J.R.E. 701 (Gann 2015) (noting that
    “[w]hen treating physicians are called to testify about their
    observations, diagnosis and treatment of an injured or ailing
    plaintiff, they are not testifying as expert witnesses, even
    though they may possess the requisite qualifications[,]” but are
    offering factual evidence and opinion evidence governed by
    N.J.R.E. 701).
    Our court rules provide for pretrial disclosure of the
    proposed testimony of treating physicians, so that the testimony
    may be explored by the opposing party in discovery.   An
    adversary may request, by interrogatory, “the name of an expert
    6  Although the defendant physicians, not the plaintiff, called
    the infant plaintiff’s treating physicians in Stigliano, supra,
    that factor did not bar the testimony. 140 N.J. at 312-13. The
    Court distinguished Graham v. Gielchinsky, 
    126 N.J. 361
     (1991),
    in which it had held that absent exceptional circumstances,
    parties may not present the opinion testimony of experts whom
    their adversaries have consulted, observing that the plaintiffs
    had consulted the treating physicians for purposes of treatment,
    not litigation. 
    Ibid.
     The Court accordingly reasoned that the
    defendants’ use of the infant plaintiff’s physicians’ testimony
    would not affect the child’s medical treatment or the
    plaintiffs’ counsel’s search for experts. Id. at 313.
    25
    or treating physician of the answering party or a copy of the
    expert’s or treating physician’s report[.]”     R. 4:17-4(a).
    Pursuant to Rule 4:17-4(e), the responsive party shall
    annex to the interrogatory an exact copy of
    the entire report or reports rendered by the
    expert or physician. The report shall contain
    a complete statement of that person’s opinions
    and the basis therefor; the facts and data
    considered in forming the opinions; the
    qualifications of the witness, including a
    list of all publications authored by the
    witness within the preceding ten years; and
    whether compensation has been or is to be paid
    for the report and testimony and, if so, the
    terms of the compensation.
    [R. 4:17-4(e).]
    Rule 4:10-2(d), which sets forth the method by which
    “[d]iscovery of facts known and opinions held by experts” may be
    obtained, similarly provides for notice and discovery of the
    proposed testimony of treating physicians.     The rule authorizes
    discovery by interrogatory of “the names and addresses of each
    person whom the other party expects to call at trial as an
    expert witness, including a treating physician who is expected
    to testify[.]”   R. 4:10-2(d)(1).    The opposing party may elect
    to explore the treating physician’s opinions in a deposition
    pursuant to Rule 4:10-2(d)(2), as well as through supplemental
    written discovery.   Thus, under the court rules, a party seeking
    to present treating physician testimony at trial must disclose
    26
    the substance of the witness’s anticipated testimony, and the
    basis for that testimony, if requested to do so in discovery.
    The testimony of a treating physician is subject to an
    important limitation.    Unless the treating physician is retained
    and designated as an expert witness, his or her testimony is
    limited to issues relevant to the diagnosis and treatment of the
    individual patient.     See, e.g., Stigliano, supra, 140 N.J. at
    314-16 (authorizing treating physicians to testify as to care
    and diagnosis of patient); Hutchinson v. Atlantic City Med.
    Center-Mainland, 
    314 N.J. Super. 468
    , 479 (App. Div. 1998)
    (same); Serrano v. Levitsky, 
    215 N.J. Super. 454
    , 457-59 (Law
    Div. 1986) (barring treating physician from testifying about
    defendant doctors’ alleged malpractice because that subject was
    beyond scope of patient care); Piller v. Kovarsky, 
    194 N.J. Super. 392
    , 399-400 (Law Div. 1984) (same).    Given that
    distinction, if a particular claim requires medical testimony
    extending beyond the plaintiff’s own diagnosis and treatment,
    the plaintiff may require the testimony of an expert, conforming
    to N.J.R.E. 702 and 703.
    Contrary to defendants’ contention, nothing in this Court’s
    opinions in Clowes and Viscik prohibit the admission of treating
    physician testimony to support a LAD disability claim.      In both
    cases, the Court recognized that the question of disability is a
    medical determination and that a jury should be assisted by the
    27
    testimony of qualified witnesses in that determination.      Viscik,
    supra, 
    173 N.J. at 16
    ; Clowes, 
    supra,
     
    109 N.J. at 591-93
    .      The
    Court did not exclude the testimony of treating physicians;
    indeed, in Clowes, it identified the fact that plaintiff’s
    expert witness had neither examined him or reviewed his medical
    records, and the absence of testimony by a treating or examining
    physician, as deficiencies in the plaintiff’s proofs.     Clowes,
    
    supra,
     
    109 N.J. at 597
    .   If the question of a plaintiff’s
    disability can be effectively addressed by testimony limited to
    the plaintiff’s diagnosis and treatment, a treating physician
    may provide the “expert medical evidence” and “objective medical
    testimony” envisioned by the Court in Viscik.
    In sum, in an appropriate setting, the testimony of a
    treating physician may be admitted to support a plaintiff’s LAD
    disability claim, provided that the proponent of the testimony
    provides notice and responds to discovery requests in accordance
    with the court rules, and the testimony satisfies N.J.R.E. 701
    and other applicable Rules of Evidence.   Stigliano, supra, 140
    N.J. at 314; Ginsberg, 
    supra,
     
    292 N.J. Super. at 32-33
    .
    D.
    In accordance with that principle, the trial court should
    have permitted Dr. Ciambotti to testify about plaintiff’s IBS.
    Plaintiff provided the information about Dr. Ciambotti’s
    proposed opinion that was requested in defendants’
    28
    interrogatories:   the identification of Dr. Ciambotti as a
    person with knowledge relevant to plaintiff’s claims and as one
    of plaintiff’s treating physicians, and a summary of his
    proposed testimony.   She complied with the discovery requests
    posed to her, as they related to Dr. Ciambotti.
    Moreover, as described by plaintiff’s counsel to the trial
    court and reflected in the physician’s correspondence with the
    Township, the proposed testimony of Dr. Ciambotti would have
    been limited to his diagnosis and treatment of plaintiff.     The
    treating gastroenterologist would have addressed plaintiff’s
    symptoms, the basis for plaintiff’s IBS diagnosis, the impact of
    IBS on plaintiff’s everyday life, and the steps that Dr.
    Ciambotti recommended to alleviate plaintiff’s symptoms.
    Nothing in the record suggests that plaintiff intended to ask
    Dr. Ciambotti to opine on global questions beyond the scope of
    his role as plaintiff’s treating physician.   The trial court
    erred when it barred Dr. Ciambotti from testifying about
    plaintiff’s diagnosis and treatment.
    In the broader setting of plaintiff’s trial, the trial
    court’s constraint on Dr. Ciambotti’s testimony was not harmless
    error.   As confirmed by its proposed questions regarding IBS
    medications and the impact of a patient’s diet on the condition,
    the jury sought information about plaintiff’s IBS diagnosis, but
    was denied that information.   Thus, plaintiff was not afforded a
    29
    fair opportunity to prove that she suffered from a disability
    within the meaning of the LAD.   N.J.S.A. 10:5-5(q); see also
    Tynan v. Vicinage 13 of Superior Ct. of New Jersey, 
    351 N.J. Super. 385
    , 399 (App. Div. 2002) (holding that LAD disability
    claim based in part on IBS alleged by plaintiff gave rise to
    jury question sufficient to withstand summary judgment).
    Moreover, because plaintiff failed to meet her threshold burden
    of proving a disability, the jury never considered the other
    elements of her hostile work environment, failure to
    accommodate, wrongful demotion or transfer, and wrongful
    termination claims.    The limitations on Dr. Ciambotti’s
    testimony may also have affected the jury’s determination of
    plaintiff’s retaliation claim, which was premised in part on her
    claim of disability.   The trial court’s error with respect to
    Dr. Ciambotti’s testimony was not harmless.
    The trial court also erred when it restricted the testimony
    of plaintiff’s treating psychiatrist, Dr. Rochford, whose
    testimony would have supported her claim for non-economic
    damages.   Dr. Rochford was properly designated by plaintiff as
    one of her treating physicians, and plaintiff gave defendants a
    description of the psychiatrist’s expected testimony, as
    requested in defendants’ interrogatories.     The opinions that
    plaintiff sought to elicit from Dr. Rochford were properly
    confined to plaintiff’s symptoms, diagnosis and care.
    30
    Plaintiff’s treating psychiatrist should have been permitted to
    testify about those topics, subject to the limitations of
    N.J.R.E. 701 and other applicable Rules of Evidence.    Because we
    affirm the Appellate Division’s determination that the trial
    court should have granted plaintiff’s motion for a new trial,
    based on the restrictions imposed on the testimony of Dr.
    Ciambotti, we need not determine whether the trial court’s
    limitations on the testimony of Dr. Rochford constituted
    reversible error.
    Based on the limitations imposed on Dr. Ciambotti’s
    testimony, we concur with the Appellate Division that the trial
    court should have found a “miscarriage of justice under the law”
    under Rule 4:49-1(a).    See R. 2:10-1; Viscik, 
    supra,
     
    173 N.J. at 20
     (ordering new trial where trial court instruction
    “essentially focused the jury’s attention on a claim not at
    issue in the case and mixed two theories, pretext and reasonable
    accommodation, that are completely and purposefully distinct
    from one another”).7    Plaintiff is entitled to a new trial.
    7  The trial court’s denial of plaintiff’s motion for a JNOV was
    not addressed by the Appellate Division panel. On appellate
    review of a trial court’s denial of a motion for JNOV, “we ‘must
    accept as true all evidence supporting the position of the party
    defending against the motion and must accord that party the
    benefit of all legitimate inferences which can be deduced [from
    the evidence].’” Besler v. Bd. of Educ. of W. Windsor-
    Plainsboro Reg’l Sch. Dist., 
    201 N.J. 544
    , 572 (2010)
    (alteration in original) (quoting Lewis v. Am. Cyanamid Co., 155
    31
    V.
    We add the following comment regarding pretrial discovery
    of treating physician testimony in civil litigation.      Rules
    4:17-4(a), (e) and 4:10-2(d)(1) compel the service of reports by
    treating physicians who will testify at trial, in the event that
    those reports are requested in discovery.8   A treating
    physician’s report serves an important function; it provides the
    adversary with notice of the facts and opinions to which the
    physician will testify, and permits that party to assess the
    need for additional discovery and for medical testimony at
    trial.   We recognize, however, that the preparation of a
    detailed written report may impose a significant burden on a
    treating physician who has not sought to be involved in the
    litigation, and has not been retained as an expert witness.
    We request that the Civil Practice Committee consider
    whether Rules 4:17-4(a), (e) and 4:10-2(d)(1) should be amended
    to clarify the form and content of a report that must be served,
    if requested, in advance of a treating physician’s testimony.
    We suggest that the Committee evaluate, among other options, an
    N.J. 544, 567 (1998)). That standard is not satisfied in this
    case; plaintiff’s motion for JNOV was properly denied.
    8  We do not agree with plaintiff’s contention that Rules 4:17-
    4(a), (e) and 4:10-2(d)(1) require service of a treating
    physician’s report only if the treating physician happens to
    have prepared one.
    32
    amendment permitting the service of a summary of the treating
    physician’s opinions and the basis for those opinions, as an
    alternative to a written report prepared by the physician.     See,
    e.g., R. 3:13-3(b)(1)(I), -3(b)(2)(E) (authorizing, in criminal
    case in which expert is expected to testify, service of “a
    statement of the facts and opinions to which the expert is
    expected to testify and a summary of the grounds for each
    opinion”).
    VI.
    The judgment of the Appellate Division is affirmed, and the
    matter is remanded to the trial court for a new trial.
    CHIEF JUSTICE RABNER; JUSTICES LaVECCHIA, ALBIN, and
    SOLOMON; and JUDGE CUFF (temporarily assigned) join in JUSTICE
    PATTERSON’s opinion. JUSTICE FERNANDEZ-VINA did not
    participate.
    33
    SUPREME COURT OF NEW JERSEY
    NO.       A-25                                    SEPTEMBER TERM 2014
    ON CERTIFICATION TO             Appellate Division, Superior Court
    PATRICIA DELVECCHIO,
    Plaintiff-Respondent,
    v.
    TOWNSHIP OF BRIDGEWATER, TOWNSHIP OF
    BRIDGEWATER POLICE DEPARTMENT, CHIEF
    RICHARD BORDEN, and WILLIAM CONNIFF,
    Defendants-Appellants,
    and
    EDWIN J. SKIDMORE and CATHY HAMILTON,
    Defendants.
    DECIDED                April 28, 2016
    Chief Justice Rabner                       PRESIDING
    OPINION BY            Justice Patterson
    CONCURRING/DISSENTING OPINIONS BY
    DISSENTING OPINION BY
    AFFIRM AND
    CHECKLIST
    REMAND
    CHIEF JUSTICE RABNER                           X
    JUSTICE LaVECCHIA                              X
    JUSTICE ALBIN                                  X
    JUSTICE PATTERSON                              X
    JUSTICE FERNANDEZ-VINA                 ------------------
    JUSTICE SOLOMON                                X
    JUDGE CUFF (t/a)                               X
    TOTALS                                         6