Garson M. Caruso MD, MPH, CLCP, CMLE is a board certified Occupational Physician in private consulting practice in Harrisburg, PA. Dr. Caruso completed his undergraduate medical education at Temple University School of Medicine, MPH at the Johns Hopkins Bloomberg School of Public Health, and residency training in Occupational Medicine at the University of Pennsylvania. He is Certified Life Care Planner, Medicolegal Evaluator, and Medical Review Officer (MRO), and a Fellow of the American College of Occupational and Environmental Medicine (ACOEM) and International Academy of Independent Medical Evaluators (IAIME). Dr. Caruso has been a Clinical Associate Physician with Johns Hopkins Medical Institutions since 2002, and has performed occupational health services and consulting, including evaluation of complex workers compensation and disability claims, for numerous organizations and insurers. He has served as a medicolegal expert witness in occupational medicine and life expectancy determination since 2012 and life care planning since 2021.
Life expectancy is a crucial component of the life care plan, and, although commonly used, general population life tables do not adequately capture the life expectancy of an individual with significant comorbid and other conditions. The presentation will include an overview of considerations in life expectancy determination by the modified life table method, including construction of the life table and adjustment for positive and negative mortality influences. The discussion will also address controversies in life expectancy determination, including the life expectancy effects of medical care under the life care plan and adjustment for secular (time) effects.