Kim v. Maryland State Board of Physicians
32 A.3d 30
Md.2011Background
- Petitioner Charles Y. Kim is a Maryland OB/GYN licensed in 1977; he is board certified.
- In 2005 a medical malpractice action (the Wagner case) was filed naming Kim; he answered and was deposed in 2005.
- In February 2006 Kim applied to renew privileges at Frederick Memorial Hospital; he initially answered “No” to having malpractice claims, then amended to “Yes” with addenda.
- On August 15, 2006 Kim filed a Board renewal license application containing three health-care questions answered “No.”
- In November 2006, during unrelated CRC scheduling discussions, Board investigators learned Kim was involved in a malpractice action at the time of his August 2006 renewal application.
- In March 2007 the Board charged Kim with violations of § 14-404(a)(3), (a)(11), and (a)(36); the Board sought reprimand, ethics course, and $10,000 fine.
- An ALJ held that Kim’s conduct was unprofessional and willful, recommending reprimand, $5,000 fine, ethics course, and six months’ probation.
- The Board adopted the ALJ’s findings and imposed six months’ probation, $5,000 fine, and an ethics course.
- Kim sought judicial review; the circuit court and Court of Special Appeals affirmed; this Court granted certiorari to address three questions about CRC information use, “in the practice of medicine,” and willfulness.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Whether CRC disclosures may be used against Kim. | Kim argues COMAR 10.32.02.03.C(7)(d) prohibits use of CRC information. | Board contends the CRC statement was not confidential or substantive and was discoverable. | Board did not err; use was permitted under the regulation's scope. |
| Whether filing a license renewal application falls within the practice of medicine. | Kim contends renewal filing is not a medical practice act. | Board and courts have held it is within practice to ensure patient protection. | Yes; renewal filing is within the practice of medicine. |
| Whether “willful” requires intent to deceive; was there substantial evidence of willfulness? | Willful means intentional deception; no such intent shown given English limitations. | Willful means intentional or purposeful conduct, not necessarily deceptive motive. | Willful requires intentional act; substantial evidence supports willfulness. |
Key Cases Cited
- McDonnell v. Commission on Medical Discipline, 301 Md.426 (Md. 1984) (defines scope of 'in the practice of medicine')
- Finucan v. Md. Bd. of Physician Quality Assurance, 380 Md.577 (Md. 2004) (conduct related to delivery of patient care within practice)
- Banks v. Bd. of Physician Quality Assurance, 354 Md.59 (Md. 1999) (on-duty conduct affecting the practice; 'in the practice of medicine')
- Cornfeld v. State Bd. of Physicians, 174 Md.App.456 (Md. Ct. App. 2007) (false statements in peer review and Board investigations; relates to patient care)
- Elliott v. Md. Bd. of Physicians, 170 Md.App.369 (Md. Ct. App. 2006) (willfulness not requiring deceitful motive)
- Deibler v. State, 365 Md.185 (Md. 2001) (definition of willful in context of statute)
- Att'y Grievance Comm'n v. Jarosinski, 411 Md.432 (Md. 2009) (willfulness defined as voluntary, intentional violation of a known duty)
- Lee v. Attorney Grievance Comm'n, 387 Md.89 (Md. 2005) (communication confidentiality and use of information)
