OPINION OF THE COURT
This appeal calls upon us to decide whether a finding of sexual misconduct by a Hearing Committee of the New York State Department of Health’s Board for Professional Medical Conduct precludes defendant physician from contesting liability for assault and battery in plaintiff patient’s civil action to recover money damages. In light of the circumstances of this case and the flexible nature of the doctrine of collateral estoppel, we conclude that it does not.
I.
In December 1991, plaintiff Christine A. Jeffreys began treatment with defendant Dr. Patrick H. Griffin, a gastroenterologist, for stomach problems and depression, for which defendant prescribed antidepressants. Plaintiff had been evicted from her apartment in July 1991, and she blamed her ailments on stress caused by her landlord’s supposedly oppressive conduct.
On January 13, 1995, plaintiff underwent a colonoscopy and an upper endoscopy, both of which require sedation, at defendant’s office. She subsequently reported to the police that defendant had orally sodomized her at some point during the upper endoscopy. Law enforcement authorities supplied plaintiff with a tape recorder, which she secretly wore when she visited *38 defendant’s office on April 27, 1995, ostensibly for medical follow-up. The tape recording captured defendant repeatedly denying the sodomy, but stating that he had kissed plaintiff immediately before or after performing the upper endoscopy. 1 Defendant later prepared an exculpatory chart entry documenting plaintiffs April 27th office visit.
Civil, criminal and administrative proceedings, all stemming from plaintiffs allegations of oral sodomy, quickly ensued. First, in October 1995, plaintiff commenced this civil action against defendant, alleging assault and battery and intentional infliction of emotional distress. Then on January 19, 1996, defendant was indicted on charges of first-degree sodomy, sexual abuse in the first degree and falsifying business records in the first degree. Finally, in March 1996, the New York State Department of Health’s Board for Professional Medical Conduct brought disciplinary charges against defendant. Administrative hearings were held before a Hearing Committee of the Board on April 24, May 2 and 29, June 10, 13 and 27 and July 17 and 18, 1996.
Defendant’s criminal trial also took place in the spring of 1996, and, on June 18, 1996, he was convicted by a jury of the crimes of first-degree sodomy and falsifying business records in the first degree. On September 6, 1996, defendant was sentenced to 3Vs to 10 years in prison. On October 24, 1996, with knowledge of defendant’s recent criminal conviction and sentencing, the Hearing Committee issued its determination and order revoking defendant’s license to practice medicine. Two of the three Committee members found, by a preponderance of the evidence (see Public Health Law § 230 [10] [f]), that defendant had performed oral sex on plaintiff without her consent, and therefore had engaged in professional misconduct. All three resolved that defendant had engaged in professional misconduct by entering a false business record relating to plaintiffs office visit on April 27, 1995.
In April 1997, Supreme Court granted plaintiffs motion for summary judgment on liability in her cause of action for assault and battery, based solely on defendant’s criminal conviction. After the Appellate Division, with two Justices dissenting, reversed his criminal conviction in April 1998 (
Defendant was subsequently retried and, in April 2000, a jury acquitted him of all charges. Then in October 2002, the Appellate Division, with one Justice dissenting, affirmed Supreme Court’s order in plaintiffs civil action (
II.
Collateral estoppel, or issue preclusion, gives conclusive effect to an administrative agency’s quasi-judicial determination when two basic conditions are met: (1) the issue sought to be precluded is identical to a material issue necessarily decided by the administrative agency in a prior proceeding; and (2) there was a full and fair opportunity to contest this issue in the administrative tribunal
(see Ryan v New York Tel. Co.,
First, in
Staatsburg Water Co. v Staatsburg Fire Dist.
(
Importantly, we also noted in Staatsburg that collateral estoppel is a flexible doctrine, such that
“[i]n the end, the fundamental inquiry is whether relitigation should be permitted in a particular case in light of what are often competing policy considerations, including fairness to the parties, conservation of the resources of the court and the litigants, and the societal interests in consistent and accurate results” (id. at 153 [citations omitted]).
Second, in
Allied Chem. v Niagara Mohawk Power Corp.
(
We affirmed, holding that collateral estoppel properly barred Allied Chemical’s action. In so doing, we again stressed the need to assess whether issue preclusion is fair in view of the realities in the particular administrative setting:
“While issue preclusion may arise from the determinations of administrative agencies, in that context the doctrine is applied more flexibly, and additional factors must be considered by the court. These additional requirements are often summed up in the beguilingly simple prerequisite that the administrative decision be ‘quasi-judicial’ in character” (id. at 276 [citations omitted]).
We noted that among the factors bearing on whether an administrative decision is “quasi-judicial” are “whether the procedures used in the administrative proceeding . . . were sufficient both quantitatively and qualitatively, so as to permit *41 confidence that the facts asserted were adequately tested, and that the issue was fully aired” (id. at 276-277).
Third,
Matter of Halyalkar v Board of Regents of State of N.Y.
(
III.
Applying the foregoing principles and precedents to these facts, we look first at whether plaintiff established the identity of a material issue necessarily decided by the administrative tribunal, and conclude that she did. She limited the relevant cause of action to assault and battery and did not, for example, also include a malpractice claim. The Hearing Committee specifically found that plaintiff awakened at some point after defendant had commenced the upper endoscopy and discovered him “administering oral sex” to her without her consent; therefore, identity of issue exists. 2
Next, the Board for Professional Medical Conduct’s disciplinary hearings are among the most procedurally rigorous adminis *42 trative proceedings in New York State (see Public Health Law § 230). These proceedings are “quasi-judicial” in the general sense required for application of the doctrine of collateral estoppel. This is so notwithstanding the differences between these proceedings and a civil trial, which were pointed out by the Appellate Division: the absence of juries, the absence of CPLR article 31 disclosure and the inapplicability of the rules of evidence followed in a civil trial. Moreover, as the dissenting Justice at the Appellate Division noted, a physician’s very livelihood— the continued ability to practice medicine—is at risk of loss in the Board for Professional Medical Conduct’s disciplinary proceedings. These stakes provide considerable incentive for the physician to litigate issues fully in this forum.
Further,
David v Biondo
does not foreclose a plaintiff from invoking collateral estoppel when a Hearing Committee disciplines a physician. Rather, a physician cannot interpose an exculpatory finding as a shield in a subsequent civil action. This is so because the plaintiff in the civil action is not a “legally recognized party in interest” in the Hearing Committee’s proceeding, and “enjoy[s] no legal or practical opportunity to litigate . . . civil law grievances within the framework of the [Hearing Committee’s] proceeding” (
Nonetheless, we conclude that the Appellate Division properly declined to apply the doctrine of collateral estoppel here in light of “the realities of the litigation” of this case, regardless of whether the formal prerequisites for collateral estoppel were present. When the Hearing Committee’s members voted to revoke defendant’s license, they were considering whether a recently convicted and sentenced sex offender should be allowed to practice medicine. Defendant’s conviction was subsequently reversed and, importantly, on retrial he was acquitted of all the criminal charges stemming from plaintiffs allegations. There is no way to disentangle the Hearing Committee members’ nonu *43 nanimous determination of sexual misconduct from their contemporaneous awareness of the outcome of defendant’s first criminal trial. 3 Because defendant was later acquitted after retrial, he should not be precluded from contesting liability for assault and battery in plaintiffs civil action.
Accordingly, the order of the Appellate Division should be affirmed, with costs; and the certified question answered in the affirmative.
Chief Judge Kaye and Judges G.B. Smith, Ciparick, Rosenblatt and Graffeo concur.
Order affirmed, etc.
Notes
. According to his attorney, defendant later denied kissing plaintiff, testifying that he had made this story up in his panic to persuade her that, because of the effects of the drugs administered during the colonoscopy and upper endoscopy, her memory was seriously faulty.
. The Pattern Jury Instructions provide that “[a] person who intentionally touches another person, without that person’s consent, and causes an offensive bodily contact commits a battery and is liable for all damages resulting from (his, her) act. Intent involves the state of mind with which an act is done. The intent required for battery is intent to cause a bodily contact that a reasonable person would find offensive. An offensive bodily contact is one that is done for the purpose of harming another or one that offends a reasonable sense of personal dignity, or one that is otherwise wrongful” (PJI2d 3:3 [2003]). Assault involves putting a person in fear of a battery (see PJI2d 3:2 [2003]).
. Plaintiff objects that the two majority members of the Hearing Committee expressly noted that “the outcome of [defendant’s] criminal appeal would have no effect on the revocation of [defendant’s] license” because the findings on those specifications unrelated to his criminal conviction were sufficient to warrant license revocation. Plaintiff also protests that defendant did not attack the validity of the Hearing Committee’s factual determination in Supreme Court on the basis that his criminal conviction may have tainted the Committee’s deliberations. The key consideration here, however, is not the outcome of defendant’s criminal appeal alone, but his subsequent acquittal after retrial. The acquittal, which occurred after Supreme Court rendered its decision, was specifically cited by the Appellate Division majority as a basis for its decision, as were the Hearing Committee’s split vote and the handing down of its decision shortly after defendant’s sentencing.
