Opinion
Introduction
Plaintiff Maureen Mero appeals from a summary judgment in favor of defendant Armin Sadoff, M.D.
Statement of Facts
The following facts are undisputed: On November 14, 1989, plaintiff injured her back while at work for Shell Oil Company (Shell). She filed a claim for workers’ compensation benefits from Shell. At the time, Shell was self-insured.
In her claim, plaintiff complained of orthopedic injury, including back pain. In the workers’ compensation action, Shell requested that plaintiff *1470 submit to an examination by defendant concerning her complaints of orthopedic injury; plaintiff agreed to do so.
Defendant had been retained by Shell’s defense counsel, Mullen & Filippi, to perform a physical examination of plaintiff, to take and interpret X-rays, review medical records, and utilize testing devices in order to evaluate plaintiff’s status for Shell. Defendant examined plaintiff on October 18, 1990. Defendant was not plaintiff’s personal physician or orthopedist, and plaintiff did not pay for the examination. Defendant did not offer plaintiff any medical advice or a medical opinion. Plaintiff submitted to the examination only because Shell requested that she do so.
After the examination, defendant prepared a report for Mullen & Filippi containing his evaluation of plaintiff. Defendant was paid for his work by Shell. Plaintiff received a copy of the report; she did not rely on it for treatment or advice.
Plaintiff alleged in her complaint that she was injured when, during the course of defendant’s examination, she was negligently “strapped] . . . into an apparatus which caused her body to be contorted and maneuvered in various damaging positions.” As a result of this negligence, she suffered “a total collapse and deterioration of the spinal fusion at L5 performed in May of 1990 . . . severe, permanent and disabling injuries as w[e]ll as great mental and physical pain, suffering and emotional distress.” She additionally incurred medical bills and suffered a loss of earnings and earning capacity.
Contentions
I
Plaintiff contends the trial court erred in granting summary judgment, in that, even in the absence of a physician-patient relationship, a physician is liable to an examinee for negligence or medical malpractice for injuries incurred during the examination itself.
II
Plaintiff further contends summary judgment erroneously was granted, in that a negligent act which causes physical injury is not a broadcast or publication entitling the actor to immunity.
Discussion
I
Plaintiff contends the trial court erred in granting summary judgment, in that, even in the absence of a physician-patient relationship, a *1471 physician is liable to an examinee for negligence or medical malpractice for injuries incurred during the examination itself. We agree.
It long has been held that an essential element of a cause of action for medical malpractice is a physician-patient relationship giving rise to a duty of care.
(Felton
v.
Schaeffer
(1991)
In
Keene
v.
Wiggins, supra,
The court observed that “[w]hen the physician-patient relationship exists, ... the patient has a right to expect the physician will care for and treat him with proper professional skills and will exercise reasonable and ordinary care and diligence toward the patient [citation]. This does not suggest, however, a doctor is required to exercise the same degree of skill toward every person he sees. The duty he owes to each varies with the relationship of the parties, the foreseeability of injury or harm that may be expected to flow from his conduct and the reliance which the person may reasonably be expected to place on the opinion received.”
(Keene
v.
Wiggins, supra,
It noted that cases from other jurisdictions “uniformly hold that where no physician-patient relationship exists the doctor’s only duty is to conduct the examination in a manner not to cause harm to the person being examined.”
(Keene
v.
Wiggins, supra,
Applying California’s standards as set forth in
Rowland
v.
Christian, supra,
The physician could not reasonably expect that the examinee would rely on the report, inasmuch it is prepared for a person or persons with interests adverse to the examinee’s own.
(Keene
v.
Wiggins, supra,
Based on its analysis, the court held defendant owed plaintiff “no duty of professional skill in connection with the report.”
(Keene
v.
Wiggins, supra,
A similar result was reached in
Felton
v.
Schaeffer, supra,
In reaching this result, the court relied on
Keene. (Felton
v.
Schaeffer, supra,
Inasmuch as neither
Keene
nor
Felton
involved injuries incurred during the examination, as does the instant case, their statements that a physician may be held liable for medical malpractice for such injuries to an examinee even in the absence of a physician-patient relationship are dicta, without force as precedent. (9 Witkin, Cal. Procedure (3d ed. 1985) Appeal, § 783,
*1473
pp. 753-755.) As noted by Witkin, however, “[t]o say that dicta are not controlling . . . does not mean that they are to be ignored; on the contrary, dicta are often followed. A statement which does not possess the force of a square holding may nevertheless be considered highly persuasive, particularly when made by an able court after careful consideration, or in the course of an elaborate review of the authorities, or when it has been long followed.”
(Id.,
§ 785, p. 756; accord,
Smith
v.
County of Los Angeles
(1989)
The parties have cited a number of out-of-state cases dealing with the issue. In
Chiasera
v.
Employers Mut. Liability Ins.
(1979)
In analyzing the situation, the court began with the proposition that in the absence of a physician-patient relationship, there is no duty and thus there can be no claim for medical malpractice.
(Chiasera
v.
Employers Mut. Liability Ins., supra,
The court also cited
Rogers
v.
Horvath
(1975)
The court added, “This is not to say that a physician who examines a person for reasons other than diagnosis or treatment and for the benefit of some one other than the examinee owes no duty of . . . care to that person. Rather, we hold that the physician in such a case does not owe such a duty of care as will subject him to liability for malpractice.”
(Rogers
v.
Horvath, supra,
Both Chiasera and Rogers hold a physician may be held liable for injuries caused to an examinee in the absence of a physician-patient relationship, but the liability must be based on ordinary negligence, not medical malpractice. In California, however, there is no distinction between malpractice and negligence.
The Supreme Court very recently addressed the issue in
Flowers
v.
Torrance Memorial Hospital Medical Center
(1994)
Negligence, the court pointed out, is conduct falling below the standard of care.
(Flowers
v.
Torrance Memorial Hospital Medical Center, supra,
Touching on a matter mentioned earlier, the court indicated that “[a]ny distinction between ‘ordinary’ and ‘professional’ negligence has relevance
*1475
primarily when the Legislature has statutorily modified, restricted, or otherwise conditioned some aspect of an action for malpractice not directly related to the elements of negligence itself.”
(Flowers
v.
Torrance Memorial Hospital Medical Center, supra,
The court thereafter reiterated the “general rule applicable in negligence cases arising out of the rendering of professional services,” which it had stated on “numerous occasions”: “ ‘ “The standard of care against which the acts of a physician are to be measured is a matter peculiarly within the knowledge of experts; it presents the basic issue in a malpractice action and can only be proved by their testimony [citations], unless the conduct required by the particular circumstances is within the common knowledge of the layman.” [Citations.]’ ”
(Flowers
v.
Torrance Memorial Hospital Medical Center, supra,
Thus, in California, if a physician is to be held liable to an examinee for injuries resulting in the course of an examination and arising out of the rendering of professional services when there is no physician-patient relationship, the physician will be liable for medical malpractice. There is no distinguishable cause of action for ordinary negligence which the plaintiff must bring. To the extent
Chiasera
and
Rogers
so hold, they are not to be followed in California. (See
Auto Equity Sales, Inc.
v.
Superior Court
(1962)
Other New York cases since
Chiasera
have reaffirmed the conclusion that a physician hired by a third person to examine plaintiff owes plaintiff a duty to properly perform the examination so as not to injure plaintiff during the course of the examination.
(Twitchell
v.
MacKay
(1980)
In
Smith,
plaintiff alleged she was injured during an examination by defendant physician, who had been engaged to examine her by her insurance carrier.
(Smith
v.
Pasquarella, supra,
Under New York law, as in California, negligence becomes malpractice when “ ‘the acts or omissions complained of involve a matter of medical science or art requiring special' skills not ordinarily possessed by lay persons,’ ” rather than conduct which can “ ‘be assessed on the basis of the common everyday experience of the trier of the facts.’”
(Smith
v.
Pasquarella, supra,
In a Texas case,
Johnston
v.
Sibley
(Tex.Civ.App. 1977)
A similar conclusion also was reached in Colorado in
Greenberg
v.
Perkins
(Colo. 1993)
To determine whether California should, as other jurisdictions have, adopt the principles set forth in
Keene
and
Felton
as dicta, that in the absence of a physician-patient relationship a physician still owes an examinee the duty to conduct the examination in a manner which does not injure the examinee, the considerations set forth in
Rowland
v.
Christian, supra,
It is reasonably foreseeable that a negligently conducted physical examination, particularly one involving mechanical or invasive testing, may result in physical injury to the examinee. The certainty the examinee suffered injury and the closeness of the connection between the physician’s conduct and the injury would be no different whether the examination was conducted at the request of the examinee — in which case it already is established the physician may be held liable for malpractice — or at the request of a third person, such as an employer or insurance carrier. The moral blame attached to the physician’s conduct should be the same no matter who requested the examination: a physician is a professional who is required to have a certain level of skill and training and whose conduct is measured by a standard of care commensurate with that skill and training; a physician should not be absolved of liability for failure to exercise that standard of care merely because the person being examined is not paying for the examination.
Imposing liability for negligence in the examination even in the absence of a physician-patient relationship would serve the policy of preventing future harm by precluding a situation in which a physician negligently could injure an examinee with impunity. No greater burden would be imposed on the physician and the community than already exists with respect to examinees who have paid for their own examinations and have relationships with *1478 their physicians. And, of course, insurance is available to physicians for the risk involved.
All the
Rowland
considerations support the imposition of liability in the situation at issue. The old maxim, “[f]or every wrong there is a remedy” (Civ. Code, § 3523), also supports the imposition of liability. Accordingly, we hold that even in the absence of a physician-patient relationship, a physician has liability to an examinee for negligence or professional malpractice for injuries incurred during the examination itself.
(Felton
v.
Schaeffer, supra,
In the instant case, the trial court granted summary judgment, in part on the ground there was no physician-patient relationship between defendant and plaintiff, so defendant could not be held liable for injuries incurred by plaintiff during his examination of her. This was error. However, inasmuch as the trial court’s grant of summary judgment, even if made on an incorrect ground, must be affirmed if it would have been proper on another basis (see
Stratton
v.
First Nat. Life Ins. Co.
(1989)
Summary judgment properly is granted if there is no triable issue of fact and the issues raised by the pleadings may be decided as a matter of law. (Code Civ. Proc., § 437c, subd. (c);
Mars
v.
Wedbush Morgan Securities, Inc.
(1991)
Defendant’s summary judgment motion was based on a lack of duty owed to plaintiff. Since defendant did owe a duty to plaintiff, as concluded above, he has failed to disprove the essential element of duty
(Keene
v.
Wiggins, supra,
Defendant also had raised, as an affirmative defense, the statute of limitations. Plaintiff alleged injury on October 18, 1990. She served notice *1479 to defendant of her intention to commence an action against him (Code Civ. Proc., § 364) on October 8, 1991. She filed her complaint on January 16, 1992.
The limitations period for a negligence action is one year. (Code Civ. Proc., § 340, subd. (3).) However, where the action is one for medical malpractice and the notice of intention to commence an action is served within 90 days of the expiration of the limitations period, the limitations period is extended for 90 days.
(Id.,
§ 364, subd. (d);
Barber
v.
Superior Court
(1991)
As previously discussed, a negligence action involving services rendered by a physician will be considered one for medical malpractice if it involves or substantially relates to the rendition of medical treatment by a licensed physician.
(Smith
v.
Pasquarella, supra,
II
Plaintiff further contends summary judgment erroneously was granted, in that a negligent act which causes physical injury is not a broadcast or publication entitling the actor to immunity. Again, we agree.
The second ground on which summary judgment was granted was that defendant’s actions were privileged under Civil Code section 47, subdivision (b), item (2) (section 47(b)(2)). That section provides: “A privileged publication or broadcast is one made . . . [H [i]n any . . . judicial proceeding
As defendant claims, section 47(b)(2) applies not only to publications made in judicial proceedings themselves, but also to actions preparatory to judicial proceedings.
(Gootee
v.
Lightner
(1990)
The issue recently was addressed by the Supreme Court in
Kimmel
v.
Goland
(1990)
Here, plaintiff is seeking damages for injuries resulting from defendant’s noncommunicative conduct. She is not seeking damages for injuries resulting from any communicative acts, such as preparation of a false report to be used as a basis for testimony in a judicial proceeding. Her injuries did not result from the publication of an injurious falsehood. Hence, the acts by defendant of which she complains were not privileged under section 47(b)(2)
(Kimmel
v.
Goland, supra,
51 Cal.3d at pp. 211-212;
Gootee
v.
Lightner, supra,
The judgment is reversed. Plaintiff is to recover costs on appeal.
Ortega, J., and Masterson, J., concurred.
