Alеxander Muriel-Cruz contends that the district court failed to conduct a proper mental competency hearing prior to accepting his guilty plea to a drug conspiracy charge. See 18 U.S.C. § 4241(e). We affirm.
I
BACKGROUND
In August 2000, Muriel-Cruz and eight codefendants were jointly indicted on a single count of conspiring to distribute cocaine. See 21 U.S.C. §§ 841(a)(1), 846. Thereaftеr, in February 2001, the district court 1 ordered that Muriel-Cruz undergo a pretrial mental competency evaluation at the Federal Medical Center (FMC) in But-ner, North Carolina. See 18 U.S.C. § 4241(d). 2 Five months later, the FMC certified in writing that Muriel-Cruz was competent to stand trial, provided he maintained “strict compliance with prescribed medications.”
On October 4, 2001, the district court convened a competency hearing. Id. § 4241(e). 3 The court found Muriel-Cruz *11 competent, based upon: (i) the FMC certificate of competency; (ii) defense counsel’s representations that she did not dispute the FMC certificate’s clinical conclusions; (iii) defense counsel’s personal observation that Muriel-Cruz hаd appeared to her to be mentally astute during their recent consultations; (iv) defense counsel’s commitment to notify the court in the event that she perceived any material deterioration in the defendant’s mental competency; and (v) the defendant’s statement that he “felt very well” since his treatment at the FMC.
In February 2002, the district court conducted a change-of-plea hearing, during which defense counsel (i) reminded the court of Muriel-Cruz’s recent psychiatric treatment at the FMC for “drug induced” mental problems, and (ii) opined that Muriel-Cruz was presently competent to enter a plea. The court conducted a thorough colloquy with Muriel-Cruz, whereupon Muriel-Cruz entered a guilty plea, which the district court determined to be knowing and voluntary.
During the months following the plea hearing, however, appellant’s mental condition temporarily deteriorated after prison officials inadvertently reduced the maintenance dosage of his medications. Thereafter, the scheduled sentencing date had to be continued on two occasions. At a sentencing hearing on July 15, 2002, however, the district court determined Muriel-Cruz competent, then sentenced him to a 60-month term of imprisonment.
Muriel-Cruz now appeals from the district court determinations that he was competеnt to enter a guilty plea.
II
DISCUSSION
Represented by new counsel, Muriel-Cruz now contends that, after receiving the FMC certificate of competency, the district court failed to conduct a hearing which comported with the requirements of subsections 4241(e) and 4247(d). See supra notes 2 & 3.
A. Standard of Review
As Muriel-Cruz failed to raise this issue below, we review only for plain error.
See United States v. Giron-Reyes,
*12 B. Motion to Supplement Record on Appeal
First, we must considеr whether Muriel-Cruz should be permitted to supplement the record on appeal with evidence (e.g., recent psychiatric evaluations suggesting incompetence) that his mental condition seriously deteriorated between the February 2002 plea hearing and the July 2002 sentencing hearing. See Fed. R.App. 10(e). 4 He contends that the evidence at issue would demonstrate that he never regained competence to stand trial following treatment at the FMC, and that the district court failed to conduct a sufficiently searching inquiry during the October 4 hearing as to whether he was presently competent.
Absent extraordinary circumstances, not present here, we сonsult only the record extant at the time the district court rendered its decision.
See United States v. Rivera-Rosario,
Further, Muriel-Cruz’s mental condition since his February 2002 plea hearing does not undercut the FMC certification that he had regained competence, but at the very most suggests that he may have experienced a subsequent relаpse due to an inadvertent and temporary change in his maintenance medications. The narrow issue before us, on the other hand, is whether Muriel-Cruz was competent at the time he entered the guilty plea. With respect to that question, of course, the proffered supplemental record is simply immaterial. Accordingly, we deny the motion to supplement the record pursuant to FRAP 10(e).
C. The Adequacy of the October 4, 2001 Hearing under Section 4241(e )
Muriel-Cruz contends that the district court never conducted a valid § 4241(e) competency hearing, in that the October 4, 2001 hearing was inadequate because (i) the court relied upon the personal opinions of the prosecutor and defense counsel — neither of whom is a qualified psychiatric professional — as evidence of Muriel-Cruz’s competency; (ii) the court never rendered an explicit finding that Muriel-Cruz was competent; and (iii) the district court and defense counsel stated that Muriel-Cruz had “waived” a § 4241(e) hearing.
Not only can we ascertain no plain error, we are unable to discern what additional actions reasonably could have been expected of the district court under § 4241(e). Upon its receipt of the FMC certificate, the district court duly notified the parties that it would convene a сompetency hearing on October 4,
see Giron-Reyes,
At the hearing, the district court did not rely exclusively upon counsels’ opinion as to appellant’s competency. The parties were presented with uncontroverted documentary evidence of Muriel-Cruz’s current competency in the form of the FMC certificate, which contained the clinical opinion of the FMC’s psychiatric personnel. Subsection 4241(e) certificates unquestionably constitute competent evidence of a defendant’s mental сondition.
See, e.g., United States v. Barnes,
Nor is therе any basis for the contention that the district court could not also consider other indicia of Muriel-Cruz’s competency. In arriving at a competency ruling, the district court may rely upon various kinds of evidence, including written medical opinions and observations by the court, counsel, and defendant himself regarding the defendаnt’s demeanor and fitness to stand trial.
See, e.g., United States v. Boigegrain,
Thus, the district court accorded the parties notice of the competency hearing, and an opportunity to adduce any еvidence which might contradict the finding of competency contained in the FMC certificate. As the FMC certificate provided independent evidence of competency, Muriel-Cruz’s argument — that the court improperly relied solely upon defense counsel’s non-expert opinions as to his mental comрetency — plainly fails.
*14
It is noteworthy that Muriel-Cruz has not claimed that the court had an independent duty under subsection 4241(e) to summon and question its own expert medical witnesses to verify the conclusions reached in the FMC certificate. No such authority exists, either in the statute or in the case law. Subsections 4241(e) and 4247(d) plainly cоntemplate that the issue of defendant’s competency
vel non
is to be resolved through the normal workings of the adversarial process, and there is no reason to suppose that defense counsel would act contrary to the interests of an incompetent client by failing to contest the conclusions of a subsection 4241(e) certificate.
Cf. Giron-Reyes,
Second, Muriel-Cruz urges that the October 4 hearing was not valid under subsection 4241(e) because the court made nо final finding of fact that he was competent. Quite the contrary, the magistrate judge concluded the hearing by unequivocally recommending to the district judge a finding of fact that Muriel-Cruz was competent to stand trial. At oral argument on appeal, appellant’s counsel contended that the district court failed to enter findings that Muriel-Cruz presently understood the proceedings against him and had sufficient capacity to consult with counsel. Counsel cited neither case authority nor sound reason for requiring a court to parse the definition of “competency,” and arrive at specific findings as to each component.
Finally, wе reject the contention that the October 4 hearing could not have been a subsection 4241(e) hearing given that the magistrate and defense counsel stated that Muriel-Cruz had “waived” the hearing. Instead, viewed in context the statements advert not to the fact that no compliant hearing had been conducted, but that thе defense had waived its due-process right “to testify, to present evidence, to subpoena witnesses on his behalf, and to confront and cross-examine witnesses who appear at the hearing.” 18 U.S.C. § 4247(d). Nothing in the record on appeal remotely indicates that the district court imposed any impediment to the defеnse decision as to whether or how to contest Muriel-Cruz’s competency at the October 4 hearing. The term “waiver” simply described the relevant reality: defense counsel chose not to exercise these § 4247(d) rights. In no sense does this alter the fact that the district court did conduct a subsection 4241(e) hearing.
As the district court assiduously adhered to both the letter and the spirit of subsection 4241(e), we perceive no error whatever in the district court proceedings, let alone plain error.
Affirmed.
Notes
. A magistrate judge conducted the district court proceedings presently at issue on appeal. For convenience, we refer tо the magistrate judge as the “district court,” in light of the district judge’s subsequent adoption of the recommendations made by the magistrate judge.
. Subsection 4241(d) provides in pertinent part:
If, after [a] hearing, the court finds by a preponderance of the evidence that the defendant is presently suffering from a mental disease or defect rendering him mentally incompetent to the extent that he is unable to understand the nature and consequences of the proceedings against him or to assist properly in his defense, the court shall commit the defendant to the custody of the Attorney General. The Attorney General shall hospitalize the defendant for treatment in a suitable facility—
(1) for such a reasonable period of time, not to exceed four months, as is necessary to determine whether there is a substantial probability that in the foreseeable future he will attain the capacity to permit the trial to proceed; and
(2) for an additional reasonable period of time until—
(A) his mental condition is so improved that trial may proceed, if the сourt finds that there is a substantial probability that within such additional period of time he will attain the capacity to permit the trial to proceed; or
(B) the pending charges against him are disposed of according to law; whichever is earlier.
18 U.S.C. § 4241(d).
.Subsection 4241(e) provides, in pertinent part:
When the director of the facility in which a defendant is hospitalized pursuаnt to subsection (d) determines that the defendant has recovered to such an extent that he is able to understand the nature and consequences of the proceedings against him and to assist properly in his defense, he shall promptly file a certificate to that effect with the clerk of the court that ordered the commitment. ... The court shall hold a hearing, conducted pursuant to the provisions of section 4247(d), to determine the competency of the defendant. If, after the hearing, *11 the court finds by a preponderance of the evidence that the defendant has recovered to such an extent that he is able to understand the nature and consequences of the proceedings against him and to assist properly in his defense, the court shall order his immediate discharge from the facility in which he is hospitalized and shall set the date for trial.
18 U.S.C. § 4241(e). Subsection 4247(d) provides:
At a hearing ordered pursuant to this chapter the person whose mental condition is the subject of the hearing shall be represented by counsel and, if he is financially unable to obtain adequate representation, counsel shall be appointed for him pursuant to section 3006A. The person shall be afforded an opportunity to testify, to present evidence, to subpoena witnesses on his behalf, and to confront and cross-examine witnesses who appear at the hearing.
18 U.S.C. § 4247(d).
. Rule 10(e) provides:
If anything material to either party is omitted from or misstated in the record by error or by accident, the omission or misstatement may be corrected and a supplemental record may be certified and forwarded: (A) on stipulation of the parties; (B) by the district court before or after the record has been forwarded; or (C) by the court of appeals.
Fed. R.App. P. 10(e).
