Webb v. State Med. Bd. of OhioWebb v. State Med. Bd. of Ohio
{¶1} Aрpellant, Delano H. Webb III, M.D., appeals from the judgment of the Franklin County Court of Common Pleas, which affirmed the decision of the State Medical Board of Ohio (“Ohio medical board”) that permanently revoked appellant’s medical license, stayed the revocation pending suspension of the license for not less than one year, and placed appellant on probation for five yеars after reinstatement. For the reasons that follow, we reverse and remand this case for further proceedings.
{¶3} By letter dated September 8, 1999, the Ohio mediсal board notified appellant that it intended to determine whether to take disciplinary action against his certificate to practice medicine in Ohio for alleged violations of R.C. Chapter 4731. In the letter, the Ohio medical board alleged that (1) Dr. Webb had failed to disclose on his 1994, 1996 and 1999 Ohio renewal applications that disciplinary actions had been initiated against him by the West Virginia Board of Mediсine (‘West Virginia medical board”) and (2) Dr. Webb had been disciplined by the West Virginia medical board for having an improper sexual relationship with a patient.
{¶4} Appellant represented himself at an administrative hearing before a hearing examiner on October 8,1999. Appellant testified that he believed that he accurately completed his 1994 and 1996 renewal applications. Appellant was asked on those applications whether any disciplinary action had been “taken or initiated” by licensing boards outside of Ohio and he responded “no.” Appellant admitted that he knew at the time that he completed the 1994 and 1996 applications that complaints had been filed against him by the West Virginia medical board. He testified, however, that he believed that the filing of complaints merely prompted investigаtions; he did not believe that the filing of complaints demonstrated that disciplinary action had been taken or initiated. Appellant further testified that he consulted with an attorney who advised appellant that “no” was the accurate answer to the question about disciplinary action on the 1994 and 1996 renewal applications. Appellant produced a corroborating affidavit from his attorney. Hе also produced copies of his renewal applications to practice medicine in West Virginia and Kentucky, highlighting that he answered “yes” to those states’ medical boards’ questions about disciplinary action because the questions expressly referred to investigations.
{¶5} Appellant acknowledged that the Ohio medical board changed the wording on the 1999 renewal application so that the question about disciplinary action also asked whether any investigations had been initiated. Appellant admitted that he inaccurately answered “no” when he should have answered “yes,” as he was indeed under investigation by the West Virginia medical board. Appellant explained that he had instructed his secretary to pull his 1996 application and use it to complete the 1999 renewal applicatiоn. He testified that neither he nor his secretary noticed the change in the wording of the question about disciplinary action. Appellant testified that his failure to accurately answer the question was inadvertent, and he apologized for his mistake.
{¶7} “1. On or about April 4, 1994, Delano H. Webb, III, M.D., signed the application for renewal of his сertificate to practice medicine and surgery in Ohio, certifying that the information provided on the application was true and correct in every respect. In response to the question, ‘At any time since signing your last application for renewal of your certificate have you * * * 5.) Had any disciplinary action taken or initiated against you by any state licensing board other than the State Medical Board of Ohio?’ Dr. Webb responded, ‘No.’
{¶8} “In fact, on or about November 5, 1993, the West Virginia Board of Medicine [West Virginia Board] had issued to Dr. Webb a Complaint and Notice of Hearing.
{¶9} “2. On or about March 14, 1996, Dr. Webb signed the application for renewal of his certificate to practice medicine and surgery in Ohio, certifying that the information provided on the application was true and correct in every rеspect. In response to the question, “At any time since signing your last application for renewal of your certificate have you * * * 5.) Had any disciplinary action taken or initiated against you by any state licensing board other than the State Medical Board of Ohio?” Dr. Webb responded, ‘No.’
{¶10} “In fact, on or about August 12, 1994, the West Virginia Board issued to Dr. Webb a Complaint and Notice of Hearing.
{¶11} “3. On or about April 5, 1999, Dr. Webb signed the application for renewal of his certificate to practice medicine and surgery in Ohio, certifying that the information provided on the application was true and correct in every respect. In response to the question, ‘At any time since signing your last application for renewal of your certificate have you: * * * 5.) Except for actions taken by this board, been notified of any investigatiоn concerning you by, or, been notified of, any charges, allegations, or complaints filed against you, any board, bureau, department, agency, or other body, including those in Ohio, with respect to a professional license? This includes denial, limitation, restrictions, suspension, revocation, censure, reprimand or fine,’ Dr. Webb responded, ‘No.’
{¶12} “In fact, in December 1998, two complaints alleging that Dr. Webb failed to release medical records upon request were filed against him with the West Virginia Board by patients. The West Virginia Board began investigation of those complaints and in February 1999, Dr. Webb filed responses to those complaints.
{1113} “4. On or about July 21, 1999, the West Virginia Board entered an Order which revoked Dr. Webb’s license to practice medicine and surgery inWest Virginia, stayed such revocation, and placed his license on probation for a period of five years.
{¶14} “The West Virginia Board Order was based upon findings including that Dr. Webb engaged in a sexual relationship with an individual prior to March 1977 ‘at a time when she was a patient and a very young disturbed woman’; that after transferring this individual’s care to another psychiatrist in March 1977, Dr. Webb continued to care for and treat her, including prescribing potentially addictive drugs to her, giving numerous orders at hospitals rеgarding her care, and otherwise taking responsibility for her care, through 1983; and that Dr. Webb admitted to having sex and engaging in a sexual relationship with this individual, during the lengthy period of time from March 1977 through 1983.
{¶15} “5. Dr. Webb answered ‘Yes’ to questions posed by the Kentucky Board and various health care agencies when those questions made reference to being under ‘investigation’ by a licensing board.”
{¶16} Based upon his findings of fact, the hearing examiner concluded that appellant’s conduct constituted fraud, misrepresentation, or deception in applying for or securing any license or certificate issued by the board and, therefore, violated
{¶17} “* * * Clearly, Dr. Webb’s denial that any disciplinary action had been taken or initiated against him by any state licensing board other than the State Medical Board of Ohio in his application for renewal of his license was a misrepresentation of fact, and was likely to cause an ordinarily prudent person to be deceived. Such a misrepresentation, even if unintentional, violates Ohio law. ” (Emphasis added.)
{¶18} The hearing examiner also concluded that the West Virginia medical board order revoking appellant’s license to practice in West Virginia constituted an action by a state agency against appellant’s license, which allows the Ohio medical board to impose discipline pursuant to
{¶20} The trial court remanded the decision to the Ohio medical board with instructions that the board’s order “should be amended technically to delete the * * * languаge in which it adopted the erroneous conclusion of the hearing examiner and to add language which reflects their conclusion that Dr. Webb intended to deceive the Board.” The trial court otherwise affirmed the decision of the Ohio medical board.
{¶21} By order dated April 19, 2001, 1 the Ohio medical board amended its decision by deleting the phrases “even if unintentional” from its conclusions of law. The entry further stated as follows:
{¶22} “* * * The purрose of these deletions is to clarify the conclusions of the State Medical Board that Dr. Webb’s misrepresentations were, in fact, intentional. This conclusion is evidenced by the full minutes of the Board’s discussion of this matter on April 5, 2000, which are incorporated by this reference into the Board’s Findings and Order of that same date.”
{¶23} On further appeal to this court, appellant now asserts the following assignments of errоr:
{¶24} “1. The Trial Court erred in upholding the State Medical Board of Ohio’s Decision, which found that Dr. Webb’s misrepresentations on his license renewal applications, even if unintentional, violates Ohio law.
{¶25} “2. The Trial Court erred in upholding the State Medical Board of Ohio’s decision, irrespective of any intentional misrepresentations, based on the disciplinary actions taken by the State Medical Board of West Virginiа.”
{¶26} At the outset, we note the applicable standards for reviewing an appeal from the State Medical Board. When considering an appeal from a medical board’s order, a common pleas court must uphold the order if it is supported by reliable, probative and substantial evidence, and is in accordance with law.
{¶27} This court’s review of the common pleas court, however, is limited to determining whether the common pleas court abused its discretion. Id. Absent an abuse of discretion by the trial court, this court must affirm the trial court’s judgment. Id. On questions of law, however, the common pleas court does not exercise discretion and our review is plenary.
Univ. Hosp., Univ. of Cincinnati College of Medicinе v. State Emp. Relations Bd.
(1992),
{¶28} By his first assignment of error, appellant argues that the trial court erroneously upheld the medical board’s decision in spite of the fact that the decision indicated that appellant’s misrepresentation, even if unintentional, had violated Ohio law. We conclude that the trial court erroneously upheld this portion of the medical board’s decision. The decision was based on the medical board’s erroneous conclusions that appellant could violate
{¶29} The medical board adopted the hearing examiner’s conclusions that appellant violated
{¶30} “The state medial board, pursuant to an adjudication under Chapter 119. of the Revised Code and by a vote of not fewer than six of its members, may revoke or may refuse to grant a certificate to a pеrson found by the board to have committed fraud in passing the examination or to have committed fraud, misrepresentation, or deception in applying for or securing any license or certificate issued by the board.”
{¶31}
{¶32} “The board, pursuant to an adjudication under Chapter 119. of the Revised Code and by a vote of not fewer than six members, shall, to the extent permitted by law, limit, revoke, or suspend a certificate, refuse to register or refuse to reinstate an applicant, or reprimand or place on probation the holder of a certificate for one or more of the following reasons:
{¶33} “* * *
{¶34} “(5) * * * [PJublishing a false, fraudulent, deceptive, or misleading statement.”
{¶36} The trial court properly concluded that the Ohio medical board committed error when it adopted a conclusion of law that indicated that appellant’s intent was irrelevant. The trial court erred, however, when it nonetheless affirmed the board’s decision that appellant had violated
{¶37} With regard to the issue of misrepresentation, the meeting minutes reflect the following colloquy among board members:
{¶38} “Dr. Somani stated that he looked at this case and there were two issues involved. On three separate occasions, when applying for renewal of his Ohio license, Dr. Webb responded ‘no’ incorrectly to one of the questions asked on the applications. In the past the Board has dealt with these types of issues in a harsh manner. Not telling the Board the truth is inappropriate. This was done on three separate occasions. Dr. Somani stated that he finds it difficult to believe that this was an oversight. Even if it was an oversight, it should be [sic ] been caught the second or third time.
{¶39} “Dr. Somani continued that * * * the Board doesn’t know the details to know whether or not [the sexual relationship] was brief. If Dr. Webb is trying to minimize the second charge by saying it was brief, it reinforces that his three attempts to mislead this Board were not simple oversight. * * *
{¶40} “* * * Dr. Stienecker stated that he agrees with Dr. Somani that three repetitious miscues on the assertion to the Board certainly can’t be ignored. * :|: *
{¶41} “* * * Dr. Bhati stated that * * * the main thing under discussion is the three times Dr. Webb gave false answers on his renewal applications. * * *”
{¶42} These excerpts from the meeting minutes, whiсh constitute the entire documented discussion by the Ohio medical board in its April 5, 2000 meeting regarding the issue of misrepresentation, do not demonstrate that the board, as
{¶43} By his second assignment of error, appellant argues that the trial court erroneously upheld the medical board’s decision, pursuant to
{¶44} “The limitation, revocation, or suspension by another state of a license or certificate to practice issued by the proper licensing authority of that state, the refusal to license, register, or reinstate an applicant by that authority, the imposition of probation by that authority, or the issuance or an order of censure or other reprimand by that authority for any reason, other than nonpayment of fees[.]”
{¶45} Appellant contends that, subsequent to the decision by the Ohio medical board but prior to the trial court’s decision in the instant action, a West Virginia court reversеd and vacated the West Virginia medical board’s decision. Appellant contends that the trial court erred when it affirmed the Ohio medical board’s decision notwithstanding the West Virginia’s court’s decision.
{¶46} In its brief to this court, the Ohio medical board concedes that “the Board would not object to a remand in the interests of justice for the narrow and limited purpose of allowing the Board to consider Dr. Webb’s one yеar suspension in light of the fact that one of their bases for discipline may have been overturned.” We agree with this approach. See
Wolfe,
{¶47} For the foregoing reasons, we sustain appellant’s first and second assignments of error. The judgment of the Franklin County Court of Common Pleas is reversed and this case is remanded with instructions to remand this matter to the Ohio medical board. Upon remand, the Ohio medical board is instructed to consider whether appellant made statements with an intent to mislead the Ohio medical board. The Ohio medical board is further instructed to consider whether appellant is subject to discipline pursuant to
Judgment reversed and cause remanded.
Notes
. The April 19, 2001 order is not before this court and we do not decide whether the order was clarified or was in effect a new, changed order.