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VA Board of Medicine & VA Department of Health Professions v. Leila Hadad Zackrison, M.D.

Citations: 67 Va. App. 461; 796 S.E.2d 866Docket: 1291162

Court: Court of Appeals of Virginia; March 14, 2017; Virginia; State Appellate Court

Original Court Document: View Document

Narrative Opinion Summary

The Virginia Board of Medicine appealed a circuit court's decision to vacate disciplinary action against Dr. Leila Hadad Zackrison, citing violations of medical practice laws. The Board argued Dr. Zackrison was denied due process as she was not permitted to testify as an expert in her defense. Despite her qualifications, the Board declined to recognize her as an expert due to her status as the respondent, a decision contrary to Virginia law, which allows parties to testify as experts if qualified. Initially, the circuit court held that this exclusion violated due process rights, but the appellate court reversed this decision, reinstating the Board's sanctions. The appellate court determined that the exclusion was an erroneous evidentiary ruling, not a due process violation, and identified it as harmless error, as the specifics of Dr. Zackrison's excluded testimony were not adequately proffered to show prejudice. Thus, the Board's findings under Code 54.1-2915(A)(3) and (13) were reinstated, maintaining the disciplinary action against Dr. Zackrison.

Legal Issues Addressed

Due Process in Administrative Hearings

Application: The Board's exclusion of Dr. Zackrison's expert testimony was found to be an erroneous evidentiary ruling rather than a due process violation.

Reasoning: The Board's ruling did not inhibit Dr. Zackrison from testifying extensively, including her insights on the standard of care and referencing medical literature.

Expert Testimony by Interested Parties

Application: Virginia law permits a party to testify as their own expert witness, contingent on their qualifications, which was erroneously not applied to Dr. Zackrison.

Reasoning: The Board had erroneously disqualified Dr. Zackrison solely based on her status as the respondent.

Harmless Error Doctrine

Application: The appellate court found that the Board's exclusion of testimony did not sufficiently affect the outcome, thus constituting harmless error.

Reasoning: As a result, it is uncertain whether her anticipated testimony would have merely reiterated the literature already in evidence or provided a more substantial connection, which ultimately undermines her claim on appeal.

Standard for Expert Qualification

Application: The Board retains discretion in adopting standards for expert qualifications but must align with Virginia law, which Dr. Zackrison met.

Reasoning: The Board recognized her credentials, aligning them with another accepted expert in the field, thereby affirming her qualification to testify on the standard of care in rheumatology under any reasonable standard the Board could adopt.