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Hubsher v. DeBuono

Citations: 232 A.D.2d 764; 648 N.Y.S.2d 735; 1996 N.Y. App. Div. LEXIS 10240

Court: Appellate Division of the Supreme Court of the State of New York; October 17, 1996; New York; State Appellate Court

Narrative Opinion Summary

In a CPLR Article 78 proceeding, the revocation of a physician's medical license in New York was upheld by the Administrative Review Board for Professional Medical Conduct. The physician faced 13 counts of professional misconduct, including practicing psychiatry and psychotherapy without a valid license and failing to maintain patient records during a suspension period. The charges stemmed from activities conducted while his license was suspended, involving fraudulent use of his brother's name and misleading pharmacies. The petitioner argued that a five-year delay in disciplinary action constituted laches and caused prejudice, but the court found no demonstrated prejudice. The court also dismissed claims of estoppel based on hearsay testimony. The administrative fact finder resolved credibility issues against the petitioner, confirming unauthorized practice, issuance of prescriptions, and neglect of record-keeping obligations. Evidence of fraudulent submissions under fictitious names further substantiated the charges. Ultimately, the court confirmed the respondent's determination, dismissed the petition, and awarded no costs, finding no procedural flaws or legal errors in the disciplinary process.

Legal Issues Addressed

Credibility of Testimony and Administrative Fact-Finding

Application: Issues of credibility were resolved against the petitioner by the administrative fact finder, who relied on substantial evidence to support findings of unauthorized medical practice.

Reasoning: Issues of credibility are for the administrative fact finder, which found that petitioner treated patient A during his suspension without disclosing his inability to practice and failed to maintain treatment records.

Failure to Maintain Patient Records

Application: The physician's failure to maintain adequate patient records during the unauthorized practice was considered a violation of professional conduct standards.

Reasoning: The charges focus on petitioner’s unauthorized practice of medicine, including providing treatment, issuing prescriptions, formulating diagnoses, and failing to maintain necessary medical records.

Fraudulent Practice in Medical Conduct

Application: The physician engaged in fraudulent practices by using fictitious names and submitting false health insurance claims, which contributed to the revocation of his license.

Reasoning: Evidence indicated that the petitioner fabricated a narrative in which Hubsher was portrayed as practicing medicine at a fictitious 'North Shore Health Center' and serving as its medical director.

Laches and Delay in Disciplinary Proceedings

Application: The court rejected the physician's claim of laches due to a five-year delay in initiating disciplinary actions, as he could not demonstrate actual prejudice from the delay.

Reasoning: The physician challenged the proceedings, claiming that the five-year delay in initiating disciplinary actions constituted laches and caused him prejudice. However, the court found that he failed to demonstrate actual prejudice resulting from the delay.

Professional Misconduct and Practicing Without a License

Application: The physician was found guilty of practicing psychiatry and psychotherapy without a valid license during the suspension period, including treating patients and issuing prescriptions under false pretenses.

Reasoning: A Hearing Committee found that the physician treated patients, made diagnoses, and prescribed medications while suspended, using his brother's name to disguise his actions and misleading pharmacies regarding the legitimacy of prescriptions.

Revocation of Medical License under CPLR Article 78

Application: The Administrative Review Board for Professional Medical Conduct's decision to revoke the physician's medical license was upheld after findings of professional misconduct.

Reasoning: A proceeding was initiated under CPLR article 78 to review the Administrative Review Board for Professional Medical Conduct's decision to revoke a physician's medical license in New York.