D'AMICO v. Board of Medical Examiners

520 P.2d 10, 11 Cal. 3d 1, 112 Cal. Rptr. 786, 1974 Cal. LEXIS 276
CourtCalifornia Supreme Court
DecidedMarch 19, 1974
DocketSac. 7976
StatusPublished
Cited by832 cases

This text of 520 P.2d 10 (D'AMICO v. Board of Medical Examiners) is published on Counsel Stack Legal Research, covering California Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
D'AMICO v. Board of Medical Examiners, 520 P.2d 10, 11 Cal. 3d 1, 112 Cal. Rptr. 786, 1974 Cal. LEXIS 276 (Cal. 1974).

Opinion

*6 Opinion

SULLIVAN, J.

The state Board of Medical Examiners (medical board) and its president appeal from a summary judgment granting a peremptory writ of mandate ordering the state Board of Osteopathic Examiners (osteopathic board) to furnish plaintiff osteopaths and all others of their class with application forms, to process those forms as received, and to examine and license as physicians and surgeons, plaintiffs and all others of their class as are found qualified under the provisions of the Osteopathic Act and the Medical Practice Act.

This litigation constitutes the latest chapter in the long and bitter history of the efforts of medical practitioners having osteopathic (as opposed to allopathic) training to practice their profession in this state. That history has been amply described in previous appellate opinions and we do not undertake to reiterate it here. (See D’Amico v. Board of Medical Examiners (1970) 6 Cal.App.3d 716, 721-723 [86 Cal.Rptr. 245]; Osteopathic Physicians & Surgeons v. Cal. Medical Assn. (1964) 224 Cal.App.2d 378 [36 Cal.Rptr. 641]; Gamble v. Bd. of Osteopathic Examiners (1942) 21 Cal.2d 215 [130 P.2d 382].) Instead we turn directly to a consideration of the instant litigation.

Plaintiffs are eight graduates of out-of-state colleges of osteopathy and hold D.O. degrees granted by those colleges. Four, are residents of California and all have either been admitted to practice in other states or are practicing on federal enclaves in this state as members of the armed forces. All plaintiffs desire to practice their profession as physicians and surgeons in California but are not permitted to do so by present law. Their basic claim is that the law which so prevents their consideration for licensure (to wit, the Osteopathic Act of 1962 (1962 Act),* 1 together with the 1962 amendment to the Medical Practice Act in section 2310 of the Business and Professions Code) denies them equal protection of the laws in violation of the state and federal Constitutions.

The instant action was commenced in 1968. In their first amended petition plaintiffs prayed, generally speaking, that defendant boards be com *7 pelled to examine and license them as physicians and surgeons—either in the manner provided for the examination and licensing of “new” physicians or in the manner provided, as a matter of reciprocity, for the examination and licensing of out-of-state physicians. 2

Defendants appeared by separate demurrers. The demurrer of the osteopathic board was sustained without leave to amend. The demurrer of the medical board was sustained without leave to amend as to those counts dealing with reciprocity but was overruled as to those counts dealing with “new” licensing. Leave to answer was denied to defendants and judgment was entered ordering that a peremptory writ of mandate issue directing the medical board “to furnish application forms to each of the petitioners and to process said applications in accordance with provisions of the California Medical Practice Act.” However, for reasons which appear below, plaintiffs greeted this “victory” with less than elation, and they appealed.

Plaintiffs’ unwillingness to accept the trial court’s decision on demurrer, and their subsequent appeal, are best understood through a brief consideration of the two scholarly memorandum opinions filed by that court.

The first question before the court was whether “present law”—which is the referendum Osteopathic Act of 1962, amending and repealing certain portions of the initiative measure entitled the Osteopathic Act of 1922—gave either of defendant boards authority to examine and license plaintiffs as “new” physicians. Apparently the Attorney General and various state administrative officers had taken the position prior to this litigation that such authority no longer resided in either board, and plaintiffs sought to raise an equal protection argument on this basis. However, an amicus curiae brief filed in the trial court by the California Medical Association (C.M.A.) took the opposite position—possibly in order to avoid plaintiffs’ equal protection argument. The C.M.A.’s position was that under the 1962 Act the medical board did have the power to examine and license osteopaths as physicians and surgeons. This “concession” would seem to be illusory, since the medical board has no procedures for inspecting osteopathic schools and certifies only those schools certified by the American Medical Association (A.M.A.), which presently does not certify osteopathic schools.

Perceiving the advantage to be gained by acceptance of the C.M.A.’s position—namely, the possible avoidance of plaintiffs’ equal protection argument—the medical board through the Attorney General changed its *8 former position in the midst of the litigation. To evidence its conversion it offered eight blank application forms to plaintiffs and then proceeded to announce that the matter was moot.

The trial court on demurrer was not deluded by the argument of mootness—noting that it was the object of plaintiffs to be licensed by the osteopathic board, which had procedures for approving their schools. However, it accepted the position of the C.M.A. and the medical board on its merits. Reviewing the pitched battle that has raged between the osteopathic and allopathic professions since the turn of the century—and the various legislative acts which have littered the field—the trial court concluded that the 1962 referendum act, by removing from the osteopathic board the power to license osteopaths, had revived a portion of a 1913 act which had placed the power to license osteopaths in the medical board. As to the question of medical board inability or refusal to approve osteopathic schools, the court considered that such matter would best be considered in a later proceeding when it was actually shown that the medical board, although having the power to license osteopaths as physicians, did not do so because it could not or would not approve osteopathic schools. 3

In a supplemental opinion the trial court on demurrer considered the question of reciprocity examination and licensing. Here the constitutional question was unavoidable, for the Business and Professions Code (§ 2310, as amended in 1962) expressly provides that only those holding an M.D. degree are eligible for a reciprocity certificate. The question was determined by means of judicial notice. Referring almost exclusively to a work written by an M.D. and published after the passage of the 1962 referendum, the court concluded that the differences in the quality of osteopathic education provided a conceivable state of facts which might reasonably justify the legislative conclusion that osteopaths seeking licensure as physicians take the comprehensive examination required of “new” physicians. Thus the court held that there was no denial of equal protection in forbidding reciprocity licenses to osteopaths.

Plaintiffs appealed.

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Bluebook (online)
520 P.2d 10, 11 Cal. 3d 1, 112 Cal. Rptr. 786, 1974 Cal. LEXIS 276, Counsel Stack Legal Research, https://law.counselstack.com/opinion/damico-v-board-of-medical-examiners-cal-1974.