Lingle v. Dion

776 So. 2d 1073, 2001 WL 99193
CourtDistrict Court of Appeal of Florida
DecidedFebruary 7, 2001
Docket4D00-348
StatusPublished
Cited by7 cases

This text of 776 So. 2d 1073 (Lingle v. Dion) is published on Counsel Stack Legal Research, covering District Court of Appeal of Florida primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Lingle v. Dion, 776 So. 2d 1073, 2001 WL 99193 (Fla. Ct. App. 2001).

Opinion

776 So.2d 1073 (2001)

J. Clifton LINGLE, M.D., Appellant,
v.
Richard DION, Florida Center for Cosmetic Surgery, Inc., a/k/a, The Florida Center for Cosmetic Surgery, Inc., Appellees.

No. 4D00-348.

District Court of Appeal of Florida, Fourth District.

February 7, 2001.

*1074 Christopher A. Grillo of Law Offices of Christopher A. Grillo, P.A., Fort Lauderdale, for appellant.

David L. Kahn of David L. Kahn, P.A., Fort Lauderdale, for Appellee-Richard Dion.

LABARGA, JORGE, Associate Judge.

Richard J. Dion ("Dion") filed this medical malpractice action against J. Clifton Lingle, M.D. ("Lingle") and Lingle's employer, The Florida Center for Cosmetic Surgery, Inc. ("Center"), alleging that Lingle was negligent in performing surgery on Dion for the bilateral implantation of artificial pectoral muscles. A jury trial resulted in a verdict and final judgment in favor of Dion. Following the denial of his motion for new trial, Lingle filed a timely appeal.

Although Lingle raises a number of issues in his appeal, we find merit only in his arguments that the trial court erred in permitting testimony to be presented concerning Lingle's peer review process, and that the trial court erred in instructing the jury that the lack of staff privileges was negligence per se. Thus, we reverse and remand for a new trial.

*1075 According to the testimony presented, Lingle agreed to perform surgery on Dion for the bilateral implantation of artificial pectoral muscles. Due to complications with the initial procedure, Lingle performed two additional surgical procedures on Dion, the last of which left him with cuts under his arms and what he described as "slashes" all over his chest. Ultimately, Dion had the implants removed by a physician in Rhode Island; however, he is still experiencing pain and numbness in his left breast, and has not been able to work since the implants were removed.

During the trial, in response to Dion's amended complaint for punitive damages, Lingle, who was a pro se litigant, filed a Motion in Limine asking the trial court to exclude testimony or evidence pertaining to his lack of hospital staff privileges or transfer agreements. The motion was denied. Thereafter, Dion called Lingle as a witness and the following exchange took place:

Q. Doctor, has your license to practice medicine ever been suspended?
A. That's not a subject for discussion in this court.
Q. Are you refusing to—
A. Yes.

The trial court directed Lingle to answer the question, and the following questioning continued:

A. Yes.
Q. On how many occasions, sir?
A. Once.
Q. Doctor, have you ever been placed on supervisory or monitor status by any medical board of any state?
A. Yes.
Q. On how many occasions?
A. Once.
Q. What state was that?
A. Florida.
Q. Were you placed on supervisory or monitor status in the state of Kentucky as well sir?
A. No.
Q. What is the current status of your medical license, Dr. Lingle?
A. I have a full active license.
Q. You have any probation of your license?
A. Yes.
Q. What is the probation, sir?
A. Two years.
Q. Is that probation and the previous suspension of your license directly related to care that you provided to patients while you operated a medical office in Florida Center for Cosmetic Surgery in the year 1996?

Lingle repeatedly objected to this line of questioning citing the language in § 766.101(5), Fla. Stat. (2000). Section 766.101(5), Florida Statutes (2000), states, in relevant part,

The investigations, proceedings, and records of a committee as described in the preceding subsections shall not be subject to discovery or introduction into evidence in any civil or administrative action against a provider of professional health services arising out of the matters which are the subject of evaluation and review by such committee, and no person who was in attendance at a meeting of such committee shall be permitted or required to testify in any such civil action as to any evidence or other matters produced or presented during the proceedings of such committee or as to any findings, recommendations, evaluations, opinions, or other actions of such committee or any members thereof.

Unfortunately, the trial court did not have the benefit of our recent decision in Liberty Mutual Insurance Co. v. Wolfson, 773 So.2d 1272 (Fla. 4th DCA 2000), at the time of its ruling in the instant action. In Wolfson, the defense counsel was permitted to ask one of plaintiffs treating physicians whether it was true that his privileges at a hospital had been suspended, and about the peer review process that resulted in that suspension. We found *1076 that line of questioning to be error, not only because such was an improper attack on the physician's credibility, see Tormey v. Trout, 748 So.2d 303 (Fla. 4th DCA 1999), but also because information about the peer review process is privileged under § 766.101(5).

In addressing the question of the privilege set forth in § 766.101(5), we noted in Liberty Mutual,

The peer review process is a system designed to keep health care costs low by encouraging self-regulation in the medical profession. See Holly v. Auld, 450 So.2d 217, 220 (Fla.1984). A limited guarantee of confidentiality for the information gathered during a peer review is necessary to ensure meaningful review. Id. at 220. To that end, the discovery privilege provided in the statute applies not only to medical malpractice actions, but also to "defamation actions arising out of the matters which are the subject of evaluation and review by hospital credential committees." Id. at 221; see also Bayfront Med. Ctr., Inc. v. State, Agency for Healthcare Admin., 741 So.2d 1226, 1228 (Fla. 2d DCA 1999)(The privilege and confidentiality of "peer review" records have consistently been construed broadly to protect the integrity of the "peer review" process).

In fact, the privilege protects not only documents created by a committee, but also any document considered by the committee in its decision making process. See Cruger v. Love, 599 So.2d 111 (Fla.1992); see also Munroe Reg'l Med. Ctr., Inc. v. Rountree, 721 So.2d 1220 (Fla. 5th DCA 1998)(The privilege extends to questions asked during a deposition regarding the temporary suspension of a physician's medical license during a peer review process).

Similarly, in the instant case, it was error for the trial court to require Lingle to testify about the suspension of his medical license and to require him to answer questions about the peer review process that led to that suspension. Such information was clearly privileged pursuant to section 766.101(5).

Lingle also asserts that the trial court erred in instructing the jury that his lack of hospital staff privileges was negligence per se. We agree.

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Cite This Page — Counsel Stack

Bluebook (online)
776 So. 2d 1073, 2001 WL 99193, Counsel Stack Legal Research, https://law.counselstack.com/opinion/lingle-v-dion-fladistctapp-2001.