Moufawad v. State Med. Bd. of Ohio

Ohio Court of Appeals·Decided August 27, 2026·No. 115983·Published

Opinion

COURT OF APPEALS OF OHIO

EIGHTH APPELLATE DISTRICT COUNTY OF CUYAHOGA

SAMI MOUFAWAD, M.D., :

Plaintiff-Appellant, :

No. 115983

v. :

STATE MEDICAL BOARD OF OHIO, :

Defendant-Appellee. :

JOURNAL ENTRY AND OPINION

JUDGMENT: AFFIRMED

RELEASED AND JOURNALIZED: August 27, 2026

Administrative Appeal from the Cuyahoga County Court of Common Pleas Case No. CV-24-107917

Appearances:

Friedman, Nemecek, Long & Grant, L.L.C., and Eric C.

Nemecek; Rolf Martin Lang L.L.P., and Christopher G.

Kuhn, for appellant.

Andy Wilson, Attorney General of Ohio, Kyle C. Wilcox, D.

Grant Wilson, and Christie Limbert, Assistant Attorneys General, for appellee.

EILEEN T. GALLAGHER, P.J.:

Appellant Sami Moufawad, M.D. (“Moufawad”), appeals the judgment of the trial court affirming the indefinite suspension of his medical license by the

State Medical Board of Ohio (“Board”). He raises three assignments of error for our review:

1. The trial court erred/abused its discretion by failing to conclude that the Board’s actions violated Dr. Moufawad’s constitutional right to due process of law and/or should have been barred under the doctrine of laches.

2. The trial court erred/abused its discretion by affirming the Board’s order despite the absence of any evidence establishing that Dr.

Moufawad exploited the licensee-patient relationship.

3. The trial court abused its discretion by affirming the Board’s 2024 order despite the absence of reliable, probative, and substantial evidence supporting the same.

After a careful review of the record and applicable law, we find that Moufawad has not shown that the common pleas court erred by failing to conclude that his constitutional right to due process was violated or that the Board’s action was barred by the doctrine of laches. He further has not demonstrated that the court erred or abused its discretion in affirming the Board’s indefinite suspension of his license to practice medicine. There was reliable, probative, and substantial evidence to support the decision of the Board.

We overrule the assignments of error and affirm the judgment of the trial court.

I. Factual and Procedural History This appeal arose from the Board’s indefinite suspension of Moufawad’s license to practice medicine in Ohio for a violation of the Board’s sexual misconduct rules.

The salient facts in this matter are largely undisputed. Moufawad had been licensed to practice medicine in Ohio since 2004. He practiced physical medicine, rehabilitation, and pain management. In 2007, he saw a woman for chronic pain in her back and abdomen (“the patient ”). His treatment of the patient included prescribed opioids and injections. She saw Moufawad every month for six months. During this time, on two separate occasions, the patient inquired as to whether the size of her breasts was causing her pain. As she made the inquiry, she raised her shirt and bra, exposing her breasts to Moufawad.

Both times, Moufawad “lifted” the patient’s breasts to perform a cursory breast exam. He did not offer the patient a gown or the presence of a chaperone. Moufawad advised the patient that he did not believe her breast size was the cause of her pain. Neither breast exam was documented in the patient’s medical record.1 Moufawad stated that he did not document them because he felt her breast size was not the cause of her pain.

Sometime after the patient’s last visit in 2007, Moufawad implemented an office policy requiring a member of his staff to be present during all patient visits.

The patient did not return to Moufawad’s office until December 2010.

She had an appointment with him for lower back, abdominal, and pelvic pain. Moufawad’s medical assistant was present during this visit. The patient again inquired as to whether her breast size was contributing to her lower back pain;

1 Moufawad acknowledged that he did not perform a complete and proper breast exam because that is not part of his routine practice.

Moufawad advised her to see a surgeon. Moufawad recognized the patient from her previous appointments but later said that he did not remember that she had exposed her breasts to him twice in 2007.

The patient told her primary care physician about Moufawad’s actions in touching her breasts. The patient’s doctor advised her to go to the police or the hospital advocate. The record does not reflect that the patient took either action.

In January 2011, the patient again saw Moufawad. His medical assistant was also present in the room. The patient asked why the medical assistant was necessary and objected to her remaining in the room. Moufawad then asked his assistant to leave; the door to the exam room remained partially open, and the visit continued. During his examination of the patient, she lifted her shirt and bra as she had previously and asked whether she needed surgery. Moufawad again “lifted” the patient’s breasts and told her he did not believe her breasts were causing her pain. Moufawad did not offer the patient a gown or a chaperone and did not document his touching of her breasts; he stated that it was not part of her medical treatment because she had come to him about her back and he did not believe her breast size was related to her back pain.

Moufawad saw the patient three more times in 2011. At each appointment, Moufawad’s medical assistant acted as a chaperone and remained in the exam room the entire time. The patient requested that the chaperone leave, but Moufawad refused. After the third visit in 2011, Moufawad terminated his doctor- patient relationship with the patient.

In May 2011, the patient sent Moufawad a handwritten letter that referenced the instances of Moufawad touching her breasts. Moufawad testified that he panicked and shredded the letter; he later realized that his staff had read the letter and had likely made a copy. Several weeks later, the patient sent him another handwritten letter, referencing the same actions.

In August 2011, Moufawad was informed that an investigation had been opened by the Board regarding a complaint made by the patient.2 As part of the investigation, Moufawad was interviewed by a Board investigator. During the interview, Moufawad denied ever touching the patient’s breasts. One week later, Moufawad sent a letter to the investigator and admitted to not being “completely truthful and candid” during the interview. He explained that the patient had exposed her breasts by raising her shirt and bra and that he had briefly lifted her breasts. He admitted to all three instances where he had touched the patient’s breasts and acknowledged that he had not conducted himself appropriately with the patient or with the investigator during the interview. He further acknowledged that he had not documented his touching or examining of the patient’s breasts and that he had not used proper technique for a breast exam.

The investigation was closed with no action taken.

2 It is unclear whether the patient or her physician had reported the incidents that started the investigation.

In 2012, Moufawad received a letter from the patient’s attorney stating that the patient intended to file suit against him for medical malpractice and assault. An affidavit by the patient was attached to the letter.

Less than two months later, the patient’s attorney sent a second letter reiterating the intent to file a lawsuit and demanding the patient’s medical records. Moufawad provided the records but did not otherwise respond to the letters. No suit was ever filed, and the patient passed away in 2016.

In March 2023, the Board issued a “Notice of Opportunity for Hearing” to Moufawad stating that it was considering taking disciplinary action against him based upon allegations of sexual misconduct — specifically, touching the patient’s breasts without a chaperone or gown on two occasions in 2007 and again in 2011. The notice further informed Moufawad of his right to request a hearing, which he subsequently did.

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Moufawad v. State Med. Bd. of Ohio, (Ohio Ct. App. 2026).

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