State Ex Rel. McAvoy v. Louisiana State Board of Medical Examiners

115 So. 2d 833, 238 La. 502, 1959 La. LEXIS 1110
CourtSupreme Court of Louisiana
DecidedNovember 9, 1959
Docket44547
StatusPublished
Cited by28 cases

This text of 115 So. 2d 833 (State Ex Rel. McAvoy v. Louisiana State Board of Medical Examiners) is published on Counsel Stack Legal Research, covering Supreme Court of Louisiana primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
State Ex Rel. McAvoy v. Louisiana State Board of Medical Examiners, 115 So. 2d 833, 238 La. 502, 1959 La. LEXIS 1110 (La. 1959).

Opinion

McCALEB, Justice.

Relatrix, a physician holding licenses to practice medicine in Texas and New York, brought this suit for the issuance of a writ of mandamus to compel the Louisiana State Board of Medical Examiners to issue her a reciprocity certificate to practice her profession in this State. She alleged that she made application to the Board for certification and that she possesses all of the qualifications required by the Louisiana statute (R.S. 37:1261 — 1290) but that the Board, after holding an unlawful and improperly conducted hearing to consider her qualifications, had arbitrarily rejected her application.

The Board interposed exceptions of no right or cause of action to the petition. Simultaneously, it filed an answer in which it admitted that relatrix applied for a certificate to practice medicine and surgery, which was denied on the ground that it was not satisfied that she was of good moral character and pleaded that this decision was reached after a careful consideration of all of the facts in its possession and not (as charged by relatrix) arbitrarily and capriciously.

After a consideration of the merits of the case the district judge, without passing on the propriety of the hearing conducted by the Board, rejected the demand, holding that the evidence did not show that the Board abused its discretion or acted arbitrarily in denying the application for licensure. Relatrix then appealed to the Court of Appeal for the Parish of Orleans where the judgment of the trial court was affirmed. That court, like the district court, gave no consideration to the claim of relatrix that the hearing held by the Board, which resulted in a denial of her application, was unlawful and confiscatory of her property rights. 1 See 109 So.2d 123. On the showing made by relatrix in an application to this court a writ of certiorari was granted.

*509 Here, in argument and brief, new counsel for relatrix (employed since the case reached this Court) urges two grounds for reversal of the judgments rendered below. First, it is contended that the Act creating the Louisiana State Board of Medical Examiners is unconstitutional because it allegedly delegates powers of a legislative nature to the Board, the Act having no standards upon which to guide the Board in its determination of whether an applicant “shall be of good moral character”.

Alternatively, counsel argues that the refusal of the Board to license relatrix was arbitrary and capricious and, further, that she was deprived of her property rights without due process of law because of the impropriety of the Board’s hearing.

We may dispose of counsel’s challenge of the constitutionality of the Medical Practice Act in short order because this issue was not pleaded or briefed in either of the lower courts, being raised for the first time at the hearing in this Court. It is the well-settled general rule (which is applicable herein) that the unconstitutionality of a statute cannot be asserted in the appellate court unless it has been pleaded and made an issue in the court of first instance. Allopathic State Board of Medical Examiners v. Fowler, 50 La.Ann. 1358, 24 So. 809; State ex rel. Porterie v. Jones, 181 La. 390, 159 So. 594 and other cases too numerous to mention.

Therefore, the only issues properly presented for our consideration are whether the Board abused its discretion in refusing the application of relatrix for a medical license on the basis that she had not satisfied it as to the statutory requirement of good moral character and whether or not it deprived her of due process of law by conducting the hearing on her application improperly and illegally.

By mandate of the Constitution of this State the Legislature is instructed to provide for the interest of State medicine by protecting the people from unqualified practitioners. See Article 178 of the Constitution of 1879; Article 297 of the Constitutions of 1898 and 1913 and Section 12 of Article 6 of the Constitution of 1921. In conformity with these provisions, the Legislature has enacted a series of laws under which the Louisiana State Board of Medical Examiners was created, providing the rules for its operation and setting forth the qualifications which an applicant must possess in order to be issued a certificate to practice medicine. The last statutes on the subject were Acts 56 of 1914 and 54 of 1918, which were rewritten and incorporated into the Revised Statutes of 1950 as R.S. 37:1261-1290.

R.S. 37:1271 sets forth the qualifications necessary for persons desiring to practice medicine in this State and included therein, in addition to a diploma from a college in good standing, legal age and citizenship, it *511 is required that the applicant “Be of good moral character; * * * R.S. 37:1273 declares that if the various requirements are met “to the satisfaction of the board” it shall issue the applicant a certificate to practice medicine.

R.S. 37:1274 and 1277 provide for the issuance of temporary permits to applicants which may be granted by one member of the Board to any applicant after a satisfactory examination but which shall not continue in force longer than the next regular meeting of the Board. R.S. 37 :- 1275 declares that the Board may waive examination in favor of any applicant who presents to it a satisfactory certificate of examination from a board of medical examiners of another State if the Board finds that the certificate of examination from the board of examiners of another State was received on the equivalent of “Class A college standard American Medical Association.”

Thus, when an application is made for a license, either by examination or under the reciprocity section, the applicant must fill out a form furnished by the Board setting forth in detail information concerning the applicant’s education and medical background. In addition, the Board has prescribed by rule that the applicant supply two letters of recommendation as to his moral character from physicians with whom he was associated during the year previous to the filing of the application.

During July or August of 1956, relatrix moved from New York, where she had been practicing since December, 1955 to Hammond, Louisiana and purchased the medical practice of Dr. Louise Markham of that city. Upon reaching Louisiana in August, 1956, relatrix applied to the Medical Board for certification by examination, filling out the required application and providing the Board with letters of recommendation from two physicians with whom she had been associated during the previous year. Since it appeared at that time that relatrix had met all requirements for qualification, she was granted a temporary permit to practice in Louisiana on September 4, 1956.

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Bluebook (online)
115 So. 2d 833, 238 La. 502, 1959 La. LEXIS 1110, Counsel Stack Legal Research, https://law.counselstack.com/opinion/state-ex-rel-mcavoy-v-louisiana-state-board-of-medical-examiners-la-1959.