State ex rel. State Board of Healing Arts v. Thomas

97 P.3d 513, 33 Kan. App. 2d 73, 2004 Kan. App. LEXIS 977
CourtCourt of Appeals of Kansas
DecidedSeptember 17, 2004
DocketNo. 91,403
StatusPublished
Cited by5 cases

This text of 97 P.3d 513 (State ex rel. State Board of Healing Arts v. Thomas) is published on Counsel Stack Legal Research, covering Court of Appeals of Kansas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
State ex rel. State Board of Healing Arts v. Thomas, 97 P.3d 513, 33 Kan. App. 2d 73, 2004 Kan. App. LEXIS 977 (kanctapp 2004).

Opinion

Green, J.:

The State Board of Healing Arts (Board) appeals from the trial court’s ruling in favor of Steven Thomas on the parties’ cross-motions for summary judgment. The Board brought an action against Thomas seeking to enjoin him from attaching to his name the M.D. designation indicating that he engages in the treatment or diagnosis of human disease, illness, and injury. Although Thomas has been licensed by the Kansas Dental Board as a dentist, he has not been licensed by the Kansas Board of Healing Arts as a medical doctor.

On appeal, the issue is whether the trial court was correct in denying the injunction. The statutory scheme of the Kansas Healing Arts Act (Act) requires the issuance of an injunction when an unlicensed individual attaches the M.D. designation to his name. In reviewing the trial court’s findings of fact and conclusions of law, we determine that the trial court misapplied die law and that an injunction should have been issued in this case. Nevertheless, the Act’s statutory scheme as it relates to an unlicensed individual’s use of tire M.D. title is overbroad and should be narrowed. We find that the Act’s regulatory scheme may constitutionally ban only those uses of the M.D. designation that may potentially mislead the public, patients, other health care practitioners, or hospitals concerning the user’s licensed or unlicensed status. Accordingly, we reverse and remand to the trial court for an injunction consistent with this opinion.

The case comes before this court on a set of stipulated facts.

Since 1986, Thomas has been licensed with the Kansas Dental Board to practice dentistry in Kansas. Thomas is licensed by the Kansas Dental Board to treat and diagnose ailments, diseases and injuries of human beings’ mouths, teeth, and jaws, to perform oral and maxillofacial surgeiy, and to prescribe medication and treat [76]*76medically all diseases of the oral and maxillofacial area. Thomas has admitting and treating privileges at Shawnee Mission Medical Center (SMMC) where he has been credentialed as a dentist and has privileges to perform oral surgeiy, maxillofacial surgery, and other appropriate surgeries.

In 1999, Thomas received a Doctor of Medicine degree from the University of Health Sciences Antigua (UHSA) in St. Johns, Antigua, West Indies. Thomas received this degree through an advanced standing program at UHSA where he spent 8 weeks on campus in Antigua. Thomas did not complete a postgraduate training program after receiving his Doctor of Medicine degree nor did he complete any part of either the Federation Licensing Examination (FLEX) or the United States Medical Licensing Examination (USMLE). He has not been licensed by the Board to practice any branch of the healing arts.

Despite not being licensed to practice the healing arts in Kansas, Thomas attaches the M.D. designation to his name. Specifically, he has identified himself by his name followed by the D.D.S. and M.D. designations on an application for renewal of his hospital privileges in dentistry and oral surgery at SMMC, an application for reappointment at SMMC, a list of conditions associated with his application for reappointment, and a list of covering physicians for his credentialing file at SMMC. Other items in which Thomas’ name has been followed by the M.D. designation include a certificate of liability insurance issued to SMMC and a wallet card issued by the American Heart Association certifying completion of the advanced cardiac life support program.

Several documents and orders used in the care and treatment of Thomas’ patient, B.T., identified Thomas by name followed by the designations of D.D.S. and M.D. These items included a history and physical evaluation, a progress note, an informed consent form, a history and physical report for SMMC, a partial list of standing orders for post-operative patient care regarding the patients at SMMC, a health insurance claim form prepared for an insurance company, and a dental claim form prepared for an insurance company.

[77]*77In addition, Thomas distributes his business card to the public upon which his name is followed by the designations of D.D.S. and M.D. On his practice group’s website, Thomas has a biographical page which states that he received his medical degree from UHSA but fails to disclose that he is not licensed to practice any branch of the healing arts in Kansas.

In February 2003, the Board brought an action against Thomas asking the trial court to declare that he unlawfully attaches to his name the M.D. designation indicating that he engages in the treatment or diagnosis of ailments, diseases, or injuries of human beings. The State requested that the trial court enjoin Thomas from such use. Dr. Thomas and the State filed cross-motions for summary judgment. The parties submitted a joint stipulation of facts. Throughout his argument, Thomas seizes upon the following statement made in the stipulated facts:

“The Board of Healing Arts does not allege and for purposes of this matter stipulates that Dr. Thomas has provided no false information to any member of the public, nor to any hospital or agency concerning his practice, nor the privileges given to him by the State of Kansas, nor by any hospital where he practices.”

In addition to the stipulated facts, the parties informed the trial court that in July 2003, the Kansas Dental Board had approved the change of Dr. Thomas’ corporate charter name from Corporate Lakes Surgery Center, Inc., to Steven L. Thomas, D.D.S., M.D., Chartered, “in accordance with provisions of law.” Thomas then filed a certificate with the Kansas Secretary of State making this change to the articles of incorporation. The Board presented evidence indicating that the entity’s original corporate purpose, which was to conduct an ambulatory surgical center, had not changed. Under K.S.A. 65-425(f), an ambulatoiy surgical center must have an organized medical staff of one or more physicians.

The trial court granted Thomas’ motion for summary judgment and denied the State’s request for a declaratory judgment and injunction.

Jurisdiction

First of all, Thomas challenges the jurisdiction of the Board. Thomas maintains that the Board only has jurisdiction to take dis[78]*78eiplinaiy action against a licensee. As a result, because Thomas is not a licensee and has never sought a license, he contends the Board has no authority over him or his business.

It is undisputed that the Kansas Legislature, in the public interest and in furtherance of the general welfare, is empowered to regulate the profession of medicine. Consequently, the Legislature established die Kansas Healing Arts Act. K.S.A. 65-2801 et seq. The Legislature empowered the Board, among other things, to adopt regulations as may be reasonably necessary to administer the Act. K.S.A. 65-2828 and K.S.A. 65-2840a. In addition, the Legislature authorized the Board to seek injunctions against any person who has engaged or who is about to engage in conduct or practices which violate the Act. K.S.A.

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Cite This Page — Counsel Stack

Bluebook (online)
97 P.3d 513, 33 Kan. App. 2d 73, 2004 Kan. App. LEXIS 977, Counsel Stack Legal Research, https://law.counselstack.com/opinion/state-ex-rel-state-board-of-healing-arts-v-thomas-kanctapp-2004.