Willoughby v. KENNETH W. WILKINS, MD, PA

310 S.E.2d 90, 65 N.C. App. 626, 1983 N.C. App. LEXIS 3567
CourtCourt of Appeals of North Carolina
DecidedDecember 20, 1983
Docket828SC1190
StatusPublished
Cited by55 cases

This text of 310 S.E.2d 90 (Willoughby v. KENNETH W. WILKINS, MD, PA) is published on Counsel Stack Legal Research, covering Court of Appeals of North Carolina primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Willoughby v. KENNETH W. WILKINS, MD, PA, 310 S.E.2d 90, 65 N.C. App. 626, 1983 N.C. App. LEXIS 3567 (N.C. Ct. App. 1983).

Opinion

EAGLES, Judge.

I.

Plaintiff assigns as error the granting of defendant Cain’s motion for a directed verdict at the close of plaintiffs evidence. Plaintiff contends that a directed verdict was improper because the evidence was sufficient to raise a jury issue as to whether a physician-patient relationship existed between defendant Cain and plaintiff. We agree.

A motion by a defendant for a directed verdict under G.S. 1A-1, Rule 50(a) of the Rules of Civil Procedure raises the question as to whether there is sufficient evidence to go to the jury. In considering a motion for a directed verdict, the trial judge must take all the evidence which supports plaintiffs claim as true, consider the evidence in the light most favorable to the plaintiff, and give the plaintiff the benefit of every reasonable inference in the plaintiffs favor which may be reasonably drawn. Tripp v. Pate, 49 N.C. App. 329, 271 S.E. 2d 407 (1980). A directed verdict is improper unless it appears as a matter of law that plaintiff cannot recover under any view of the facts which the evidence reasonably tends to establish. If, on the evidence before the court, reasonable minds could differ as to whether plaintiff is entitled to recover, a directed verdict is improper and the case should go to the jury. Koonce v. May, 59 N.C. App. 633, 298 S.E. 2d 69 (1982).

A physician-patient relationship between defendant Cain and plaintiff must be shown before any duty of care may be imputed to defendant Cain. “[T]he ultimate test of liability would depend upon whether the physician actually accepted [a] . . . person as a patient and undertook to treat him.” Childers v. Frye, 201 N.C. 42, 45, 158 S.E. 744, 746 (1931). The question before us is whether, when the evidence is considered in the light most favorable to *632 plaintiff, there was evidence from which a jury could find that defendant Cain accepted plaintiff as a patient and undertook to treat her. We find that there was evidence of a physician-patient relationship.

The evidence presented by the plaintiff shows that: On 22 January 1977, plaintiffs husband took plaintiff to the emergency room of Wayne County Memorial Hospital. There, a nurse took plaintiff’s vital signs. According to plaintiffs husband’s testimony, defendant Cain, who was on duty in the emergency room, introduced himself and personally checked plaintiffs ears, eyes, throat, and chest. Defendant Cain told plaintiff to see Dr. Bennett as soon as she could, to go home and go to bed, and to drink a lot of water. There was also contradictory evidence that defendant Cain did not accept plaintiff as a patient because she was not, according to hospital policy, an “acute emergency.” Defendant Cain testified that when a patient was not an acute emergency, the physician wrote it up in a “rejection book.” He explained that these non-emergency patients required him to:

Stop seeing the emergency patients that needed my care to go over there to the desk and hassle with these —no, excuse me, that — hassle with these, most of whom are crooks, didn’t want to go to a private doctor because they would have to pay or they didn’t want to have to get off from work and go to the doctor the next day. That was the type people we rejected, very undesirable people. . . .

Defendant Cain testified that plaintiff “was not an emergency. She had an illness which had been going on for five days and the vital signs were normal and she was under the care of a family doctor she could have reached that night.”

We find that this evidence would allow a jury to find that a physician-patient relationship was established. We do not hold here that the act of “rejecting” a patient establishes a physician-patient relationship; rather, we hold that the fact that plaintiff presented evidence that defendant Cain evaluated plaintiff’s physical condition and rendered medical advice to her would allow, though not compel, a jury to conclude that defendant Cain had accepted plaintiff as a patient and had undertaken to diagnose and treat her. Defendant Cain’s testimony that he did not accept plaintiff as a patient directly contradicts plaintiff’s *633 evidence that he checked her over and gave her medical advice. This is, as our Supreme Court recently held in a case concerning the establishment of the physician-patient relationship, a situation where “[s]uch a contradiction raises an issue of material fact to be decided by the jury.” Easter v. Lexington Memorial Hospital, 303 N.C. 303, 306, 278 S.E. 2d 253, 255 (1981). It was error to accept defendant Cain’s statement that he did not accept plaintiff as a patient as a legal conclusion that a physician-patient relationship was not established. Because the evidence could show, when considered in the light most favorable to the plaintiff, that there was a physician-patient relationship, we hold that the motion for directed verdict was improperly granted as to defendant Cain. We therefore reverse the judgment of the trial court as to defendant Cain and remand for a new trial.

II.

Plaintiff assigns as error the granting of directed verdicts in favor of defendants Wayne County and Wayne County Memorial Hospital. Defendant hospital argued that defendant Cain, an emergency room doctor, was not an agent of the hospital and that therefore any alleged negligence of defendant Cain could not be imputed to the hospital or the county. Since we have reversed the directed verdict as to defendant Cain, we must now consider whether the directed verdicts in favor of the hospital and the county were proper. Here too, we must consider the evidence in the light most favorable to the plaintiff in evaluating the propriety of the directed verdict for defendants hospital and county. Tripp v. Pate, supra; Koonce v. May, supra.

In North Carolina, a principal generally is liable for the negligent acts of his agent which result in injury to another. King v. Motley, 233 N.C. 42, 62 S.E. 2d 540 (1950). Generally, there is no vicarious liability upon an employer for negligent acts of an independent contractor. Hendricks v. Leslie Fay, Inc., 273 N.C. 59, 159 S.E. 2d 362 (1968). The test for determining whether a relationship between parties is that of principal and agent (employer and employee), or that of employer and independent contractor, is whether the party for whom the work is being done has the right to control the worker with respect to the manner or method of doing work. As distinguished from an agent or employee, an independent contractor is not subject to interference or control by *634 the employer with respect to the manner or method of doing the work. Little v. Poole, 11 N.C. App. 597, 182 S.E. 2d 206 (1971).

The question here is whether, when considering the evidence in the light most favorable to the plaintiff, the trial court had before it evidence that defendant Cain was subject to interference or control by defendants hospital and county with respect to the manner or method of performing his duties as an emergency room physician. We find, as this court found in Rucker v. High Point Memorial Hospital, 20 N.C. App. 650, 202 S.E. 2d 610, aff'd, 285 N.C. 519, 206 S.E.

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Bluebook (online)
310 S.E.2d 90, 65 N.C. App. 626, 1983 N.C. App. LEXIS 3567, Counsel Stack Legal Research, https://law.counselstack.com/opinion/willoughby-v-kenneth-w-wilkins-md-pa-ncctapp-1983.