Ames v. Department of Health Medical Quality Assurance Commission

Facts: Petitioner Geoffrey Ames was suspended from the practice of medicine by the respondent Medical Quality Assurance Commission after a hearing in which the commission ruled that Ames had engaged in unprofessional conduct in violation of Washington Revised Code §18.130.180(4) and had used an inefficacious medical device in violation of §18.130.180(16). Ames subsequently filed suit against the commission in the Superior Court for Benton County, asserting that the commission’s decision was based upon insufficient evidence insofar as no additional expert testimony beyond the testimony of the device’s creator had been introduced to speak to the relevant standard of care or to whether the device was inefficacious for the purpose it had been used. The trial court declined to overturn the commission’s decision, holding that it was supported by substantial evidence. The Washington Court of Appeals also affirmed the commission’s decision. Ames subsequently appealed to the Supreme Court of Washington.

Question(s): Was the expert testimony introduced in Ames’ hearing sufficient to demonstrate by clear and convincing evidence to a layperson that Ames had engaged in professional misconduct?

Conclusion: Justice Owens’ opinion for a unanimous Court concluded that, consistent with the requirements of the Washington Administrative Procedure Act (§34.05) regarding the review of agency adjudicative proceedings, no additional expert testimony was necessary to establish that Ames had used a medical device for purposes for which it was not designed once the device’s creator had testified that such biofeedback devices do not have the ability to diagnose and treat allergies. The Court held that the Medical Quality Assurance Commission was therefore not required to consider testimony regarding an alleged dispute in the medical profession with regard to the possible benefits of using the device in the manner that Ames had used it.

Docket No. 80644-6 (from Court of Appeals Division III Case No. 24897-6)

Petitioner: Geoffrey Ames

(Counsel: William R. Bishin)

Respondent: Department of Health Medical Quality Assurance Commission

(Counsel: Robert M. McKenna, Kim O’Neal, and Tracy L. Bahm)

Briefs:

Argument: Tuesday, March 10, 2009 10:00am

[Source: TVW, http://tvw.org]

Audio: Washington Supreme Court

Decided: Thursday, June 4th, 2009

Vote: 9-0

Citation: Pending

Court: Madsen1 Court (2010-)

Gerry Alexander: Majority

Alexander

Charles Johnson: Majority

Johnson

Barbara Madsen: Majority

Madsen

Richard Sanders: Majority

Sanders

Tom Chambers: Majority

Chambers

Susan Owens: Majority

Owens

Mary Fairhurst: Majority

Fairhurst

James Johnson: Majority

Johnson

Debra Stephens: Majority

Stephens

Opinion

Opinion

Note: We post only slip opinion(s) as published at the time of the decision. Please consult Washington Reports printed volumes for the opinion(s) in their final form.