Admissions to Board Investigator Can Be Used Against Physician in Criminal Trial

On December 15, 2020, the Ohio Supreme Court ruled 6-1 that a physician’s admissions made to an Ohio Medical Board investigator can be used against the physician in his criminal trial.

In 2017, three patients accused Dr. James Gideon of inappropriate touching during office visits.  Gideon told Bluffton police he did not inappropriately touch any patients.  Subsequently, however, an Ohio Medical Board investigator made an unannounced visit to Gideon’s office.  Gideon, who was aware of the Ohio Medical Board legal requirement to cooperate with and provide truthful answers to the investigator, admitted to “touching certain areas on the patients and succumbing to temptation”. The investigator provided these admission to Bluffton police.

Gideon was charged with three misdemeanor counts of sexual imposition.  At trial, he argued that the statements he made to the investigator should be suppressed based on the Fifth Amendment protection from being forced to incriminate himself.

The trial court did not suppress Gideon’s incriminating statements because it found that Gideon voluntarily made the statements to the investigator.  Gideon was found guilty in all three cases and was sentenced to 180 days in jail.

On appeal, the appeals court ruled that the trial court should have suppressed the incriminating statements because his statements were not voluntary.

Upon review, the Ohio Supreme Court reviewed that the Fifth Amendment to the U.S. Constitution includes the right to remain silent where a person’s replies might be used against the person in future criminal proceedings.

The Ohio Supreme Court held that, in order to determine that Gideon’s statements were coerced in violation of his Fifth Amendment rights, Gideon had to demonstrate that (i) he subjectively believed that failure to cooperate with the investigator would lead to the loss of his license, and (ii) his belief that he was being threatened was objectionably reasonable by providing some evidence of pressure beyond merely directing him to cooperate in the investigation.  The Ohio Supreme Court found that Gideon’s belief that he was being threatened was not objectively reasonable under the facts and circumstances of the investigation.

Health care and other professional licensees in Ohio must be aware that information provided to an investigator – whether that is an investigator employed by the Medical Board, Nursing Board, Pharmacy Board, or any other board or agency – can be used against the licensee in a disciplinary action and in a criminal proceeding.  Legal counsel is recommended for any licensee in connection with any Board investigation or disciplinary action.

If you have any questions about this article or the State Medical Board of Ohio, please feel free to contact attorney Beth Collis at (614) 628-6945, or attorney Todd Collis at (614) 628-6962.

Attorney Beth Collis quoted in Medscape article on Medical Board investigations

Attorney Beth Collis, of Collis Law Group LLC, was quoted in a Medscape article titled “The Dangers of a Medical Board Investigation: How to Protect Yourself”. In the article Ms. Collis addresses the 9,000 complaints that the State Medical Board of Ohio receives each year. “Many are minor or frivolous, such as allegations that the doctor or his staff was rude to the patient or family, billing questions, being forced to wait too long for an appointment, etc. The Board generally doesn’t take action in these cases and may not even inform the doctor of them.”

Ms. Collis also addresses how it is necessary for physicians to respond to Board investigations or inquiries. Ms. Collis warns physicians against ignoring inquiries from the Board, or from talking to the Board without counsel. “No complaint is too minor. Too many physicians think they don’t need a lawyer and can just talk the Board investigators into dropping the complaint. Doctors may sincerely want to help but they don’t understand the rules and pitfalls. They are often too chatty and explain things that weren’t even asked.” Legal counsel is recommended for any physician in connection with any Medical Board investigation or disciplinary action.

Read the article, written by Mark Crane, by clicking on the following link: https://www.medscape.com/viewarticle/899247_2

As always, if you have any questions about this blog or the State Medical Board of Ohio, please feel free to contact one of the attorneys at Collis Law Group LLC at (614) 486-3909 or email me at Beth@collislaw.com.

State Medical Board of Ohio Monthly Disciplinary Meeting: No Holds Barred!

On the second Wednesday of each month, the State Medical Board of Ohio holds its monthly Board meeting. At these public meetings, the Medical Board reviews and determines all matters related to scope of practice, licensure and discipline.  Yesterday, I attended the Board’s October Board meeting.

In many respects, the October meeting was no different from other meetings. The Board members reviewed the scope of practice for Physician’s Assistants, ruled on licensure applications, and most importantly for the clients that our firm represent, the Medical Board made final determinations in disciplinary matters.

I was struck by the level of detail and care that each Board member took in reviewing the disciplinary matters. I am always appreciative to learn that the Board Members have read the Report and Recommendation of the disciplinary hearings, reviewed all the exhibits, and carefully consider each case.

It is also refreshing to see Board Members challenge each other and actively deliberate before issuing a discipline. The Board Members do not hold back in their questions, concerns or comments while deliberating the sanction that should be imposed in a given case. They also do not simply “rubber stamp” the recommendation of the hearing examiner in a disciplinary case.

Many believe that all deliberations of Board Members should be behind closed doors. I disagree. If a licensee is subject to discipline by the Medical Board, the licensee should be provided with the opportunity to present their defense and listen to the questions and concerns of the Board Members before a sanction, if any, is imposed.

The monthly Board meeting minutes are online and can be reviewed by the public. http://med.ohio.gov/ForthePublic/BoardMeetingMinutes.aspx

I highly encourage all licensees to read the monthly Board minutes. The minutes show WHAT types of cases are of concern to the Board and what Discipline is typically imposed. I make it a point to attend every Board meeting and to read the monthly Board minutes.

As always, if you have any questions about the State Medical Board of Ohio or this post, please feel free to contact me at 614-486-3909 or email me at beth@collislaw.com.