Opinion
No. 235114.
Submitted January 14, 2003, at Lansing.
Decided March 13, 2003, at 9:05 a.m. Updated May 9, 2003.
Appeal from Oakland Circuit Court, LC No. 00-024036-NH.
Robert J. Dinges Associates (by Robert J. Dinges) for the plaintiff.
Rutledge, Manion, Rabaut, Terry Thomas, P.C. (by Paul J. Manion and Amy E. Schlotterer), for the defendant.
Before: Cooper, P.J., and Bandstra and Talbot, JJ.
Plaintiff appeals as of right the trial court's order granting summary disposition in favor of defendant and denying plaintiff's motion to amend the complaint. We affirm in part, reverse in part, and remand.
Plaintiff alleged that he was injured in the course of an independent medical examination (IME) conducted by defendant for an unrelated civil action. Plaintiff asserted that, before the examination, he told defendant that he had recently had surgery to repair a tear in the superior labrum of his right shoulder and that the surgeon had placed restrictions on the movement of plaintiff's right arm and shoulder, particularly instructing plaintiff to avoid lifting the arm above forty-five degrees. Plaintiff further asserted that during the course of the examination defendant nonetheless forcefully rotated plaintiff's right arm and shoulder ninety degrees, detaching the labrum from the right shoulder and requiring another surgery to repair the damage.
Plaintiff's original complaint alleged professional negligence against defendant. Defendant moved for summary disposition, arguing that there was no physician-patient relationship between plaintiff and defendant associated with the IME. Plaintiff moved to amend the complaint to include a claim of ordinary negligence. The trial court granted defendant's motion, agreeing with defendant that there was no physician-patient relationship and that a claim of professional negligence could not be brought. The trial court further denied plaintiff's motion to amend the complaint, concluding that it would be futile to do so because any claim of negligence against the physician would be a claim of professional negligence requiring a physician-patient relationship.
Plaintiff's original and amended complaints both contained liability theories other than professional or ordinary negligence. On appeal, however, plaintiff ignores all but one such theory and, therefore, any claim that the trial court erred in dismissing the original complaint by failing to allow amendment of the complaint to include those theories has been waived. Prince v MacDonald, 237 Mich. App. 186, 197; 602 N.W.2d 834 (1999). Plaintiff briefly mentions his contention below that defendant was liable under a third-party beneficiary theory, but that argument is not contained within the statement of questions presented as required by MCR 7.212(C)(5). Further, plaintiff presents no authority upon which we could conclude that a third-party contract theory is viable under facts even remotely similar to this case. For both these reasons, we conclude that defendant has waived any argument he might have had regarding the third-party beneficiary theory of liability. See Wilson v Taylor, 457 Mich. 232, 243; 577 N.W.2d 100 (1998); Caldwell v Chapman, 240 Mich. App. 124, 132; 610 N.W.2d 264 (2000). Upon remand, therefore, plaintiff is entitled to file an amended complaint alleging only a negligence theory of liability against defendant consistent with the remainder of this opinion.
Although the trial court granted defendant's motion for summary disposition pursuant to MCR 2.116(C)(10), because we find no indication that the trial court reviewed evidence outside the pleadings in ordering summary disposition, we review this matter under MCR 2.116(C)(8), which is the correct rule under these circumstances. A trial court's decision to grant summary disposition pursuant to MCR 2.116(C)(8) is reviewed de novo, to determine "whether the plaintiff has stated a claim upon which relief can be granted." Beaudrie v Henderson, 465 Mich. 124, 130; 631 N.W.2d 308 (2001).
In granting summary disposition, the trial court essentially found that defendant owed no duty to plaintiff. Whether a defendant owes any duty to a plaintiff to avoid negligent conduct is a question of law for the court to determine. Simko v Blake, 448 Mich. 648, 655; 532 N.W.2d 842 (1995). "Where no legal duty exists, the plaintiff has failed to state a claim upon which relief can be granted and summary disposition in favor of the defendant is appropriate pursuant to MCR 2.116(C)(8)." Schmidt v Youngs, 215 Mich. App. 222, 224-225; 544 N.W.2d 743 (1996). See also Energy Reserves, Inc v Consumers Power Co, 221 Mich. App. 210, 216; 561 N.W.2d 854 (1997) (where summary disposition is granted under the wrong rule, this Court will review the order under the correct rule).
A physician-patient relationship is a prerequisite for a professional negligence or malpractice cause of action against a physician. Hill v Kokosky, 186 Mich. App. 300, 302-303; 463 N.W.2d 265 (1990). In an IME context, there is no physician-patient relationship and there can be no liability for professional negligence or medical malpractice. See Rogers v Horvath, 65 Mich. App. 644, 647; 237 N.W.2d 595 (1975) ("[T]he defendant did not owe plaintiff any duty arising from a physician-patient relationship. . . . [W]e hold that the physician in such a case does not owe such a duty of care as will subject him to liability for malpractice."). While Rogers is not binding, see MCR 7.215(I)(1), we note that it is consistent with cases from other jurisdictions, we find it persuasive and we adopt its reasoning and result. Accordingly, the trial court appropriately granted defendant's motion for summary disposition of plaintiff's professional negligence cause of action as stated in the original complaint.
See, e.g., Martinez v Lewis, 969 P.2d 213, 219-220 (Colo, 1998); Hafner v Beck, 185 Ariz. 389, 392; 916 P.2d 1105 (Ariz App, 1995); Rand v Miller, 185 W. Va. 705, 706-708; 408 S.E.2d 655 (1991); Felton v Schaeffer, 229 Cal App.3d 229, 234-239; 279 Cal.Rptr. 713 (1991); Thomas v Kenton, 425 So.2d 396, 399-400 (La App, 1982); Hoover v Williamson, 236 Md. 250, 253; 203 A.2d 861 (1964).
However, plaintiff's attempt to allege ordinary negligence against defendant through the amended complaint presents a different question. The trial court denied the motion to file the amended complaint on the grounds of futility, reasoning that an ordinary-negligence claim could not be supported under the facts alleged. Again, this is a question of law we review de novo. Gunsell v Ryan, 236 Mich. App. 204, 208; 599 N.W.2d 767 (1999). We disagree with the trial court.
In Rogers, supra, the Court stated that its rule against malpractice claims arising from an IME did not necessarily extend to other theories of liability: "This is not to say that a physician who examines a person for reasons other than diagnosis or treatment and for the benefit of some one other than the examinee owes no duty of due care to that person." Rogers, supra at 647. However, as noted earlier, Rogers is not controlling. Further, this bare statement, presented without any citation of authority or further analysis, was dictum not addressing a question presented by the facts before the Court. We thus turn to other case law in determining the issue.
Both parties concede that there is no Michigan precedent addressing the situation presented here, where a plaintiff alleges that a physician conducting an IME caused physical harm to the plaintiff during the examination. In the only reported Michigan cases where a plaintiff alleged damages against an IME physician, the contention was that the physician had failed to appropriately conduct the examination and thus failed to properly diagnose a condition. See id. at 645-646; see also Sexton v Petz, 170 Mich. App. 561, 565-566; 428 N.W.2d 715 (1988); MacDonald v Barbarotto, 161 Mich. App. 542, 549-550; 411 N.W.2d 747 (1987).
Turning to precedent from other states, we find support for plaintiff's argument that a claim for negligence is valid under the facts alleged here. In Greenberg v Perkins, 845 P.2d 530, 532 (Colo, 1993), the plaintiff was required by an IME physician to undergo a series of physical tests with a third party following the IME, and those further tests resulted in back problems and surgery. Reviewing precedents from other jurisdictions, the Colorado Supreme Court recognized the '"general rule' that in the absence of a physician-patient relationship a physician owes no duty to an examinee." Id. at 535. The court nonetheless concluded that "cases from other jurisdictions uniformly recognize that even in the absence of a physician-patient relationship, a physician owes a duty to the person being examined to exercise professional skill so as not to cause harm to that person by negligently performing the examination." Id. at 536. The court adopted that approach, reasoning:
This conclusion is in accord with the principle that a physician's duty is commensurate with the type and degree of responsibility that he assumes. Thus, if a physician undertakes to diagnose, treat, or otherwise care for a person, an action will lie if he performs these functions negligently. So too, if the physician undertakes to examine a person, even if he does so for the sole benefit of a third party, he will owe a duty to the examinee to exercise professional skill in conducting the examination and will be liable for injuries that result from negligent performance of this function. [ Id.]
In Ramirez v Carreras, 10 S.W.3d 757, 760 (Tex App, 2000), the plaintiff alleged that a doctor injured him while performing an IME related to a worker's compensation claim. The court reasoned that "[t]he duty not to injure is entirely different in scope and application from the standard of care in medical negligence causes of action." Id. The court recognized that, in the absence of a physician-patient relationship, "the physician cannot be liable for professional negligence because he has no duty to exercise professional care." Id. at 761. Nonetheless, a "duty not to injure" remains, one that "is violated only by an affirmative act which causes injury." Id. at 762.
Thus, when a physician examines a nonpatient for the benefit of a third party, the physician is not required to use professional medical care, and thus may not be held liable for professional negligence, but is required to perform the examination in such a manner so as not to injure the examinee. [ Id.]
Greenberg and Ramirez find support, albeit in dicta, in a number of cases from other jurisdictions. We find these precedents to be persuasive. A physician conducting an IME does not enter into a physician-patient relationship with the examinee. Thus, the law does not impose any general duty to examine, diagnose, or treat the examinee in a professional manner, at the risk of liability for malpractice. Nonetheless, the physician does voluntarily accept a much lesser duty to conduct the IME in a manner that will not affirmatively cause physical harm to the examinee during the examination. Accordingly, a physician can be liable if, because of the physician's negligence, the IME results in such harm to the examinee.
See, e.g., Hafner, n 3 supra at 392, quoting Johnston v Sibley, 558 S.W.2d 135, 137-138 (Tex Civ App, 1977), and Rand, n 3 supra at 708, quoting Felton, n 3 supra at 235.
We do not consider whether the duty recognized here extends to situations where an IME physician's negligence causes injury other than physical harm. See, e.g., Rand, n 3 supra at 708 (criticizing cases where "the physician was found to have a duty to conduct the examination so as not to injure the plaintiff, physically or otherwise"). (Emphasis in original.)
In Ramirez, supra at 763-764, the court concluded that the duty not to injure is a "strict duty" that is violated whenever physical harm occurs during an IME. We disagree. Liability cannot be imposed against a physician who does nothing negligent, just because some physical injury occurs during an IME, without any further analysis. The fact-finder must determine what actually occurred during the IME and decide whether physical injury proximately resulted from some negligent act on the part of the physician. The present case is illustrative because it presents many questions regarding what plaintiff told defendant, what defendant did during the IME, whether defendant's actions were negligent, and how defendant's actions related to any injury suffered by plaintiff.
We recognize that a determination of negligence might require testimony regarding what a reasonable physician would have done during the IME here. However, that testimony would not transform this case into a malpractice action in contravention of Rogers, supra. The question would still be whether defendant negligently caused plaintiff physical harm, in violation of the limited duty attendant an IME.
We affirm the trial court's order granting summary disposition against plaintiff's original complaint that alleged professional negligence (medical malpractice). We reverse the order denying plaintiff's motion to file an amended complaint alleging ordinary negligence, and remand for further proceedings consistent with this opinion. We do not retain jurisdiction.