Ettinger v. Bd. of Med. Quality Assurance, 135 Cal. App. 3d 853 (Cal. Ct. App. 1982). · Go Syfert
Ettinger v. Bd. of Med. Quality Assurance, 135 Cal. App. 3d 853 (Cal. Ct. App. 1982). Cases Citing This Book View Copy Cite
112 citation events (56 in the last 25 years) across 11 distinct courts.
Strongest positive: Li v. Super. Ct. (calctapp, 2021-10-19) · Strongest negative: In Re the Disciplinary Action Against the Dentist License of Wang (minn, 1989-06-09)
Treatment trajectory · 1982 → 2026 · click a year to view as-of
1982 2004 2026
Top citers, strongest first. 23 distinct citers. How cited ↗
discussed Cited "but see" In Re the Disciplinary Action Against the Dentist License of Wang (2×)
Minn. · 1989 · signal: but see · confidence high
See In re Polk, 90 N.J. 550 , 449 A.2d 7 (1982) (differing burdens of proof in disciplinary proceedings of attorneys and doctors held not to violate the equal protection clause): but see, Ettinger v. Bd. of Medical Quality Assurance, 135 Cal.App.3d 853 , 185 Cal.Rptr. 601 (1982).
discussed Cited as authority (rule) Li v. Super. Ct. (2×) also: Cited "see"
Cal. Ct. App. · 2021 · confidence medium
(See, e.g., Ettinger, supra, 135 Cal.App.3d at p. 856 [clear and convincing evidence standard of proof applied to a medical license revocation proceeding; independent judgment standard of review applied in trial court]; San Benito Foods v. Veneman (1996) 50 Cal.App.4th 1889, 1895, 1897 [preponderance of the evidence standard of proof applied to revocation of food processor’s license; independent judgment standard of review applied in trial court].) As our Supreme Court said, “ ‘[a]s a matter of logic, a finding that must be based on clear and convincing evidence cannot be viewed . . . th…
discussed Cited as authority (rule) Li v. Super. Ct. (2×) also: Cited "see"
Cal. Ct. App. · 2021 · confidence medium
(See, e.g., Ettinger, supra, 135 Cal.App.3d at p. 856 [clear and convincing evidence standard of proof applied to a medical license revocation proceeding; independent judgment standard of review applied in trial court]; San Benito Foods v. Veneman (1996) 50 Cal.App.4th 1889, 1895, 1897 [preponderance of the evidence standard of proof applied to revocation of food processor’s license; independent judgment standard of review applied in trial court].) As our Supreme Court said, “ ‘[a]s a matter of logic, a finding that must be based on clear and convincing evidence cannot be viewed . . . th…
discussed Cited as authority (rule) Sternberg v. California State Board of Pharmacy
Cal. Ct. App. · 2015 · confidence medium
(Ettinger v. Board of Medical Quality Assurance (1982) 135 Cal.App.3d 853, 856 [ 185 Cal.Rptr. 601 ].) Nor was there any evidence that the physical measures suggested by the Board, such as locked cabinets or drawers, would have done anything to prevent Hurtado’s theft.
discussed Cited as authority (rule) Keener v. Smith CA1/3
Cal. Ct. App. · 2013 · confidence medium
(See Ettinger v. Board of Medical Quality Assurance (1982) 135 Cal.App.3d 853, 856 [―The proper standard of proof in an administrative hearing to revoke or suspend a doctor‘s license should be clear and convincing proof to a reasonable certainty and not a mere preponderance of the evidence‖].) The trial court did not state at any time that the Board had the burden to prove its case to the trial court, or that it had to do so by clear and convincing evidence.
discussed Cited as authority (rule) Imports Performance v. Department of Consumer Affairs
Cal. Ct. App. · 2011 · confidence medium
Code, § 115.) In determining the proper standard of proof to apply in administrative license revocation proceedings, courts have drawn a distinction between professional licenses such as those held by doctors (Ettinger v. Board of Medical Quality Assurance (1982) 135 Cal.App.3d 853, 856 [ 185 Cal.Rptr. 601 ]), lawyers (Furman v. State Bar (1938) 12 Cal.2d 212, 229 [ 83 P.2d 12 ]), and real estate brokers (Small v. Smith (1971) 16 Cal.App.3d 450, 457 [94 Cal.Rptr 136]) on the one hand, and nonprofessional or occupational licenses such as those held by food processors (San Benito Foods v. Venem…
discussed Cited as authority (rule) Grubb Co. v. Department of Real Estate
Cal. Ct. App. · 2011 · confidence medium
(See, e.g., Hughes v. Board of Architectural Examiners, supra, 17 Cal.4th at pp. 788-789 & fn. 9; Ettinger v. Board of Medical Quality Assurance (1982) 135 Cal.App.3d 853, 856 [ 185 Cal.Rptr. 601 ]; cf. Sandarg v. Dental Bd. of California (2010) 184 Cal.App.4th 1434, 1441 [ 109 Cal.Rptr.3d 826 ] [noting parties did not dispute that clear and convincing evidence standard applied to proof of professional misconduct by dentist, but holding that preponderance of evidence standard applied in probation revocation proceeding]; Owen v. Sands (2009) 176 Cal.App.4th 985, 989-994 [ 98 Cal.Rptr.3d 167 ] […
discussed Cited as authority (rule) Sandarg v. Dental Bd. of California
Cal. Ct. App. · 2010 · confidence medium
(Ettinger v. Board of Medical Quality Assurance (1982) 135 Cal.App.3d 853, 856 [ 185 Cal.Rptr. 601 ].) The administrative law judge and the trial court applied that standard with respect to the board’s accusation.
discussed Cited as authority (rule) Gray v. Superior Court
Cal. Ct. App. · 2005 · confidence medium
In a proceeding before the Medical Board involving an accusation against a physician, the standard of proof “to revoke or suspend a doctor’s license should be clear and convincing proof to a reasonable certainty and not a mere preponderance of the evidence.” (Ettinger v. Board of Medical Quality Assurance (1982) 135 Cal.App.3d 853, 856 [ 185 Cal.Rptr. 601 ], italics in original.) In the case of an interim license suspension authorized by Government Code section 11529, the Medical Board must establish a “reasonable probability” that it will succeed on the merits of the accusation befo…
discussed Cited as authority (rule) Medical Bd. of California v. Superior Court
Cal. Ct. App. · 2003 · confidence medium
In order to take disciplinary action against a medical license, the Board is *178 obligated to base its decision on “clear and convincing proof to a reasonable certainty and not a mere preponderance of the evidence.” (Ettinger v. Board of Medical Quality Assurance (1982) 135 Cal.App.3d 853, 856 [ 185 Cal.Rptr. 601 ].) Liskey was terminated from the diversion program because on two occasions he tested positive for cocaine use.
discussed Cited as authority (rule) Mann v. Department of Motor Vehicles
Cal. Ct. App. · 1999 · confidence medium
(Ettinger v. Board of Medical Quality, supra, 135 Cal.App.3d at p. 856.) As the court stated in Small v. Smith (1971) 16 Cal.App.3d 450, 457 [ 94 Cal.Rptr. 136 ], “The object of an administrative proceeding aimed at revoking a license is to protect the *320 public, that is, to determine whether a licensee has exercised his privilege in derogation of the public interest, and to keep the regulated business clean and wholesome.” Consequently, the DMV’s burden was to prove by a preponderance of the evidence that Mann exercised the privilege of his license in derogation of the public interest…
discussed Cited as authority (rule) Hughes v. Board of Architectural Examiners
Cal. Ct. App. · 1998 · confidence medium
(See, e.g., Kapelus v. State Bar (1987) 44 Cal.3d 179, 184, fn. 1 [ 242 Cal.Rptr. 196 , 745 P.2d 917 ]; Ettinger v. Board of Medical Quality Assurance (1982) 135 Cal.App.3d 853, 856 [ 185 Cal.Rptr. 601 ]; see also Coffman v. Board of Architectural Examiners (1933) 130 Cal.App. 343, 347-348 [ 19 P.2d 1002 ].) The Court of Appeal did not suggest that the fine that may be imposed as a form of discipline pursuant to section 5565 against the holder of a license for a cause specified in section 5577 (conviction related to the practice of architecture) is unconstitutional.
discussed Cited as authority (rule) People v. Damon
Cal. Ct. App. · 1996 · confidence medium
Thus, “[t]he purpose of an administrative proceeding concerning the revocation or suspension of a license is not to punish the individual; the purpose is to protect the public from dishonest, immoral, disreputable or incompetent practitioners.” (Ettinger v. Board of Medical Quality Assurance (1982) 135 Cal.App.3d 853, 856 [ 185 Cal.Rptr. 601 ] [standard of proof in administrative hearing to discipline physician is clear and convincing proof to reasonable certainty].) “Administrative proceedings are civil in nature.
discussed Cited as authority (rule) Anonymous v. State Board of Medical Examiners
S.C. Ct. App. · 1996 · confidence medium
“Since it is apparent that the underlying purpose of disciplining both attorneys and physicians is protection of the public, it would be anomalous to require a higher degree of proof in disciplinary hearings involving attorneys or real estate agents than in hearings involving physicians.” (Id. at pp. 855-856, 185 Cal. Rptr. 601 .) Silva, 17 Cal. Rptr. (2d) at 580.
discussed Cited as authority (rule) Davis v. Wright
Neb. · 1993 · confidence medium
“Since it is apparent that the underlying purpose of disciplining both attorneys and physicians is protection of the public, it would be anomalous to require a higher degree of proof in disciplinary hearings involving attorneys or real estate agents than in hearings involving physicians.” (Id. at pp. 855-856, 185 Cal.Rptr. 601 .) . . .
discussed Cited as authority (rule) Silva v. Superior Court
Cal. Ct. App. · 1993 · confidence medium
In Ettinger v. Board of Medical Quality Assurance (1982) 135 Cal.App.3d 853, 856 [ 185 Cal.Rptr. 601 ], the court held the “clear and convincing proof to a reasonable certainty” standard of proof applies at Board administrative proceedings to revoke or suspend a medical license.
discussed Cited as authority (rule) Axness v. Superior Court (2×)
Cal. Ct. App. · 1988 · confidence medium
(See Ettinger v. Board of Medical Quality Assurance (1982) 135 Cal. App.3d 853, 858 [ 185 Cal. Rptr. 601 ].) There is no reason to apply a different standard in this case. (8) Accordingly, to prevail on his petition, appellant must prove by a preponderance of the evidence that the Minnesota conviction was obtained in violation of his constitutional rights. (9) Appellant presented the record of the Minnesota proceedings in support of his amended petition.
discussed Cited as authority (rule) Bonner v. Sisters of Providence Corp.
Cal. Ct. App. · 1987 · confidence medium
(See Yakov v. Board of Medical Examiners (1968) 68 Cal.2d 67, 73, fn. 6 [ 64 Cal.Rptr. 785 , 435 P.2d 553 ]; Ettinger v. Board of Medical Quality Assurance (1982) 135 Cal.App.3d 853, 856 [ 185 Cal.Rptr. 601 ].) Being licensed, however, is only the threshold requirement for a physician to obtain staff privileges at most hospitals.
discussed Cited as authority (rule) Yellen v. Board of Medical Quality Assurance
Cal. Ct. App. · 1985 · confidence medium
(Ettinger v. Board of Medical Quality Assurance (1982) 135 Cal.App.3d 853, 856, 858 [185 Cal.Rptr. *1058 601]; Strumsky v. San Diego County Employees Retirement Assn. (1974) 11 Cal.3d 28, 32 [ 112 Cal.Rptr. 805 , 520 P.2d 29 ].) Then, on appeal from a judgment in an administrative mandate proceeding (Code Civ.
cited Cited as authority (rule) Pasha v. Board of Medical Quality Assurance
Cal. Ct. App. · 1985 · confidence medium
(Ettinger v. Board of Medical Quality Assurance (1982) 135 Cal.App.3d 853, 856 [ 185 Cal.Rptr. 601 ].) The trial court correctly applied the “weight of the evidence” standard.
cited Cited as authority (rule) James v. Board of Dental Examiners
Cal. Ct. App. · 1985 · confidence medium
(Ettinger v. Board of Medical Quality Assurance (1982) 135 Cal.App.3d 853, 856 [ 185 Cal.Rptr. 601 ].) The ALJ recognized the existence of this correct standard.
discussed Cited as authority (rule) Gardner v. Commission on Professional Competence
Cal. Ct. App. · 1985 · confidence medium
Although two courts have held, “the standard of proof in the original administrative proceedings is wholly irrelevant to the standard of proof applicable to a review of such proceedings” (Chamberlain v. Ventura County Civil Service Commission, supra, 69 Cal.App.3d at p. 370 ; Ettinger v. Board of Medical Quality Assurance (1982) 135 Cal.App.3d 853, 858 [ 185 Cal.Rptr. 601 ]), there was no evidence in those cases the administrative agencies applied the wrong standard of proof.
discussed Cited "see" In Re Rothwell (2×)
Cal. Ct. App. · 2008 · signal: see · confidence high
While California law requires a more stringent standard of proof for prison disciplinary findings than is dictated by the federal Constitution (Hill, supra, 472 U.S. at p. 456 ), “the standard of proof on review of factual determinations of a tribunal is not a function of the standard of proof in the original proceedings before such tribunal.” (Chamberlain v. Ventura County Civil Service Com. (1977) 69 Cal.App.3d 362, 371 [ 138 Cal.Rptr. 155 ]; see Ettinger v. Board of Medical Quality Assurance (1982) 135 Cal.App.3d 853, 858 [ 185 Cal.Rptr. 601 ]; cf. Stromerson v. Averill (1943) 22 Cal.2d…
Retrieving the full opinion text from the archive…
MARVIN MORRIS ETTINGER, Plaintiff and Appellant,
v.
BOARD OF MEDICAL QUALITY ASSURANCE, Defendant and Respondent.
63045.
California Court of Appeal.
Sep 16, 1982.
135 Cal. App. 3d 853
Stephens.
Cited by 33 opinions  |  Published

[*854] COUNSEL

Patrick J. Perry and Newman, Chrisman & Faith for Plaintiff and Appellant.

George Deukmejian, Attorney General, and William L. Carter, Deputy Attorney General, for Defendant and Respondent.

OPINION

STEPHENS, Acting P.J.

This is an appeal from a judgment entered on May 13, 1981, denying appellant's petition for writ of mandate. The sequence of events leading up to the denial of that petition is as follows:

On October 24, 1979, an accusation was filed before respondent, Board of Medical Quality Assurance of the Department of Consumer Affairs of the State of California (Board), alleging that appellant, Marvin Morris Ettinger, M.D., was incompetent and grossly negligent in his treatment of a patient, Solomon Kachok. A supplemental accusation was subsequently filed with respondent on May 30, 1980.[1]

Hearings were held on July 7, 8 and 9, and on October 6, 7 and 8, 1980. The hearing panel issued its proposed decision on November 4, 1980, and the Board adopted it by order dated January 7, 1981. The Board suspended appellant's physician's and surgeon's certificate for one year but stayed the suspension and placed the appellant on probation for a period of one year.

Appellant filed a petition for reconsideration with the Board which was denied on February 6, 1981. A petition for writ of mandate was[*855] then filed in the superior court and judgment denying the petition was entered. This appeal followed.

Appellant contends that the proper standard of proof to be applied at the administrative level is clear and convincing proof to a reasonable certainty. The hearing panel specifically rejected this standard and held that the proper standard of proof to be applied in the matter was preponderance of the evidence.

This presents the sole issue to be determined, whether the standard of proof in an administrative hearing to revoke or suspend a medical license should be preponderance of the evidence, or whether it should be clear and convincing proof to a reasonable certainty.

It has been generally recognized that administrative proceedings, including proceedings to revoke or suspend a license, are civil rather than criminal in nature. (Petrucci v. Board of Medical Examiners (1975) 45 Cal. App.3d 83, 88 [117 Cal. Rptr. 735]; Borror v. Department of Investment (1971) 15 Cal. App.3d 531, 540 [92 Cal. Rptr. 525].) Generally, proof in civil cases is required by a preponderance of the evidence. However, in a number of situations, a greater degree of proof, usually clear and convincing evidence, is required. (Belli v. Curtis Pub. Co. (1972) 25 Cal. App.3d 384, 388 [102 Cal. Rptr. 122]; Trujillo v. City of Los Angeles (1969) 276 Cal. App.2d 333, 343 [81 Cal. Rptr. 146].)

Appellant contends that in cases involving the revocation or suspension of professional licenses, a higher degree of proof is warranted. In support of this contention, appellant cites such cases as Furman v. State Bar (1938) 12 Cal.2d 212 [83 P.2d 12]; Realty Projects, Inc. v. Smith (1973) 32 Cal. App.3d 204 [108 Cal. Rptr. 71]; and Small v. Smith (1971) 16 Cal. App.3d 450 [94 Cal. Rptr. 136], concerning disciplinary actions against attorneys and real estate brokers. Both Realty Projects and Small required that a professional licensing agency must use a higher standard of proof in disciplinary proceedings against professional licensees. (Realty Projects, Inc. v. Smith, supra, 32 Cal. App.3d at p. 212; Small v. Smith, supra, 16 Cal. App.3d at p. 457.)

Respondent argues that these cases are suspect for their reliance on Furman v. State Bar, supra, 12 Cal.2d 212. Respondent asserts that in view of the special nature of bar proceedings, Furman and cases adopting its higher standard of proof are inapplicable to a disciplinary[*856] proceeding against a medical doctor. It is true that State Bar proceedings, although administrative, have been held to be of a nature all their own, neither civil nor criminal. (Emslie v. State Bar (1974) 11 Cal.3d 210, 225 [113 Cal. Rptr. 175, 520 P.2d 991]; Matter of Danford (1910) 157 Cal. 425, 430 [108 P. 322].) However, when one compares the underlying policy considerations for that distinction with the policy considerations present in the instant case, substantial similarities can be seen.

"`The State Bar Act is designed to provide a procedure whereby those attorneys at law who prove recreant to their trust may be removed from the ranks of the profession. The public, as well as the legal profession and the courts must be protected from those who do not measure up to their responsibilities.... The purpose of disbarment proceedings is not to punish the individual but to determine whether the attorney should continue in that capacity.'" (Emslie v. State Bar, supra, 11 Cal.3d at p. 225, quoting Dudney v. State Bar (1937) 8 Cal.2d 555, 563 [66 P.2d 1199].)

The purpose of an administrative proceeding concerning the revocation or suspension of a license is not to punish the individual; the purpose is to protect the public from dishonest, immoral, disreputable or incompetent practitioners. (Meade v. State Collection Agency Board (1960) 181 Cal. App.2d 774, 776 [5 Cal. Rptr. 486]; West Coast etc. Co. v. Contractors' etc. Bd. (1945) 72 Cal. App.2d 287, 301-302 [164 P.2d 811].)

Since it is apparent that the underlying purpose of disciplining both attorneys and physicians is protection of the public, it would be anomalous to require a higher degree of proof in disciplinary hearings involving attorneys or real estate agents than in hearings involving physicians. (1) Accordingly, we hold that the proper standard of proof in an administrative hearing to revoke or suspend a doctor's license should be clear and convincing proof to a reasonable certainty and not a mere preponderance of the evidence.

Respondent has relied on several cases in support of the argument that the proper standard of proof at the administrative level should be a preponderance of the evidence. These cases are Skelly v. State Personnel Bd. (1975) 15 Cal.3d 194 [124 P.2d 14, 539 P.2d 774]; Perales v. Department of Human Resources Dev. (1973) 32 Cal. App.3d 332 [108[*857] P.2d 167]; and Pereyda v. State Personnel Board (1971) 15 Cal. App.3d 47 [92 Cal. Rptr. 746]. These are all distinguishable from the case at bar.

Perales was an action concerning the claimant's right to compensation benefits. It was held that in order to deny benefits and overcome a presumption favoring the claimant, the employer or the department had to prove by a preponderance of the evidence that the claimant quit without probable cause or was discharged for misconduct. (Perales v. Department of Human Resources Dev., supra, 32 Cal. App.3d at pp. 340-341.)

Pereyda involved an appeal by a state employee regarding his dismissal from state employment for allegedly bringing alcoholic beverages to his place of employment in violation of departmental regulations. The court held that "[t]he proceeding before the Board [was] a civil one, and hence the burden of proof requires only a preponderance of evidence." (Pereyda v. State Personnel Board, supra, 15 Cal. App.3d at p. 52.)

Skelly concerned the attempted dismissal of a state-employed physician who served as a medical consultant. The employee had served in that capacity for seven years and was accused of various deviations from the rules. The California Supreme Court held that procedural due process must be followed in disciplinary hearings to discharge or suspend a permanent employee. (Skelly v. State Personnel Bd., supra, 15 Cal.3d at p. 208.) That court also stated that the standard of proof used in state employment cases was a preponderance of the evidence. (15 Cal.3d at p. 204, fn. 19.)

A careful examination of these cases shows a difference between the policy considerations and interests involved there and those connected with the instant case. Neither Perales, Pereyda, nor Skelly was dealing with the revocation or suspension of professional licenses. Both Skelly and Pereyda involved action taken by the state against its employees. It seems only logical to require a higher standard of proof when dealing with revocation or discipline of a professional licensee as opposed to mere termination of state employment. The former affects one's right to a specific professional employment, while the latter involves only the right to be employed by a specific employer. It is the totality of professional employment opportunity involving vested interest rights which requires the higher standard.

[*858] Additionally, the goals of the court in Skelly and those involved in the case at hand are fundamentally different. As was noted in Skelly, the civil service system attempts to abolish the political spoils system and promote the efficiency of state employees. (15 Cal.3d at p. 201.) These concerns are neither present nor relevant to the instant case. Further, state employees may be disciplined or terminated on grounds which would be insufficient to attack them in their licensed professions. (See Gov. Code, § 19572, subds. (c), (e), (j) and (m).)

Respondent's final contention is that it would be anomalous to apply a different standard when reviewing administrative proceedings than was applied in reaching the administrative decision. The standard of proof to be applied at a superior court writ proceeding inquiring into the validity of a final administrative order is the weight of the evidence standard. (Code Civ. Proc., § 1094.5, subd. (c).) This standard is considered to be synonymous with the preponderance of the evidence standard. (People v. Miller (1916) 171 Cal. 649, 654 [154 Cal. Rptr. 468]; Lawyer v. Los Angeles Pacific Co. (1913) 23 Cal. App. 543, 546 [118 P. 237].) However, since the superior court writ proceeding is merely a review of the administrative proceeding, the standard of proof used in the original proceeding is completely irrelevant. (Chamberlain v. Ventura County Civil Service Com. (1977) 69 Cal. App.3d 362, 370 [138 Cal. Rptr. 155].) Therefore, we conclude that respondent's contention fails.

The order denying the writ of mandate is reversed. The writ is directed to issue directing the Board to reinstate the certificate here in issue until such time as it redetermines the cause.

Ashby, J., and Hastings, J., concurred.

A petition for a rehearing was denied October 14, 1982, and respondent's petition for a hearing by the Supreme Court was denied November 10, 1982. Newman, J., and Kaus, J., did not participate therein.

1 The supplemental accusation was filed before the same Board alleging incompetence in the treatment of three other patients and gross negligence in the treatment of a fourth. However, the Board found no incompetence and no gross negligence in the treatment of these four patients.