IN THE HIGH COURT OF KARNATAKA
Krishna S.Dixit, J.
Nagesh – Appellant
Versus
Karnataka Medical Council – Respondent
Writ Petition No. 60243 of 2016 (GM-RES)
Decided On : 23-09-2022
Medical Misconduct - Medical Council Proceedings - Indian Medical Council Act, 1956, Karnataka Medical Registration Act, 1961, Indian Medical Council (Professional Conduct, Etiquette and Ethics) Regulations, 2002 - The court discussed the legal provisions and interpretations related to medical negligence, professional misconduct, and disciplinary proceedings under the Indian Medical Council Act, 1956, Karnataka Medical Registration Act, 1961, and Indian Medical Council (Professional Conduct, Etiquette and Ethics) Regulations, 2002. The court emphasized the need for a thorough examination of prima facie case before initiating disciplinary proceedings and highlighted the importance of expert medical opinions in assessing professional conduct.
Fact of the Case:
The petitioner, a medical practitioner, challenged a complaint of professional misconduct filed by a hospital with the Karnataka Medical Council. The complaint arose from a surgical treatment conducted in 2011, followed by allegations and legal disputes between the parties involved.
Finding of the Court:
The court found that the complaint lacked prima facie consideration-worthiness and highlighted the absence of explanations and supporting evidence from the complainant. It emphasized the importance of expert medical opinions and criticized the disciplinary authority's failure to conduct a preliminary inquiry before initiating proceedings.
Issues: The issues involved the alleged professional misconduct of the petitioner and the 3rd Respondent, the validity of the complaint filed by the hospital, and the adequacy of the disciplinary proceedings initiated by the Karnataka Medical Council.
Ratio Decidendi: The court's decision was based on the lack of prima facie case, the importance of expert medical opinions, and the need for a preliminary inquiry before initiating disciplinary proceedings. It also emphasized the potential deleterious effects of unfounded disciplinary proceedings on public interest and the medical profession.
Final Decision: The petition succeeded, and the court issued a Writ of Certiorari quashing the impugned complaint and the Notice. The court reserved liberty for the hospital and the patient's wife to pursue civil remedies in accordance with the law.
JUDGMENT/ORDER
1. Petitioner a medical practitioner has presented this petition under Articles 226 & 227, grieving against the complaint dtd. 20/12/2011 made by the 2nd Respondent - Hospital, cognizance whereof having been taken, the 1st Respondent has issued Notice dtd. 23/12/2011 (Annexure K) initiating the proceedings for the alleged misconduct.
2. After service of notice, the 1st respondentKarnataka Medical Council has entered appearance through its Panel Counsel and filed its Statement of Objections on 4/4/2012. The 2nd Respondent - complainant having been represented by its private counsel, has also filed its Statement of Objections on 1/3/2017. The 3rd Respondent - doctor, despite service of notice, has chosen to remain unrepresented. The 4th Respondent whose husband was the patient is represented by her counsel as well. All the advocates appearing for the respondents resist the petition making submission in justification of the impugned proceedings.
3. BRIEF FACTS OF THE CASE:
(i) The petitioner was a Visiting Doctor and the 3rd Respondent was the Visiting Consultant Surgeon during the relevant period i.e., 2011 in the 2nd Respondent - Hospital; a patient namely, Mr. Jayaprakash, i.e., the husband of 4th Respondent herein underwent a serious surgical treatment in the 3rd week of September, 2011. Some medical complications having arisen, the patient was shifted to Apollo Hospital on 29/3/2011, wherein better medical facilities were available.
(ii) Some ruckus allegedly having been generated by the 4th Respondent and her father Puttegowda accompanied by hooligans, petitioner lodged an FIR on 2/10/2011 with the Kengeri Police, Bengaluru. The 4th Respondent too filed a police complaint against the petitioner for offences punishable u/s 506 (criminal intimidation) and u/s 338 (causing grievous hurt). This complaint having been investigated, Police have filed a 'B' Report dtd. 11/10/2011 (Annexure-C) What happened to petitioner's complaint remains inscrutable.
(iii) On 19/10/2011, the 4th Respondent accompanied by media people visited the premises of 2nd Respondent - Hospital and coerced for payment of Rs.40.00 Lakh towards reimbursement of Apollo Hospital Medical bills. The 4th Respondent claiming to have paid the same shooted a Legal Notice dtd. 21/12/2011 (Annexure-G) asking the Petitioner and 3rd Respondent to reimburse the same. In addition, it had also sought for a compensation of Rs.10.00 Lakh. Petitioner sent his reply dtd. 2/1/2012 (Annexure-H) denying the Notice claim.
(iv) The 2nd Respondent - Hospital also filed a complaint before the 1st Respondent - KMC on 22/12/2011 alleging professional misconduct against the petitioner. The same having been registered, the petitioner has been issued the subject Notice which he is calling in question in this petition inter alia on the grounds of lack of jurisdiction, absence of jurisdictional facts malafide.
4. Having heard the learned counsel for the parties and having perused the petition papers, this Court is inclined to grant indulgence in the matter for the following reasons:
(a) What the Apex Court in JACOB MATHEW v. STATE OF PUNJAB (2005) 6 SCC 1 observed at paragraph 48 of the decision reads as under: "...Negligence in the context of the medical profession necessarily calls for a treatment with a difference. To infer rashness or negligence on the part of a professional, in particular a doctor, additional considerations apply. A case of occupational negligence is different from one of professional negligence. A simple lack of care, an error of judgment or an accident, is not proof of negligence on the part of a medical professional. So long as a doctor follows a practice acceptable to the medical profession of that day, he cannot be held liable for negligence merely because a better alternative course or method of treatment was also available or simply because a more skilled doctor would not have chosen to follow or resort to that practice or procedure which the accused
The main legal point established in the judgment is the need for a thorough examination of prima facie case and expert medical opinions before initiating disciplinary proceedings against medical prof....
Healthcare providers must adhere to the standard of care associated with their qualifications, reinforcing medical negligence principles.
Medical negligence accusations must be substantiated by clear evidence; mere allegations, without expert consensus on negligence, are insufficient for criminal liability.
A professional may be held liable for negligence, if he was not possessed of requisite skills which he professed to have possessed.
A medical practitioner misrepresenting qualifications and providing treatment without specialization may be deemed negligent, necessitating reevaluation of prior findings by regulatory bodies.
The court emphasized the requirement of gross negligence and high recklessness to fasten criminal liability on doctors.
To establish medical negligence, a complainant must prove a breach of duty by the medical professional, accompanied by cogent evidence. Vague allegations are insufficient.
Criminal liability for medical negligence requires proof of gross negligence, which exceeds mere errors in medical judgment. Delays without direct causation to patient death do not warrant criminal p....
Medical negligence requires substantial expert evidence to warrant prosecution; mere allegations without solid proof are insufficient.
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