In the Matter of Andre
Nehorayoff,
Respondent,
v.
Richard P. Mills, as Commissioner of Education of the
State of New York, et al.,
Appellants.
2001 NY Int. 5
In 1991, the Board of Regents permanently revoked
petitioner's license to practice medicine after he negligently
performed five abortions, one resulting in a patient's death, and
failed to maintain proper records. Eighteen months later,
petitioner applied for restoration of his medical license,
maintaining that he recognized the "deficiencies" in his conduct.
As proof of his rehabilitation, petitioner submitted certificates
of attendance at various medical conferences and courses, and
also submitted letters from friends and colleagues attesting to
Petitioner's application was first reviewed by a Peer Review Committee (see, Education Law § 6510[3][b]). After a hearing, the Peer Review Committee concluded that petitioner had "sufficiently fulfilled" the standards of rehabilitation and remorse necessary to resume the practice of medicine. Accordingly, it unanimously recommended that the revocation of petitioner's license be stayed, that he be placed on probation for three years and that, upon completion of probation, his license be restored.
Petitioner next appeared before the Committee on the
Professions, which issued a recommendation to the Board for a
final determination (8 NYCRR 24.7[b]). Troubled by the gravity
of the original misconduct, the Committee was "not inclined to
adopt the recommendation of the Peer Review Panel." However,
before making its own recommendation, the Committee asked
petitioner to furnish an expert opinion on his fitness to re-
enter the practice of medicine which, with approval from the
Executive Secretary of the State Board for Medicine, petitioner
did. Acknowledging his inability to observe petitioner perform
any procedures, the consultant concluded that petitioner was fit
to practice medicine, subject to supervision and restrictions. A
subcommittee of the State Board for Medicine reviewed the
consultant's report and unanimously supported his conclusion.
Although the Committee on the Professions remained "troubled" by
The Board of Regents rejected the recommendation of the
Committee on the Professions and denied petitioner's
reinstatement application. It cited the gravity of the original
offense, the size of petitioner's practice at that time,
petitioner's failure to express appropriate remorse for his
patients and the reservations and limitations expressed by the
consultant and the Committee on the Professions. Petitioner
thereafter commenced this CPLR article 78 proceeding, challenging
the Board's determination as an abuse of discretion. Supreme
Court dismissed the petition, concluding that the Board's
determination was neither arbitrary nor capricious, but supported
by a rational basis. A majority of the Appellate Division
reversed, holding that petitioner's acceptance of responsibility
for his misconduct and his continuing education compelled the
exercise of discretion in his favor. Justice Mercure dissented
on the ground that the majority "impermissibly weighed the
evidence and substituted its judgment for that of [the] Board"
(270 2 748, 750). Agreeing with the view cogently articulated
Education Law §§ 6510 and 6511 vest the Board of
Regents with considerable discretion concerning matters of
professional misconduct, including the revocation and restoration
of medical licenses (see also, Matter of Tompkins v Board of
Regents of Univ. of State of New York, 299 NY 469, 476). Indeed,
restoration of such licenses is permissive and is granted only in
rare cases "'where the merit of the applicant is clearly
established to the satisfaction of the [Board]'" (Matter of
Jablon v Board of Regents, 271 App Div 369, 373, affd 296 NY 1027
[quoting Matter of Erlanger v Regents of Univ. of State of New
York, 256 App Div 444, 447, affd sub nom. Matter of Levi v
Regents of Univ. of State of New York, 281 NY 627]). The burden
of proof is on the applicant to present evidence "so ineluctable
in its implications that it would compel affirmative action from
a Board which has 'discretion' to restore or to refuse to
restore" (Matter of Jablon v Board of Regents,
Here, the Appellate Division departed from this well-
settled standard and substituted its own judgment for that of the
Board. The majority determined that, "in [its] view,"
In denying petitioner's application, the Board cited the seriousness of petitioner's misconduct, as well as "qualifications expressed by the expert consultant," whose assessment was admittedly limited by his inability to observe petitioner's performance. Further, the Board expressed dissatisfaction with the amount and type of supervision that would be available in a hospital setting. Finally, although petitioner felt "sad for what happened to the patients," the Board determined that petitioner's statements did not reflect an appropriate degree of remorse for his patients. On this record, the Board's denial of petitioner's application was neither irrational nor arbitrary.
Accordingly, the order of the Appellate Division should
be reversed, with costs, and the matter remitted to the Appellate
Division for consideration of issues raised but not determined on