Professional Documents
Culture Documents
Judge Teresita Dizon-Capulong of RTC Valenzuela The contention that the challenged rule violates the
granted his petition and declared the three-flunk equal protection clause is not well-taken. A law does
rule invalid. not have to operate with equal force on all persons
or things to be conformable to Article III, Section 1
Hence, the instant petition by DECS. of the Constitution.
ISSUE: A substantial distinction exists between medical
students and other students who are not subjected
Whether or not the three-flunk rule is a legitimate
to the NMAT and the three-flunk rule. The medical
exercise of police power. -- YES.
profession directly affects the very lives of the
Whether or not the three-flunk rule violates the people, unlike other careers which, for this reason,
constitutional guarantees of academic freedom, due do not require more vigilant regulation. The
process, and equal protection? -- NO. accountant, for example, while belonging to an
equally respectable profession, does not hold the
RULING: The NMAT is a constitutionally sanctioned same delicate responsibility as that of the physician
measure intended to limit the admission to medical and so need not be similarly treated.
schools only to those who have initially proved
their competence and preparation for a medical There would be unequal protection if some
education. applicants who have passed the tests are admitted
and others who have also qualified are denied
It is the right and indeed the responsibility of the entrance. In other words, what the equal protection
State to insure that the medical profession is not requires is equality among equals.
infiltrated by incompetents to whom patients may
unwarily entrust their lives and health. The three- On the right to education:
flunk rule is intended to insulate the medical
The right to quality education is not absolute. The
schools and ultimately the medical profession from
Constitution also provides that "every citizen has
the intrusion of those not qualified to be doctors.
the right to choose a profession or course of study,
subject to fair, reasonable and equitable admission Respondent submitted a duly notarized English
and academic requirements." translation of the Medical Practitioners Law of
Japan duly authenticated by the Consul General of
The SC held that the three-flunk rule is a valid the Philippine Embassy to Japan, thus, he was
exercise of police power. The decision of Judge allowed to take the Medical Board Examinations
Dizon-Capulong is overturned. Having flunked it which he subsequently passed.
three times, San Diego is barred from taking the
NMAT again. In spite of all these, the Board of Medicine of the
PRC, denied respondent's request for a license to
Article III – The Board of Medical Examiners; practice medicine in the Philippines on the ground
Registration of Physicians that the Board believes that no genuine reciprocity
can be found in the law of Japan as there is no
PROFESSIONAL REGULATION COMMISSION (PRC)
Filipino or foreigner who can possibly practice
- Created by a Presidential Decree there.
- Regulates and supervises the
ISSUE: WON Ota, a Japanese national, should be
practice of professionals through
allowed to practice Medicine here in the
42 regulatory boards including
Philippines.
the Board of Medicine
- It has the following functions: RULING: YES. R.A. No. 2382 states that, [T]he
Executive applicant shall submit] competent and conclusive
Quasi-Judicial documentary evidence, confirmed by the DFA,
Quasi-Legislative showing that his country's existing laws permit
citizens of the Philippines to practice the profession
BOARD OF MEDICINE
[of medicine] under the [same] rules and
- Board of Medical Examiners regulations governing citizens thereof. It is not
- Under the supervision of the PRC stated that it must first be proven that a Filipino has
been granted license and allowed to practice his
Sec 8. Prerequisite to the Practice of Medicine profession in said country before a foreign applicant
may be given license to practice in the Philippines.
No person shall engage in the practice of medicine
Here, Respondent has satisfactorily complied with
in the Philippines unless he is:
all the requirements.
1. At least twenty-one years of age;
Sec 17. Rules and regulations
2. Has satisfactorily passed the
corresponding Board Examination; and The Board of Medical Examiners, with the approval
3. Is a holder of a valid Certificate of of the Commissioner of Civil Service, shall
Registration duly issued to him by the
Board of Medical Examiners 1. Promulgate such rules and regulations as
may be necessary for the proper conduct
Board of Medicine vs. Ota of the examinations,
2. Correction of examination papers, and
FACTS: Yasuyuki Ota is a Japanese national,
3. Registration of physicians.
married to a Filipina, who has continuously resided
in the Philippines for more than 10 years. He Sec. 9. Candidates for Board Examinations
graduated from Bicol Christian College of Medicine
on with a degree of Doctor of Medicine. After 1. A citizen of the Philippines or a citizen of
successfully completing a one-year post graduate any foreign country who has submitted
internship training at the Jose Reyes Memorial competent and conclusive documentary
Medical Center, he filed an application to take the evidence, confirmed by the DFA, showing
medical board examinations in order to obtain a that his country's existing laws permit
medical license. He was required by the PRC to citizens of the Philippines to practice
submit an affidavit of undertaking, stating among medicine under the same rules and
others that should he successfully pass the same, he regulations governing citizens thereof;
would not practice medicine until he submits proof 2. Be of good moral character;
that reciprocity exists between Japan and the 3. Of sound mind;
Philippines in admitting foreigners into the practice 4. Not have been convicted by a court of
of medicine. competent jurisdiction of any offense
involving moral turpitude;
5. A holder of the degree of Doctor of fact. If the law were otherwise upon this point, it
Medicine or its equivalent conferred by a would be impossible for the Board of Medical
college of medicine duly recognized by the Examiners to give effect to the knowledge which
Government; and they from time to time acquire as to the standing of
6. Must have completed a calendar year of medical schools; and an intending physician, upon
technical training known as internship. matriculating in a particular college, takes upon
himself the risk of changes that may be made in the
Marquez vs. BOME standing of the institution by the board.
FACTS: The petitioner is a graduate of the Chicago OATH TAKING AND CONFERMENT CEREMONIES
Medical College, having received the degree of M.D.
from said institution on June 8, of the year 1922. - Hippocratic Oath and Administrative Oath
However, the said college has been classified as a
Class C medical college by the National Medical CERTIFICATE OF REGISTRATION
State Board of the United States after his
Issued by the PRC
graduation. For this reason the respondents, in
Entitles the physician to practice the
accordance with the regulations of the board now in
medical profession in the Philippines
effect, have denied the requisite standing to said
Issued to those who have satisfactorily
institution and excluded petitioner. In the argument
complied with the requirements of the
for the petitioner it is admitted that under Act No.
Board of Medicine
3111, and the regulations now in force, the
petitioner is disqualified to take the examinations; Sec. 20. Issuance of Certificates of Registration
but it is pointed out that at the time he began and
even when he conducted his course in the Chicago The Commissioner of Civil Service, the chairman,
Medical School, said institution was still recognized the members and the Secretary of the Board of
as a reputable medical institution; and the question Medical Examiners shall sign and issue certificates
submitted is whether the petitioner’s case should be of registration to those who have satisfactorily
governed by the law and regulations in force at the complied with the requirements of the Board.
time of his enrollment in and graduation from the
Chicago Medical School, or by those in force at the Grounds for Refusal of Certificates of
time he filed his application for admission, on or Registration:
about September 26, 1924. It is submitted for the 1. Convicted by a court of competent
petitioner that his case should be governed by the jurisdiction of any criminal offense
law and regulations at the time of his graduation. To involving moral turpitude
hold otherwise, it is insisted, is to make the law 2. Has been found guilty of immoral or
retroactive in effect and to do irreparable damage dishonorable conduct after the
to the petitioner, who has pursued his work in the investigation by the Board of Medical
institution referred to in good faith, believing that Examiners,
said school had the status necessary to qualify him 3. Has been declared to be of unsound mind.
from examination. Hence this case.
Sec. 22. Administrative investigations
ISSUE: Whether or not the Board of Medical
Examiners may make law with retroactive effect 1. In addition to the functions provided for in
the preceding sections, the Board of
RULING: Yes, the question whether a medical Medical Examiners shall perform the
institution is “a reputable medical school,” in the following duties:
sense intended by the law, is vested in the Board of 2. To administer oath to physicians who
Medical Examiners, and although the action taken qualified in the examinations;
by them may conceivably, in isolated cases, result in 3. To study the conditions affecting the
hardship, nevertheless the interests of the public practice of medicine in all parts of the
require that the board should be free to exercise its Philippines;
judgment and discretion without reference to the 4. To exercise the powers conferred upon it
effect of the determination of the question in by this article with the view of maintaining
particular instances. There can in the nature of the ethical and professional standards of
things be no vested right in an existing law, which the medical profession,
would preclude its change or repeal. No one who
has commenced preparation in a particular
institution has any inchoate right on account of that
5. To subpoena or subpoena duces tecum with respect to the issuance of certificates of
witnesses for all purposes required in the registration. Thus, the petitioners “shall sign and
discharge of its duties; and, issue certificates of registration to those who have
6. To promulgate, with the approval of the satisfactorily complied with the requirements of the
Commissioner of Civil Service, such rules Board.” In statutory construction the term “shall” is
and regulations as it may deem necessary. a word of command. It is given imperative meaning.
Thus, when an examinee satisfies the requirements
for the grant of his physician’s license, the Board is
obliged to administer to him his oath and register
PRC vs. De Guzman
him as a physician, pursuant to Section 20 and par.
FACTS: After the Professional Regulations (1) of Section 22 of the Medical Act of 1959.
Commission (PRC) released the names of successful
However, the surrounding circumstances in this
examinees in the Medical Licensure Examination,
case call for serious inquiry concerning the
the Board of Medicine observed that the grades of
satisfactory compliance with the Board
the 79 Fatima College of Medicine successful
requirements by the respondents.
examinees were unusually and exceptionally high in
the two (2) most difficult subjects of the exam, i.e., Section 8 of Rep. Act No. 2382 prescribes, among
Biochemistry and Obstetrics and Gynecology. others, that a person who aspires to practice
medicine in the Philippines, must have
The Board then issued Resolution No. 19
“satisfactorily passed the corresponding Board
withholding the registration as physicians of all the
Examination.” Section 22, in turn, provides that the
examinees from Fatima College of Medicine. As
oath may only be administered “to physicians who
noted by PRC’s statistician consultant, Fr. Nebres of
qualified in the examinations.” The operative word
ADMU, compared with other examinees from other
here is “satisfactorily,” defined as “sufficient to meet
schools, the results of those from Fatima were not
a condition or obligation” or “capable of dispelling
only incredibly high but unusually clustered close to
doubt or ignorance.” Gleaned from Board
each other. The NBI Investigation concluded that
Resolution No. 26, the licensing authority
the Fatima examinees gained early access to the test
apparently did not find that the respondents
questions.
“satisfactorily passed” the licensure examinations.
On July 5, 1993, the respondents-examinees filed a The Board instead sought to nullify the examination
petition for mandamus before the RTC of Manila to results obtained by the respondents.
compel the PRC to give them their licenses to
Hence, until the moral and mental fitness of the
practice medicine. Meanwhile on July 21, 1993, the
respondents could be ascertained, the Board has
Board of Medicine issued Resolution No. 21
discretion to hold in abeyance the administration of
charging the respondents of immorality, dishonest
the Hippocratic Oath and the issuance of the
conduct, fraud and deceit and recommended that
certificates to them. The writ of mandamus does not
the test results of the Fatima Examinees be nullified.
lie to compel performance of an act which is not
On December 19, 1994, the RTC of Manila duly authorized.
promulgated its decision ordering the PRC to allow
2. It is long established rule that a license to practice
the respondents to take the physician’s oath and to
medicine is a privilege or franchise granted by the
register them as physicians. The same was appealed
government. It is true that this Court has upheld the
by the PRC to the Court of Appeals which sustained
constitutional right of every citizen to select a
the RTC decision. Hence, this petition.
profession or course of study subject to a fair,
ISSUES: reasonable, and equitable admission and academic
requirements. But like all rights and freedoms
1. WON it is a ministerial duty for the Board of guaranteed by the Charter, their exercise may be so
Medicine to issue certificates of registration as regulated pursuant to the police power of the State
physicians under RA 2382 to safeguard health, morals, peace, education, order,
safety, and general welfare of the people. Thus,
2. WON the respondent-examinees have the right to
persons who desire to engage in the learned
be registered as physicians
professions requiring scientific or technical
RULING: knowledge may be required to take an examination
as a prerequisite to engaging in their chosen
1. A careful reading of Section 20 of the Medical Act careers. This regulation takes particular pertinence
of 1959 discloses that the law uses the word “shall” in the field of medicine, to protect the public from
the potentially deadly effects of incompetence and character and reputation of another
ignorance among those who would practice physician without justifiable motive;
medicine. 11. Aiding or acting as a dummy of an
unqualified or unregistered person to
In the present case, RA 2382, as amended, practice medicine; and,
prescribed the requirements for admission to the 12. Violation of any provision of the Code of
practice of medicine, the qualifications of Ethics as approved by the Philippine
candidates for the board examinations, the scope Medical Association.
and conduct of the examinations, the grounds for
denying the issuance of a physician’s license, or Refusal of a physician to attend to a patient in
revoking a license that has been issued. Verily, to be danger of death is NOT A SUFFICIENT GROUND for
granted the privilege to practice medicine, the revocation or suspension of his registration
applicant must show that he possesses all the certificate if there is a risk to the physician’s life.
qualifications and none of the disqualifications.
Furthermore, it must appear that he has fully
complied with all the conditions and requirements
*see last page for administrative procedures/rules
imposed by the law and the licensing authority.
Should doubt taint or mar the compliance as being
less than satisfactory, then the privilege will not
issue. For said privilege is distinguishable from a
matter of right, which may be demanded if denied.
RIGHTS OF RESPONDENTS (PHYSICIAN)
Thus, without a definite showing that the aforesaid
requirements and conditions have been 1. The respondent physician shall be entitled
satisfactorily met, the courts may not grant the writ to be represented by counsel or be heard
of mandamus to secure said privilege without by himself or herself
thwarting the legislative will. 2. To have a speedy and public hearing
3. To confront and to cross-examine
GROUNDS FOR
witnesses against him or her
REPRIMAND/SUSPENSION/REVOCATION OF
4. All other rights guaranteed by the
CERTIFICATE
Constitution and provided for in the Rules
1. Conviction by a court of competent of Court
jurisdiction of any criminal offense
Sect. 27. Reinstatement.
involving moral turpitude;
2. Immoral or dishonorable conduct; After two years, the Board may order the
3. Insanity; reinstatement of any physicians whose certificate of
4. Fraud in the acquisition of the certificate registration has been revoked, if the respondent has
of registration; acted in an exemplary manner in the community
5. Gross negligence, ignorance or wherein he resides and has not committed any
incompetence in the practice of his or her illegal, immoral or dishonorable act.
profession resulting in an injury to or
death of the patient; Gomez vs. Ventura
6. Addiction to alcoholic beverages or to any
habit forming drug rendering him or her FACTS: Gomez has been charged guilty by the
incompetent to practice his or her Board of Examiners for violation of the Opium Law
profession, or to any form of gambling; when he prescribed opium to a patient thus forever
7. False or extravagant or unethical revoking the plaintiff’s license to practice medicine
advertisements wherein other things than and surgery.
his name, profession, limitation of Plaintiff prays for the annulment and setting aside
practice, clinic hours, office and home of the investigation proceedings particularly that of
address, are mentioned; the Board of Medical Examiners’ Decision which
8. Performance of or aiding in any criminal forever revokes the plaintiff's license to practice
abortion; medicine and surgery. Plaintiff also prays that his
9. Knowingly issuing any false medical status before the investigation be restored and a
certificate; medical license the same as what he had prior to the
10. Issuing any statement or spreading any investigation be issued. The defendants answered
news or rumor which is derogatory to the with a general denial and prayed for the dismissal
of the complaint. The Court of First Instance (CFI) of jurisdiction to hear said charges and to take the
Manila dismissed the complaint. The counsel for the proper action according to law.
plaintiff now contends the following: (a) the charges
against the plaintiff is not valid as the same was b) No. Act No. 310 provided that the Board of
preferred by Assistant Fiscal Alfonso Felix of the medical Examiners could revoke licenses for
City of Manila, who, according to the plaintiff is not "unprofessional conduct," without defining the
authorized by law to file charges with the Board of term. Act No. 1761 (the Opium Law) provided that
Medical Examiners, which therefore acquired no illegally prescribing opium should be cause for
jurisdiction over the matter; (b) section 9 of Act No. revocation of medical licenses. Clearly, the Opium
2381 is null and void on the ground of Law did not repeal Act No. 310. Act No. 2381 — also
unconstitutionality, since said section is foreign to an Opium Law — in its section 9, repeated the
the subject of said Act, in violation of section 3 of provision as to doctors and dentists. The repetition
the Jones Law prohibiting the enactment of any bill did not repeal Act No. 310. Act No. 2493, section 11
embracing more than one subject and providing (Ad. Code, sec. 780), provided that certificates of
that the subject be expressed in the title of the bill; physicians are revocable for "unprofessional
(c) even granting that section 9 of Act No. 2381 is conduct," without defining the phrase. In other
valid, it was repealed by Act No. 2493 and later by words, so far as revocation of licenses is concerned,
section 780 of the Administrative Code; (d) the Act No. 2493 is mere reenactment of Act No. 310.
judgment appealed from and the denial of the The reenactment of the said portion of Act No. 310
motion for avoidance and new trial was not did not repeal section 9 of the Opium Law. If said
correctly rendered. section 9 has been repealed, it must be by Act No.
3111, which amends Act No. 2493 (Ad. Code, sec.
ISSUES: 780), by an addition after the words
"unprofessional conduct" of the following:
a) Whether or not Fiscal Felix has the personality to
file the administrative action against Gomez before "The words "unprofessional conduct, immoral, or
the Board; and dishonorable conduct" as used in this chapter shall
be construed to include the following acts: (1)
b) Whether or not section 9 Act No. 2381 has been Procuring, aiding or abetting a criminal abortion;
repealed (2) advertising, either in his own name or in the
name of any other person, firm, association, or
RULING:
corporation, in any written or printed paper, or
a) Yes. Proceedings for revocation of a certificate of document, of medical business in which untruthful
registration shall be begun by filing a written or improbable promises are made, or being
charge or charges against the accused. These employed by, or in the service of any person, firm,
charges may be preferred by any person or persons, association or corporation so advertising, or
firm or corporation, or the Board of Medical advertising in any obscene manner derogatory to
Examiners itself may direct its executive officer to good morals; (3) habitual intemperance or addition
prepare said charges. Said charges shall be filed to the use of morphine, opium, cocaine or other
with the executive officer of the Board of Medical drugs having a similar effect; (4) conviction of a
Examiners and a copy thereof, together with crime or misdemeanor involving dishonorable
written notice of the time and place when they will conduct; and (5) willfully betraying a professional
be heard and determined, shall be served upon the secret."
accused or his counsel, at least two weeks before
the date actually fixed for said hearing. (Sec. 12, Act
No. 3111.)