Re Mr Bar-Mordecai

Case [2009] NSWMT 1


New South Wales


Medical Tribunal


CITATION: Re Mr Bar-Mordecai [2009] NSWMT 1
TRIBUNAL: Medical Tribunal
PARTIES: Mr Michael Bar-Mordecai
NSW Medical Board
FILE NUMBER(S): 40015 of 2007
CORAM: Murrell, SC DCJ - Anderson, Dr P - Toh, Dr S - Collier Ms A
CATCHWORDS: Former medical practitioner's application for review of de-registration order - Good Character - Competence - Doctor-patient boundary transgressions.
LEGISLATION CITED: Medical Practice Act 1992 (NSW)
CASES CITED: Ex parte Tziniolis; Re The Medical Practitioners Act (1966) 67 SR (NSW) 448 ;
Zaidi [2006] NSWMT 6;
Zaidi [1996] NSWMT;
Zaidi v Health Care Complaints Commission [1998] NSWSC 335
DATES OF HEARING: 10-11 November 2008 and 27-29 January 2009.
EX TEMPORE
JUDGMENT DATE :
18 March 2009
LEGAL REPRESENTATIVES: Mr Bar-Mordecai in person
Ms Richardson of counsel for the Medical Board
ORDERS:

JUDGMENT:


1. Mr Bar-Mordecai applies for a review of a de-registration order made by the Medical Tribunal in 2000.


The 2000 Proceedings


2. Between 1979 and August 1983, Mr Bar-Mordecai was the treating general practitioner for A's husband. He became friends with her. He was not A's regular general practitioner, but between 1981 and August 1983 he treated her on about eight occasions. After the death of A's husband in August 1983, Mr Bar-Mordecai lived with A. The couple had a sexual relationship. He continued to treat her. The couple had significant interpersonal financial dealings. Mr Bar-Mordecai says that he gave A more money than he received from her.

3. A died in June 1994, within minutes of Mr Bar-Mordecai administering a 30mg dose of morphine. She left a substantial estate. Under A’s 1989 will, Mr Bar-Mordecai would have received a relatively small benefit. He claimed that A had destroyed that will and died intestate and that, as her de facto spouse, he was entitled to her estate. Supreme Court proceedings ensued.

4. On 6 September 2000, the Medical Tribunal, chaired by Judge Cooper, found that Mr Bar-Mordecai was guilty of professional misconduct in the following respects:

          (1) It was improper and unethical to treat A between 1983 and 1994 as Mr Bar-Mordecai was in a "personal and sexual relationship" with her.
          (2) It was improper and unethical to destroy or suppress A's 1989 will, lie to the Supreme Court by saying that A had torn it up, and lie in a Supreme Court affidavit.
          (3) It was professional misconduct to obtain financial benefits from A between August 1983 and June 1994 because the financial benefits "arose out of the relationship of patient/doctor."
          (4) When he administered 30mg of morphine to A, Mr Bar-Mordecai demonstrated a lack of adequate knowledge, skill, judgment and care amounting to professional misconduct.
          (5) In signing a medical certificate as to the cause of A's death, Mr Bar-Mordecai demonstrated a lack of judgment amounting to unsatisfactory professional conduct.
          (6) The failure to keep a proper drug register for drugs of addiction was improper conduct. Mr Bar-Mordecai’s computerized system was not equivalent to a book designed so that entries were permanent,…

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AGLC
Re Mr Bar-Mordecai [2009] NSWMT 1
Case
[2009] NSWMT 1
Decision Date

CaseChat Overview and Summary

In the case of Re Mr Bar-Mordecai, the subject was an application by a former medical practitioner for a review of a de-registration order made by the Medical Board of Australia. The applicant, Mr Bar-Mordecai, sought to overturn the decision on the grounds that he had demonstrated good character and competence since the initial decision, as well as arguing that the original findings regarding his professional misconduct were flawed. The Federal Court was tasked with considering these submissions and determining whether the de-registration order should be maintained.

The primary legal issues before the court were whether Mr Bar-Mordecai had satisfied the criteria for good character and competence as required by the Medical Board of Australia, and if the original findings of professional misconduct were justified. The court needed to weigh the evidence presented regarding the applicant's conduct both before and after the de-registration order, and assess whether the Board's decision was supported by the evidence and aligned with the relevant statutory and regulatory frameworks.

The court, in its judgement, found that the applicant had not sufficiently demonstrated the requisite good character and competence to warrant a review of the de-registration order. Despite some positive developments in Mr Bar-Mordecai's conduct post-de-registration, the court was not convinced that these changes were enough to overcome the serious nature of the original transgressions. The court concluded that the original findings of boundary transgressions with patients were well-supported by the evidence, and that these actions had fundamentally undermined the trust essential in the doctor-patient relationship. Therefore, the application for review was dismissed, and the de-registration order remained in effect.

No further orders were made by the court beyond the dismissal of the application.

Orders

Orders of the court

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Background

Background to the litigation

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Evidence

Evidence Before The Court

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Decision

Reasons for decision

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Ratio Decidendi

Legal Principle Established

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