Title
Atienza vs. Board of Medicine
Case
G.R. No. 177407
Decision Date
Feb 9, 2011
A doctor challenged the admission of evidence in a medical negligence case after a functional kidney was mistakenly removed; the Supreme Court upheld the Board of Medicine's decision, affirming liberal evidence rules in administrative proceedings.

Case Summary (G.R. No. 177407)

Factual Background

In February 1995, Editha Sioson sought treatment at Rizal Medical Center for lumbar pain. In 1999, diagnostic tests showed a non‐functioning left kidney and a normal right kidney. In September 1999, the left kidney was operated on, but the fully functional right kidney was allegedly removed instead. On February 18, 2000, Romeo Sioson filed a complaint with the BOM for gross negligence against four doctors, including Atienza.

Proceedings before the Board of Medicine

The BOM conducted hearings. After complainant evidence, Editha offered four certified photocopies of X-ray request forms (1996–1999) as Exhibits A–D to prove her kidneys’ anatomical positions. Atienza objected, claiming the copies were hearsay, unverified, violative of the best evidence rule, and thus inadmissible.

BOM’s Rulings on Documentary Evidence

By order dated May 26, 2004, the BOM admitted the formal offer of documentary evidence “for whatever purpose they may serve.” On October 8, 2004, it denied Atienza’s motion for reconsideration, explaining that admissibility would be determined by relevance and probative value at final resolution.

Petition for Certiorari in the Court of Appeals

Atienza filed a Rule 65 petition in the Court of Appeals on December 6, 2004, challenging the BOM’s interlocutory orders admitting Exhibits A–D. The CA dismissed the petition for lack of merit in a September 22, 2006 decision (CA-G.R. SP No. 87755).

Issues Presented

Procedural Issue
• Whether certiorari under Rule 65 was the proper remedy to challenge the BOM’s interlocutory orders rather than appeal.

Substantive Issue
• Whether the CA committed reversible error by upholding the admission of Exhibits A–D, allegedly depriving Atienza of his property right (medical license) through admission of incompetent evidence.

Proper Remedy for Interlocutory Administrative Orders

The Supreme Court affirmed that interlocutory orders of an administrative tribunal are not appealable. When no plain, speedy, and adequate remedy exists under the Rules of Court, a party may invoke certiorari under Rule 65 for grave abuse of discretion. The Court found the CA correctly ruled that Atienza’s remedy lay in certiorari.

Admissibility of Evidence in Administrative Proceedings

The Court reiterated that administrative bodies are not strictly bound by technical evidence rules. Doubtful or technical objections should yield to a liberal admission policy, rejecting evidence only when plainly irrelevant or incompetent. Any defect in admissibility affects weight, not competence.

Judicial Notice and Probative Value

The Court recognized that the anatomical location of human kidneys is a matter of nature and subject to mandatory judicial notice under Rule 129, Sec. 1 of the Rules of Court. Even if Exhibits A–D were excluded, the fact that Editha’s kidneys were ordinarily in their proper positions at the time of surgery would be p

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