Petition for Writ of Certiorari — Radice v. Etchebarne-Bourdin

Supreme Court brief2010

Ask Donna

What actually matters in this document.

Text

Supreme Court, U.S.

FILED

No. TO0- 19 -f ? reek

> Se EE “8” 8

IN THEOFFICE OF THE CLERK

Supreme Court of the United States

Luis C. Rapicr, M.D., &pwarp E. GAnrREs, M.D., and

GAHRES AND Rapick, M.D.S., Ltp.,

Yetrtioners,

v,

Auicia M. ErcHEBARNE-BourDI, individually, as administrator

of the Esrare or Baspy GIRL ETCHEBARNE-BOURDIN, and on

behalf of the heirs of BABY GIRL ETCHEBARNE-BouRDIN; and

Mauricio Bourn, individually, as administrator of the Estarr

oF Bapy GIRL ETCHEBARNE-BourD.W, and on behalf of the heirs

of Bagy GIRL EeTCHEBARNE-BourRDIN,

Respondents.

On PETITION FOR A Writ OF CERTIORARI TO THE

District oF COLUMBIA Court OF APPEALS

PETITION FOR A WRIT OF CERTIORARI

Pau. T. WALKINSHAW

Counsel of Record

HEATHER E.. ZAUG

GARLAND B. Nacy

HANCOCK, DANIEL, JOHNSON

& NAGLE, PC.

o975 Fair Ridge Drive

Suite 475 South

Mairfax, Virginia 22033-2911

(703) 591-3440

pwalkinshaw@hdjn.com

Attorneys for Petitioners

QUESTIONS PRESENTED

1. Does the Due Process Clause allow a nonresident

defendant to be haled into court in a foreign jurisdiction

when the plaintiff’s cause of action bears no relation to

the defendant’s only purposeful contact with the forum?

2. Does ajurisdiction’s long-arm statute violate the

Due Process Clause when it is applied to a nonresident

defendant whose only purposeful contact with the forum

bears no relation to the plaintiff’s cause of action?

12

CORPORATE DISCLOSURE STATEMENT

Edward E. Gahres, M.D., Ltd., formerly known as

Gahres and Radice, M.D.S., Ltd. (G&R), is incorporated

in Virginia. It has no parent corporations and no publicly

held company owns 10 percent or more of its stock.

TABLE OF CONTENTS

Page

Questions Presented ........cccecccccccssves i

Corporate Disclosure Statement ............. li

ee ae SIO. i oc ves ie eos eee ees iii

pe Fo errr errr er er eer ee V

Table of Cited Authorities ................... vi

Citations of Official and Unofficial Reports of the

Opinions and Orders E:intered in the Case ... 1

Jurisdictional Statement ...........000 eee ees 2

Constitutional & Statutory Provisions Involved

Pea es ARR OR ORES EEE R ENTE Ae CLE Tan 3

LRG 0 SEIU SNe 6 x 3 Ke os So cee eee 4

A. Nature of the Case and Material

Pee ws vas vk ee eek aes 4

BFPO Pee a hicks ee ee ad's so 8

Reasons for Granting the Petition ............ 1]

l. Bourdin II's Assertion of Specific Personal

Jurisdiction Over the Defendants Was

Unconstitutional Because Plaintiffs’ Claims

Do Not Relate to the Defendants’

Purposeful Contacts with the District... 12

Contents

A. The Two “Contacts” Relied Upon by

Bourdin II Do Not Confer Personal

Jurisdiction over the Defendants .

B. Analyzing Whether Each Defendant

Is Subject to Personal Jurisdiction in

the District, as Required by the Due

Process Clause, Clearly Reveals

Personal Jurisdiction Cannot Be

Asserted over Any Defendant ......

1. The Doctors’ Contacts with the

Distriet Do Not Authorize the

Assertion of Personal Jurisdiction

oeeeoev wee eeeeeeee eee ee em em e em eh mhlUh heh

be

G&R’s Contacts with the District

Do Not Authorize the Assertion

of Personal Jurisdiction .. .....

Il. Bourdin II's Interpretation and

Application of the District’s Long-

Arm Statute to the Defendants Is

Unconstitutional Because It Permits the

Assertion of Specific Jurisdiction When

Plaintiff’s Claim Does Not Relate to the

Defendant’s Purposeful Contact with the

WEE soe ao ra oer ae ee eee en

NN 02 ra hs eect eR ie ee

Pag €

16

16

TABLE OF APPENDICES

Appendix A — Opinion Of The District Of

Columbia Court Of Appeals Decided October

Ns sae a haces s 64 RS RSE RS ERE Se

Appendix B — Order Of The Superior Court For

The District Of Columbia, Civil Division Dated

EE, 29'S 6 Gs aos ase eee ae OTS

Appendix C — Opinion Of The District Of

Columbia Court Of Appeals Decided June 1,

Ee aya arene preteen ser eran gegen a

Appendix D —- Amended Order Of The Superior

Court Of The District Of Columbia, Civil

Division Dated June 6,1996 ...............

Appendix E — Order Of The District Court Of

Columbia Court Of Appeals Denying Petition

For Rehearing Filed April 8, 2010 ..........

Page

la

VI

TABLE OF CITED AUTHORITIES

Page

Cases:

Adams v. Adams, 601 F.3d 1 (1st Cir. 2010) .... 15

Aviation Assocs. & Consultants, Inc. v. Jet Time,

Ine., 402 3.E..20 177 (S.C. 1981)... cece ees 15

Burger King Corp. v. Rudzewicz, 471 U.S. 462

| i er ee a ere ee ree 13, 16

Calder v. Jones, 465 U.S. 783 (1984) .......... 2, 16

Cohane v. Arpeia-California, Inc., 385 A.2d 153

yea es c's Pay C4 KUN UR uA ER OO 20

Cox Broad. Corp. v. Cohn, 420 U.S. 469 (1975) ... 2

Crane v. Carr, 814 F.2d 758 (D.C. Cir. 1987) .... 20

Etchebarne-Bourdin v. Radice, No. 938-12352

(D.C. Sup. Ct. June 6, 1996) ............... 1

Etchebarne-Bourdin v. Radice, 754 A.2d 322

ewe dee iwtenns 1, 6

Etchebarne-Bourdin v. Radice, No. 12352-93

(D.C. Sup. Ct. duly 29, 2005) .......ccccees. l

Etchebarne-Bourdin v. Radice, 982 A.2d 752

cL eee a eek ks <x ak aR SOM OR passim

Cited Authorities

Page

Etchebarne-Bourdin v. Radice, No. 05-CV-1059

Ce ee Oe Oia es Pua deep a 1

First American First, Inc. v. National Assoc.

of Bank Women, 802 F.2d 1511 (4th Cir. 1986)

eT Ce TES TEC TT CULE TT EL Tee ee ET eee Tee 21

Future Tech. Today, Inc. v. OSF Healthcare

Sys., 218 F.3d 1247 (11th Cir. 2000) ......... 15

Gonzalez v. Internacional de Elevadores, S.A..,

BO1l A.2d B27 (D.C. ZOOS) .. ccc ccccscaccess 12

Hanson v. Denkla, 357 U.S. 235 (1958) ........ 14

Helicopteros Nacionales de Colombia, S. A. v.

Hall, 466 U.S. 408 (1984) ............0000. 12, 13

Ins. Corp. of Ir v. Compagnie des Bauxites

de Guinee, 456 U.S. 694 (1982) ............. 18

Kulko v. Cal. Sup. Ct., 486 U.S. 84 (1978) ...... 2

Rush v. Savchuk, 444 U.S. 320 (1980) ......... 2

Shaffer v. Heitner, 433 U.S. 186 (1977) ........ 2

Shirlington Limousine & Transp., Inc. v. San

Diego Union-Tribune, 566 F. Supp. 2d 1

SE I on ne Gy cue e uw bas des denue en 13

Vill

Cited Authorities

Page

Sheppers Food Warehouse v. Moreno, 746 A.2d

$20 (D.C. 2000) (em Canc) ....cccrecceees 6, 19, 20

Ventura v. Bebo Foods, Inc., 595 F. Supp. 2d 77

ees ven ed sec cte ene hess e.anee 13

Wines v. Lake Havasu Boat Mfg., Inc., 846 F.2d

es os bree e eek eee ee ewes 15

World-Wide Volkswagen Corp. v. Woodson,

ee re Fax 2

United States Constitution:

ek et ea owees 3,4, 15,17

Statutes:

D.C. Code § 18-428(av(1) .....ccccccccccccces 5, 6, 7

Ass CAGE D LG-GEG) cn cccccccnccciovece: passim

l

CITATIONS OF OFFICIAL AND UNOFFICIAL

REPORTS OF THE OPINIONS AND ORDERS

ENTERED IN THE CASE

The pane} opinion of the District of Columbia Court

of Appeals, decided October 22, 2009, is officially

reported at 982 A.2d 752 (D.C. 2009) and is reproduced

at Appendix A, at App. la-24a. It is referred to as

Bourdin IJ in this petition.

The order of the Superior Court of the District of

Columbia, Civil Division, dated July 29, 2005, is not

officially reported. It is reproduced at Appendix B, at

App. 25a-95a.

The panel opinion of the District of Columbia Court

of Appeals, decided June 1, 2000, is officially reported

at 754 A.2d 322 (D.C. 2000) and is reproduced at

Appendix C, at App. 96a-llla. It is referred to as

Bourdin I in this petition.

The amended order of the Superior Court of the

District of Columbia, Civil Division, dated June 6, 1996,

is not officially reported. It is reproduced at Appendix

D, at App. 112a-177a.

The order of the District of Columbia Court of

Appeals denying a Petition for Rehearing 4’n Banc was

filed April 8, 2010 and is not officially reported. It is

reproduced at Appendix E, at App. 178a-179a.

2

JURISDICTIONAL STATEMENT

The judgment of the District of Columbia Court of

Appeals sought to be reviewed was entered on October

22, 2009. The order denying rehearing en banc was

entered on April 8, 2010.

This Court has jurisdiction to review the judgment

of the District of Columbia Court of Appeals pursuant

to 28 U.S.C. § 1257 because the federal issue present in

the case has been finally determined by the highest court

of the District of Columbia and is not subject to further

review there. Calder v. Jones, 465 U.S. 783, 788 n.8 (1984)

(“Although there has not yet been a trial on the merits

in this case, . . . aS in several past cases presenting

jurisdictional issues in this posture, we conclude that

the judgment below is final within the meaning of

(28 U.S. C.] § 1257.” (Citations and quotations omitted));

Shaffer v. Heitner, 433 U.S. 186, 195 n.12 (1977) (noting

that the Delaware Supreme Court’s judgment affirming

the trial court’s denial of the defendant’s motion to

quash service based on a lack of sufficient contacts with

Delaware was “plainly final on the federal issue and [was]

not subject to further review in the state courts.”);

Cox Broad. Corp. v. Cohn, 420 U.S. 469, 477 (1975);

see also World-Wide Volkswagen Corp. v. Woodson, 444

U.S. 286 (1980); Rush v. Savchuk, 444 U.S. 320 (1980);

Kulko v. Cal. Sup. Ct., 486 U.S. 84 (1978).

Additionally, because this petition draws into

question the constitutionality of the District’s long-arm

statute, 28 U.S.C. § 2403(b) may apply.

CONSTITUTIONAL & STATUTORY

PROVISIONS INVOLVED

The relevant constitutional provision involved is the

Fifth Amendment of the United States Constitution,

which states as follows:

No person shall be held to answer for a capital,

or otherwise infamous crime, unless on a

presentment or indictment of a grand jury,

except in cases arising in the land or naval

forces, or in the militia, when In actual service

in time of war or public danger; nor shall any

person be subject for the same offense to be

twice put in jeopardy of life or limb; nor shall

be compelled in any criminal case to be a

witness against himself, nor be deprived of life,

liberty, or property, without due process of law;

nor shall private property be taken for public

use, without just compensation.

The relevant statutory provision involved is D.C.

Code § 13-423(a)(4), which states as follows:

A District of Columbia court may exercise

personal jurisdiction over a person, who acts

directly or by an agent, as to a claim for relief

arising from the person’s— .. . (4) causing

tortious injury in the District of Columbia by

an act or omission outside the District of

Columbia if he regularly does or solicits

business, engages in any other persistent

course of conduet, or derives substantial

revenue from goods used or consumed, or

services rendered, in the District of Columbia.

STATEMENT OF THE CASE

A. Nature of the Case and Material Proceedings

The District of Columbia Court of Appeals decided

in Bourdin IT that personal jurisdiction exists over the

defendants based on: (1) a single telephone call placed

by Mrs. Bourdin in the District to the defendants’ office

in Virginia, and (2) the doctors’ occasional attendance

at medical education events in the District. As a result

of this decision, defendants must submit to a trial in the

District on a claim that bears no relationship to their

purposeful contacts with it. That result contravenes the

Due Process Clause of the Fifth Amendment and prior

decisions of this Court. It also conflicts with the

decisions of other federal Courts of Appeals and state

supreme courts. It snaould therefore be reviewed and

reversed.

The issue of whether personal jurisdiction exists

over the defendants is a question that has now been

pending for over sixteen years.

In an amended order entered June 6, 1996 that

dismissed the defendants for lack of personal

jurisdiction, the trial court succinetly explained the

nature of this case. It originated from a lawsuit brought

by a “Virginia resident seeking medical treatment in

connection with her pregnancy from Virginia doctors at

their offices in Virginia and asserting that their

negligent treatment, all of which occurred in Virginia

tg a resulted in her giving birth to a stillborn child

in a Virginia hospit i] and suffering other adverse

consequences.” App. at 112a. Plaintiffs filed an amended

D

complaint in the District in 1993 naming Dr. Gahres, Dr.

Radice, and Gahres and Radice, M.D.S., Ltd. (G@R) as

defendants.

Due to the attenuated connection of this case with

the District, defendants filed a motion to dismiss for lack

of personal jurisdiction in 1994. As pertinent to this

petition, Defendants argued that personal jurisdiction

could not be exercised pursuant to the District’s long-

arm statute, D.C. Code § 13-423, or the Due Process

Clause.' After allowing discovery on the personal

jurisdiction issues raised in defendants’ pleadings, the

trial court received evidence and briefs and convened

multiple hearings so the parties could argue the issues

orally. App. at 113a-i14a.

By opinion and order dated June 6, 1996, the trial

court found that the doctors engaged in a “persistent

course of conduct” in the District, as that term is used

in D.C. Code § 13-423{a)(4), because of their periodic

attendance at medical education events. App. at 160a.

But it declined to assert personal jurisdiction on the

basis of the “persistent course of conduct” because doing

so “might violate due process, especially where any

injury is unrelated to that conduct.” App. at 161a. Thus,

the trial court ultimately agreed with defendants that

personal jurisdiction did not exist and dismissed the

ease. App. at 177a. Plaintiffs appealed that decision to

the District of Columbia Court of Appeals, focusing only

on whether jurisdiction could be exercised pursuant to

D.C. Code § 13-423(a)(1) and (a)(4). App. at 97a.

1. These arguments were presented in Defendants’ Motion

to Dismiss filed January 18, 1994 and Defendants’ Memorandum

in Support of Their Rebuttal to Plaintiff’s Opposition to

Defendants’ Motion to Dismiss filed Apri! 15, 1994.

6

In Bourdin I, the District of Columbia Court of

Appeals remanded the case to the trial court for

reconsideration of the then recently-issued opinion in

Shoppers Food Warehouse v. Moreno, 746 A.2d 320 (D.C.

2000) (en banc). App. at 96a. Specifically, Bourdin /

directed the trial court on remand to analyze whether

the plaintiffs’ claims arose from the doctors’ “persistent

course of conduct”: “To assert personal jurisdiction

under these subsections, the claim asserted must ‘arise

from’... a ‘persistent course of conduct’ in the District

of Columbia.” App. at 97a, 107a-108a.

On remand, the trial court received supplemental

briefs from the parties. App. at 26a. Defendants

renewed their argument that personal jurisdiction could

not be asserted consistent with the Due Process Clause.”

By opinion and order dated July 29, 2005, the trial court

reevaluated the case in light of Shoppers. And following

Bourdin I’s specific mandate, the trial court analyzed

whether the persistent course of conduct related to

plaintiffs’ claims. App. at 66a-68a. After doing so, it once

more determined that personal jurisdiction did not exist

and dismissed the case. App. at 95a. Plaintiffs appealed.

During this second appeal, defendants argued again

that personal jurisdiction could not be exercised under

D.C. Code § 13-423 (a)(1) or (a)(4) and the Due Process

Clause. Defendants also argued that, to avoid

constitutional infirmity, D.C. Code § 13-423(a)(4) must

be interpreted to require that the “persistent course of

2. These constitutional concerns were raised again in,

among other places, Defendants’ Memorandum in Response to

the Court’s Order of June 30, 2003 filed September 5, 2008.

rT

d

conduct” factor relate to plaintiff’s claim. Defendants

further argued that the court should analyze each

defendant’s contacts individually and that, when such

an analysis is performed, it is clear no defendant had

sufficient minimum contacts to justify the assertion of

personal jurisdiction.*

On October 22, 2009, the District of Columbia Court

of Appeals in Bourd?in I] finally coneluded that personal

jurisdiction could not be exercised under D.C. Code

§ 13-423(a)(1) but that it could be exercised under D.C.

Code § 13-423(a)(4). App. at 16a, 24a. In an Orwellian

twist, Bourdin I] disagreed with the trial court’s

decision to analyze whether the “persistent course of

conduct” relates to plaintiffs’ claims, App. at 2a, despite

the fact that Bourdin J instructed the trial court that

the persistent course of conduct must relate to plaintiffs’

claims. App. at 97a. Bourdin 71 determined the trial

court had personal jurisdictional over the defendants

and remanded the case to it for further proceedings.

App. at 24a.

Defendants filed a Petition for Rehearing Hn Banc

with the District of Columbia Court of Appeals raising

the same constitutional concerns previously discussed,

but a divided court denied it by order dated April 8,

2010. App. at 178a; Petition for Rehearing F'n Bane filed

November 5, 2009.

All state court remedies having been exhausted to

decide the federal questions of whether (1) the trial court

3. These arguments were presented in Brief of Appellees

filed October 10, 2006.

8

may assert personal jurisdiction over these nonresident

defendants consistent with due process and (2) the

application of D.C. Code § 13-423(a)(4) to these

defendants violates their rights under the Due Process

Clause, defendants petition this Court for review.

B. Pertinent Facts

Due to the lengthy history of this case, findings of

fact that plaintiffs have never appealed or contested,

and the narrow grounds upon which the Bourdin I]

court found personal jurisdiction, the facts relevant to

this Petition are straightforward and cannot be

disputed.

In 1990, plaintiff Alicia Etchebarne-Bourdin resided

in Burke, Virginia with her husband Mauricio Bourdin.

They both worked at the International Monetary Fund

(IMI) in the District. App. at 116a.

Mrs. Bourdin became pregnant in 1990. She sought

care and treatment during her pregnancy from Dr.

Gahres and Dr. Radice at their office in Alexandria,

Virginia. Dr. Gahres and Dr. Radice practiced in Virginia

only, and all of Mrs. Bourdin’s visits to them occurred in

Virginia only. App. at 117a.

On October 29, 1990, Mrs. Bourdin was involved in

a car accident in the District as she left work at the IME

Another driver hit her car from behind. App. at 117a.

Immediately after the accident, Mrs. Bourdin went

back into the IMF and ealled the doctors’ office in

Virginia to report it. App. at 117a.

9

A receptionist, Delores Staursky, answered Mrs.

Bourdin’s October 29, 1990 telephone call. App. at 117a-

118a. The receptionist told Mrs. Bourdin to keep her

next appointment, which was scheduled to occur on

November 2, 1990. App. at 118a.

Dr. Gahres was not in the office at all on that day, so

he was not present when the receptionist answered Mrs.

Bourdin’s telephone call. App. at 118a. Though Dr.

Radice was in the office for part of the day, there is no

evidence he was present when the telephone call was

answered. App. at 118a. Indeed, neither Dr. Gahres nor

Dr. Radice dispensed any advice to Mrs. Bourdin during

the telephone call, and neither instructed the

receptionist what to say. App. at 118a.

Mrs. Bourdin visited the doctors at their office in

Virginia on November 2, 9, and 16, 1990. She gave birth

to a stillborn baby on November 17, 1990 at Alexandria

Hospital in Virginia. App. at 118a-119a.

In her lawsuit, Mrs. Bourdin claimed, among other

things, that the defendants negligently gave bad advice

on the October 29, 1990 telephone call. App. at 118a.

During discovery allowed on the personal

jurisdiction issue, plaintiffs learned Drs. Gahres and

Radice occasionally attended Grand Rounds at George

Washington Hospital in the District. Grand Rounds

“involved reviewing case histories of patients, as well as

topies related to the practice of gynecology and

obstetrics.” The doctors went to Grand Rounds “for the

sole purpose of continuing medical education.” App. at

29a. Dr. Gahres went to Grand Rounds approximately

10

2.4 times a month. Dr. Radice attended approximately

1.7 times a month. App. at 30a.

The doctors also occasionally attended meetings of

the Washington Gynecological Society (WGS) in the

District. These toc were for the doctors’ personal

educational benefit. App. at 29a. WGS held meetings

six to eight times a year (mostly in the District), and the

doctors usually tried to attend. Assuming they attended

seven meetings per year and that all those meetings

were in the District, the trial court estimated attendance

at WGS meetings brought the doctors into the District

0.6 times a month. App. at 29a.

Neither doctor attended WGS meetings or Grand

Rounds as agents of G&R. App. at 30a. Further, the trial

court specifically held that plaintiffs’ claim did not arise

from their attendance at these events. App. at 68a.

Bourdin II affirmed that holding: “appellants’

malpractice actions cannot be said to ‘arise from’ the

,

doctors’ attendance at these meetings.” App. at 13a-14a.

Apart from the telephone call and Grand Rounds

and WGS, Bourdin I] analyzed other “eontacts”

defendants had with the District, but it held that none

of them were sufficient to justify personal jurisdiction.

App. at 10a-16a.

Bourdin IT found personal jurisdiction to exist solely

under D.C. Code § 13-423(a)(4) on the basis of (1) Mrs.

Bourdin’s telephone call and (2) the doctors’ periodic

attendance at Grand Rounds and WGS meetings. App.

at 17a-20a, 18a n.8.

11

REASONS FOR GRANTING THE PETITION

Bourdin Il’s decision to assert personal jurisdiction

over the defendants contravenes the Due Process

Clause and undermines tliis Court’s well-established

precedent regarding what the Due Process Clause

requires for the assertion of specific personal

jurisdiction. This Court has held that the assertion of

specific jurisdiction requires a plaintiff’s claim to arise

from or relate to a defendant’s purposeful contacts with

the forum. But Bourdin //’s decision is directly opposed

to this principle because it asserts specific personal

jurisdiction over the defendants without requiring any

relation between their purposeful contacts and the

plaintiffs’ claims.

Also, in basing its assertion of specific personal

jurisdiction on a single telephone call initiated not by

the defendants but by the plaintiff, Bowrdin IJ conflicts

with the decisions of other federal circuit courts of appeal

and state supreme courts.

Finally, bourdin I] interpreted and applied the

District’s long-arm statute, which was derived from the

Uniform Interstate and International Procedure Act,

in an unconstitutional manner. Bourdin II's

interpretation of the District’s long-arm statute permits

the assertion of specific personal jurisdiction in cases

where the plaintiff’s claim does not arise from the

defendant’s only purposeful contact with the forum. This

interpretation as applied to these defendants does not

comport with due process.

12

Thus, the Court should grant the writ to correct an

unconstitutional interpretation of a model-long arm

statute, to resolve the conflict Bourdin II poses with

other federal and state courts, and to establish the

superiority and uniformity of this Court’s principles

regarding the assertion of specific personal jurisdiction.

The Court should also grant the writ to right a clear

violation of the defendants’ liberty interests under the

Due Process Clause.

I. Bourdin II’s Assertion of Specific Personal

Jurisdiction Over the Defendants Was

Unconstitutional Because Plaintiffs’ Claims Do

Not Relate to the Defendants’ Purposeful

Contacts with the District

A. The Two “Contacts” Relied Upon by Bourdin

II Do Not Confer Personal Jurisdiction over

the Defendants

Bourdin IT violated defendants’ due process rights

when it asserted specific personal jurisdiction’ over

them pursuant to D.C. Code § 13-423(a)(4)° despite the

4. As opposed to general personal jurisdiction. “When a

State exercises personal jurisdiction over a defendant in a suit

not arising out of or related to the defendant’s contacts with

the forum, the State has been said to be exercising ‘general

jurisdiction’ over the defendant.” Helicopteros Nacionales de

Colombia, S. A. v. Hall, 466 U.S. 408, 415 (1984).

5. D.C. Code § 13-423(a)(4) is a specifie personal

jurisdiction statute. Gonzalez v. Internacional de Elevadores,

S.A., 891 A.2d 227, 232 (D.C. 2006) (“When jurisdiction is based

(Cont’d)

13

fact that plaintiffs’ claims bear no relation to defendants’

purposeful contacts with the District. To exercise specific

personal jurisdiction consistent with due process, a

court must find that plaintiffs’ cause of action arises out

of or relates to the defendants’ purposeful contacts with

the forum.® Burger King Corp. v. Rudzewicz, 471 U.S.

462, 472 (1985); Helicopteros Nacionales de Colombia,

S. A. v. Hall, 466 U.S. 408, 414 (1984). This cannot

be done using the two “contacts” relied upon in

Bourdin 11.

(Cont'd)

on this section, the claim for relief must ‘arise{] from’ the acts

conferring jurisdiction over the defendant. This is sometimes

referred to as specifie jurisdiction.” (Citations omitted)); see

also Ventura v. Bebo Foods, Inc., 595 F. Supp. 2d 77, 83 (D.D.C.

2009) (“Jurisdiction based solely on this provision [subsections

(a)(1) and (a)(4)] is specific in nature.”); Shirlington Limousine

& T'ransp., Inc. v. San Diego Union-Tribune, 566 F. Supp. 2d 1, 4

‘D.D.C. 2008) (same).

6. This constitutional due process requirement is

embedded in the District’s long-arm statute; its command that

the claim for relief must “arise from” the enumerated contacts

bookends the statute. At the front end, D.C. Code § 13-423(a)

provides: “A District of Columbia court may exercise personal

jurisdiction over a person, who acts directly or by an agent, as

to a claim for relief arising from the person’s—....” At the back

end, D.C. Code § 13-423(b) reminds: “When jurisdiction over a

person is based solely upon this section, only a claim for relief

arising from acts enumerated in this section may be asserted

against him.”

14

First, the doctors’ only purposeful contact with the

District—their periodic attendance at Grand Rounds

and WGS meetings—-cannot confer personal jurisdiction

because plaintiffs’ claims did not relate to or arise from

them. The doctors attended these events only for their

own personal educational benefit; they had no bearing

on or connection to plaintiffs’ claims. App. at 29a.

Indeed, Bourdin II, consistent with the trial court,

specifically held that “appellants’ malpractice actions

cannot be said to ‘arise from’ the doctors’ attendance

at these meetings.” App. at 14a.

Second, Mrs. Bourdin’s October 29, 1990 telephone

call cannot authorize the court’s exercise of personal

jurisdiction because it was not a purposeful contact the

defendants made with the District. In fact, it was quite

the opposite. Mrs. Bourdin acted unilaterally when, after

the pure happenstance of a car accident, she telephoned

Virginia from the District. But “(t]he unilateral activity

of those who claim some relationship with a nonresident

defendant cannot satisfy the requirement of contact with

the forum State.” Hanson v. Denkla, 357 U.S. 235, 253

(1958).

Remarkably, Bourdin I] agreed with this principle

and held early in its opinion that Mrs. Bourdin’s

telephone call “cannot—consistent with the limits of due

process—serve as a basis for jurisdiction.” App. at lla.

But in a curious judicial pirouette, the court later relied

on the telephone call as the basis for jurisdiction under

D.C. Code § 13-423(a)(4). App. at 18a n.8, 18a-20a. It

should not have done so for the very reasons it

articulated—Mrs. Bourdin’s telephone call was her own

unilaterai act and was not a contact the defendants

purposefully made with the District.’ The telephone call

cannot, consistent with the Due Process Clause, serve

as a basis for specific personal jurisdiction.

Since the doctors’ only purposeful contact with the

District was their periodic attendance at Grand Rounds

and WGS meetings, and the plaintiffs’ claim did not arise

from or relate to these purposeful contacts, Bourdin I]

incorrectly concluded that the defendants were subject

to specific personal jurisdiction. That incorrect

conclusion violates the defendants’ rights under the Due

Process Clause of the Fifth Amendment not to be haled

7. This result conflicts with decisions from other federal

circuit courts of appeal and state high courts. See, e.g., Adams v.

Adams, 601 F.3d 1, 8 (Ast Cir. 2010) (“A phone call from Bernard

to Lee in Texas concerning a contract that Bernard demanded

that Lee execute is not sufficient evidence that Lee ‘reached

into Massachusetts.’”); Future Tech. Today, Inc. v. OSF

Healthcare Sys., 218 F.3d 1247, 1251-52 (11th Cir. 2000) (holding

that a “single telephone call, by the buyer of a service upon the

advice of another” may meet the “technical requirements” of

the Florida long-arm statute, but that the Due Process Clause’s

“considerations of minimum contacts and fair play prevent the

action from going forward in this court.”); Wines v. Lake Havasu

Boat Mfg., Inc., 846 F.2d 40, 42-43 (8th Cir. 1988) (“Appellants’

telephone calls to Lake Havasu are the very kind of ‘unilateral

activities’ this court has found insufficient to establish personal

jurisdiction.”); Aviation Assoc. & Consultants, Inc. v. Jet Time,

Inc., 402 S.E.2d 177, 180 (S.C. 1991) (“Every communication

between the parties was initiated by Aviation. Cobra merely

responded to Aviation’s unsolicited, unilateral contact by

talking on the telephone to Aviation when Aviation called... .

This type of attenuated, isolated contact should not subject

Cobra to suit in the initiator’s home forum.” (Quotations

omitted)).

16

into court on a claim that does not arise from their

purposeful contacts with the jurisdiction. Burger King,

471 U.S. at 472.

B. Analyzing Whether Each Defendant Is

Subject to Personal Jurisdiction in the

District, as Required by the Due Process

Clause, Clearly Reveals Personal Jurisdiction

Cannot Be Asserted over Any Defendant

The conclusion that Bourdin // violated defendants’

due process rights is bolstered when personal

jurisdiction is analyzed as to each defendant. The Due

Process Clause itself requires such an analysis.*

See Calder v. Jones, 465 U.S 783, 790 (1984) (“Each

defendant’s contacts with the forum State must be

assessed individually.”). When that required analysis is

performed, it is clear personal jurisdiction cannot be

exercised consistently with due process or D.C. Code

§ 13-423(a)(4) as to any defendant.

1. The Doctors’ Contacts with the District

Do Not Authorize the Assertion of

Personal Jurisdiction

Kirst, there is no evidence that either doctor

participated in Mrs. Bourdin’s telephone call—the very

“contact” relied upon by Bourdin I] to satisfy due

process. App. at 18a n.&, 18a-20a; see also infra Part I.

To the contrary, the evidence, which plaintiffs did not

8. Despite defendants’ specific request in their Brief of

Appellees, the Bourdin I] court failed to assess each defendants’

contacts individually.

17

dispute on appeal, established that neither Dr. Gahres nor

Dr. Radice dispensed advice, negligent or otherwise, to

plaintiffs on the October 29, 1990 telephone call. The

evidence established only that a G&R receptionist told Mrs.

Bourdin to keep her next appointment. Bourdin 11

recoynized this: “Ms. Etchebarne-Bourdin telephoned Dr.

Radice’s office in Virginia from her office at the IMF in

the District. She explained what had happened to the

receptionist who answered the telephone; the receptionist

advised her to keep her regular appointment on November

2nd, four days later.” App. at 5a (emphasis added). Dr.

Gahres was not present at all in the office on October 29,

1990. App. at 118a. And although Bourdin // went out of

its way to state that Dr. Radice was in the office for part of

that day, App. at 5a n.3, it did not conclude (as it could not)

that Dr. Radice was actually present when the telephone

call was received. Indeed, the trial court made a factual

finding (which should be binding on appeal) that “[n either

doctor spoke with Mrs. Bourdin by phone on the day of

the accident, and plaintiffs have provided the court with

no evidence that cither doctor’s instructions were

conveyed through the receptionist who did speak with Mrs.

Sourdin.” App. at 152a-1538a n.31, 118a (emphasis added).

Subjecting Dr. Gahres and Dr. Radice to a trial in

the District when there is no evidence either of them

participated in the “contact” with the District-——Mrs.

Bourdin’s telephone call—yviving rise to plaintiffs’ claims

would constitute a serious violation of their liberty

interests protected by the Due Process Clause.’ “The

9. Commission of a tortious act or omission outside the

District is also a threshold statutory requirement under D.C, Code

§ 13-422%(4)(4). It is difficult to imagine how personal jurisdiction

over the doctors could be exercised pursuant to this statute when

there is no evidence to trigger its required provisions.

18

personal jurisdiction requirement recognizes and protects

an individual liberty interest. It represents a restriction

on judicial power not as a matter of sovereignty, but as a

matter of individual liberty.” /ns. Corp. of Ir v. Compagnie

des Bausites de Guinee, 456 U.S. 694, 702-03 (1982). The

doctors’ enjoyment of this liberty interest would be lost

forever if this Court does not grant their petition and

reverse Bourdin 11's flagrant error.

2. G&R’s Contacts with the District Do Not

Authorize the Assertion of Personal

Jurisdiction

Second, G&R’s due process interests will also be

destroyed when it is subjected to a trial in the District

because it never purposefully initiated contact with the

District. Rather, it was Mrs. Bourdin who purposefully

initiated contact when she unilaterally telephoned G&R’s

office in Virginia from the District. The simple act of G& R's

receptionist in answering a telephone call from the District

cannot equate to purposeful availment or contact. G&R

quite simply did not purposefully contact the District. And

hecause it did not, it cannot be subject to personal

jurisdiction there."

10. The engagement in a “persistent course of conduct” is,

like the act or omission requirement, a condition precedent for

the exercise of personal jurisdiction pursuant to D.C. Code § 14

42(4)(4). The trial court specifically determined that “there is

no basis for a finding that G & R, Ltd. has engaged in a persistent

course of conduct” in the District. App. at 159a. The trial court also

determined that there was no evidence Dr. Gahres or Dr. Radice

attended Grand Rounds or WGS meetings as agents of G&R. App

at 30u. Neither of these determinations were challenged or

disturbed by Bowrdin 11. And because they were not, there is no

evidence to trigger subsection (a)(4)’s application to G&R

19

Il. Bourdin II’s Interpretation and Application of

the District’s Long-Arm Statute to the Defendants

Is Unconstitutional Because It Permits the

Assertion of Specific Jurisdiction When

Plaintiff’s Claim Does Not Relate to the

Defendant’s Purposeful Contact with the Forum

The application of D.C. Code § 13-423(a)(4) to the

defendants violates the Due Process Clause because it

permits the exercise of specific personal jurisdiction

over them despite the fact that their only purposeful

contact with the forum bears no relation to the plaintiffs’

cause of action.'’ As stated above, due process requires

that the assertion of specific jurisdiction be based on

the defendant’s purposeful contact with the forum from

which plaintiff’s claim arose.

Bourdin II held that, under D.C. Code § 13-

423(a)(4), the doctors’ only purposeful contact with the

District—their “persistent course of conduct” in

periodically attending Grand Rounds and WGS

meetings—need not relate to the plaintiffs’ claim. It

reached this holding because it reasoned the due

process requirement that the defendant’s act relate to

the plaintiff’s claim” “is subsumed in the requirement

11. D.C. Code § 13-423(a)(4) authorizes the assertion of

personal jurisdiction where the plaintiff’s claim arises from the

defendant’s “causing tortious injury in the District of Columbia

by an act or omission outside the District of Columbia if he...

engages in any other persistent course of conduct... in the District

of Columbia.”

12. The constitutional due process requirement is

embodied in D.C. Code § 13-423(b). See Shoppers Food

(Cont'd)

20

that the ‘claim for relief aris[e|’ from an act or omission

outside the forum that ‘caus[es] tortious injury in the

District of Columbia.” App. at 19a-20a (alterations in

original). Bourdin JJ determined that this due process

requirement was fulfilled here by what happened during

Mrs. Bourdin’s telephone eall: “There is no doubt that

appellants’ claims arose out of the doctors’ allegedly

tortious acts or omissions in Virginia... . [T]he first

time that the doctors were negligent arguably was when

they failed to advise her properly when she called them

from the District.” App. at 18a, 18a n.8 (internal

emphasis and quotations omitted). Thus, the court

concluded it would be “redundant” to require that the

persistent course of conduct relate to plaintiffs’ claims

“when a direct link is already established between the

tortious conduct outside the District and the resulting

injury within the jurisdiction on which the claim is

based.” App. at 20a.”

But beeause the court concluded that the doctors’

purposeful in-forum “persistent course of conduct” need

not relate to plaintiffs’ claims, it was forced to find such

(Cont’d)

Warehouse v. Moreno, 746 A.2d 320, 326 (D.C. 2000); Cohane v.

Arpeja-California, Inc., 385 A.2d 158, 158 (D.C. 1978). Since

Shoppers, the District of Columbia courts have used “nexus” to

refer to the relationship between the plaintiff’s claim and the

defendant’s contacts required by the long-arm statute and the

Due Process Clause.

13. Bourdin II adopted the analysis in Craze v. Carr, 814

F.2d 758, 763-64 (D.C. Cir. 1987). App. at 22a-23a. Crane held

that the persistent course of conduct requirement was a “plus

factor” that need not relate to plaintiff’s claim.

a due process “link” in Mrs. Bourdin’s telephone call.

In doing so, it effectively held that D.C. Code § 138-

423(a)(4) ean subject.a defendant to personal jurisdiction

on the basis of his non-purposeful contacts with the

District because such non-purposeful contacts relate to

plaintiff’s claim, and satisfy due process, when they cause

injury in the District. Such an application of D.C. Code

§ 13-423(a)(4) does not comport with due process because

it subjects defendants to specific personal jurisdiction

when plaintiffs’ claims bear no relationship to their

purposeful contacts.

To be fair, Bowrdin [1's interpretation of D.C. Code

§ 13-423(a)(4) may comport with due process where a

defendant’s purposeful contact with the forum

constitutes an affirmative tortious act’ causing injury

in the District.” But in this case, the alleged tortious

act did not originate from defendants’ purposeful

contact with the District. It originated from the in-forum

contact plaintiff initiated when she called defendants’

14. As opposed to a passive tortious omission or failure to

act arising from non-purposeful contact with the forum, which

is what happened in this case.

15. See ,e.g., First Am. First, Ine. v. Nat'l Assoc. of Bank

Women, 802 F.2d 1511, 1517 (4th Cir. 1986) (coneluding that

defendant's conduct in a defamation action was “purposefully

directed” at the forum state where the “allegedly defamatory

letters, though written in and mailed from Illinois and

distributed throughout the country, were nevertheless directed

in their intended effect at the activities in Virginia of Virginia

residents” and consequently the defendant “knew or should

have known [they] would inflict the greatest injury upon [the

plaintiff] in the state in which he resided and conducted his

business”).

22

Virginia office from the District. Under these

circumstances, which demonstrate a lack of purposeful

contacts giving rise to plaintiffs’ claims, the Due Process

Clause prohibits the exercise of specific personal

jurisdiction over the defendants.

Thus, D.C. Code § 18-423(a)(4), as interpreted by

Bourdin I] and applied to the defendants, contravenes

the Due Process Clause. Bourdin I] should therefore

be reversed, and the case dismissed for lack of personal

jurisdiction.

CONCLUSION

For the reasons set forth above, this Petition for a

Writ of Certiorari to the District of Columbia Court of

Appeals should be granted.

Respectfully submitted,

Pau. T. WALKINSHAW

Counsel of Record

HEATHER EK. ZAuUG

GARLAND B. Nacy

Hancock, DANIEL, JOHNSON

& Nace, PC.

3975 Fair Ridge Drive

Suite 475 South

Fairfax, Virginia 22033-2911

(703) 591-3440

pwalkinshaw@hdjn.com

Attorneys for Petitioners

APPENDIX

la

APPENDIX A — OPINION OF THE DISTRICT OF

COLUMBIA COURT OF APPEALS

DECIDED OCTOBER 22, 2009

DISTRICT OF COLUMBIA COURT OF APPEALS

No. 05-CV-1059

ALICIA M. ETCHEBARNE-BOURDIN, ET AL.,

APPELLANTS,

v.

LUIS C. RADICE, ET AL.,

APPELLEES.

Appeal from the Superior Court of the

District of Columbia

(CA-12359-93)

(Hon. Noé] Anketell Kramer, Trial Judge)

(Argued April 4, 2007 Decided October 22, 2009)

Before RUIZ and BLACKBURNE-RIGSBY,

Associate Judges, and SCHWELB, Senior Judge.

RUIZ, Associate Judge: This case, now before us

for a second time, requires us to interpret the District

of Columbia’s “long-arm” statute, D.C. Code § 13-423

(2001). The issues before us concern two subsections of

the statute which authorize District of Columbia courts

2a

Appendix A

to exercise jurisdiction over non-resident defendants

who “transact[] any business” in the District of Columbia,

D.C. Code § 13-423(a)(1); or who “caus[e] tortious injury

in the District of Columbia by an act or omission outside

of the District of Columbia if [they] regularly do[] or

solicit[ ] business, engage[] in any other persistent course

of conduct, or derive[] substantial revenue from goods

used or consumed, or services rendered, in the District

of Columbia.” Jd. at § (a)(4). When the conduct of a

defendant satisfies either one of these sections, the court

may exercise personal jurisdiction only if “a claim for

relief aris[es] from acts enumerated in [the statute].”

Id. at § (b). Specifically, we address for the first time

whether all of the requirements set out in subsection

(a)(4) must be linked to the claim for relief in a particular

case, to permit the exercise of personal jurisdiction. We

hold that the nexus requirement under subsection (b),

as applied to the basis for jurisdiction set out in

subsection (a)(4), does not require that the claim arise

from what we consider to be independent “plus factors.”

These factors (e.g., a “persistent course of conduct” in

the District of Columbia), are required for the purpose

of ensuring that exercising jurisdiction over a defendant

where the claim for relief is based on conduct outside

the forum comports with due process. Because the trial

court thought otherwise, and on the basis that there

was no nexus between the defendant’s persistent course

of conduct in the District and the medical malpractice

action, dismissed the complaint for lack of jurisdiction

over appellees, we reverse the judgment and remand

the case for further proceedings.

3a

Appendix A

I. Factual Background

This action arises from a complaint for medical

malpractice filed by appellanis, Alicia Etechebarne-

Bourdin and, her husband, Mauricio Bourdin. They

claim that appellees, Drs. Luis Radice and Edward

Gahres, and their practice, Gahres and Radice, M.D.s,

Ltd., provided negligent medical care to Ms.

Etchebarne-Bourdin that resulted in the death en

ventre sa mere of her unborn child.

The facts of the case relevant to the question of

jurisdiction are, for the most part, undisputed. At the

time of the complaint, appellants were both domiciled

in Virginia, and worked at the International Monetary

Fund (“IMF”), located in the District. In 1990, Ms.

Etchebarne-Bourdin became Dr. Radice’s patient.

Although Dr. Radice was listed in a directory of local

physicians made available at the IMF Health Center,

Ms. Etchebarne-Bourdin did not consult the directory

in choosing Dr. Radice as her physician; rather, she was

referred to the doctor by her sister, who had been his

patient in the past.

Drs. Radice and Gahres specialized in obstetrics and

gynecology and their office was located in Virginia at

the time Ms. Etchebarne-Bourdin became their patient.

Their practice, Gahres and Radice M.D.s, Ltd., is a

Virginia professional corporation. The doctors had

maintained a practice in the District of Columbia, from

1970 until 1988, two years before Ms. Etchebarne-

Bourdin became their patient. In 1988, the doctors, at

4a

Appendix A

the urging of their medical malpractice insurance carrier,

closed their office in the District and relinquished their

admitting privileges at D.C. hospita!s.

Even after they moved their office to Virginia, the

doctors maintained ties to the District of Columbia. The

doctors are individually licensed in the District as well

as in Virginia. They maintained a listing for their office,

with their Virginia address, in the District of Columbia

Yellow Pages. The doctors regularly attended Grand

Rounds of George Washington University Hospital —

more than once a month — and were members and

attended meetings of the Washington Gynecological

Society, which met in the District of Columbia

approximately eight times a year.’ The trial court found

that 5.5% of the doctors’ patients were residents of the

District.*

1. The trial court found that the doctors attended the

meetings at Washington Gynecological Society and Grand

Rounds at George Washington University Medical Center to

continue their medical education. According to the trial court’s

order on remand, “it appears that Grand Rounds involved

reviewing case histories of patients, as well as topics related to

the practice of gynecology and obstetrics.”

2. In their brief on appeal, appellants offered additional

facts relating to the doctors’ contacts with the District that they

claim the trial court failed to consider. An appellate court will

not ordinarily consider facts outside the record. See Maldonado

v. Maldonado, 631 A.2d 40, 41 n.1 (D.C. 1993) (refusing to

consider facts contained in appellee’s brief that were not part

of the record).

Sa

Appendix A

On October 29, 1990, while driving in the IMF

parking lot in the District, appellants were “rear-ended”

in an automobile collision. Ms. Etchebarne-Bourdin was

then seven months pregnant. Later that day, Ms.

Etchebarne-Bourdin telephoned Dr. Radice’s office in

Virginia from her office at the IMF in the District. She

explained what had happened to the receptionist who

answered the telephone; the receptionist advised her

to keep her regular appointment on November 2nd, four

days later.*

According to appellants’ complaint, at her next two

appointments, on November 2nd and November 9th,

Ms. Etchebarne-Bourdin complained to Dr. Radice that

she continued to feel general discomfort and expressed

concern of “decreased intrauterine movement.” No tests

were conducted at either visit, but at both times she

was assured that nothing was wrong. On November 9th,

Dr. Gahres ascribed Ms. Etchebarne-Bourdin’s

complaints to the fact that “you women all get crazy

during your last weeks of pregnancy.”

On November 16, 1990, Ms. Etchebarne-Bourdin felt

pain and had an unusual vaginal discharge. She

immediately went to appellees’ office for an examination.

During the examination, Dr. Radice could not detect any

3. The doctors’ office records showed that Dr. Radice was

in the office for part of the day when Ms. Etchebarne-Bourdin

called. Although he did not remember directing the receptionist

to advise Ms. Etchebarne-Bourdin not to seek immediate

medical care, he did not deny that it was possible that he did.

6a

Appendix A

fetal movement. He rushed her to Alexandria Hospital,

where he delivered a still-born baby.

Appellants filed a complaint in D.C. Superior Court

for medical malpractice. They alleged that appellees

breached the standard of care by failing to advise Ms.

Etchebarne-Bourdin, after she notified them that she

had been in a ear accident, that she should be examined

immediately for signs of fetomaternal injury and that

they failed to do so during her office visits. As appointed

legal representatives of the child’s estate, appellants

brought a survival action under D.C. Code § 12-101

(1981), seeking damages in the amount of $ 12,003,500,

reflecting $ 12 million for the estate of the child had she

lived her expected life span, and $ 3,500 for medical and

funeral expense. Appellants also claimed on their own

behalf. In connection with that claim, appellants sought

combined damages of $ 6 million: $ 4 million for Ms.

EKtchebarne-Bourdin’s physical injury, emotional

distress, and loss of wages, and $ 2 million for her

husband’s loss of consortium. Appellees moved to

dismiss for lack of jurisdiction under Superior Court

Civil Rule 12(b)(2), or, in the alternative, on the grounds

of forum non conveniens. The trial court granted

appellees’ motion to dismiss for lack of personal

jurisdiction, and did not rule on the alternative motion.

The trial court concluded that it did not have

personal jurisdiction over appellees, and granted their

motion to dismiss. On appeal, we reversed and remanded

the case for renewed consideration in light of our then

recent decision in Shoppers Food Warehouse v. Moreno,

7a

Appendix A

746 A.2d 320 (D.C. 2000) (en bane), cert. denied, 530 U.S.

1270, 120 S. Ct. 2737, 147 L. Ed. 2d 997 (2000). See

KLtchebarne-Bourdin v. Radice, 754 A.2d 322 (D.C. 2000)

(“Htchebarne-Bourdin 1’).

On remand, the trial court again dismissed the suit

for lack of personal jurisdiction, determining that

appellees had neither transacted business in the District

of Columbia within the meaning of subsection (a)(1) of

the long-arm statute, nor did their “persistent course

of conduct” in the District sufficiently relate to

appellant’s claimed injury, as the trial court interpreted

subsection (a)(4) to require. We agree with the trial

court’s analysis that appellees did not “transact

business” under D.C. Code § 13-423(a)(1), but conclude

that the trial court erred in its analysis of the nexus

required by subsection (a)(4). We, therefore, reverse and

remand the case for further proceedings.

II. Analysis

When reviewing an order of dismissal for lack of

personal jurisdiction where there has not been an

evidentiary hearing, the court “must resolve in... favor

of [the party asserting jurisdiction] all disputes

concerning relevant facts presented in the record.”

Reuber v. United States, 242 U.S. App. D.C. 370, 383,

750 F.2d 1089, 1052 (1985) (quoting Nelson v. Park

Industries, Inc., T7117 F.2d 1120, 1128 (7th Cir. 1983)).

See Super Ct. Civ. R. 12 (¢) (providing that motion for

judgment on the pleadings is converted to motion for

summary judgment if “matters outside pleadings are

Sa

Appendix A

presented to and not excluded by” the trial court). We

review de novo the trial court’s dismissal of a complaint

for “lack of jurisdiction over the person” under Rule 12

(b)(2). See Holder v. Haarmann & Revmer Corp., 779

A.2d 264, 269 (D.C. 2001).

A. The Long Arm Statute’s Requirements

The District of Columbia’s long arm statute provides

as follows:

(a) A District of Columbia court may exercise

personal jurisdiction over a person, who acts

directly or by an agent, as to a claim for relief

arising from the person’s —

(1) transacting any business in the

District of Columbia;

(2) contracting to supply services in the

District of Columbia;

(3) causing tortious injury in the District

of Columbia by an act or omission in the

District of Columbia;

(4) causing tortious injury in the District

of Columbia by an act or omission outside the

District of Columbia if he regularly does or

solicits business, engages in any other

persistent course of conduct, or derives

substantial revenue from goods used or

A

Appendix A

consumed, or services rendered, in the

District of Columbia;

(5) having an interest in, using, or

possessing real property in the District of

Columbia;

(6) contracting to insure or act as surety

for or on any person, property, or risk,

contract, obligation, or agreement located,

executed, or to be performed within the

District of Columbia at the time of contracting,

unless the parties otherwise provide in

writing; or

(7) marital or parent and child

relationship in the Distriet of Columbia . .

funder certain conditions; this subsection is

not relevant to this case |

(b) When jurisdiction over a person is based

solely upon this section, only a claim for relief

arising from acts enumerated in this section

may be asserted against him.

D.C. Code § 18-423 (2001).

‘To assert personal jurisdiction under § 13-4238, the

statute sets out two separate requirements: first, the

defendant must have engaged in one of seven

enumerated activities, id. at & (a), and, second, “[the|

claim for relief [must] arisle] from acts enumerated” in

10a

Appendix A

the statute. Jd. at § (b). In this case, two of the

enumerated acts are at issue: whether appellees

“transact[ed] any business in the District of Columbia,”

id. at § (a)(1), and whether they “caus[ed] tortious injury

in the District of Columbia by an act or omission outside

the District of Columbia if [they] . . . engage[] in any

other persistent course of conduct ...in the District of

Columbia.” /d. at § (a)(4).

In a long and detailed order, the trial court

considered four contacts by the doctors with the District

of Columbia: (1) Ms. Etchebarne-Bourdin’s telephone

call to appellees from the District on October 29, 1990;

(2) the District of Columbia medical licenses held by Drs.

Gahres and Radice; (3) the listing for the doctors’

Virginia practice in the District of Columbia Yellow

Pages, as well as Dr. Radice’s listing in a referral list at

the IMF Health Center (in the District); and (4) the

doctors’ periodic attendance at meetings of the

Washington Gynecological Society and Grand Rounds

at George Washington University Medical] Center, all of

which took place in the District of Columbia. The trial

court determined that, whether viewed individually or

in the aggregate, appellees’ contacts with the District

did not constitute “transacting any business” under the

statute, and that, even assuming they did, appellants’

claim did not “aris[e] from” those business transactions.

See D.C. Code § 13-428(b). Similarly, the trial court

determined that even though the doctors’ attendance

at Grand Rounds and Society meetings constituted a

“persistent course of conduct” under D.C. Code § 13-

423(a)(4), this conduct, also, failed to satisfy the “aris[e]

from” requirement of the statute. Jd. at § (b).

lla

Appendix A

B. “Transacting any business,” D.C. Code § 13-42:

(a)(1)

We have held that “the sweep of the ‘transacting

any business’ provision [of the District’s long-arm

statute] covers any transaction of business in the

District of Columbia that can be reached jurisdictionally

without offending the Due Process Clause.” Holder, 779

A.2d at 270 (quoting Mouzavires v. Baxter, 434 A.2d 988,

993 (D.C. 1981) (en banc) (per curiam)).

By equating the “transacting business” requirement

with what is permissible under the Due Process Clause,

we have required that plaintiff show only that the

defendant has had “minimum contacts” with the forum

— “purposeful, affirmative activities within the District

of Columbia,” — so that “the maintenance of the suit

does not offend ‘traditional notions of fair play and

substantial justice.’” Shoppers, 746 A.2d at 330-31

(citations omitted). Therefore, in order to demonstrate

that appellees “transacted business” within the meaning

of the statute, appellees must be “purposefully engaged

in some type of... activity directed at District

residents.” Holder, 779 A.2d at 270-71 (citing Shoppers,

746 A.2d at 330-31).

Applying this standard, we agree with the trial court

that the telephone call that Ms. Etchebarne-Bourdin

placed to appellees’ office on October 29, 1990, cannot

— consistent with the limits of due process — serve as

a basis for jurisdiction. See Hanson v. Denckla, 357 US.

235, 253, 78S. Ct. 1228, 2 L. Ed. 2d 1283 (1958) (holding

12a

Appen dix A

that “[t]he unilateral activity of those who claim some

relationship with a nonresident defendant cannot satisfy

the requirement of contact with the forum State”).‘

Cf. D.C. Code § 13-423(a)(4), discussed infra, Part II A.

Likewise, that the doctors maintained medical

licenses to practice in the District cannot, without more,

serve as a basis for jurisdiction under the “transacting

any business” subsection of the statute. See Ghanem v.

Kay, 624 F. Supp. 23, 25 (D.D.C. 1984) (“[I]t is actual

practice of a profession ... and not the possession of

the right to practice that brings a person within the

jurisdiction of a... ecourt.”) (quoting Lebkuecher v.

Loquasto, 255 Pa. Super. 608, 389 A.2d 143, 145 (1978))).

Appellants’ reliance on Presbyterian Univ. Hosp. v.

Wilson, 337 Md. 541, 654 A.2d 1324 (Md. 1995), for the

proposition that by submitting themselves to the

licensing process, the doctors were manifesting a

deliberate and voluntary association with the forum is

misplaced. In Presbyterian, the Maryland Court of

Appeals exercised personal jurisdiction over a hospital

located in Pennsylvania because the hospital (1) had

4. Appellants argue on appeal that appellees should have

foreseen that some of their patients would call from the District,

pointing to Dr. Radice’s admission at his deposition that other

patients called to ask to have their prescriptions filled, and that

he had placed calls to pharmacies in the District. We need not

consider this argument as it is raised for the first time on appeal.

See, e.g., Hunter v. United States, 606 A.2d 139, 144 (D.C. 1992)

(“[P]oints not asserted with sufficient precision [at the trial

court level] to indicate distinctly the party’s thesis will normally

be spurned on appeal.” (quoting Miller v. Avirom, 127 U.S. App.

D.C. 367, 369-70, 384 F.2d 319, 321-22 (1967)).

l3a

Appendix A

purposefully availed itself of Maryland’s laws by actively

registering as a healthcare provider with a state-run

program that provided indigent healthcare; (2) was the

only approved adult liver transplant center for patients

of that Maryland program; and (3) solicited Maryland

residents to seek treatment at the hospital.’

See Presbyterian, 654 A.2d at 1331-32. Here, by

contrast, there is no allegation that the doctors

maintained their D.C. licenses in order to solicit patients

in the District.

Appellants claim that the doctors’ regular

attendance at periodic meetings of the Washington

Gynecological Society and Grand Rounds at George

Washington University Hospital constituted

“transacting business” in the District for purposes of

the long-arm statute. We agree with the trial court that

these activities, which were primarily for continuing

professional education, fall outside the meaning of

“transacting business.”® Even if we accept appellants’

assertion that the training and continuing medical

education that the doctors received served to some

extent to attract patients, including those residing in

the District of Columbia, appellants’ malpractice actions

5. In Presbyterian, the Pennsylvania hospital applied to

the Maryland Department of Health & Mental Hygiene to be

certified as a Medicaid provider to Maryland residents. 654 A.2d

at 13381.

6. These activities did serve, however, as the basis for the

trial court’s conclusion that appellees engaged in a “persistent

course of conduct.” See infra, Part IT C.

4a

Appendix A

eannot be said to “arise from” the doctor’s attendance

at these meetings.

Appellees’ listings in the District of Columbia Yellow

Pages and at the IMF Satellite Unit as a healthcare

provider present a closer issue. As an initial matter, we

do not agree with the trial court’s conclusion that “there

is no indication that [the Yellow Pages or IMF listings]

were designed to, or particularly likely to, attract

District of Columbia residents.” To the contrary, the

District of Columbia Yellow Pages, by their very design,

are intended to reach District residents. The listing of

Dr. Radice at the IMF as a healthcare provider, on the

other hand, was not specifically designed to reach

District residents as much as to be a resource to all

employees, wherever they live.

But unlike the “extensive” weekly full-page

newspaper advertisement in The Washington Post we

considered in Shoppers Food Warehouse, 746 A.2d at

330, appellees’ entry in the Yellow Pages is simply a

listing, with only the names of the doctors, their address

and phone number in Virginia, and their medical

specialty.’ Dr. Radice’s listing at the IMF contained

7. In contrast, in Shoppers Food Warehouse, we described

the advertisement as being targeted to District consumers:

The body of the ads contained a description of the

product for sale in bold letters with the price, and

sometimes with a picture of the sale item. At the top

of the ad some additional inducement to shop at

(Cont'd)

~

1Sa

Appendix A

similar biographical and contact information, and, even

though the directory was located at the IMF’s health

unit in the District, it did not reach out to solicit patients

who lived in the District of Columbia, rather than persons

who worked at the IMF. The scale and scope of the

doctors’ advertising, in other words, did not rise to the

level of active solicitation of patients in the District we

deemed significant in Shoppers; Ms. Etchebarne-

Bourdin herself did not select Dr. Radice from either of

these sources, but on her sister’s recommendation.

See Ghanem, 624 F. Supp. at 25 n.6 (“[WJhere the

physician has not aggressively sought patients in the

forum and the plaintiff did not consult defendant as a

result of forum activities by the defendant . .., possession

of a license (and a listing in the forum jurisdiction’s

phone book) without practicing in the forum is not

sufficient to meet the due process requirements that

limit jurisdiction under all long-arm statutes.”). The

limited reach of appellees’ “advertising” activities is

underscored by the fact that although they were located

within the Washington metropolitan area, only 5.5% of

appellees’ patients were District residents. Cf Shoppers

Food Warehouse, 746 A.2d at 332 (“The Metropolitan

(Cont'd)

Shoppers appeared. ... In the middle of one of the

pages... Shoppers stated in bold letters: “No Matter

Where You Live... It’s Worth The Drive!” ... The

record before us reveals that Shoppers also placed

advertisements on television networks in the

District, as well as listed one of its stores in the

Yellow Pages....

746 A.2d at 330.

16a

Appendix A

Washington, D.C. area functions, in many respects, as a

unified legal and commercial community. Consequently,

‘when out-of-state actors avail themselves of the benefits

of contact within the forum jurisdiction,’ .. . ‘fairness

requires that they be held accountable therein for the

consequences of such activities.””). Since appellees did

not actively solicit patients in the District, but rather

maintained passive listings of contact information, it

would be unfair to infer that Drs. Gahres and Radice

should have anticipated being subject to suit in the

District of Columbia as a result of having their contact

information in Virginia listed here.

We therefore agree with the trial court that

appellees did not “transact business” in the District of

Columbia for purposes of D.C. Code § 13-423(a)(1).

C. Causing tortious injury in D.C. and “Persistent

course of conduct,” D.C. Code §$ 13-423(a)(4)

When we remanded the case in Etchebarne-Bourdin

I, we directed the trial court that, in the event it did not

find jurisdiction under subsection (a)(1), it should

“reevaluate whether the defendants caused ‘tortious

injury in the District’ resulting from ‘an act or omission

outside the District,’ in the context of the ‘nexus’

requirement as articulated in Shoppers Food

Warehouse, which applies equally to all subsections of

section 13-423(a).” 754 A.2d at 327. In its first order

dismissing the case, the trial court had found that for

purposes of subsection (a)(4), appellees had engaged in

a “persistent course of conduct” in the District of

17a

Appendix A

Columbia based on their participation in Grand Rounds

at GWU Hospital and attendance at meetings of the

Washington Gynecological! Society. Htchebarne-Bourdin

I, 754 A.2d at 326. Appellees did not contest that

determination before the trial court on remand (nor do

they do so on appeal). The trial court maintained this

determination in its order on remand, but interpreted

the statute as requiring that there must be a sufficient

connection between the claim made by appellants in

their lawsuit and appellees’ persistent course of conduct

in the District. We disagree with the trial court and

conclude that where the tortious act is alleged to have

caused injury in the District of Columbia, and the claim

arises from such act and injury, no additional nexus need

be shown between the claim and the persistent course

of conduct.

The pertinent sections of the District of Columbia

long-arm statute, D.C. Code § 13-423, provide:

(a) A District of Columbia court may

exercise personal jurisdiction over a person,

who acts directly or by an agent, as to a claim

for relief arising from the person’s .. .

(4) causing tortious injury in the District of

Columbia by an act or omission outside the

District of Columbia if he regularly does or

solicits business, engages in any other

persistent course of conduct, or derives

substantial revenue from goods used or

consumed, or services rendered, in the

District of Columbia;

18a

Appendix A

(b) When jurisdiction over a person is

based solely upon this section, only a claim

for relief arising from acts enumerated in this

section may be asserted against him.

D.C. Code § 13-423(a)(4), (b) (2001) (emphasis added).

By its plain language, subsection (a)(4) contemplates

that personal jurisdiction can be exercised for “a claim

for relief [that] aris[es] from the person’s . . . causing

tortious injury in the District of Columbia by an act or

omission outside the District of Columbia... .” Jd. at

§ (a)(4). Subsection (a)(4) further requires that

jurisdiction can be exercised over appellees only if they

also have an additional contact with the District, in this

case, if they “engage[] in any other persistent conduct

...in the District of Columbia.” Jd.

There is no doubt that appellants’ claims arose out

of the doctors’ allegedly tortious acts or omissions in

Virginia, which are alleged to have caused injury to Ms.

Etchebarne-Bourdin in the District.’ But subsection (b)

8. In Etchebarne-Bourdin I, we stated that “[t]o the extent

that the pregnancy began to be imperiled at the time as a result

of the unmonitored and untreated physical impact on October

29, 1990, Ms. Bourdin’s original injury occurred while she was

in the District of Columbia.” 754 A.2d at 327-28. We explained

this was because “the triggering event, the automobile collision,

occurred in the District of Columbia, and that the first time

that the doctors were negligent arguably was when they failed

to advise her properly when she called them from the District.”

(Cont’d)

19a

Appendix A

of the long-arm statute also appears to require an

independent “nexus requirement,” and provides that

“only a claim for relief arising from acts enumerated in

this section may be asserted against [defendant].” The

issue before us is whether, specifically in connection with

jurisdiction grounded on subsection (a)(4), the “acts

enumerated” that are referred to in subsection (b) for

which a nexus must be shown are the acts “causing

tortious injury in the District of Columbia,” or also

include the further limiting requirements, such as

“engag[ing] in any other persistent conduct .. . in the

District of Columbia.” Jd. at § (a)(4). As we explain below,

we conclude that, for purposes of subsection (a)(4),

subsection (b)’s nexus requirement is subsumed in the

requirement that the “claim for relief aris[e]” from an

(Cont’d)

Id. at 327 (emphasis added). We based this inference on the

guidelines that appellees’ medical practice had in place at the

time the seven-months-pregnant Ms. Etchebarne-Bourdin

called to say she had been in a car accident. The doctors’ office

guidelines for screening telephone calls provide that “liJf an

OB patient is involved in an accident or injured in any way, she

must be examined in an emergency room or our office

immediately.” These instructions suggest that if a patient is

not seen immediately after an accident, there is a possibility

that the fetus or the pregnant woman might suffer some injury.

The trial court accepted our analysis on remand, and

appellees did not contend otherwise on remand nor have they

done so on appeal. But even if they had, this would be a disputed

fact that would have to be resolved in favor of appellants.

See Reuber, 242 U.S. App. D.C. at 383, 750 F.2d at 1052.

20a

Appendix A

act or omission outside the forum that “caus| es] tortious

injury in the District of Columbia.” D.C. Code § 13-423

(a)(3).

Although the language of the statute could be read

literally to require a further nexus with the claim, we

think it would be redundant when a direct link is already

established between the tortious conduct outside the

District and the resulting injury within the jurisdiction

on which the claim is based. As we have observed

with respect to personal jurisdiction grounded on

“transacting business” under § 13-423(a)(1), “[t]he

limitation in § 13-423(b) that the claim for relief must

arise from the transaction of business in the District of

Columbia is meant to prevent the assertion of claims in

the forum state that do not bear some relationship to

the acts in the forum stated relied upon to confer

jurisdiction.” Cohane v. Arpeja-California, Inc., 385

A.2d 153, 158 (D.C. 1978) (citation omitted). This narrow

reading of subsection (b)’s nexus requirement as a due

process safeguard is consistent with “Congress’s intent

to provide the District of Columbia with a long arm

statute equivalent in scope to those already in effect in

Maryland and Virginia,” the courts of which had

interpreted their statutes to “permit the exercise of

personal jurisdiction over nonresident defendants to the

extent permitted by the due process clause of the United

States Constitution.” Hnvtl. Research Int’l, Inc. v.

Lockwood Greene Eng’r, Inc., 355 A.2d 808, 810-11 (D.C.

1976).

2la

Appendix A

The provenance of the District’s long-arm statute

also informs our understanding that the additional

activities listed in subsection (a)(4) are “plus factors”

intended to ensure that there are minimum contacts with

the forum sufficient to satisfy due process concerns. The

District of Columbia’s long-arm statute is modeled after

the Uniform Interstate and International Procedure

Act. See Cohane, 385 A.2d at 159 (citing Founding

Church of Scientology, Etc. v. Verlag, 175 U.S. App. D.C.

402, 405, 5386 F.2d 429, 432 (1976)). The Commissioners’

Note accompanying subsection (a)(4) of the uniform act

states that it “authorizes the exercise of jurisdiction

when the tortious act or omission takes place without

the state but the injury occurs within the state and there

is some other reasonable connection between the state

and the defendant.” 9B U.L.A. 310 (1966)

(Commissioners’ Note), quoted in Murgoles v. Johns,

157 U.S. App. D.C. 209, 213, 483 Fi2d 1212, 1216 (1973)

(emphasis added). In drafting the uniform act, it was

the Commissioners’ intent to “require[ ] something more

than the in-forum impact at issue in the litigation, to

exclude cases in which that impact is an isolated event

and the defendant otherwise has no, or scant, affiliations

with the forum.” Steinberg v. Int'l Criminal Police Org.,

217 U.S. App. D.C. 365, 369, 672 Kh2d 927, 931 (1981)

(citing 13 U.L.A. at 468-69 (1980) (Commissioners’

Comment)); see Founding Church of Scientology, 175

U.S. App. D.C. at 405, 5386 F.2d at 432.

22a

Appendi x A

In Crane v. Carr, 259 U.S. App. D.C. 229, 814 F.2d

75% (1987), a case in which a District resident brought

libel and “false light” actions against the New York

Zoological Society (“NY ZS”) for allegedly defaming him

in a letter, the court reversed the trial court’s dismissal

of a suit against NYZS for lack of personal jurisdiction.

Id. at 234-35, 814 K2d at 763-64. The court held that

the “persistent course of conduct” or “plus factor”

required by subsection (a) (4) of the D.C. long-arm

statute need not be related to the claim. /d. at 234, 814

I2d at 763. Noting that NYZS’ letter, sent to Belize,

was the allegedly tortious act outside the District that

caused injury to the plaintiff who resided in the District,’

the court remanded the case to allow discovery on the

extent of NYZS’ contacts with the District. See ad. at

235, 814 I.2d at 764. In doing so, then-Judge Ruth Bader

Ginsburg noted:

To recapitulate, under (a)(4), the act outside/

impact inside the forum is the basis for

drawing the case into the court, but because

the harm-generating act (or omission)

occurred outside, the statute calls for

something more. The “something more” or

“plus factor” does not itself supply the basis

for the assertion of jurisdiction, but it does

serve to filter out cases in which the inforum

9. In defamation actions, the injury is deemed to occur

where the defamed person is located. See, e.g., Keeton v. Hustler

Magazine, Inc., 465 U.S. 770, 780, 104 S, Ct. 1473, 79 L. Ed. 2d

790 (1984).

23a

Appendix A

impact is an isolated event and the defendant

otherwise has no, or scant, affiliations with the

forum.

Id. at 234, 814 F.2d at 763."

We agree with and adopt the court’s analysis in

Crane. The enumerated acts, from which the elaim must

“arise,” D.C. Code § 18-423(b), are the specific acts (e.g,

transacting business, contracting to supply services,

having an interest in real property) or impact in the

forum (causing tortious injury) that could result in an

individual being subject to personal jurisdiction in our

courts. The claim need not arise, however, from the

“plus factors” that are imposed by subsection (a)(4) on

those claim-related acts or omissions. They are an

additional due process safeguard, such as the

requirement of “persistent course of conduct,” to ensure

that the party being haled into this jurisdiction’s courts

has more than a “secant” connection to the forum. /d.

A useful comparison is provided by subsection (a)(3),

which establishes personal jurisdiction over a non

resident defendant if both the tortious act and the injury

10. See also Steinberg, 217 US. App. D.C, at 869, 672 Ted at

931 (interpreting D.C. Code §& 13-428, and reversing the trial

court’s order dismissing the case for lack of personal jurisdiction

where plaintiff alleying defamation resided in, and claimed

injury in, the District, reasoning that while Interpol’s reyular

transmissions from France to U.S. yovernment offices in the

District did “not add up to ‘doing business’ here, [they] suffiee|d]

to supply the ‘something more’ subsection (a)(4) requires”)

24a

Appendix A

oceur in the District. In such a situation, the statute

does not require additional “plus factors” to meet the

due process minimum contacts requirement.

Applying the correct interpretation of D.C. Code

§ 13-423(a)(4), that we now announce, the trial court had

personal jurisdiction over appellees to consider

appellants’ claims of medical malpractice for injury

suffered in the District of Columbia as a result of an

allegedly tortious act or omission outside this forum.

We reverse the judgment of the trial court

dismissing the action for lack of personal jurisdiction

over appellees and remand the case for further

proceedings consistent with this opinion.

So ordered.

25a

APPENDIX B — ORDER OF THE SUPERIOR

COURT FOR THE DISTRICT OF COLUMBIA,

CIVIL DIVISION DATED JULY 29, 2005

SUPERIOR COURT FOR THE

DISTRICT OF COLUMBIA

CIVIL DIVISION

C.A. No. 12352-93

Cal. 12

Judge Kramer

ALICIA M. ETCHEBARNE-BOURDIN AND

MAURICIO BOURDIN, ADMINISTRATORS OF

THE ESTATE OF BABY GIRL ETCHEBARNE-

BOURDINE, et al.,

Plaintiffs

V.

LUIS C. RADICE, M.D.., et al.,

Defendants

ORDER

This matter is before the court on remand from the

Court of Appeals for reconsideration of the court's

Amended Order of June 6, 1996 (hereafter “Amend.

Ord.”) granting the defendants’ motion to dismiss for

lack of personal jurisdiction (referred to hereafter as

26a

Appendix B

the “remand decision”).' See Etchebarne-Bourdin v.

Radice, 754 A.2d 322, 323 (D.C. 2000). In the remand

decision, the Court of Appeals directed this court to

reconsider whether the District of Columbia can exercise

personal jurisdiction over the defendants under the

provisions of the District’s long-arm statute which

permit foreign defendants to be sued if they “transact{ |

any business” in the District of Columbia, D.C. Code

Section 13-423(a)(1), or “causle] tortious injury in the

District of Columbia by an act or omission outside the

District of Columbia,” Section 13-423(a)(4). Htchebarne-

Bourdin, 754 A.2d at 327-28.

Both sides have had an opportunity to supplement

their previous filings to address the issues to be resolved

on remand. With the guidance provided by the remand

decision, the court has reconsidered its previous

conclusions. In doing so, the court has relied on the

factual findings set out in its original 62-page Amended

Order dismissing the complaint for lack of personal

jurisdiction (a copy of which is attached hereto). As the

Court of Appeals noted, “The facts of the underlying

case related to the question of personal jurisdiction are,

1. Unfortunately, this matter appears to have been lost in

the transition from the Court of Appeals, to the Civil Division,

to this court. At one point following the Cuurt of Appeals

decision, the court’s staff attempted to ascertain the status of

the case and was informed that the matter was no longer

pending. With that information, the court concluded that the

matter must have been resolved between the parties. Only when

counsel called chambers to determine the status of the case did

the court learn that the case was unresolved.

27a

Appendix B

for the most part, undisputed.” /d. at 324. Rather, it is

“the legal consequences of those facts with respect to

personal jurisdiction” with which the parties disagree.

Id.

FACTUAL BACKGROUND

The Defendants

As set forth in the court’s Amended Order, the

defendants in the current case are Dr. Luis Radice, Dr.

Edward Gahres and Gahres & Radice, M.D.’s, Ltd.

(G & R, Ltd.), a professional corporation organized

under the laws of Virginia with its principal place of

business in Virginia. The doctors specialize in obstetrics

and gynecology.

In 1990, at the time of the events at issue here, both

doctors were residents of Virginia. They treated

patients solely in Virginia, either at their medical office

in Alexandria, Virginia, or at the Alexandria Hospital

— the only hospital with which they had an active

affiliation. Amend. Ord. at 10. At the urging of their

malpractice insurer, the defendants had closed their

District of Columbia office two years before the events

at issue here and had given up their admitting privileges

at District hospitals. Amend. Ord. at 9-10.

2. There was evidence that the defendants have actually

sought to discourage the business of District residents insured

by Blue Cross/Blue Shield of the National Capitol Area

(BCBSNCA) by failing to disclose their D.C. medical

licenses on insurance forms they submitted to BCBSNCA.

See discussion, Amend. Order at 23-24.

28a

Appendix B

From January 1990 to January 1992, only 205, that

is, 5.5 % of their 3,742 patients were D.C. residents.

Amend. Ord. at 10. Most of the defendant’s patients who

were D.C. residents at that time were a part of the

group that formerly had gone to their office in the

District and had no objections to traveling to the

defendant’s Virginia office. Amend. Ord. at 20. Other

District of Columbia patients had sought them out for

treatment as a result of “word of mouth.” Amend. Ord.

at 20.

At the time of the events leading to this lawsuit, both

Dr. Gahres’ and Dr. Radice’s names were listed in the

Yellow Pages of the District of Columbia phone book.

Amend. Ord. at 21-22. Those listings provided their

names, the area of their medical specialty, and their

Virginia office address and phone number. /d. In

addition, Dr. Radice was listed at the satellite unit of

the International Monetary Fund’s (IMF’s) Health

Service. Amend. Ord. at 21. That IMF listing gave his

office address in Virginia and related that he had

graduated from medical school in 1957, that he was

fluent in Spanish, that he was in practice with Dr. Gahres,

that he was affiliated with the Alexandria Hospital, and

that he required payment at the time of the office visit.

Amend. Ord. at 21. There is no claim that any plaintiff

saw either the Yellow Pages or IMF listing. Amend. Ord.

at 21-22.

The record indicated that from September 1991 and

to February 1994, a total of thirty months, Dr. Gahres

attended Grand Rounds at George Washington Hospital

29a

Appendix B

in the District of Columbia fifty-four times (1.8 times a

month), and Dr. Radice attended Grand Rounds thirty-

two times (1.1 times a month). Amend. Ord. at 16.

Although never clearly described by the plaintiffs, it

appears that Grand Rounds involved reviewing case

histories of patients, as well as topics related to the

practice of gynecology and obstetrics. Amend. Ord. at

14-16. After considering the information about Grand

Rounds, the court concluded that Dr. Gahres and Dr.

Radice attended Grand Rounds for the sole purpose of

continuing medical education. There is no indication that

they received any remuneration from this activity, nor

that they taught students or evaluated patients at Grand

Rounds. Amend. Ord. at 14-15.

Both Dr. Gahres and Dr. Radice were long-time

members of the Washington Gynecological Society. The

group held about six to eight meetings a year, usually in

a location within the District of Columbia. Both Dr.

Gahres and Dr. Radice tried to attend regularly, which,

assuming they attended seven times a year and that all

of those meetings were in the District, would average

out to 0.6 times a month. As with Grand Rounds, they

attended these meetings for the purpose of continuing

medical education. The Society’s members came from

Virginia and Maryland, as well as from the District of

Columbia. Amend. Ord. at 20.

Combining the visits to the District of Columbia for

Grand Rounds and the Washington Gynecological

Society, and assuming that each doctor made seven of

the eight meetings, Dr. Gahres came into the District of

30a

Appendix B

Columbia for continuing medical education purposes 2.4

times a month and Dr. Radice 1.7 times a month. There

was no evidence provided to the court that either doctor

conducted these activities as an agent of G&R, Ltd.

The Plaintiffs

At all times here relevant, the plaintiffs have been

residents of Virginia. Amend. Ord. at 4. Upon referral

from her sister-in-law, Alicia Etchebarne-Bourdin

became a patient of Dr. Gahres and Dr. Radice in May

1990 when she was seven weeks pregnant. Amend. Ord.

at 5. On October 29, 1990, as Mr. and Mrs. Bourdin drove

from the parking lot of the International Monetary Fund

building in the District of Columbia, their place of

employment, they were rear-ended by another vehicle.

Amend. Ord. at 6.

After this accident, Mrs. Bourdin returned to her

office in the IMF and ealled the doctors’ office in

Virginia, speaking with a receptionist. Amend. Ord. at

6. In response to Mrs. Bourdin’s inquiry about whether

to come in immediately for a check-up, the receptionist,

after checking with someone else in the office,* informed

3. The staff members in the office that day were the

receptionist, an insurance secretary and a nurse. Dr. Radice

was only present for a portion of the day, and there was nothing

that established that he was there at the time of the phone call.

Dr. Gahres was not present in the office at all on that date. Thus,

while the Complaint alleged that “Defendants informed

plaintiff that she could ‘wait’ until her next pre-natal visit, then

(Cont'd)

3la

Appendix B

Mrs. Bourdin that she could wait until her next

scheduled office visit on November 2nd. Amend. Ord.

at 6. Mrs. Bourdin saw Dr. Gahres on November 2nd

and Dr. Radice on November 9th and 16th. Amend. Ord.

at 5-6. On November 16th, Mrs. Bourdin was

hospitalized and the next day gave birth to a stillborn

baby. Amend. Ord. at 6-7. Plaintiffs allege that, in

treating Mrs. Bourdin after the accident, the doctors

failed to meet the standard of care, and that the failure

led to the death of the baby and to injuries suffered by

Mr. and Mrs. Bourdin and the Estate.

Questions on Remand

In its Amended Order, the court examined four

statutory provisions which the plaintiffs asserted gave

the District of Columbia grounds for asserting

jurisdiction over the defendants for this lawsuit: D.C.

Code Section 13-334, the “doing business” provision,

that permits the exercise of jurisdiction over corporate

defendants for all purposes, sometimes referred to as

the “general jurisdiction” provision, and three

provisions of Section 13-423, the D.C. long-arm statute,

that the plaintiffs alleged provided a basis for “specific

jurisdiction:” (1) Section 13-423(a)(1) “transacting any

(Cont'd)

scheduled for November 2, 1990, to be examined by Defendants

Radice and Gahres,” the court found no evidence that either

doctor had so informed Mrs. Bourdin, nor that either had

directed the receptionist to so inform her. Amend. Order at 6.

Of course, the receptionist would have been an agent of

defendant G&R, Ltd.

32a

Appendix B

business in the District of Columbia;” (2) Section 18-

423(a)(3), “causing tortious injury in the District of

Columbia by an act or omission in the District of

Columbia,” and (3) Section 13-423(a)(4), “causing tortious

injury in the District of Columbia by an act or omission

outside the District of Columbia if [the defendant]

regularly does or solicits business, engages in any other

persistent course of conduct, or derives substantial

revenue from goods used or consumed, or services

rendered, in the District of Columbia.”

In its Amended Order, the court concluded that none

of those provisions provided a basis to assert jurisdiction

over the defendants, and therefore granted the

defendants’ motion to dismiss for lack of personal

jurisdiction. The plaintiffs appealed and the Court of

Appeals remanded the case to this court.

The remand decision raised no issue with respect

to the court’s conclusion that jurisdiction did not lie

under Section 13-334’s “doing business” provision, nor

under Section 13-423(a)(3)’s provision for “causing

tortious injury in the District of Columbia by an act or

omission in the District of Columbia.” Rather, in light of

the decision issued after the court’s Amended Order in

the case of Shoppers Food Warehouse v. Moreno, 746

A.2d 320 (D.C. 2000), discussing at length the principles

of personal jurisdiction in the District of Columbia, the

Court of Appeals remanded the matter for the court’s

reconsideration of (1) its conclusion that the defendants

were not “transacting business” in the District of

33a

Appendix B

Columbia, (2) its related conclusion that, in any event,

the claims for relief did not “arise out of” any business

that the defendants might be transacting here,

see Section 13-423(b); and (3) “whether the defendants

caused ‘tortious injury in the District resulting from ‘an

act or omission outside the District.” /d. at 326-327. The

court begins by re-evaluating whether the defendants,

on the factual record provided, were “transacting

business” here, and, if so, whether their claims can be

said to have “arisen out of” that business.

LEGAL CONCLUSIONS

Section 13-423(a)(1): Transacting Business

Subsection 13-423(a)(1) of the D.C. long-arm statute

reads:

(a) A District of Columbia court may exercise

personal jurisdiction over a person, who

acts directly or by an agent, as to a claim

for relief arising from the person’s —

(1) transacting any business in the

District of Columbia.

D.C. Code § 13-423(a)(1)(2005). Thus, two issues are

presented by an assertion of jurisdiction under Section

13-423(a)(1): (1) whether a defendant is “transacting

business” in the District of Columbia, and (2) if so,

whether the claim asserted “arises from” the

34a

Appendix B

transaction of that business. The limiting “arising from”

language is found not only in the introductory phrase

of the Long-Arm Statute, but also in Section 13-423(b),

which reads: “When jurisdiction over a person is based

solely upon this section, only a claim for relief arising

from acts enumerated in this section may be asserted

against him.” D.C. Code § 13-423(b) (2005).

In analyzing whether the “transacting business”

provision provided a basis of jurisdiction in this instance,

the court, in its Amended Order, concluded that the

“only conceivably relevant contacts for purposes of

Section 13-423(a)(1) would be (1) the phone call from

Mrs. Bourdin to the defendants’ Virginia office on the

day of the accident, (2) the listing of the doctor’s name

in the Yellow Pages and at the IMF Health Center, and

(3) the D.C. medical licenses held by both Dr. Gahres

and Dr. Radice.” Amend. Ord. at 56.4 Having examined

each of those factors, and noting the weakness of each

as a basis to find that the defendants were “transacting

business” in the District of Columbia, the court did not

ultimately decide whether, singly or combined, they

would be sufficient to conclude that any of the

defendant’s were “transacting business” here. Rather,

the court turned to what it considered the easier issue

4. This conclusion was reached after the court had

examined extensive factual assertions made by the defendants

and found them to be without support in the record. As the

Court of Appeals noted, “The facts of the underlying case

related to the question of personal jurisdiction are, for the most

part, undisputed.” Hichebarne-Bourdin, 754 A.2d at 324.

3Sa

Appendix B

of whether, in any event, the claims asserted here could

be said to have “arisen from” those activities.°

In that regard, the court concluded that because

Mrs. Bourdin was referred to the doctors by her sister-

in-law, rather than as the result of any of the factors

enumerated as purporting to show that the doctors were

soliciting D.C. residents to be their patients, they could

not show the necessary “arising from” nexus. Amend.

Order at 60-61. It also found that even if the IMF listing

had been the impetus for Mrs. Bourdin seeking out the

doctors, “the court would find the connection between

the listing and Mrs. Bourdin’s claims too tenuous and

insignificant for a finding the sufficient nexus existed.”

Amend. Ord. at 56-61.

The court separately found pursuant to Section 13-

423(a)(4) that the defendants were “engagling]| in [a]

persistent course of conduct” in the District of Columbia

through their participation in Grand Rounds and the

meetings of the Washington Area Gynecological Society,

a finding that was not challenged on appeal.

See Etchebarne-Bourdin, 754 A.2d at 325. The court

went on to find, however, that the plaintiffs could not

make the showing required by that provision that

defendants had “caus[ed] tortious injury in the District

of Columbia.” In the remand decision, Judge Ruiz invites

5. The court notes that the remand decision reflects a

misunderstanding that “the trial court... concluded that ... the

individual doctors ‘transacted business’ in the District ... . =

Etchebarne-Bourdin, 754 A.2d at 323.

sha

Appendix B

the court to examine whether combining the “persistent

course of conduct” factors that the court found to exist

under Section 13-423(a)(4) with the “only conceivably

relevant contacts” bearing on “transacting business”

under Section 13-423(a)(1) would cause the court to

conclude that the defendants were “transacting busine:

in the District,” an examination the court now

undertakes. See id. at 326.

As an initial matter, the court notes that it does not

construe a “persistent course of conduct” as the

equivalent of “transacting business.” D.C, Code § 13

423(a)(4) provides for jurisdiction over a defendant that

caused injury in the District of Columbia if that

defendant has engaged in three possible types of

conduct here: (1) “regularly dofing| or solicitling|]

business, (2) obtaining “substantial revenue from poods

used or consumed, or services rendered” here, or

“engagling| in any other persistent course of conduct”

here. While the first and second activities appear to

contemplate matters of a commercial nature, the third

the persistent course of conduct does not.

Accordingly, the court believes that there is no rational

basis for lumping in non-commercial factors related to

a possible persistent course of conduct with factors

relating to “transacting business.

994

6. As the court wrote in llolde rv llaarmann A& flevmer

Corp., 779 A.2d 264 (D.C. 2001)

(I}f sufficiently close contacts of any kind between

the nonresident defendant and the District of

(Cont'd)

t/a

Appendix Bh

In this case, the finding of “persistent course of

conduct” was based upon matters that were not of a

commercial nature, although tangentially related

thereto the continuing: medical education activities

of the doctors that took place here in the District of

Columbia. Many defendants, however, who engage in a

consistent course of conduct here are involved with

activities that have not the slightest commercial]

connection. kxamples would be baseball tickets, opera

tickets, shopping, or school that would bring a defendant

into the city a number of times each month. This court

cannot imagine cumulating such contacts with factor:

bearing on “transacting business” to determine whether

jurisdiction exists. Having said that, the court will

examine the totality of the contacts that the court found

to exist under both the “persistent course of conduct”

test and the “transacting business” test to determine if

there is a sufficient basis for concluding that the

defendants were “transacting: business” in the District

of Columbia.

In considering whether the phone call, the Yellow

Payes, the IMF listings and the medical licenses were

(Cont'd)

Columbia were sufficient to allow the Superior Court

to exercise personal jurisdiction over [a] defendant

under the “transacting business” prong: of section

13-42:3(a)(1) - then the other prony of the lony arm

statute would be superfluous. See D.C. Code § 1%

423(a)(2) (7)

fd. at 270 n.5 (emphasis in original)

38a

Appendix B

sufficient to find that the defendants were “transacting

business” in the District of Columbia, the court reviewed

the available case law at that time, particularly from the

District of Columbia, and briefly reviews below what it

concluded with respect to each of those contacts:

Phone Call: With respect to the phone call that

Mrs. Bourdin made to the doctors’ office in Virginia on

the day of the accident, the court found that the case

law would not support its inclusion in the mix of contacts

supporting “transacting business” because it was Mrs.

Bourdin who initiated that contact, not either doctor or

any other agent of G&R, Ltd. Amend. Ord. at 56-58. In

so finding, the court relied upon Environmental

Research Int'l, Inc. v. Lockwood Greene Engineers, Inc.,

355 A.2d 808, 812 (D.C. 1976), where the Court of Appeals

wrote: “[A] plaintiff cannot rely on its own activities,

rather than those of a defendant, to establish the

requisi.2 minimum contacts for personal jurisdiction.”

7. Moreover, the court found insufficient evidence that

either Dr. Radice or Dr. Gahres spoke with the receptionist before

she gave advice to Mrs. Bourdin.

8. The court noted the longstanding case law in this

jurisdiction that any negligence that might have taken place

on that phone call occurred in Virginia, where the doctors’ office

was located, not in the District of Columbia. Amend. Ord. at 38-

41 (citing Margoles v. Johns, 157 U.S. App. D.C. 209, 214-215,

483 F.2d 1212, 1217-1218 (1973). In Margolis, the D.C. Circuit,

confronted with a defamation claim arising from a phone call

that the out-of-jurisdiction defendant placed to the District of

Columbia, found that the alleged defamation could not provide

(Cont'd)

39a

Appendix B

This bedrock principle was reiterated more recently

in Shoppers Food Warehouse, 746 A.2d at 325. There,

Judge Reid cited to the Supreme Court’s language in

Hanson v. Denckla, 357 U.S. 285 (1958): “The unilateral

activity of those who claim some relationship with a

nonresident defendant cannot satisfy the requirement

of contact with the forum State.” Jd. at 253. See also

Int'l Shoe Co. v. Washington, 326 U.S. 310, 319 (1945).°

(Cont'd)

a basis for jurisdiction under Section 13-423(a)(3) of the long-

arm statute because the injury resulting from a phone call is

deemed to occur where the defendant is located. 483 F.2d at

1217-1219. Accord, Tavoulareas v. Comnas, 232 U.S. App. D.C.

17, 18-19, 720 F.2d 192, 193-194 (1983); Security Bank v. Tauber,

347 F.Supp. 511, 516-517 (D.D.C. 1972).

9. On the other hand, a defendant who makes a e¢all into

the District of Columbia to retain an attorney may find himself

subject to suit here when he does not later pay his bill. In Digital

Broad.Corp. v. Rosenman & Colin, 847 A.2d 384 (D.C. 2004), the

Court of Appeals, relying on Fisher v. Bander, 519 A.2d 162

(D.C. 1986), held that a defendant who had retained a D.C. law

firm by phone is subject to suit here beeause (1) “the District of

Columbia kas a substantial interest in providing a forum to

redress wrongs inflicted upon its citizens by clients who fail to

pay for professional services supplied in the District of

Columbia by a District of Columbia Law firm;” (2) “the client

sought the special benefits of doing business with a Washington,

D.C. law firm because of its expertise in regulatory matters;”

and (3) “where an out-of-state client employs a District of

Columbia attorney to perform services in the District of

Columbia, it can hardly be said that litigation of a fee dispute

with that same attorney in the same forum poses any undue

burden upon the client.” Digital Broad.Corp., 847 A.2d at 390-

391 (emphasis added).

40a

Appendix B

Thus, the phone call cannot go into the mix of

jurisdictional factors for “transacting business”

purposes.”

Medical Licenses: With respect to Dr. Gahres’ and

Dr. Radice’s District of Columbia medical licenses, the

defendants had asserted that such medical licenses were

necessary to treat patients who live or work in the

District of Columbia, because the doctors would

otherwise not be able to have phone conversations with

their patients in the District of Columbia. Amend. Ord.

at 58. The plaintiffs provided no support for this

proposition, however, and the court rejected their

argument. See Amend. Ord. at 58-59.

In so doing, the court relied upon Ghanem v. Kay,

624 F. Supp. 23, 25 (D.D.C..1984), which adopted the

reasoning of Lebkuecher v. Loquasto, 389 A.2d 148, 145

(Pa. Super. Ct. 1978), holding that “it is the actual

practice of a profession ... and not the possession of

the right to practice that brings a person within the

jurisdiction of a... court.” Ghanem concluded:

[WJhere the physician has not aggressively

sought patients in the forum and the plaintiff

did not consult the defendant as a result of

forum activities by the defendant, possession

of a license (and a listing in the forum

10. The impact of a phone eall on jurisdictional issues is

also discussed at length in connection with the issue of whether

the District was the situs of injury by the defendants. See, infra,

at 37-41.

4la

Appendix B

jurisdiction’s phone book) without practicing

in the forum is not sufficient to meet the due

process requirements that limit jurisdiction

under all long-arm statutes.

624 F Supp. at 25 n.5. This does not appear to be an

issue on remand, and the court again concludes that this

is not an ingredient to add to the jurisdictional mix.

Yellow Pages and IMF Listings: The above quote

from Ghanem 7s equally applicable to the significance

of the Yellow Pages and IMF listings. Just as with the

medical licenses, there is no indication that the

defendants “aggressively sought patients in the forum.”

Id. Their Yellow Pages listing was limited to the names

of Dr. Gahres and Dr. Radice, the address and phone

number for their Virginia office, and the area of their

medical specialty. Dr. Radice’s listing at the IMF Health

Center was much the same, adding only his year of

graduation from medical school, his proficiency in

Spanish, his affiliation with Dr. Gahres, his affiliation

with the Alexandria Hospital, and that his requirement

that payment be made at the time that services are

rendered. Such listings are passive, not aggressive, and

there is no indication that they were designed to, or

particularly likely to, attract District of Columbia

residents as patients. Indeed, neither the Yellow Pages

listing ner the IMF listing included the fact the doctors

were admitted to practice in the District of Columbia.

Amend. Ord. at 34.

42a

Appendix B

Moreover, support for the conclusion that the

doctors were not attempting to attract District of

Columbia patients is provided by the low percentage of

their mess who were District of Columbia residents

— only 5.5%, or 205 out of 3,742. Indeed, there is

evidence that they were actively attempting to

discourage District of Columbia patients. The record

shows that on a form filled out by Dr. Gahres for Blue

Cross/Blue Shield of the National Capitol Area

(BCBSNCA) in July 1990, four months before the events

at issue here, he crossed off his D.C. Medical License

Number and inserted the words “no practice in D.C.” A

second copy of that form contains the following notation:

“No longer practices in D.C.; will send Virginia license

only per Dr. Gahres 8/30/90.” This is despite the fact

that Dr. Gahres had in fact not surrendered his license

to practice in D.C. Similarly, in 1992, both Dr. Gahres

and Dr. Radice listed only their Virginia licenses on the

BCBSNCA Participating Provider Agreements, in

contrast to the 1985 Agreements, where both doctors

listed both licenses. Indeed, when asked by the plaintiffs

during discovery whether any of the defendants’ D.C.

patients were referred by BCBSNCA, Dr. Radice

responded that they were not. Amend. Ord. at 23-24.

There is ample authority in the District of Columbia

and from other jurisdictions that a simple listing in the

Yellow Pages is insufficient for the exercise of

jurisdiction under Section 13-423(a)(1). For example, in

Cornwell v. C.1.T. Corp., 373 F. Supp. 661, 663 (D.D.C.

1974), the court found that a defendant’s listing of an

address and telephone number in the District of

43a

Appendix B

Columbia telephone directory, particularly when the

listing showed the address to be in Virginia, did not

provide the requisite contacts. See also Blair v.

Norwegian Caribbean Lines, 622 F. Supp. 21, 23-24

(D.D.C. 1985). In Kennedy v. Ziesmann, 526 F. Supp.

1328 (E.D. Ky. 1981), a case involving a malpractice suit

by a Kentucky resident against an Ohio doctor, the court

wrote:

Nor may the mere carrying of a telephone

listing, without additional advertising or other

solicitation, amount in and of itself to regular

solicitation of business such as to make a

physician situated as is the defendant subject

to suit under the long-arm statue of a

neighboring state where the directory is

distributed.

Kennedy, 526 F. Supp. at 1331. Indeed, in Lebkuecher,

389 A.2d at 145, the court held that listing oneself in a

Pennsylvania classified telephone directory and

possessing a license to practice medicine in Pennsylvania

were insufficient contacts to exercise jurisdiction over

an out-of-state doctor who was not aggressively seeking

out patients in Pennsylvania. See also, O’Brien v.

Hackensack Univ. Med. Ctr, 305 A.D.2d 199, 201 (NY.

App. Div. 2003)(absent overt solicitation in New York, a

listing in a New York telephone book and a New York

medical license did not provide a basis for jurisdiction

over a New Jersey medical center); Carte v. Parkoff, 152

A.D.2d 615, 616-617 (N.Y. App. Div. 1989)(listing by a

New Jersey dentist in a New York telephone directory

insufficient to show “transacting business”).

44a

Appendix B

Moreover, while the trial judge in Shoppers Food

Warehouse, supra, at 18-20, pointed generally to

Shoppers’ Yellow Pages advertising, as well as its

advertising in The Washington Post as contacts that

would support a finding iat Shoppers was ‘transacting

business’ in the District, see 746 A.2d at 324, the en bane

decision did not. In articulating the holding of the case,

Judge Reid wrote:

Consistent with the trial court’s conclusion,

we hold that the trial court properly exercised

jurisdiction in this matter because appellant,

through its extensive advertising activity in

a major District of Columbia newspaper

purposefully and deliberately solicited District

residents as customers for its nearby

Maryland and Virginia stores and thus

transacted business in the District.

746 A.2d at 336 (emphasis added). This court econstrues

the absence of mention of the Yellow Pages in

announcing the holding of the en banc court in Shoppers

Food Warehouse as a signal that the question of whether

a listing in the Yellow Pages is sufficient to constitute

“transacting business” was, at the very least, left to

another day."

11. The court also notes that there is no description of what

type of advertising Shoppers might have been doing in the

Yellow Pages. Thus, there is no basis for comparison with the

facts here.

45a

Appendix B

In any event, the difference between the facts in

this case and the facts of Shoppers Food Warehouse

could not be more stark.'* The current case involves

12. Judge Reid set out the facts underlying the Shoppers

Food Warehouse decision in detail. As explained by Judge Reid,

they were as follows:

Shoppers regularly solicits customers for

its Maryland and Virginia stores by placing

advertisements in the District of Columbia

market through The Washington Post, the major

newspaper headquartered in Washington, D.C., and

other communications media. The record shows

extensive Shoppers’ weekly advertisements in The

Washington Post from October 6 through December

1, 1993, including the November 1993 date on which

Ms. Moreno slipped and fell in a Shoppers’ store.

The weekly ads appeared with the bold caption

“SHOPPERS TOTAL WAREHOUSE PRICES...

EVERYDAY! FEATURE PRICES IN EFFECT 7

FULL DAYS!” The body of the ads contained a

description of the products for sale in bold letters

with the price, and sometimes with a picture of the

sale item. At the top of the ad some additional

inducement to shop at Shoppers appeared. For

example, the October 13 and November 3, 1993 ads

for the periods October 13 through 19, and

November 38 through 9, 19913, included an

opportunity to win tickets to a Washington Redskins

football game with an inducement to “see store for

details.” The ad for November 10 through 16 also

offered an opportunity to meet several football

players from the Redskins’ team on November 23,

1993. In the middle of one of the pages containing

(Cont'd)

46a

Appendix B

small listings in the Yellow Pages and at the IMF Health

Center. Shoppers Food Warehouse involved the flooding

of the Washington area with ads in The Washington Post

and on the broadcast networks, describing and showing

pictures of their products, touting their low prices and

offering inducements such as Reds‘ins tickets and free

turkeys to lure customers to its stores in Maryland and

Virginia (Shoppers having no store in the District of

Columbia). One advertisement even said: “No Matter

Where You Live... It’s Worth the Drive!” 746 A.2d at

330 (emphasis in original).

(Cont'd)

the October 1, 1993 ad, Shoppers stated in bold

letters: “No Matter Where You Live ... It’s Worth

the Drive!” The November 17 through November

25, 1993 ad pointed to the possibility that customers

“could get a free Thanksgiving turkey or ham” if

they collected enough coupons; in addition, the ad

offered holiday postage stamps with a savings of

ten cents on each book of twenty stamps.

All of Shoppers’ advertisement in The

Washington Post, including those covering the

relevant week listed the addresses of its numerous

stores located in Maryland and Virginia, including

those in Takoma Park, Maryland. The record before

us reveals that Shoppers also placed advertisements

on television networks in the District, as well as

listed one of its stores in the Yellow Pages of the

C & P Telephone book in 1993-1994.

746 A.2d at 330 (emphasis in original).

47a

Appendix B

Shoppers was clearly out to “solicit” business from

residents of the District of Columbia. For that reason, it

is hardly surprising that it was found to be “transacting

business” in the District. As Judge Reid wrote in

Shoppers Food Warehouse, that grocery chain conducted

“purposeful, affirmative activity within the District of

Columbia by purposefully directing advertisements for

its Maryland and Virginia stores at a potential customer

base in the District of Columbia.” 746 A.2d at 331

(citation omitted). The Court of Appeals found that

“(t]lhese advertisements are not random, fortuitous,

accidental or attenuated, nor are they too trivial to cause

a consequence in the District, or too tenuous to satisfy

the minimum contacts requirement of the due process

clause.” Jd. at 331 (citations omitted).

In the present case, the defendants’ passive Yellow

Pages and IMF listings bear no similarity to the efforts

made by Shoppers to bring District of Columbia

residents into their stores. On the contrary, the evidence

in the record shows that the doctors were not looking

for patients from the District of Columbia, though the

doctors would not turn them away if they came. In any

event, with a practice and a hospital affiliation located

solely in Alexandria, Virginia, the likelihood that District

of Columbia residents would seek them out for

treatment based on these listings was small. Certainly,

the fact that the doctors were licensed in the District of

Columbia and visited the District a couple of times

monthly for medical education purposes would not

increase that likelihood. As Judge Reid explained, under

the “minimum contacts” principle, it is necessary to

4ka

Appendix B

examine the quality and nature of the nonresident

defendant’s contacts, as well as whether those contacts

are voluntary and deliberate, or only random, fortuitous,

tenuous and accidental. Jd. at 329. Examining the

contacts here, the court finds that the quality and nature

are not sufficient to meet the applicable test. Rather,

the contacts are superficial, trivial and tenuous."

Grand Rounds and the Washington Gynecological

Society: Following the direction of the remand opinion,

the court now turns to the issue of the significance of

13. In Wilson v. Wilson, 785 A.2d 647 (D.C. 2001), the Court

of Appeals wrote: “Even a small amount of in-jurisdiction

business activity is generally enough to permit the conclusion

that a nonresident defendant has transacted business here.”

Id. at 650 (quoting Environmental Research Int'l, 855 A.2d at

811). In Wilson, that small amount consisted of the joint

ownership and management of an office operating from a

townhouse in the District and receiving most of the income, or

at least profiting from the business activity conducted there.

This “small amount” is considerably greater than exists in the

instant case. Moreover, the Court of Appeals in Environmental

Research Int'l, supra, wrote:

[T]o recognize [the] trend |making even a small

amount of in-jurisdict.on business activity generally

enough to permit the conclusion that a nonresident

defendant has transacted business here] is not to

suggest that restraints upon jurisdictional authority

now are nonexistent, or that the inquiry into the

extent of a defendant’s contacts with the forum state

is an empty process. A meaningful assessment of

the defendant’s activities is constitutionally

mandated.

355 A.2d at 811.

49a

Appendix B

the doctors’ attendance at Grand Rounds and meetings

of the Gynecological Society, which formed the basis for

the court’s finding of a “persistent course of conduct,”

to the separate issue of whether they were “transacting

business” in the District of Columbia. In the Amended

Order, the court found that attendance at Grand Rounds

and at the Society meetings were for the purpose of

continuing medical education. Since these were not

activities directly related to their practice, nor were they

remunerative, the court concluded that they should not

be included in the “transacting business” analysis.

In so finding, the court relied upon Helicopteros

Nacionales de Columbia, S.A. v. Hall, 466 U.S. 408, 418

(1984), where the Supreme Court found the fact that

the out-of-state defendant sent its employees into the

state for training simply was not significant for

jurisdictional purposes. There appears to be a scarcity

of additional authority addressing the significance of an

out-of-state defendant or its agent going into a state

for educational/training purposes. The court does note,

however, two cases: Lane v. Boston Scientific Corp., 48)

S.E.2d 753, 763 (W.Va. 1996), holding that doctors

affiliated with the University of Virginia Hospital had

not subjected themselves to West Yirginia’s jurisdiction

by entering that State for continuing medical education

seminars; and Advance Petroleum Service, Ine. v.

Cucullo, 614 So. 2d 878, 880 (La. Ct. App. 1993), holding

that a Texas lawyer was not subject to jurisdiction in

Louisiana by being licensed there, attending continuing

legal education courses there, and listing his Louisiana

Bar license on his letterhead. Although not articulated

SOa

Appendix B

in the Amended Order, in reaching this conclusion, the

court also considered the importance of continuing

medical education for doctors, and concluded that it

would be unwise to discourage the entrance into a

jurisdiction for that purpose by the threat that the

attendance could be used as a factor to sue the doctor

for malpractice in that location for treatment that took

place elsewhere.

Guidance from Shoppers Food Warehouse

While the court concludes that none of the factors

individually would be sufficient to satisfy the “minimum

contacts” requirement of the “transacting business”

provision of the District of Columbia long-arm statute,

the ultimate question is whether, in their totality, they

are sufficient. In making that determination, the court

looks to the valuable guidance provided by Judge Reid’s

comprehensive en banc opinion in Shoppers Food

Warehouse. In that opinion, Judge Reid surveyed

decisions of the Supreme Court addressing broad

jurisdictional principles, and decisions of our Court of

Appeals interpreting the “transacting business” and the

“arising from” language of Section 13-423(a)(1) and (b).

Krom those decisions, she distilled a set of seven legal

principles that provide an analytical framework for

deciding whether the activities of a non-resident

defendant meet the “minimum contacts” requirement

of the due process clause, and whether the “arising

from” requirement of Section 13-424(b) has been met

See Shoppers kKood Warehouse, 846 A.2d at 329

Sla

Appendix B

The first principle is that the “transacting business”

clause is “coextensive in reach with the personal

jurisdiction allowed by the due process clause of the

United States Constitution.” /d. Thus, an expansive

approach is required in determining whether jurisdiction

lies under this provision

Second, as Judge Reid explained, “there are no

‘mechanical tests’ or ‘talismanic formulas’ for the

determination of personal jurisdiction under Section 13

423(a)(1) and (b), and the facts of each case must be

weighed against notions of fairness, reasonableness and

substantial justice.” /d. Critical to such a weighing: is

the concept of “fair warning” or “foreseceability of suit”

that is, whether a defendant “should reasonably

anticipate being haled into court” in the location at issue.

Id. at 827-82% (citing World-wide Volkswagen Corp. v

Woodson, 444 U.S. 286, 297 (1980)). If there is

forseeability, then a business “can act to alleviate the

risk of burdensome litigation by procuring insurance,

passing the expected costs on to customers, or, if the

risks are too great, severing its connection with the

State.” Jd. at 827 (quoting World wide Volkswagen

Corp., 444 U.S. at 297).

Third, as Judge Reid noted, “under the due process

Clause, the minimum contacts principle requires

examination of the quality and nature of the nonresident

defendant’s contacts with the District and whether those

contacts are voluntary and deliberate or only random,

fortuitous, tenuous and aceidental.” Jd. at 329

“A plaintiff's unilateral activity in relation to a defendant

S2a

Appendix B

cannot alone sustain personal jurisdiction under the

‘minimum contacts’ theory.” /d. at 325 (citing Hanson,

orn

oo J . t 253).

The fourth principle articulated by Judge Reid is

that “where a nonresident defendant has purposefully

availed itself of the benefits and protections of the

District in engaging in a business activity in the forum

jurisdiction, it is fair and reasonable to expect it to

anticipate being sued in that jurisdiction.” /d. at 329.

Put another way, the issue is “whether the ‘quality and

nature’ of the defendant’s activity is such that is it

‘reasonable’ and ‘fair’ to require [the defendant] to

conduct his defense in that State.” Jd. at 325 Sve

Kulko v. Superior Court of California, 436 U.S. 84, 92

(1978)).

The fifth is that “in examining the nonresident

defendant’s contacts with the District, the focus is placed

on the relationship among the defendant, the forum and

the litigation.” 7d. at 329. The closer the relationship

between these three, the more likely that jurisdiction

will lie.

The sixth is that “it is reasonable and fair for the

District to exercise specific jurisdiction where a

nonresident defendant has purposefully directed its

activities at District residents, and claims against it by

a District resident ‘arise out of or relate to,’ Burger King

[Corp v. Rudzewicz/, 471 U.S [462], at 472 [(1985)]

(emphasis added), or have a ‘substantial connection’

| ee : )

{ppenaix B

with, citing McGee /v. Int'l Life Ins. Co.], 355 U.S.

(220,] 223 |(1957)]|, the business transacted in the District

.. Shoppers Food Warehouse, 746 A.2d at 329.

The seventh also looks to the protection of plaintiff

residents and is closely related to the sixth. This

principle is that “the District has a manifest interest in

providing a convenient forum in which its residents may

seek relief for injuries inflicted by the nonresident

defendant, especially where litigation within the District

would not impose an undue burden on the nonresident

defendant.” /d. at 327-329.

Application of Judge Reid’s Seven Principles

to the Facts of This Case

that the “transacting business” provision is co-extensive

with the due process clause, the court looks first to the

seventh principle — the interest of the District of

Columbia in providing a convenient forum in whic} ?ts

residents may seek relief for injuries inflicted by a

nonresident defendant. None of the plaintiffs in this case

are residents of the District. They are all residents of

Virginia, just as are the defendants. Thus, unlike a case

where a State has reached out to provide a convenient

forum for its injured resident, the District has no

manifest interest in providing a forum for relief here.

Indeed, in Hughes v. A.H. Robins Co., Ine., 490 A.2d

1140 (D.C. 1985), the Court of Appeals wrote:

With these principles in mind, and understanding

S4a

Appendix B

In this case... the District of Columbia has

no “interest in adjudicating the dispute.”

Although the District has a general concern

with protecting its residents ... it has no

reason to add to its crowded court dockets a

suit by a Virginia plaintiff against a Virginia

defendant on a cause of action which arose

entirely in Virginia.

Id. at 1146 n.9. This is particularly so since adding such

a suit “to its crowded docket” threatens to delay ‘the

resolution of suits in which District of Columbia

residents have an indisputable interest. Accord, Willis

v. Willis, 211 U.S. App. D.C. 103, 108, 655 F.2d 1333,

1338 (1981) (“The District of Columbia has little interest

in providing a forum to a nonresident plaintiff.”).

Cf Digital Broad v. Rosenman & Colin, 847 A.2d 384,

390 (D.C. 2004) (citing Fisker v. Bander, 519 A.2d 162,

163 (D.C. 1986))(“[T]his court has a substantial interest

in providing a forum to redress wrongs inflicted upon

its citizens by clients who fail to pay for professional

services supplied in the District of Columbia by District

of Columbia law firms.”)."

14. In the remand opinion, Judge Ruiz suggests, in the

context of Section 13-423(a)(4), that because both Mrs. Bourdin

and her husband were employed in the District of Columbia,

their “presence” here “was not incidental.” Etchebarne-

Bourdin, 754 A.2d at 328. The court is uncertain what

significance it is to draw from that assessment. In its Amended

Order, the court cited Ussery v. Kaiser Found. Health Plan, 647

A.2d 778, 781 (D.C. 1994), which noted that “[t]he fact that a

(Cont'd)

S5a

Appendix B

With respect to Judge Reid’s sixth principle — that

the defendants’ activities be directed at District of

Columbia residents — as discussed above, the record is

clear that the defendants did not purposely direct their

activities at District residents. The Yellow Pages, the

IMF listings, and the medical licenses were passive. The

Grand Rounds, and the attendance at the Washington

Gynecological Society were directed at providing the

doctors themselves with continuing edueation, and there

is nothing in the record to suggest that they used the

continuing legal education to attract D.C. residents as

patients. Mrs. Bourdin’s phone call to the doctors’ office

in Maryland surely could not be construed as an effort

to attract D.C. residents, since it was initiated by her.

Judge Reid's fifth principle requires an examination

of the relationship between the defendant, the forum

and the litigation. In this instance, there is virtually no

relationship between the defendants, the forum and the

litigation. All of the treatment took place in Virginia,

including the purportedly negligent advice given on the

phone call that Mrs. Bourdin made on the day of the

accident from her office at the IMF to the doctors’ office

(Cont'd)

plaintiff is employed in [D.C.]... carries very little weithi when

[the employment] is not related to the alleged injury.”

Id. at 781. While Ussery involved an issue of forum non

conveniens, the court found its reasoning significant for

jurisdictional purposes also. In any event, Judge Reid’s seventh

principle in Shoppers Food Warehouse makes clear that the

District’s “manifest interest” is in providing a forum for its own

residents, not the residents of other states.

S6a

Appendix B

in Virginia. The effects of that treatment were suffered

most particularly in Virginia. All plaintiffs and all

defendants reside in Virginia. The defendants are

licensed and actually conduct their business in Virginia.

In this instance, the relationship between the forum,

the defendants and the litigation is virtually nil, and

underscores the fact that the District has little interest

in providing a forum for resolution of this dispute.

Judge Reid’s fourth principle looks to whether or

not the defendants have purposely availed themselves

of the benefits and protections of the District by

engaging in a business activity here. On the contrary,

the opposite is true in this case. As indicated above, the

court does not find that the medical education activities

of the doctors in the District are “business” activities,

though admittedly somewhat related thereto. Indeed,

the doctors, at the urging of their insurance company,

resolved to close down their District practice rather than

“avail” themselves “of the benefits and protections of

the District in engaging in a business activity,” and

hightailed it to Virginia. When there is purposeful

availment, “it is fair and reasonable to expect [a

nonresident defendant] to anticipate being sued in that

jurisdiction.” Shoppers Food Warehouse, 746 A.2d at 329.

Without purposefui availment, however, there is no such

expectation and so jurisdiction does not lie.

Judge Reid’s third principle requires examination

of the quality and nature of the nonresident defendant’s

contacts with the District and whether those contacts

are voluntary and deliberate, or only random, fortuitous,

S7Ta

Appendix B

accidental or attenuated. As Judge Reid wrote in

Shoppers Food Warehouse, “[t]hese advertisements are

not random, fortuitous, accidental or attenuated, nor

are they too trivial to cause a consequence in the District,

or ‘too tenuous to satisfy’ the minimum contacts

requirement of the due process clause.” /d. at 331

(citations omitted). Eliminating Mrs. Bourdin’s phone

call to the doctors on the day of the accident, which was

not a voluntary act on the part of the doctors, the court

finds that the quality and nature of the other contacts

are not sufficient to meet the applicable test. Rather,

the contacts are superficial, trivial and tenuous.

Under Judge Reid’s second principle, the facts of

each case must be weighed against “notions of fairness,

reasonableness and substantial justice.” Jd. at 329.

Application of the guidelines formulated by Judge Reid

show the parties have so little connection with the

District of Columbia that exercise of jurisdiction on the

theory that the defendants are “transacting business”

here would offend “notions of fairness, reasonableness

and substantial justice.” Most particularly, the court

finds it highly unlikely that, given the superficial, trivial

and tenuous nature of the “business contacts” with the

District of Columbia, the defendants in this case could

have foreseen that they would be sued here by Virginia

residents for medical treatment rendered entirely in

Virginia. See also, Holder v. Haarmann & Reimer Corp.,

779 A.2d 264, 275 (D.C. 2001). Therefore, even though

the first principle provides that the “transacting any

business” provision reaches the limits of constitutional

due process, an application of the second through

58a

Appendix B

seventh principles to the facts of this case shows that a

finding of jurisdiction here would reach beyond those

constitutional limits.

“Claim for Relief [Must] Aris[e]

from Acts Enumerated”

Even, however, if the court were to find sufficient

contacts to conclude that the defendants were

“transacting business” in the District of Columbia, the

court could not find a sufficient nexus for the “arising

from” requirement of the Long-Arm Statute. In

Shoppers Food Warehouse, Judge Reid closely examined

the precedent interpreting the “arising from”

requirement. In the end, the Court of Appeals concluded

that the “arising from” language of Section 13-423(b)

should be interpreted “flexibly and synonymously with

‘relate to’ or having a ‘substantial connection with,’ in

the same way that the Supreme Court’s due process

analysis has used these terms interchangeably.” 746

A.2d at 335. As Judge Reid explained:

This means that, for the Superior Court to

have jurisdiction over Ms. Moreno’s claim, the

claim had to be related to or substantially

connected with Shoppers’ advertising activity

in the District, Cohane [v. Arpeja-California,

Inc., 385 A.2d 158, 158 [(D.C. 1978)]; Berwyn

[Fuel Inc. v. Hogan, 399 A.2d 79,] 80 [(D.C.

1979)j, that is, as we said in Trerotola [v.

Cotter], 601 A.2d [60,] 64 [(D.C. 1991)], it had

to have some ‘discernible relationship to

Shoppers’ advertising activity.’

59a

Appendix B

The Court of Appeals thus concluded:

Where Shoppers has deliberately and directly

solicited District residents to become

customers in its Maryland and Virginia stores,

there can be no doubt that its advertising

relates to or has a discernible relationship to

a claim by a District resident who becomes a

customer in one of Shoppers’ stores and is

injured. This is true because it is reasonably

foreseeable that, as a result of advertising

extensively and over a substantial period of

time in the District’s major circulation

newspaper, Shoppers could be sued in the

District on a claim similar to that filed by Ms.

Moreno.

Shoppers Food Warehouse, 746 A.2d at 335-336 (citing

Thomason. v. Chemical Bank, 661 A.2d 595, 603 (Conn.

1995)).

Thus, the question here is whether there is a

“discernible relationship,” defined as “relating to” or

having a “substantial connection with” the medical

malpractice claim of a Virginia resident against a

Virginia doctor for treatment in Virginia that makes it

“reasonably forseeable” to the doctor that, as a result

of going into the District for continuing medical

education, listing his name in the Yellow Pages and the

IMF Health Center, being licensed (though not

practicing) in the District of Columbia and accepting a

phone call from a patient who is Virginia resident, but

60a

Appendix B

called from the District of Columbia, he has subjected

himself to suit here on a medical malpractice claim.

In its Amended Order, the court concluded that

there was no relationship because it was not the Yellow

Pages or IMF listing that caused Mrs. Bourdin to go to

the defendants, but rather a referral from her sister-in

law. Amend. Order at 60-61. Shoppers Food Warehouse,

however, made clear that such a direct relationship is

not required. Instead, using the language of Shoppers,

the issue is whether Mrs. Bourdin’s claims have a

“discernible relationship to” or a “substantial connection

with” any of the five contacts considered in connection

with the “transacting business” test — that is, the Yellow

Pages and IMF listings, the D.C. medical licenses,

participation in Grand Rounds, attendance at meetings

of the Washington Gynecological Society and the phone

call from Mrs. Bourdin.

In answering that question, the distinction between

the facts of the instant case and the facts of Shoppers

Food Warehouse are critical to an analysis of whether

there was the necessary “discernable relationship”

between the various contacts listed here and the

defendants’ claims. In Shoppers, there was “advertising

[that was] extensive[] and over a substantial period of

time in the District’s major circulation newspaper.”

746 A.2d at 336. Here, on the other hand, there were

only modest listings in the Yellow Pages and at the IMF

Health Center, medical licenses that were not being

utilized in the District of Columbia, visits to the District

of Columbia a couple of times a month for educational

6la

Appendix B

purposes, and the phone call from Mrs. Bourdin. Most

importantly, all of the activity that forms the basis for

the malpractice claim occurred in Virginia. Thus, even

if the facts of this case were construed as showing that

the defendants were “transacting business” in the

District of Columbia, no discernible connection between

those activities and the injury to the plaintiffs could be

said to exist. Indeed, the claims here are simply not

connected to any of the defendant’s activities in the

District.

Moreover, Berwyn Fuel, Inc. v. Hogan, 399 A.2d 79

(D.C. 1979), referred to in Shoppers as properly applying

Section 13-423(b)’s nexus requirement, squarely

supports that conclusion. The defendant in Berwyn Fuel

was a Maryland corporation in the business of delivering

fuel. Some of those deliveries were made in the District

of Columbia. Thus, Berwyn was admittedly “transacting

business” here. The cause of action, however, resulted

from an auto accident in Maryland where one of its

trucks struck a vehicle driven by the plaintiff, who was

a District of Columbia resident. The Court of Appeals

held that the plaintiff’s “claim for relief from the accident

did not arise from any of Berwyn’s District of Columbia-

related acts,” that is, deliveries to the District. Rather,

the Court of Appeals found the claim for relief arose

from activity that occurred completely within Maryland,

that is, the accident. The Court of Appeals held that

“since the claim must relate to the particular act or

transaction forming the basis for personal jurisdiction,

62a

Appendix B

and the claim here did not, the court lacked

jurisdiction.”® Berwyn Fuel, 399 A.2d at 80.

Trerotola v. Votter, 601 A.2d 60 (D.C. 1991), where

the “discernible relationship” language appears to have

first been used, provides further support for the court’s

conclusion that the necessary nexus does not exist here.

In Trerotola, the Court of Appeals overruled the trial

court’s finding of jurisdiction on the grounds that the

plaintiff’s claim did not have a “discernible relationship”

to the business transacted by the defendants in the

District of Columbia. The defendants were the Eastern

Conference of Teamsters and its international director,

Joseph Trerotola. The plaintiff Cotter was a retired

employee of the Conference. The dispute arose over the

defendants’ refusal to pay the plaintiff a retirement gift

that was based on an implied-in-fact contract entered

into after the Conference’s office moved from the

15. By analogyto the Berwyn Fuel case, putting Dr. Gahres,

Dr. Radice and G&R, Ltd. in the shoes of Berwyn Fuel, and the

Ktchebarne-Bourdins in the shoes of the hypothetical District

of Columbia resident, it becomes clear that regardless of the

doctors’ activities in the District, when all the acts forming the

cause of action arose in Virginia, and the plaintiffs are Virginia

residents, there is not a sufficient nexus to satisfy the

requirement. Since a resident of the District of Columbia was

unable to establish the nexus for jurisdiction here in the District

of Columbia based on those facts, it is surely clear that a resident

of Maryland suing Berwyn Fuel here in the District of Columbia

for an accident in Maryland would have had no chance of doing

so. If neither a District of Columbia resident, nor a Maryland

resident could acqure jurisdiction here, it is clear that Virginia

residents like the defendants cannot either.

63a

Appendix B

District of Columbia to Bethesda, Maryland. There was

no dispute that after that move, the Conference

continued to “transact business” in the District of

Columbia by representing local unions with

approximately 13,000 members. /d. at 63. Cotter, who

had become an employee of the Conference before its

move to Bethesda, himself made frequent trips to the

District to transact business for the Conference,

assisting local unions in organizing and negotiating labor

agreements and in handling labor grievances. /d.

In overruling the trial court’s finding that the

District had jurisdiction over this claim, Judge Ferren,

writing for the court, stated that the District’s long-arm

statute requires a “discernible relationship” between a

claim for relief and the “business” transacted in the

District. The issue posed, according to Judge Ferren,

was “whether Cotter’s claim for a retirement gift based

on an implied-in-fact contract can be said to have arisen

out of the “Conference’s activities in representing unions

in the District l[including the activities of Cotter

himself].” /d. at 64. The Court of Appeals concluded that

the claim had not arisen out of those activities, reasoning

that the Conference formed the implied contract with

certain retiring employees, including Cotter, in

Maryland, based on the fact of retirement alone, and

altogether independent of any employee’s activities in

any particular place, whether in the District of

elsewhere.” /d.

Citing World-wide Volkswagen Corp., 444 U.S. at

297, Judge Ferren explained that “[t]he critical test is

OAa

Appendix B

whether the nonresident’s ‘conduct and connection with

the forum state are such that he Jor she] should

reasonably anticipate being haled into court there.”

Trerotola, 601 A.2d at 64. Quoting from Mouzavires v.

Baxter, 434 A.2d 988, 992 (D.C. 1981), he wrote: “For

proper jurisdiction, the Conference’s contacts with the

District must have been ‘of such a quality and nature

that they manifested a deliberate and voluntary’

anticipation of litigation here over retirement gift (or

severance pay) contracts.” T'rerotola, 601 A.2d at 64.

Applying that standard, the Court of Appeals concluded

that “the Conference cannot reasonably be said to have

anticipated being haled into a court in the District of

Columbia to litigate a Maryland retirement ‘gift’

contract as a result of sending Conference

representatives to the District to work with unions

there.” /d. Further, Judge Ferren wrote: “|Wle cannot

say that the [Conference], by unilaterally choosing: to

provide certain employees with a supplementary

retirement gift — a bonus — based solely on the fact of

retirement, not on particular business activities,

committed an affirmative act related to its ‘contractual

activities’ in the District.”'® /d. at 65 (emphasis in

original). As in T'rerotola, the plaintiffs’ malpractice

16. In so concluding, the Court of Appeals specifically

distinguished cases where the plaintiff claims were based on

the defendant’s acts relating to the nonresident defendant's

District business, citing in that regard Cohane, 385 A.2d at 159

(claim for sales commissions, some of which were based on

District transactions, sufficiently related for jurisdiction), and

Smith v. Jenkins, 452 A.2d 333, 337 (D.C. 1982)(claim derived

from partnership activities in the District).

65a

Appendix B

claims in Mtcehebarne-Bourdin cannot be said to have

arisen out of the doctors’ contacts inthe Distmet — their

listings, licenses or continuing medical education

activities. Thus, as in T'rerotola, the defendants “cannot

reasonably be said to have anticipated being haled into

a court in the District to litigate” a Virginia malpractice

claim.

The gravaman of the claim in the ease before this

court is negligent treatment. With all of that treatment

occurring in Virginia, and the plaintiffs and defendants

all being Virginia residents, there is simply no reasonable

likelihood that the defendants would have anticipated

being haled into court here in the District of Columbia

ona claim arising from acts occurring solely in Virginia

based upon educational visits here, passive listings in

the Yellow Payes and at the IMI° Heath Center, unused

medical licenses, and a phone call placed in the District

of Columbia by the plaintiff herself. Accordingly, the

court finds that the necessary nexus between the claim

asserted and the District of Columbia does not exist,

Having concluded that the defendant’s were not

“transacting business” in the District of Columbia and

that, in any event, the plaintiff’s claims for relief do not

“arise out of” any business that the defendant’s might

have been transacting here, the court now turns to the

third issue that the remand opinion directed the court

to re-examine — “whether the defendants caused

‘tortious injury’ in the District resulting from “an aet

or omission outside the District.” kichebarne-Bourdin,

754 A.2d at 827.

66a

Appendix B

Section 13-423(a)(4): An Out-of-Forum

Tort Causing In-Forum Injury

In the remand decision, the Court of Appeals

directed that if the court did not tae personal

jurisdiction under D.C. Code Section 13-423(a)(1), the

“transacting business” provision, ich § it has not, the

court should then “reevaluate whether the defendants

caused ‘tortious injury in the District’ resulting from

‘an act or omission outside the District,’ D.C. Code § 138-

423(a)(4), in the context of the ‘nexus’ requirement as

articulated in Shoppers Food Warehouse.” Id.

Accordingly, the court next proceeds to consider that

issue.

D.C. Code § 13-423(a)(4) provides:

(a) A District of Columbia court may exercise

personal jurisdiction over a person, who

acts directly or by an agent, as to a claim

for relief arising from the person’s —

(4) causing tortious injury in the District

of Columbia by an act or omission

outside the District of Columbia if he

regularly does or solicits business,

engages in any other persistent

course of conduct, or derives

substantial revenue from goods used

or consumed, or services rendered,

in the District of Columbia.

67a

Appendix B

D.C. Code § 13-423(a)(4) (2005). Thus, this Jabiaonti has

the same nexus requirement as the “transacting

business” ee both in the introductory phrase and

in D.C. Code § 13-423(b).

As discussed above, supra, at 8, the court found that

while the defendants were not “regularly doing or

soliciting business,” nor “deriv|ing] substantial revenue

from goods used or consumed, or services rendered, in

the District of Columbia,” they were engaging in a

“persistent course of conduct” here through their

attendance at Grand Rounds and the meetings of the

Washington Gynecological Society. In the remand

decision, the Court of Appeals coneluded that Mrs.

Bourdin had suffered “tortious injury in the District of

Columbia by an act outside the District of Columbia,” in

the language of D.C. Code § 13-423(a)(4), “to the extent

that her pregnancy began to be imperiled ... as a result

of the unmonitored and untreated physical impact on

Oetober 29, 1990 [from the rear end collision],” and,

therefore, that Ms. Bourdin’s original injury occurred

while she was in the District of Columbia.” Etchebarne-

Bourdin, at 327-328. Continuing on, the court wrote:

Ms. Bourdin could be said to have been injured

in the District because the District is where

she first had contact with defendants

negligent advice and where she first began to

experience the resulting physical reaction;

Virginia is the jurisdiction where her injuries

continued to cumulate and become more

serious, with repeated acts of negligence

there.

68a

Appendix B

Id. at 328. Thus, the question is whether there was

sufficient nexus between that “imperilment” and the

defendants’ “persistent course of conduct” in the District

of Columbia, that is, their attendanee at Grand Rounds

and the Washington Gynocological Society meetings, to

hale the defendants into court here.

This issue was essentially resolved in the discussion

of the “transacting business” basis for jurisdiction

discussed above. See, supra, at 7-29. Having combined

the contacts for “transacting business,” that is, the

doctors’ medical licenses and listings in the Yellow Pages

and at the IMF Health Center, with the contaets for a

“persistent course of conduct,” that is, the Grand

Rounds and the meetings at the Washington

Gynecological Society, as instructed to do by the remand

decision, the court found that “no discernible connection

between those activities and the injury to the plaintiffs

could be said to exist.”

Since the “persistent course of conduct” basis has

even fewer contacts supporting it than the “transacting

business” basis, it follows that there is an even weaker

nexus for jurisdiction under the “persistent course of

conduct” provision. Putting this in the terms of Shoppers

Food Warehouse, there is no “substantial connection”

between Grand Rounds or the meetings of the

Washington Gynecological Society and_ the

“imperilment” that may have occurred on the phone call.

In addition, although the issue of injury caused by

advice or other treatment provided by doctors loeated

09a

Appendix B

in one jurisdiction to patients located in another

jurisdietion appears to be an issue of first impression in

the Distriet of Columbia, it has been exhaustively dealt

with by other courts aeross the country that have nearly

unanimously rejected the idea that medical care or

advice rendered in one jurisdiction that has effects such

as “imperilment”' or worse in another jurisdiction

provides the foreign jurisdiction with a basis for

jurisdiction. Because the adoption of a different rule for

the District of Columbia would place this jurisdiction

entirely out of the mainstream of the law across the

United States,’ the court sets out below in what may

appear to be tedious detail the authority to the contrary.

17. The court notes that “imperilment” suggests that no

harm has actually oceurred, but simply that the risk of harm

has been created. It would therefore appear to be a slim reed

upon which to base jurisdiction predicated on the existence of

“tortious injury in the Distriet of Columbia.” As discussed in

the Amended Order, for jurisdiction, the in-forum injury cannot

be of any type or amount. Amend. Order at 47-48. Moreover,

“(t]he fact that some harm occurs in a jurisdiction is not alone

sufficient under [Section 13-423(a)(4)] to find that a defendant

‘caused injury’ to a plaintiff in that jurisdiction.” Amended

Order at 47 (citing American Kutectic Welding Alloys Sales Co.

v. Dayton Alloys Corp., 439 Fi2d 428, 433-434 (2d Cir. 1971)). See

Van Essche v. Leroy, 692 F. Supp. 320, 325 (S.D.N.Y. 1988);

(rranada Television Int'l, Ltd. v. Lorindy Pictures Int'l, 606 F.

Supp. 68, 71 (S.D.N.Y. 1984).

18. See generally, Dave R. Bonelli, Annotation, J Personam

Jurisdiction, Under Long-Arm Statute, Over Nonresident

Physician, Dentist, or Hospital in Mcadical Malpractice Action,

25 A.L.R. 4" 706, $$ 11(A)(3), TL(A)(5)(b) (2005).

0a

Appendix B

The Ninth Circuit's Seminal Case of

Wright v. Yackley

The seminal decision addressing the issue of

malpractice claims that cross jurisdictional boundaries

is the Ninth Circuit’s opinion of Wright v. Yackley, 459

F.2d 287, 288-90 (9th Cir. 1972). In Wright. when the

relationship between the plaintiff patient and the

defendant doctor began, both were South Dakota

residents and thus the treatment began in South

Dakota. Jd. at 288. The plaintiff later moved to Idaho,

where she filled the prescriptions, which were written

by the defendant doctor, who was still located in South

Dakota, at an Idaho pharmacy. /d. The South Dakota

doctor also sent a confirmation to the Idaho druggist

that the plaintiff’s prescription should be refilled. /d.

The plaintiff subsequently experienced injury in Idaho

that she claimed was due to the doctor’s negligence in

prescribing the medication. /d. She sued her South

Dakota doctor in the federal District Court of Idaho,

relying on Idaho’s long-arm statute and alleging that

her doctor committed medical malpractice out-of-state

that caused her “tortious injury within |the state of

Idaho].” Jd. That provision of the Idaho long-arm statute

had been construed by the Idaho Supreme Court in

Doggett v. Electronics Corp. of Am., 454 P2d 63, 65-66

(Idaho 1969), to permit the Idaho courts to exert

jurisdiction over nonresidents whose actions taken

outside of Idaho result in injury to persons in Idaho.

The provision thus is parallel to the District’s long-arm

provisions for jurisdiction over out-of-state torts

provided in Section 13-423(a)(4).

/la

{ppenaix B

Although the plaintiff suffered injury in Idaho

allegedly due to the doctor’s malpractice in South

Dakota, the Ninth Circuit held that “the exercise of

jurisdiction in these circumstances would be

unreasonable and in fact would work contrary to what

we deem to be the dominant state interest.” Wright,

459 K2d at 289. The court explained that rendering

personal services, such as medical care, requires that

the jurisdictional analysis consider the tort to be located

where the service was rendered, regardless of where

the resultant injury occurred. As the Ninth Circuit

explained:

In the ease of personal serviees focus must

be on the place where the services are

rendered, since this is the place of the

receiver's (here the patient’s) need. The need

is personal and the services rendered are in

response to the dimensions of that personal

need. They are directed to no place but to the

needy person herself. It is in the very nature

of such services that their consequences will

be felt wherever the person may choose to go.

ld. at 289-90.

Wright went on to articulate three specific reasons

why personal medical services require the locus of a

medical malpractice tort to be where the services are

physically rendered. First, while traditional personal

jurisdiction analysis has usually focused on the location

of activities, doctors do not primarily direct medical

72a

Appendix B

services at locations, but rather at people, who can

unilaterally change the location where treatment might

subsequently injure them. As a result, if jurisdiction

were based on the location of the patient, mobile patients

could subject doctors to suit in jurisdictions where the

doctor has made no “systematic or continuing effort . . .

to provide service.” It would violate due process, Wright

reasoned, to subject a doctor to suit based solely on

where a patient was located when she began to

experience injury, unless there was a “systematic or

continuing effort on the part of the doctor to provide

services which are to be felt in the forum state.” Jd. at

290 (comparing Int’l Shoe Co., 326 U.S. at 320). This

reasoning has particular relevance to the instant case,

where the doctors were making xo “systematic or

continuing effort” to provide medical service in the

District of Columbia and had shut down their practice

at the urging of their medical malpractice insurer.

The second reason articulated in Wright why

personal medical services require the focus of a medical

19. See also Cowan v. Krick, 1994 U.S. Dist. LEXIS 9048, 5-

8 (E.D. Pa. 1994):

Further, the very nature of medical care anticipates

that the consequences of treatment adhere to the

person treated, regardless of his location. To hold

medical providers subject to personal jurisdiction

in different, and unforeseen, forum states simply

because their patients are mobile vehemently

ciashes with the notions of fairness underlying the

concept of personal jurisdiction.

73a

Appendix B

malpractice tort to be where services are physically

rendered is that “the nature of the contacts [in a doctor-

patient relationship] is normally grounded outside of any

relationship with the [foreign] forum state.” Wright, 459

F.2d at 290. Moreover, the medical services of local

practitioners are not usually directed at any forum other

than the one in which their practices are physically

located. This is surely true here, where the doctors

practice solely in Virginia, the plaintiffs’ residence is in

Virginia and all treatment was rendered in Virginia.”

Thus, as in Wright, predicating personal jurisdiction on

the location of the injured plaintiff would appear to

unconstitutionally divert the focus of the jurisdictional

analysis away from the purposeful availment of the

defendant.

Third, the court concluded in Wright “the forum

state’s natural interest in the protection of its citizens

is here countered by an interest in their access to

medical services whenever needed.” /d. at 290-91. The

Ninth Circuit, and many of the courts that followed it,

expressed concern that doctors’ readiness to provide

medical services to patients with out-of-state

connections would be chilled if the doctors reasonably

20. By contrast, as pointed out in Wright, if a manufacturer

regularly ships a faulty product into a forum for sale, personal

jurisdiction is proper because the manufacturer purposefully

sent the product into the forum in order to benefit from the

market there and in order that customers there might benefit

from the product’s use. 459 F.2d at 290. See also Atl. Tubing &

Rubber Co. v. Int'l Engraving Co., 364 F. Supp. 787, 792 (D.R.1.

1973).

74a

Appendix B

feared that they could be sued wherever such patients

happened to go. Wright noted that a jurisdiction’s

interest in providing redress for harms inflicted from

outside the forum does not exist in a vacuum. It must

be balanced against the need of its residents to have

access to health care when they are outside their

jurisdiction, as well as access to health care not readily

available in their own jurisdiction.” /d. at 291. For these

reasons, the Ninth Circuit concluded that “no tort was

committed within the State of Idaho which would

constitutionally confer jurisdiction.” Jd.

Analysis in Other Federal and State Courts

Numerous other federal courts have adopted the

same rule: medical malpractice injuries are located

where the service is rendered, regardless of the location

of the patient, unless the health care provider has

purposefully directed services at the forum where the

plaintiff seeks to sue. As the District Court for New

Hampshire wrote in Estate of Mullen by Mullen v.

Glick, No. C-94-377, 1994 U.S. Dist. LEXIS 16020

(D.N.H. 1994):

Several courts have rejected the view that the

“tortious rendition of such medical services

is a portable tort which can be deemed to have

been committed wherever the consequences

foreseeably were felt...” Lemke v. St.

Margaret Hospital, 552 F. Supp. 833, 8387-838

(N.D. Ill. 1982) citing to Wright v. Yackley, 459

F.2d 287 (9th Cir. 1972); Chancellor v.

Lawrence, 501 F. Supp. 997 (N.D. Ill. 1980);

75a

Appendix B

Soares v. Roberts, [417 F. Supp. 304 (D.R.I.

1976)]; Gelaneau v. New York University

Hospital, 375 F. Supp. 661 (D.N.J. 1974);

McAndrew v. Burnett, 374 F. Supp 460 (M.D.

Pa. 1974); Aylstock v. Mayo Foundation, 341

FE. Supp. 560 (D. Mont. 1972).

Id. at 13-15. Mullen itself concluded that there was no

personal jurisdiction over a Massachusetts doctor who

was alleged to have negligently treated a New

Hampshire patient, where the doctor did not

purposefully direct services at New Hampshire

residents. Jd. at 15.

A further example, is Salerno v. Massimino, No.

80 Civ. 2296, 1980 U.S. Dist. LEXIS 12799 (S.D.N-Y.

1980), where a New York plaintiff sought to sue New

Jersey doctors in New York for a negligent prescription

written in New Jersey. Under a long-arm statute similar

to the District’s, the plaintiff sought jurisdiction over

the defendants based on her claim that the out-of-state

tortious medical malpractice first caused her injury when

she took the prescribed medication in New York. /d. at

2-3. The court denied the claim, holding that to subject

the New Jersey doctcrs to suit in New York would be

fundamentally unfair and would have a chilling effect

on the availability of medical services to New York

residents. Jd. at 5.”

21. See also Gallant v. Trustees of Columbia Univ., 111 F.

Supp. 2d 638, 643 (E.D. Pa. 2000) (“The weight of authority holds

that when treatment is rendered outside the forum state, a

nonresident medical provider cannot be subject to specific

jurisdiction.”).

76a

Appendix B

State courts have also adopted the rule that medical

malpractice injuries are held to occur where treatment

was provided, unless services were purposefully directed

at the forum state. In Hume v. Durwood Medical

Clinic, 318 S.E.2d 119, 122 (S.C. 1984), for example, the

South Carolina Court of Appeals denied personal

jurisdiction over North Carolina defendants when a

South Carolina resident, whom they treated in North

Carolina, subsequently died in South Carolina. Echoing

Wright, 459 F.2d at 289-290, the court chose to follow

the “very substantial line of cases from other

jurisdictions that have rejected the view that the tortious

rendition of medical services out of the forum state is a

portable tort which can be deemed to have been

committed wherever the consequences foreseeably were

felt.” Hume, 318 S.E.2d at 122.

Likewise, in H’state of Poole v. Grosser, 731 N.E.2d

226, 229 (Ohio Ct. App. 1999), the Ohio Court of Appeals,

as in Wright, 459 F.2d at 289-290, declined to find

jurisdiction in a case where the medical treatment

occurred in Kentucky, but the patient died in Ohio. The

court noted: “No Ohio court has adopted this ‘portable

tort’ theory, and several courts from other jurisdictions

have explicitly rejected it.”” E’'state of Poole, 731 N.E.2d

at 229.

22. See also Dunn v. Upjohn Co., 350 So.2d 127, 129 (Fla.

Dist. Ct. App. 1977)(holding that, since the Georgia defendant

pharmacist had no other contacts with Florida, Florida had no

personal jurisdiction over him for allegedly negligent filling of

a prescription for a Florida resident who subsequently returned

to Florida and suffered harm there).

77a

Appendix B

Cross-Forum Telephonic Medical

Malpractice Claims

Several courts have dealt more specifically with

personal jurisdiction in medical malpractice cases

alleging cross-forum negligent care over the telephone.

They have likewise held that the locus of the alleged

malpractice tort is the forum in which the service

provider is physically located, not where the allegedly

negligent advice is received and acted upon.

For example, in Bradley v. Mayo Foundation, Civ.

No. 97-204, 1999 U.S. Dist. LEXIS 17505 (E.D. Ky. 1999),

the plaintiff, a Kentucky resident, visited the Mayo Clinic

in Minnesota for treatment, and then returned to

Kentucky. /d. at 4-5. He returned to Minnesota, however,

for follow-up visits, and had frequent telephone

conversations by phone in Kentucky with his doctor in

Minnesota. See id. at 6-

This text is long and has been trimmed here. Open the source document for the complete record.

This is a copy of a public record, reproduced as it was published. It is not legal advice, and it may not be the version a court would rely on. Check the official source before you cite it.

A word about cookies

We need a few to keep you signed in and the library working. The rest help us see which pages people use and where they get stuck. They stay off unless you say yes.