1997-F3
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Cite as N.Y. Op. Att'y Gen. No. 1997-F3
EDUCATION LAW § 355(7); PUBLIC OFFICERS LAW § 17.
The physicians and other health care personnel volunteering
at the request of the State University of New York Health Science
Center at Syracuse in the clinical program at Binghamton are
entitled to defense and indemnification by the State on the terms
and conditions of Public Officers Law § 17 in any civil action or
proceeding arising out of any alleged act or omission which
occurs or is alleged in the complaint to occur when they perform
the volunteer services.
March 11, 1997
Christine A. Alexander, Esq.
Formal Opinion
Managing Senior Associate Counsel
No. 97-F3
Of the Office of University Counsel
and Vice Chancellor of Legal Affairs
State University of New York
State University Plaza
Albany, New York 12246
Dear Ms. Alexander:
You have asked whether certain physicians and other health
care personnel who are volunteers at the Clinical Campus in
Binghamton of the State University of New York Health Science
Center in Syracuse are entitled to defense and indemnification by
the State under section 17 of the Public Officers Law. You have
explained that under a clinical program approved by the President
of the Health Science Center physicians retired from the clinical
campus faculty will receive an uncompensated faculty appointment
under which they will treat patients at the Health Science Center
free of charge and provide clinical instruction to medical
students. Consistent with the community service and educational
components of the mission of the Health Science Center and
clinical campus, the physicians will provide basic primary care
medical services to uninsured patients and clinical instruction
to medical students selecting this setting as an elective.
Additionally, other volunteer health care providers will be
involved in the provision of this free medical care to the
uninsured. They may include volunteer nurses, a nurse
practitioner, nursing assistants or LPNs, a nutritionist, medical
social workers, a pharmacist and others. You indicate that each
volunteer will be duly registered in this program and
specifically authorized to participate in the volunteer program.
Section 17 of the Public Officers Law provides defense and
indemnification to an “employee” of the State which for purposes
of this provision includes any person holding a position by
2
1We note that under section 17(11) the provisions of the
section do not apply to physicians who are subject to the plan
for the management of clinical practice income set forth in the
policies of the SUNY board of trustees regarding any civil action
or proceeding alleging professional malpractice. You have
indicated, however, that this exception does not apply to the
subject physicians because there is no charge to the patients or
to any third-party payor for the medical services provided under
this clinical program.
election, appointment or employment in the service of the State
"or a volunteer expressly authorized to participate in a
state-sponsored volunteer program"1.
In our view, the physicians and other health care personnel
participating in this clinical program are employees within the
meaning of section 17 of the Public Officers Law and, therefore,
are eligible to receive defense and indemnification by the State
provided that the terms and conditions of the statute are met.
They will be participating in a State-sponsored volunteer
program.
Clinical instruction is required by law and the volunteer
program has formally been established. Courses of study under
the supervision of qualified family practitioners, a family care
program of study and clinical experience are required in the
curriculum of each State-operated institution in the State
University for professional education in medicine. Education Law
§ 355(7). You have indicated that the volunteer program has
formally been approved by the President of the Health Science
Center and is consistent with the mission of the Clinical Campus
at Binghamton. The “mission statement” of the State University
of New York Health Science Center at Syracuse includes education
of professionals in health care. Excellence in patient care and
the generation of new knowledge are central to this mission. “To
this end, Health Science Center clinical faculty members and
health care professionals commit themselves not only to their
educational activities but also to patient care.” Academic
Course Catalog 1996-1998, College of Medicine, SUNY Health
Science Center at Syracuse. The clinical campus at Binghamton
offers clinical education programs for third and fourth year
medical students. Id. “The community orientation of the program
fosters close working relationships with the practicing
physicians and other community health professionals. Through
emphasis on the patient caring function, the curriculum provides
enriching clinical experiences in primary care and ambulatory
settings.” Id., Clinical Campus Overview. At the Binghamton
Clinical Campus, “prominent experiences include a Primary Care
Program designed to integrate the study of social, behavioral,
3
and management sciences with real patient experiences, mostly in
an ambulatory setting. The Primary Care Program provides the
keystone for the primary care focus of the Clinical Campus.” Id.
Also, the physicians formally will be selected to
participate in the volunteer program through uncompensated
faculty appointments. The other health care professionals
formally will be selected to participate in the volunteer program
after appropriate registration, licensing and training.
Thus, the volunteer program has been established with
formality and, therefore, meets the requirement of section 17
that it constitute a State-sponsored volunteer program. See,
1978 Op Atty Gen (Inf) 73; Op Atty Gen No. 92-F7.
We conclude that the physicians and other health care
personnel volunteering at the request of the State University of
New York Health Science Center at Syracuse in the clinical
program at Binghamton are entitled to defense and indemnification
by the State on the terms and conditions of Public Officers Law
§ 17 in any civil action or proceeding arising out of any alleged
act or omission which occurs or is alleged in the complaint to
occur when they perform the volunteer services.
Very truly yours,
DENNIS C. VACCO
Attorney General