ÿWPCO …# VUHa %© 0¿¯w@n 4®  Ñ 0JÙ 0T# 0^w 0hÕ 0r= 0|¯ 0†+ 0± 1uA 0d¶U6B)PDCy AM¼U* –3 BÉv~ævÓd D37 0@j AOªÆù 0D¿ D/ B2˜HP LaserJet 4HPPCL5MS,ü,,,,,ü0nLdÒ<à09Z 0Courier (W1) RegularX(—;d$¡¡Ô€X|XXXÔÓ  ÓÓ  ÓÑ  ÑÑTRY(3Ø' LetterY(3Ø' Letter3Ø' Letter3Ø' LetterTÑ ÐÑÒÓUÔÕDÖרÙÓ€f|œ$urier 3|xä2 ÿÿ0Indent1Ô2ÔÔ3  Ô2" ÿÿ0Indent2à0 àÔ2ÔÔ3  Ô2, ÿÿ0Indent3à0 àà0 àÔ2ÔÔ3  Ô26 ÿÿ0Indent4à0 àà0 àà0 àÔ2ÔÔ3  Ô2@ ÿÿ0Indent5à0 àà0 àà0 àà0 àÔ2ÔÔ3  Ô2J ÿÿ0Indent6à0 àà0 àà0 àà0 àà0 àÔ2ÔÔ3  Ô2T ÿÿ0Indent7à0 àà0 àà0 àà0 àà0 àà0 àÔ2ÔÔ3  Ô2^ ÿÿ0Indent8à0 àà0 àà0 àà0 àà0 àà0 àà0 àÔ2ÔÔ3  Ô ÿÿ?AGMSYaioIndent0I.A.1.a.(1)(a)i)a)P ÿÿ8Mac DefaultMac DefaultÓ ` °šXÓ< Œ 9p`(Courier New% Line 7 d 7Border 1dd€-!Cþÿ << Gÿÿ< Œ 9p`(Arial ŒÝ ƒ!ÝÑ  ÑÑ#€d#ÑÔ€ÔÓ  ÓÓ  ÓÑ  ÑÑ\R3Ø'\ÑÝ  ÝÔ€#ÔÔ€#ÔÓ  ÓÔ YYY ÔFILEDÔ€#XÔÌÌò òAugust€19,€1998ÌÌCecil€Crowson,€Jr.ÌÔ€#ôÔAppellate€Court€Clerkó ó dPtPtHHÚ(ÿáÿâùFG(üHHÚ(d'hStyl{WP}01•ÃÃÃÃÃÃÃÃÃÃÃÃÃÃÃÃÃÃà Ãà Ãà Ãà Ãà ÃÃÃÃÃÃÃÃÃÃÃÐ ÐÐHHÐÐ  ÐÐ2ÐÐÿÿ¸æ$ÿÐÐHHÐÐÐÐÐÐÐÐ  ÐÐ ÐÐ ÐÑÑÑGenevaÑÑ ÑÑ € ÑÑ<Px–ÈÑÒÒÒ443!#4ÒÒ$ *$ÒÒ$*$ÒÒ ÿKK ÒÒ  Geneva ÒÒ  Geneva ÒÓ.,ÓÓÓÓ6ÓÓ ÓßßßßßßßßßßßßßßßßßßÑGenevaÑÑ ÑÒ  h HD: Geneva ÒÒ  h HD: Geneva Ò%%%%'ÿÿdxd("ÿÿ$££Ò  ÒÒ  Ò€-‚ƒCþÿ<< CÿÿƒLevel 1Level 2Level 3Level 4Level 5($$””ò òÚ  Ú1Ú  Úó ó„„'÷ÿ dxdüÿP PdÝ ƒ!ÝÔ . ÔÔ€ÔÓ  ÓÓ  ÓÑ  ÑÑ\R3Ø'\ÑÝ  ÝÑ  ÑÑ ¸ ÑÑ  ÑÑ\R AØ'\ÑÑ7€ˆZXXdÈdÈ7ÑÙ€€ÙßR€"$!A1-j|` Å `€€@ÿRß›Þ ÞÌ€€€à@ àIN€THE€COURT€OF€APPEALSÌà@ àAT€KNOXVILLEÌÌÌÌÌÌBARBARA€JEAN€HOPPER,€€€€€€€€€€€€)à àWASHINGTON€LAWÌ€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€)€€C.€A.€NO.€03A01„9801„CV„00049Ì€€€€€€€€€€Plaintiff„Appellant€€€)Ì€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€)Ì€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€)Ì€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€)Ì€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€)Ìvs.€€€€€€€€€€€€€€€€€€€€€€€€€€€€€)à àHON.€THOMAS€J.€œSEELEY›,€JR.Ì€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€)à àJUDGEÌ€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€)Ì€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€)Ì€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€)Ì€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€)ÌDAVID€C.€TABOR,€Individually€and)à àAFFIRMED€AND€REMANDEDÌd/b/a€EAST€TENNESSEE€HEMOTOLOGY„)ÌONCOLOGY,€P.C.,€€€€€€€€€€€€€€€€€)Ì€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€)Ì€€€€€€€€€€Defendants„Appellees€€)ÌÌÌÌÌTHOMAS€R.€BANDY,€III,€Kingsport,€for€Appellant.ÌÌÌCHARLES€T.€HERNDON€IV,€Johnson€City,€for€Appellees.ÌÌÌÓÓà@ àòòO€P€I€N€I€O€NóóÌÌà€ àMcMurray,€J.ÌÌà àThis€is€a€medical€malpractice€case.€€The€defendants€filed€aÏmotion€for€summary€judgment€supported€by€the€affidavit€of€defen…dant,€Dr.€David€C.€Tabor,€which,€among€other€things,€speci‚ficallyÏstated€that€he€was€familiar€with€the€standard€of€care€for€physi…cians€and€surgeons€practicing€œthe›€specialty€of€oncology€in€JohnsonÏCity,€Tennessee,€and€similar€communities.€€He€further€deposed€thatÏat€all€times,€in€his€care€and€treatment€of€the€plaintiff's€dece…dent,€Mark€A.€Hopper,€he€"conformed€to€the€standard€of€care€forÏphysicians€in€the€practice€of€oncology€and€did€not€deviate€orÏdepart€therefrom."€€Thus,€Dr.€Tabor,€through€his€affidavit,€òòprimaÏfacieóó,€established€that€he€was€entitled€to€judgment€as€a€matter€ofÏlaw€absent€countervailing€evidence€presenting€a€genuine€issue€of€aÏmaterial€fact.ÌÌà àThe€plaintiff€responded€with€an€affidavit€of€Dr.€David€S.ÏœKnapp›,€which,€if€considered€by€the€court€would€probably€have€beenÏsufficient€to€establish€a€genuine€issue€of€a€material€fact€rela…tive€to€whether€Dr.€Tabor€deviated€from€the€standard€of€care.€€ForÏreasons€not€appearing€in€the€record,€however,€Dr.€œKnapp›'s€affida…vit€was€withdrawn€by€the€plaintiff€and€was€not€considered€by€theÏcourt€in€ruling€on€the€motion€for€summary€judgment.ÌÌà àThereafter,€the€plaintiff€relied€upon€the€deposition€of€Dr.ÏRobert€K.€Oldham€in€opposition€to€the€motion€for€summary€judgment.€ÏThe€trial€court€found€that€Dr.€Oldham€failed€to€satisfy€the€re…quirement€that€he€knew€the€standard€of€care€for€physicians€andÏsurgeons€practicing€œthe›€specialty€of€oncology€in€Johnson€City,ÏTennessee,€and€similar€communities.€€The€motion€for€summary€judg…ment€was€sustained.€€This€appeal€resulted.€€We€affirm€the€judgmentÏof€the€trial€court.ÌÌà àThe€appellant€presents€the€following€issue€for€our€con‚sider…ation:ÌÌÓÓà8 àà0 àà à1.à àThe€court€erred€in€sustaining€the€motion€for€summa…ry€judgment€filed€by€the€defendant€based€upon€aÏfailure€to€meet€the€"community€standard"€rule.ÌÌà8 àà0 àà à2.à àThe€court€erred€in€sustaining€the€motion€for€summa…ry€judgment€filed€by€the€defendant€based€upon€theÏ"standard€of€care"€requirement.ÌÌÓÓÌà àSince€in€our€opinion,€the€two€issues€deal€with€the€sameÏsubject€matter€we€will€treat€them€together.ÌÌà àOur€standard€of€review€in€cases€decided€on€motion€for€summaryÏjudgment€is€well„settled.ÌÌÓÓà8 àà àTenn.R.Civ.P.€56.03€provides€that€summary€judgmentÏis€only€appropriate€where:€(1)€there€is€no€genuine€issueÏwith€regard€to€the€material€facts€relevant€to€the€claimÏor€defense€contained€in€the€motion,€òòByrd€v.€Hallóó,€847ÏS.W.2d€208,€210€(Tenn.€1993);€and€(2)€the€moving€partyÏis€entitled€to€a€judgment€as€a€matter€of€law€on€theÏundisputed€facts.€€òòAnderson€v.€Standard€Register€Co.óó,857ÏS.W.2d€555,€559€(Tenn.€1993).€€The€moving€party€has€theÏburden€of€proving€that€its€motion€satisfies€these€re…quirements.€€òòœDownen›€v.€Allstate€œIns›.€Co.óó,€811€S.W.2dÏ523,€524€(Tenn.1991).Ìà8 àÌà8 àà àThe€standards€governing€the€assessment€of€evidenceÏin€the€summary€judgment€context€are€also€well€estab…lished.€€Courts€must€view€the€evidence€in€the€light€mostÏfavorable€to€the€nonmoving€party€and€must€also€draw€allÏreasonable€inferences€in€the€nonmoving€party's€favor.ÏòòByrdóó,€847€S.W.2d€at€210„11.€€Courts€should€grant€aÏsummary€judgment€only€when€both€the€facts€and€the€con…clusions€to€be€drawn€from€the€facts€permit€a€reasonableÏperson€to€reach€only€one€conclusion.€€òòId.óóÌÌÌÓÓòòCarvell€v.€Bottomsóó,€900€S.W.2d€23,€26€(Tenn.€1995).ÌÌà àIn€òòByrd€v.€Hallóó,€supra,€we€find€the€authority€which€is€con…trolling€in€the€disposition€of€this€case:ÌÌÓÓà8 àà àMoreover,€the€cases€make€clear€that€the€partyÏseeking€summary€judgment€must€carry€the€burden€of€per…suading€the€court€that€no€genuine€and€material€factualÏissues€exist€and€that€it€is,€therefore,€entitled€toÏjudgment€as€a€matter€of€law.€òòSee,€e.g.óó,€òòœDownen›€[v.ÏAllstate€œIns›.€Co.óó,€811€S.W.2d€523],€811€S.W.2d€at€542;ÏòòJones€v.€Home€œIndem›.€œIns›.€Co.óó,€651€S.W.2d€213,€214Ï(Tenn.€1983);€òòWilliamson€œCty›.€Broadcasting€v.€W.€œCty›.ÏœBd›.€of€Ed.óó,€549€S.W.2d€371,€372€(Tenn.€1977);€òòTaylor€[v.ÏNashville€Banner€Pub.€Co.óó,€573€S.W.2d€476,€480€(Tenn.ÏApp.€1978)]€,€573€S.W.2d€at€480;€òòLucas€Brothers€v.ÏœCudahy›€Co.óó,€533€S.W.2d€313,€316€(Tenn.€App.€1975).€OnceÏit€is€shown€by€the€moving€party€that€there€is€no€genuineÏissue€of€material€fact,€the€nonmoving€party€must€thenÏdemonstrate,€by€affidavits€or€discovery€materials,€thatÏthere€is€a€genuine,€material€fact€dispute€to€warrant€aÏtrial.€òòFowler€v.€Happy€Goodman€Familyóó,€575€S.W.2d€496,Ï498€(Tenn.€1978);€òòMerritt€v.€Wilson€œCty›.€œBd›.€of€ZoningÏAppealsóó,€656€S.W.2d€846,€859€(Tenn.€App.€1983).€In€thisÏregard,€Rule€56.05€provides€that€the€nonmoving€partyÏcannot€simply€rely€upon€his€pleadings€but€must€set€forthÏspecific€facts€showing€that€there€is€a€genuine€issue€ofÏmaterial€fact€for€trial.€"If€he€does€not€so€respond,Ïsummary€judgment€...€shall€be€entered€against€him."€RuleÏ56.05.ÌÌòòByrd€v.€Hallóó,€at€page€211.ÌÓÓÌà àWe€should€note€that€both€parties€quote€at€some€length€inÏtheir€briefs€from€the€deposition€of€Dr.€Oldham.€€For€reasons,Íhowever,€to€which€we€are€not€privy,€the€deposition€of€Dr.€OldhamÏwas€not€filed€as€a€part€of€the€appellate€record.€€The€transcriptÏof€the€hearing€on€the€motion€for€summary€judgment€clearly€showsÏthat€the€trial€court€considered€Dr.€Oldham's€deposition€in€arriv…ing€at€his€decision.€€We,€therefore,€call€attention€of€counsel€toÏRule€4,€Rules€of€the€Court€of€Appeals.€€Since€we€are€unable€toÏconsider€the€"evidence"€contained€in€the€parties'€briefs,€in€theÏinterest€of€justice,€we€have€ordered€the€appellate€record€supple…mented€by€the€addition€of€Dr.€Oldham's€deposition.ÌÌà àT.C.A.€ðð€29„26„115(a)€provides€in€pertinent€part€as€follows:ÌÌÓÓà8 àò ò29„26„115.€Claimant's€burden€in€malpractice€ac…tion€„€Expert€testimony€„€Presumption€of€negli…gence€„€Jury€instructions.ó ó(a)€€In€a€malpracticeÏaction,€the€claimant€shall€have€the€burden€of€proving€byÏevidence€as€provided€by€subsection€(b):Ì€Ìà8 àà0 à(1)€The€recognized€standard€of€acceptable€profes…sional€practice€in€the€profession€and€the€specialtyÏthereof,€if€any,€that€the€defendant€practices€inÏthe€community€in€which€he€practices€or€in€a€similarÏcommunity€at€the€time€the€alleged€injury€or€wrong…ful€action€occurred;Ì€Ìà8 àà0 à(2)€That€the€defendant€acted€with€less€than€orÏfailed€to€act€with€ordinary€and€reasonable€care€inÏaccordance€with€such€standard;€andÌ€Ìà8 àà0 à(3)€As€a€proximate€result€of€the€defendant's€negli…gent€act€or€omission,€the€plaintiff€suffered€inju…ries€which€would€not€otherwise€have€occurred.ÌÌÓÓà àIn€view€of€these€statutory€requirements,€it€is€necessary€forÏus€to€examine€Dr.€Oldham's€deposition€carefully€to€ascertainÏwhether€he€testified€that€he€knew€the€recognized€standard€ofÏacceptable€professional€practice€in€the€profession€and€the€spe…cialty€thereof,€if€any,€[oncology]€that€the€defendant€practices€inÏthe€community€of€Johnson€City,€Tennessee,€or€a€similar€community.€ÏIf€he€failed€to€so€testify,€either€directly€or€implicitly€that€heÏpossessed€the€requisite€knowledge€regarding€the€standard€of€care,Ïthe€plaintiff€must€fail€and€the€trial€court's€judgment€must€beÏaffirmed.ÌÌà àThe€totality€of€the€evidence€contained€in€Dr.€Oldham's€depo…sition€fails€to€demonstrate€that€Dr.€œOldham›€knew€or€presumed€toÏknow€the€recognized€standard€of€acceptable€professional€practiceÏin€the€medical€profession€and€the€œspecialty€of›€oncology€in€JohnsonÏCity,€Tennessee€or€in€a€similar€community€at€the€œtime€of›€theÍalleged€wrongful€action.€€Further,€we€question€the€bases€uponÏwhich€he€believes€the€standard€of€care€rests.€€Dr.€Oldham€testi…fied€as€follows:ÌÌÓÓà8 àà0 àà àQ.à àWhat€is€your€understanding€as€far€as€your€testimonyÏis€concerned€of€what€standard€of€care€means?ÌÌà8 àà0 àà àA.à àWell,€to€me,€standard€of€care€means€doing€thoseÏthings€which€a€majority€of€physicians€in€a€communi…ty€would€consider€to€be€reasonable€medical€care€inÏthat€community.ÌÌÓÓà àWe€suggest€that€what€"a€majority€of€physicians€in€a€communityÏwould€consider€to€be€reasonable€medical€care€in€that€community"€isÏnot€the€meaning€of€standard€of€care.€€If€this€were€the€case,€itÏwould€require€a€poll€of€physicians€practicing€in€a€community€toÏdetermine€the€standard€of€care.€€The€standard€of€care€is€deter…mined€by€whether€a€physician€exercises€the€reasonable€degree€ofÏlearning,€skill,€and€experience€that€is€ordinarily€possessed€byÏœothers›€of€his€profession.€€òòSeeóó€òòœHurst›€v.€œDougherty›óó,€800€S.W.2d€183Ï(Tenn.€App.€1990).ÌÌà àDr.€Oldham€further€testified€as€follows:ÌÌÓÓà8 àà0 àà àQ.à àOkay.€€Using€that€definition€of€standard€of€care,Ïare€you€aware€of€the€practice€in€Johnson€City,€whatÏthe€standard€of€care€is?ÌÌà8 àà0 àà àA.à àI€can't€be€precise€about€that.€€I€mean€that€I€knowÏthere€are,€you€know,€oncologists€in€Johnson€City.€ÏI€believe€some€or€all€are€Board€qualified€or€BoardÏcertified,€and€in€general,€the€standard€of€care€inÏmost€metropolitan€areas€across€the€United€StatesÏwould€be€relatively€similar€if€Board€Qualified€orÏBoard€certified€physicians€are€involved,€but€I'mÏnot€specifically€aware€of€the€standard€of€care€inÏJohnson€City€precisely.ÌÌÓÓÌà àWe€are€of€the€opinion€that€the€testimony€of€Dr.€Oldham€clear…ly€fails€to€establish€his€competency€to€testify€as€to€the€standardÏof€care€required€of€physicians€in€good€standing€practicing€theÏspeciality€of€oncology€in€Johnson€City,€Tennessee.€€Dr.€Oldham'sÏdeposition€does€not€satisfy€the€statutory€requisite€that€theÏdeponent€be€familiar€with€the€standard€of€care€in€Johnson€City,ÏTennessee,€or€similar€communities.€€T.C.A.€ðð€œ29„26„115(a).›ÌÌÓÓà8 àà àIt€is€well„established€that€a€defendant€physicianÏmay€rely€upon€his€own€affidavit€in€support€of€a€motionÏfor€summary€judgment.€òòSmith€v.€Gravesóó,€672€S.W.2d€787Ï(Tenn.€Ct.€App.€1984).€Where€a€defendant€files€an€affi…davit€of€an€expert€stating€that€all€of€his€care€andÏtreatment€of€the€plaintiff€met€the€recognized€standardÏof€acceptable€professional€practice€required€of€him,Ísummary€judgment€is€appropriate€if€the€plaintiff€pres…ents€no€competent€expert€testimony€to€challenge€theÏdefendant's€affidavit.€òòBowman,€[v.€œHenard›óó,€547€S.W.2dÏ527€(Tenn.€1977]€547€S.W.2d€at€531.€Accordingly,€theÏcourt€in€òòBowmanóó€succinctly€stated€the€applicable€rule€asÏfollows:Ì€Ìà8 à€à0 à€€[We]€hold€that,€in€those€malpractice€actionsÏwherein€expert€medical€testimony€is€required€toÏestablish€negligence€and€proximate€cause,€affida…vits€by€medical€doctors€which€clearly€and€complete…ly€refute€plaintiff's€contention€afford€a€properÏbasis€for€dismissal€of€the€action€on€summary€judg…ment,€in€the€absence€of€proper€responsive€proof€byÏaffidavit€or€otherwise.€ÌÌÌòòœCrowe›€v.€Craigóó,€1997€Tenn.€App.€LEXIS€450.ÌÌÓÓÌà àIn€this€case,€we€hold€that€Dr.€Tabor's€affidavit€clearly€andÏcompletely€refutes€the€plaintiff's€contentions€that€there€was€aÏdeviation€from€the€acceptable€standard€of€care.€€We€further€holdÏthat€the€plaintiff€has€failed€to€present€responsive€evidenceÏsufficient€to€create€a€genuine€issue€of€a€material€fact.€€Accordƒingly,€we€are€of€the€opinion€that€summary€judgment€was€properlyÏgranted.ÌÌà àWe€affirm€the€judgment€of€the€trial€court€in€all€respects.€ÏCosts€are€assessed€to€the€appellant€and€this€case€is€remanded€toÏthe€trial€court.ÌÓÓÌ€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€________________________________Ì€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€Don€T.€McMurray,€œJudge›ÌÌÌÌCONCUR:ÌÌÌ___________________________________ÌHouston€M.€Goddard,€Presiding€Judge̛̜Ì___________________________________ÌCharles€D.€Susano,€Jr.,€JudgeÌÇÑ  ÑÑ7€\XXdðXXdð7Ñ€€€à@ àIN€THE€COURT€OF€APPEALSÌà@ àAT€KNOXVILLEÌÌÌÌÌÌBARBARA€JEAN€HOPPER,€€€€€€€€€€€€)à àWASHINGTON€LAWÌ€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€)€€C.€A.€NO.€03A01„9801„CV„00049Ì€€€€€€€€€€Plaintiff„Appellant€€€)Ì€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€)Ì€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€)Ì€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€)Ì€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€)Ìvs.€€€€€€€€€€€€€€€€€€€€€€€€€€€€€)à àHON.€THOMAS€J.€œSEELEY›,€JR.Ì€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€)à àJUDGEÌ€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€)Ì€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€)Ì€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€)Ì€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€)ÌDAVID€C.€TABOR,€Individually€and)à àAFFIRMED€AND€REMANDEDÌd/b/a€EAST€TENNESSEE€HEMOTOLOGY„)ÌONCOLOGY,€P.C.,€€€€€€€€€€€€€€€€€)Ì€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€)Ì€€€€€€€€€€Defendants„Appellees€€)ÌÌÌà@ àò òòòJUDGMENTóóó óÌÌÌÓÓà àThis€appeal€came€on€to€be€heard€upon€the€record€from€the€LawÏCourt€of€Washington€County,€and€briefs€filed€on€behalf€of€theÏrespective€parties.€€Upon€consideration€thereof,€this€Court€is€ofÏthe€opinion€that€there€was€no€reversible€error€in€the€trial€court.Ìà àWe€affirm€the€judgment€of€the€trial€court€in€all€respects.€ÏCosts€are€assessed€to€the€appellant€and€this€case€is€remanded€toÏthe€trial€court.ÌÌ€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€€PER€CURIAMÌ