Leonard v. Bell , 254 N.C. App. 694 ( 2017 )


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  •                 IN THE COURT OF APPEALS OF NORTH CAROLINA
    No. COA17-130
    Filed: 1 August 2017
    Cumberland County, No. 16 CVS 3205
    MARTIN LEONARD, Plaintiff,
    v.
    RONALD BELL, M.D., Individually, PHILLIP STOVER, M.D., Individually,
    Defendants.
    Appeal by defendants from order entered 25 October 2016 by Judge Tanya T.
    Wallace in Cumberland County Superior Court. Heard in the Court of Appeals
    7 June 2017.
    Knott & Boyle, PLLC, by W. Ellis Boyle and Benjamin Van Steinburgh, for
    plaintiff-appellee.
    Hedrick Gardner Kincheloe & Garofalo, LLP, by Joshua D. Neighbors, Luke
    Sbarra, and M. Duane Jones, for defendant-appellant Ronald Bell, M.D.
    Attorney General Joshua H. Stein, by Special Deputy Attorney General Charles
    G. Whitehead and Special Deputy Attorney General Amar Majmundar, for
    defendant-appellant Phillip Stover, M.D.
    ARROWOOD, Judge.
    Defendants Ronald Bell, M.D. (“Dr. Bell”), and Phillip Stover, M.D. (“Dr.
    Stover”), appeal the denial of their motions to dismiss based on grounds of public
    official immunity. For the following reasons, we affirm.
    I.       Background
    LEONARD V. BELL
    Opinion of the Court
    Martin Leonard (“plaintiff”) initiated this case against defendants in their
    individual capacities with the filing of summonses and a complaint on 5 May 2016.
    In the complaint, plaintiff asserts negligence claims against Dr. Bell and Dr. Stover,
    both physicians employed by the Department of Public Safety (“DPS”), albeit in
    different capacities. Those claims are based on allegations that Dr. Bell and Dr.
    Stover failed to meet the requisite standard of care for physicians while treating
    plaintiff, who at all relevant times was incarcerated in the Division of Adult
    Correction (the “DAC”).
    Specifically, plaintiff alleges that he began experiencing severe back pain in
    late October 2012 and submitted the first of many requests for medical care. Over
    the next ten months, plaintiff was repeatedly evaluated in the DAC system by nurses,
    physician assistants, and Dr. Bell in response to plaintiff’s complaints of increasing
    back pain and other attendant symptoms. Dr. Bell personally evaluated plaintiff nine
    times and, at the time of the seventh evaluation in June 2013, submitted a request
    for an MRI to the Utilization Review Board (the “Review Board”). Dr. Stover, a
    member of the Review Board, denied Dr. Bell’s request for an MRI and instead
    recommended four weeks of physical therapy. Plaintiff continued to submit requests
    for medical care as his condition worsened. Upon further evaluations by a nurse and
    a physician assistant in August 2013, the physician assistant sent plaintiff to
    Columbus Regional Health Emergency Department for treatment. Physicians at
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    LEONARD V. BELL
    Opinion of the Court
    Columbus Regional performed an x-ray and an MRI. Those tests revealed plaintiff
    was suffering from an erosion of bone in the L4 and L3 vertebra and a spinal infection.
    Plaintiff asserts Dr. Bell’s failure to adequately evaluate and treat his condition, and
    Dr. Stover’s refusal of requested treatment, amounts to medical malpractice.
    In response to the complaint, Dr. Bell filed a motion to dismiss pursuant to
    Rule 12(b)(6) on 13 July 2016. Among the grounds asserted for dismissal, Dr. Bell
    claimed he was entitled to “public official immunity for all acts and omissions alleged
    against him[.]” Likewise, on 19 July 2016, Dr. Stover filed a motion to dismiss
    pursuant to Rule 12(b)(1), (2), and (6). Defendants’ motions were heard during the
    3 October 2016 session of Cumberland County Superior Court before the Honorable
    Tanya T. Wallace. On 25 October 2016, the court denied defendants’ motions to
    dismiss.
    Dr. Stover filed notice of appeal from the 25 October 2016 order on
    18 November 2016. Dr. Bell filed notice of appeal from the 25 October 2016 order on
    21 November 2016.
    II.    Discussion
    On appeal, both Dr. Bell and Dr. Stover contend the trial court erred in denying
    their motions to dismiss. Specifically, Dr. Bell argues the trial court erred in denying
    his Rule 12(b)(6) motion for failure to state a claim because he is entitled to public
    official immunity. Dr. Stover similarly argues the trial court erred in denying his
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    LEONARD V. BELL
    Opinion of the Court
    Rule 12(b)(2) and (6) motions for lack of personal jurisdiction and failure to state a
    claim because he is entitled to public official immunity.
    A.     Interlocutory Nature of Appeals
    At the outset, we note that defendants’ appeals are interlocutory because the
    trial court’s denial of their motions to dismiss did not dispose of the case. See Veazey
    v. City of Durham, 
    231 N.C. 357
    , 362, 
    57 S.E.2d 377
    , 381 (1950) (“An interlocutory
    order is one made during the pendency of an action, which does not dispose of the
    case, but leaves it for further action by the trial court in order to settle and determine
    the entire controversy.”). “Generally, there is no right of immediate appeal from
    interlocutory orders and judgments.” Goldston v. Am. Motors Corp., 
    326 N.C. 723
    ,
    725, 
    392 S.E.2d 735
    , 736 (1990). Immediate appeal is available, however, from an
    interlocutory order that affects a substantial right. N.C. Gen. Stat. §§ 1-277(a) (2015)
    and 7A-27(b)(3)(a) (2015).    “Orders denying dispositive motions based on public
    official’s immunity affect a substantial right and are immediately appealable.”
    Summey v. Barker, 
    142 N.C. App. 688
    , 689, 
    544 S.E.2d 262
    , 264 (2001); see also Can
    Am South, LLC v. State, 
    234 N.C. App. 119
    , 122, 
    759 S.E.2d 304
    , 307 (acknowledging
    the longstanding rule that the denial of a motion to dismiss based on immunity
    pursuant to Rule 12(b)(6) affects a substantial right and is immediately appealable
    under N.C. Gen. Stat. § 1-277(a)), disc. review denied, 
    367 N.C. 791
    , 
    766 S.E.2d 624
    (2014). “A substantial right is affected because ‘[a] valid claim of immunity is more
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    LEONARD V. BELL
    Opinion of the Court
    than a defense in a lawsuit; it is in essence immunity from suit. Were the case to be
    erroneously permitted to proceed to trial, immunity would be effectively lost.’ ”
    Farrell v. Transylvania Cnty. Bd. of Educ., 
    175 N.C. App. 689
    , 694, 
    625 S.E.2d 128
    ,
    133 (2006) (quoting Slade v. Vernon, 
    110 N.C. App. 422
    , 425, 
    429 S.E.2d 744
    , 746
    (1993), implied overruling based on other grounds, Boyd v. Robeson County, 169 N.C.
    App. 460, 
    621 S.E.2d 1
    (2005)). Consequently, we address defendants’ interlocutory
    appeals from the denials of their Rule 12(b)(6) motions to dismiss.
    Immediate appeal is also available from an adverse ruling as to personal
    jurisdiction.    N.C. Gen. Stat. § 1-277(b).      This Court has consistently held that
    immunity presents a question of personal jurisdiction and, therefore, denial of a Rule
    12(b)(2) motion premised on immunity is immediately appealable under N.C. Gen.
    Stat. § 1-277(b). Can Am 
    South, 234 N.C. App. at 124
    , 759 S.E.2d at 308. Thus,
    review of Dr. Stover’s interlocutory appeal is proper on this additional ground.
    B.     Standard of Review
    The standard of review for an appeal from a denial of a Rule 12(b)(6) motion is
    well settled.
    The motion to dismiss under [Rule] 12(b)(6) tests the legal
    sufficiency of the complaint. In ruling on the motion the
    allegations of the complaint must be viewed as admitted,
    and on that basis the court must determine as a matter of
    law whether the allegations state a claim for which relief
    may be granted.
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    LEONARD V. BELL
    Opinion of the Court
    Stanback v. Stanback, 
    297 N.C. 181
    , 185, 
    254 S.E.2d 611
    , 615 (1979) (citations
    omitted). “This Court must conduct a de novo review of the pleadings to determine
    their legal sufficiency and to determine whether the trial court’s ruling on the motion
    to dismiss was correct.” Leary v. N.C. Forest Prods., Inc., 
    157 N.C. App. 396
    , 400, 
    580 S.E.2d 1
    , 4, aff’d per curiam, 
    357 N.C. 567
    , 
    597 S.E.2d 673
    (2003).
    When this Court reviews the denial of a Rule 12(b)(2) motion to dismiss for
    lack of personal jurisdiction, “[w]e must review the record to determine whether there
    is evidence to support the trial court’s determination that exercising its jurisdiction
    would be appropriate.” Martinez v. Univ. of North Carolina, 
    223 N.C. App. 428
    , 430-
    31, 
    741 S.E.2d 330
    , 332 (2012).
    C.     Public Official Immunity
    Each defendant contends the trial court erred in denying his motion to dismiss
    because each defendant is entitled to public official immunity.          “Public official
    immunity precludes suits against public officials in their individual capacities and
    protects them from liability ‘[a]s long as a public officer lawfully exercises the
    judgment and discretion with which he is invested by virtue of his office, keeps within
    the scope of his official authority, and acts without malice or corruption[.]’ ” Fullwood
    v. Barnes, __ N.C. App. __, __, 
    792 S.E.2d 545
    , 550 (2016) (quoting Smith v. State, 
    289 N.C. 303
    , 331, 
    222 S.E.2d 412
    , 430 (1976) (citation omitted)). Our Supreme Court
    has explained that “[p]ublic officials receive immunity because it would be difficult to
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    LEONARD V. BELL
    Opinion of the Court
    find those who would accept public office or engage in the administration of public
    affairs if they were to be personally liable for acts or omissions involved in exercising
    their discretion.” Isenhour v. Hutto, 
    350 N.C. 601
    , 610, 
    517 S.E.2d 121
    , 127 (1999)
    (citations and quotation marks omitted).
    In the present case, all parties agree that there were no allegations that
    defendants acted outside the scope of their authority or that defendants acted with
    malice or corruption. The sole question on appeal is whether defendants qualify as
    public officials entitled to immunity from suit in their individual capacities.
    “Under the doctrine of public official immunity, ‘[w]hen a governmental worker
    is sued individually, or in his or her personal capacity, our courts distinguish between
    public employees and public officials in determining negligence liability.’ ” 
    Farrell, 175 N.C. App. at 695
    , 625 S.E.2d at 133 (quoting Hare v. Butler, 
    99 N.C. App. 693
    ,
    699-700, 
    394 S.E.2d 231
    , 236 (1990) (citations omitted)).
    It is settled in this jurisdiction that a public official,
    engaged in the performance of governmental duties
    involving the exercise of judgment and discretion, may not
    be held personally liable for mere negligence in respect
    thereto. An employee, on the other hand, is personally
    liable for negligence in the performance of his or her duties
    proximately causing an injury.
    
    Isenhour, 350 N.C. at 609-10
    , 517 S.E.2d at 127 (citations and quotation marks
    omitted).
    In distinguishing between a public official and a public
    employee, our courts have held that (1) a public office is a
    position created by the constitution or statutes; (2) a public
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    LEONARD V. BELL
    Opinion of the Court
    official exercises a portion of the sovereign power; and (3) a
    public official exercises discretion, while public employees
    perform ministerial duties. Additionally, an officer is
    generally required to take an oath of office while an agent
    or employee is not required to do so.
    Fraley v. Griffin, 
    217 N.C. App. 624
    , 627, 
    720 S.E.2d 694
    , 696 (2011) (Murray v. Cnty.
    of Person, 
    191 N.C. App. 575
    , 579-80, 
    664 S.E.2d 58
    , 61 (2008) (internal quotations
    and citations omitted)); see also 
    Isenhour, 350 N.C. at 610
    , 517 S.E.2d at 127
    (recognizing the same “basic distinctions between a public official and a public
    employee”).
    Defendants each maintain that they have been delegated and carry out the
    DAC’s constitutional and statutory duty to provide health services to inmates. They
    further maintain that they exercise a portion of the sovereign power and substantial
    discretion in fulfilling that duty. Thus, defendants argue that they are public officials
    and not public employees. We disagree.
    Defendants fail to point to any constitutional or statutory provisions creating
    their respective positions; and we have found no such authority. Instead, defendants
    contend they satisfy the first prong in the public official analysis because they have
    been delegated the DAC’s duty to provide health services to inmates.
    This Court has stated that “[a] position is considered ‘created by statute’ when
    ‘the officer’s position ha[s] a clear statutory basis or the officer ha[s] been delegated a
    statutory duty by a person or organization created by statute’ or the Constitution.”
    Baker v. Smith, 
    224 N.C. App. 423
    , 428, 
    737 S.E.2d 144
    , 148 (2012) (emphasis in
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    LEONARD V. BELL
    Opinion of the Court
    original) (quoting 
    Fraley, 217 N.C. App. at 627
    , 720 S.E.2d at 696 (citation and
    quotation marks omitted)). Thus, in Baker, this Court concluded that the position of
    assistant jailer was “created by statute” for purposes of public official immunity even
    though there was not an explicit statutory basis for the position. 
    Id. at 428-30,
    737
    S.E.2d at 148-49. The Court reasoned that,
    N.C. Gen. Stat. § 162-22 establishes that sheriffs have the
    duty to operate the jail and the power to “appoint[] the
    keeper thereof.” N.C. Gen. Stat. § 162-22 (2011). . . .
    Regardless of whether we read § 162-22 to include
    assistant jailers, that statute establishes the duty of the
    sheriff to operate the jail. N.C. Gen. Stat. § 162-24 permits
    a sheriff to “appoint a deputy or employ others to assist him
    in performing his official duties.” N.C. Gen. Stat. § 162-24
    (2011) (emphasis added). Read together with § 162-22, it
    is clear that the legislature intended to permit the sheriff
    to “employ others”—plural—to help perform his official
    duties, including his duty to take “care and custody of the
    jail.” N.C. Gen. Stat. § 162-22.
    That statutory duty defines the role of an assistant jailer.
    Assistant jailers are “charged with the care, custody, and
    maintenance of prisoners.” State v. Shepherd, 156 N.C.
    App. 603, 607, 
    577 S.E.2d 341
    , 344 (2003). The same article
    that vests the sheriff and chief jailer with their powers also
    vests them with the authority to appoint subordinates,
    such as assistant jailers. See N.C. Gen. Stat. § 162-24. Our
    legislature, in a different article, described detention
    officers, i.e. jailers, as “[a] person, who through the special
    trust and confidence of the sheriff, has been appointed as a
    detention officer by the sheriff.” N.C. Gen. Stat. § 17E-2
    (2011). Indeed, the jail cannot operate without “custodial
    personnel” to “supervise” and “maintain safe custody and
    control” of the prisoners. N.C. Gen. Stat. § 153-224(a)
    (2011) (“No person may be confined in a local confinement
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    LEONARD V. BELL
    Opinion of the Court
    facility unless custodial personnel are present and
    available to provide continuous supervision in order that
    custody will be secure . . .”) Thus, assistant jailers are
    delegated the statutory duty to take care of the jail and the
    detainees therein by the sheriff-a position created by our
    Constitution. N.C. Const. art. VII, § 2.
    
    Id. at 429-30,
    737 S.E.2d at 148-49 (footnote omitted) (emphasis added). Other cases
    have similarly held that positions with no explicit statutory basis are nonetheless
    “created by statute” when there is statutory authorization for the delegation of a duty.
    See, e.g., Cherry v. Harris, 
    110 N.C. App. 478
    , 480-81, 
    429 S.E.2d 771
    , 772-73 (1993)
    (a forensic pathologist who conducted an autopsy and prepared reports in response to
    an official request by a county medical examiner satisfied the first element of the
    public official analysis because the medical examiner, a position created by statute,
    had the statutory authority pursuant to N.C. Gen. Stat. § 130A-389(a) to order that
    an autopsy be performed by a competent pathologist designated by the Chief Medical
    Examiner, and the forensic pathologist had been so designated).
    Defendants rely on Baker and contend the result in the present case should be
    no different because the DAC is statutorily created and they have been delegated the
    DAC’s constitutional and statutory duty to provide health services to inmates.
    Defendants correctly point out that the DAC is statutorily created.          The
    relevant statute provides that “[t]here is hereby created and established a division to
    be known as the Division of Adult Correction of the Department of Public Safety with
    the organization, powers, and duties hereafter defined in the Executive Organization
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    LEONARD V. BELL
    Opinion of the Court
    Act of 1973.” N.C. Gen. Stat. § 143B-700 (2015). The immediately following statute
    adds that “[i]t shall be the duty of the [DAC] to provide the necessary custody,
    supervision, and treatment to control and rehabilitate criminal offenders . . . .” N.C.
    Gen. Stat. § 143B-701 (2015). Defendants also correctly point out that the duties of
    the DAC include the duty to provide health services to inmates. Specifically, our
    general statutes provide that “[t]he general policies, rules and regulations of the
    [DAC] shall prescribe standards for health services to prisoners, which shall include
    preventive, diagnostic, and therapeutic measures on both an outpatient and a
    hospital basis, for all types of patients.” N.C. Gen. Stat. § 148-19(a) (2015). The duty
    to provide health services to inmates also has a constitutional basis, as recognized in
    West v. Atkins, 
    487 U.S. 42
    , 54-55, 
    101 L. Ed. 2d 40
    , 53 (1988) (explaining that “the
    State has a constitutional obligation, under the Eight Amendment, to provide
    adequate medical care to those whom it has incarcerated[]” because “[i]t is only those
    physicians authorized by the State to whom [an] inmate may turn[]”), and Medley v.
    N.C. Dep’t of Correction, 
    330 N.C. 837
    , 842, 
    412 S.E.2d 654
    , 658 (1992) (citing West
    while acknowledging that “[i]n addition to common-law and statutory duties to
    provide adequate medical care for inmates, the state also bears this responsibility
    under our state Constitution and the federal Constitution[]”).
    West and Medley are only relevant in this case to establish that the DAC has a
    duty to provide health services to inmates. Otherwise, both cases hold that the State
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    LEONARD V. BELL
    Opinion of the Court
    cannot escape liability by delegating that constitutional duty. In West, the Supreme
    Court explained that a physician who is under contract with the State to provide
    medical services to inmates acts “under color of state law” while providing those
    services for purposes of asserting an action under 42 U.S.C. § 1983. 
    West, 487 U.S. at 54
    , 101 L. Ed. 2d at 53. Thus, the physician’s “conduct is fairly attributable to the
    State.” 
    Id. In Medley,
    the Court explained “that the duty to provide adequate medical
    care to inmates, imposed by the state and federal Constitutions, and recognized in
    state statute and caselaw, is such a fundamental and paramount obligation of the
    state that the state cannot absolve itself of responsibility by delegating it to another.”
    
    Medley, 330 N.C. at 844
    , 412 S.E.2d at 659. Thus, the North Carolina Department of
    Correction could not avoid liability by contracting a physician to fulfill its duty
    because the physician “is as a matter of law an agent for purposes of applying the
    doctrine of respondeat superior.” 
    Id. at 845,
    412 S.E.2d at 659. However, neither
    West nor Medley stands for the proposition that a physician fulfilling the DAC’s duty
    to provide health services to inmates was immune from suit in their individual
    capacity. Any argument that defendants cannot be sued in their individual capacities
    based on the holdings of West or Medley is erroneous and misplaced.
    Based on the above, we agree with defendants that the DAC is statutorily
    created and that the DAC has a duty to provide health services to inmates. We,
    however, find the present case distinguishable from Baker and other cases that hold
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    LEONARD V. BELL
    Opinion of the Court
    a position is created by statute when there has been a delegation of a statutory duty
    by a person or organization created by statute or the constitution. In each of those
    cases, the Court points directly to a statute that authorizes a constitutionally or
    statutorily created person or organization to delegate its statutory duty to another
    individual. In Baker, that statute was N.C. Gen. Stat. § 162-24, which “permits a
    sheriff to ‘appoint a deputy or employ others to assist him in performing his official
    duties.’ 
    224 N.C. App. at 429
    , 737 S.E.2d at 148 (quoting N.C. Gen. Stat. § 162-24)
    (emphasis omitted). In Cherry, that statute is N.C. Gen. Stat. § 130A-389(a), which
    allows a county medical examiner to order an autopsy to be performed by a
    
    pathologist. 110 N.C. App. at 481
    , 429 S.E.2d at 773. Even in Chastain v. Arndt, __
    N.C. App. __, __ S.E.2d __ (18 April 2017) (COA 16-1151) (holding a Basic Law
    Enforcement Training (“BLET”) firearms instructor was a public official entitled to
    immunity), a recent decision that both defendants cite in reply to plaintiff’s
    arguments, this Court, in support of its finding that “[the defendant], in his role as a
    BLET firearms instructor, was delegated a statutory duty by a person or organization
    created by statute[,]” points to statutory authority that establishes the North
    Carolina Criminal Justice Education and Training Standards Commission (the
    “Commission”) and shows that its duty to train officers is to be delegated to
    instructors. Id. at __, __ S.Ed.2d at __. As this Court summarized in Chastain, those
    provisions involving instructors provide as follows:
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    LEONARD V. BELL
    Opinion of the Court
    The Commission . . . has the authority to “[e]stablish
    minimum standards for the certification of criminal justice
    training schools and programs or courses of instruction
    that are required by [Chapter 17C],” and “[e]stablish
    minimum standards and levels of education and experience
    for all criminal justice instructors[.]” N.C. Gen. Stat. §
    17C-6(a)(4) and (a)(6). The Commission may “[c]ertify and
    recertify, suspend, revoke, or deny . . . criminal justice
    instructors and school directors who participate in
    programs or courses of instruction that are required by
    [Chapter 17C].” N.C. Gen. Stat. § 17C-6 (7).
    
    Id. In the
    present case, defendants contend the DAC has delegated to them its
    duty to provide health services to inmates. Yet, defendants fail to point to any
    statutory provisions similar to those in Baker, Cherry, or Chastain contemplating the
    delegation of the DAC’s duty, or contemplating that the DAC will hire its own
    physicians. Instead, defendants cite the following portions of N.C. Gen. Stat. § 148-
    19:
    (a) . . . The [DAC] shall seek the cooperation of public and
    private agencies, institutions, officials and individuals
    in the development of adequate health services to
    prisoners.
    ....
    (c) Each prisoner committed to the [DAC] shall receive a
    physical and mental examination by a health care
    professional authorized by the North Carolina Medical
    Board to perform such examinations as soon as
    practicable after admission and before being assigned
    to work. . . .
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    LEONARD V. BELL
    Opinion of the Court
    Neither of those portions of N.C. Gen. Stat. § 148-19, however, indicate that the
    legislature intended for DAC to hire its own physicians.        The cited portion of
    subsection (a) is broad and shows only that the legislature left it to DAC to develop
    adequate health services; it does not provide any indication how health services
    would be provided. Subsection (c) is similarly broad, requiring an initial evaluation
    by an authorized health care professional, but no further indication as to how the
    DAC was to provide that health care professional. There are many ways the DAC
    could fulfill its duty to provide health services to inmates. In fact, subsection (b)
    contemplates that the Secretary of Public Safety may request personnel employed by
    the Department of Health and Human Services or other State agencies to be detailed
    to the DAC for purposes of providing health services. N.C. Gen. Stat. § 148-19(b).
    DPS’s decision to employ its own physicians appears to be a policy decision.
    In deciding defendants are not public officials entitled to immunity, we find
    additional guidance in this Court’s decision in Farrell v. Transylvania Cnty. Bd. Of
    Educ., 
    199 N.C. App. 173
    , 
    682 S.E.2d 224
    (2009). In Farrell, the Court addressed
    whether a special needs teacher in the public school system was entitled to public
    official immunity from claims related to the physical and emotional abuse of the
    plaintiffs’ son. 
    Id. at 174,
    682 S.E.2d at 226. In concluding that the teacher was not
    a public official, the Court distinguished the teacher’s case from Kitchin v. Halifax
    Cnty., 
    192 N.C. App. 559
    , 
    665 S.E.2d 760
    (2008), disc. rev. denied., 
    363 N.C. 127
    , 673
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    LEONARD V. BELL
    Opinion of the Court
    S.E.2d 135 (2009) (holding that an animal control officer was a public official because
    the position is created by statute), Hobbs v. N.C. Dep’t of Human Res., 
    135 N.C. App. 412
    , 
    520 S.E.2d 595
    (1999) (holding that department of social services staff members
    who were acting for and representing the director of social services were public
    officials because the director, a public official, had the statutory authority to delegate
    to staff members authority to act as his representative), and Price v. Davis, 132 N.C.
    App. 556, 
    512 S.E.2d 783
    (1999) (without discussing the Isenhour criteria, holding
    that a correctional sergeant and an assistant superintendent at a correctional facility
    were public officials), stating that “the party being sued [in those cases] was either
    employed in a position created by statute, or delegated a statutory duty by a person
    or organization created by statute.” 
    Farrell, 199 N.C. App. at 179
    , 682 S.E.2d at 229.
    In contrast, the Court in Farrell noted that although N.C. Gen. Stat. § 115C-307
    defines the duties of teachers and N.C. Gen. Stat. § 115C-325 governs the system of
    employment for public school teachers, neither of those statutes create the position
    of teacher. 
    Id. at 177,
    682 S.Ed.2d at 228. Thus, despite the explicit constitutional
    guarantee of the right to a free public education, see Leandro v. State, 
    346 N.C. 336
    ,
    
    488 S.E.2d 249
    (1997), the State’s constitutional duty to guard and maintain that
    right, see N.C. Const. art. 1, § 15, and statutes providing for the hiring of teachers,
    defining the duties of teaches, and governing the system of employment for teaches,
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    LEONARD V. BELL
    Opinion of the Court
    see N.C. Gen. Stat. §§ 115C-299, -307, and -325, teachers that are employed to fulfill
    the State’s duty are not public officials entitled to immunity.
    Similarly, although defendants are employed by DPS to help fulfill the State’s
    duty to provide health services to inmates, DPS’s decision to employ its own
    physicians in the DAC does not mean that those physicians hold positions created by
    statute to be considered a public official. To hold otherwise would open the flood gates
    so that any physician providing health services to an inmate in the DAC, whether or
    not the physician was directly employed by DPS, or any DPS employees providing
    services relating to the care and wellbeing of inmates for that matter, even those
    providing the food services, would be considered to hold positions created by statute
    so as to satisfy the first prong of the public official analysis. We reject such an
    analysis that vastly expands the scope of public official immunity to those employees.
    Although Dr. Bell and Dr. Stover were both physicians employed by DPS to provide
    health services to inmates in the DAC, their positions were not created by statute.
    Therefore, like the teacher in Farrell, they are not public officials for purposes of
    public official immunity.
    Regarding the second and third prongs in the public official analysis,
    defendants contend that because they fulfill the DAC’s duty to provide health services
    to inmates, their jobs necessarily involve the power of the sovereign and the exercise
    of discretion. Because we hold that defendants’ positions are not created by statute,
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    LEONARD V. BELL
    Opinion of the Court
    we need not address the remaining elements to reach the conclusion that defendants
    are not public officials entitled to immunity. We, however, take this opportunity to
    note that there is nothing uniquely sovereign about the health services provided by
    defendants to plaintiff in this case, except that plaintiff was an inmate in the DAC.
    Furthermore, all physicians exercise discretion in the evaluation and treatment of
    patients. The discretion exercised by defendants in providing health services to
    plaintiff in this case is no different than the discretion exercised by physicians
    treating patients outside of the DAC system.
    Finally, while not dispositive to our analysis, we note that neither of these
    defendants took an oath of office as is often required to be considered a public official.
    See 
    Baker, 224 N.C. App. at 433
    , 737 S.E.2d at 151.
    III.   Conclusion
    For the foregoing reasons, we affirm the trial court’s decision to deny
    defendants’ motions to dismiss based on assertions of public official immunity.
    AFFIRMED.
    Judges ELMORE and DIETZ concur.
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