AROJOJOYE v. ALLEN
CourtArizona Supreme Court
Date FiledAugust 21, 2026
DocketCV-25-0119-PR
StatusPublished
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Full Opinion
IN THE
SUPREME COURT OF THE STATE OF ARIZONA
OYESIJI A. AROJOJOYE, M.D.,
Petitioner,
v.
VICKIE ALLEN, SPECIAL ADMINISTRATOR OF THE ESTATE OF CRYSTAL
ALLEN, FOR AND ON BEHALF OF THE DECEDENT’S ESTATE; VICKIE ALLEN,
HERSELF AS SURVIVING MOTHER AND ON BEHALF OF ALL STATUTORY
BENEFICIARIES,
Respondent.
No. CV-25-0119-PR
Filed August 21, 2026
Special Action from the Superior Court in Maricopa County
The Honorable Michael D. Gordon, Judge
No. CV2020-055357
VACATED AND REMANDED
Memorandum Decision of the Court of Appeals
Division One
No. 1 CA-SA 24-0270
Filed Apr. 17, 2025
VACATED
COUNSEL:
Douglas R. Cullins, Eileen Dennis GilBride (argued), Jones, Skelton &
Hochuli P.L.C., Phoenix, Attorneys for Oyesiji A. Arojojoye, M.D.
Jeffrey L. Victor (argued), Jeffrey L. Victor, P.C., Scottsdale, Attorney for
Vickie Allen
Adam Studnicki, Studnicki Law Firm, P.C., Scottsdale, Attorney for Amicus
Curiae Arizona Association for Justice/Arizona Trial Lawyers Association
AROJOJOYE V. ALLEN
Opinion of the Court
Kelley M. Jancaitis, Broening Oberg Woods & Wilson, P.C., Phoenix,
Attorneys for Amici Curiae Arizona Medical Association, American
Medical Association, and Phoenix Children’s Hospital, Inc.
JUSTICE MONTGOMERY authored the Opinion of the Court, in which
CHIEF JUSTICE TIMMER, VICE CHIEF JUSTICE LOPEZ and JUSTICES
BOLICK, BEENE, CRUZ, and PELANDER (Retired) joined. *
JUSTICE MONTGOMERY, Opinion of the Court:
¶1 To establish a claim of medical malpractice, a plaintiff must
prove that a health care provider failed to meet the standard of care and
that this failure caused the alleged injury. A.R.S. § 12-563. Arizona law
requires that this proof be offered through expert testimony, with a limited
exception. Francisco v. Affiliated Urologists Ltd., 258 Ariz. 95, 101 ¶ 25 (2024)
(“The only exception to the statutory requirement for expert testimony lies
within the common-law doctrine of res ipsa loquitur.”). In Baker v.
University Physicians Healthcare, 231 Ariz. 379, 384 ¶ 14 (2013), this Court
interpreted A.R.S. § 12-2604 to determine the qualifications required of an
expert testifying about the standard of care. Baker concluded that the
statute required that when the care or treatment at issue falls within the
defendant physician’s specialty, a standard of care expert must have the
same specialty.
¶2 Here, the defendant physician asserts that he is a board
certified wound care specialist and that the treatment he provided was
wound care. Thus, he argues that the plaintiff’s standard of care expert
must also be a board certified wound care specialist. The trial court found
that the treatment provided was not within the defendant physician’s
claimed specialty, though it did find that he held the claimed certification.
The court of appeals concluded that the treatment at issue was wound care
and, relying on Baker, found that the defendant physician was a wound care
specialist “within the meaning of [§] 12-2604(A)” when he provided the
treatment, meaning a qualified expert witness must also be a wound care
* Justice Kathryn H. King is recused from this matter. Pursuant to
article 6, section 3 of the Arizona Constitution, Justice John Pelander
(Retired) of the Arizona Supreme Court was designated to sit in this matter.
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AROJOJOYE V. ALLEN
Opinion of the Court
specialist. Arojojoye v. Allen, No. 1 CA-SA 24-0270, 2025 WL 1135746, at *3
¶ 14, *4 ¶ 20 (Ariz. App. Apr. 17, 2025) (mem. decision).
¶3 We must determine whether the court of appeals properly
applied § 12-2604(A) as we interpreted it in Baker. Our inquiry is twofold:
(1) whether the treatment at issue is within the practice of wound care; and
(2) whether the defendant physician’s claimed board certified wound care
specialty qualifies as a specialty under § 12-2604.
¶4 Because the court of appeals did not correctly identify the care
or treatment at issue or engage in the required analysis of the claimed board
certified specialty, it did not properly apply § 12-2604. We therefore
vacate the court of appeals’ memorandum decision. Furthermore, the
record is unclear as to whether the trial court considered the care or
treatment at issue as alleged by the plaintiff. We therefore also vacate the
trial court’s ruling and remand to the trial court for reconsideration
consistent with this Opinion.
FACTS & PROCEDURAL BACKGROUND
¶5 In 2018, Crystal Allen suffered a stroke and was admitted to
a skilled nursing facility. During her stay, Dr. Oyesiji Arojojoye evaluated
her for a pressure ulcer on her left hip and performed a debridement of the
affected area. Shortly thereafter, Crystal developed an infection that led
to sepsis, and she died. 1 Crystal’s mother, Vickie Allen, sued Arojojoye
and others, alleging that they “failed to protect [Crystal] from incurring
septic shock, sepsis, and skin abscess,” “failed to timely and accurately
assess [Crystal’s] medical conditions and refer [her] for any immediate
medical treatment,” and “failed to appropriately treat and prevent [her]
from obtaining multiple abscesses, sepsis and septic shock.” Allen
retained Andrew Marc Meillier, M.D., who is board certified in internal
medicine, as her standard of care expert.
¶6 Arojojoye moved for summary judgment. He asserted that,
in addition to being board certified in internal medicine, he was also a board
certified wound care specialist and provided wound care to Crystal.
1 Because this case involves multiple family members with the Allen
surname, we respectfully use Crystal’s first name and refer to Vickie Allen
by her surname.
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AROJOJOYE V. ALLEN
Opinion of the Court
Arojojoye argued that under § 12-2604, therefore, any alleged deviations
from the standard of care must be addressed by a physician who had the
same education and training and who practiced in the same specialty as he
did. Arojojoye thus argued that Meillier, who did not have the same
specialty, could not testify to the standard of care. Consequently, without
testimony from a qualified expert, Arojojoye asserted that Allen could not
make a prima facie case of medical negligence against him. 2
¶7 Allen opposed Arojojoye’s motion and conceded that Meillier
was not board certified in wound care. Regardless, she argued that
Arojojoye was not a wound care specialist and that he was practicing as an
internist when he treated Crystal. Accordingly, Allen argued that
Meillier, as a board certified internist, had the requisite certification to
testify as an expert on the standard of care under § 12-2604(A).
¶8 The trial court denied Arojojoye’s motion for summary
judgment. The court found that, although he was a certified wound care
specialist, the care he provided fell within his internal medicine practice.
Therefore, the court ruled that Meillier was qualified to testify. Arojojoye
then filed a special action petition with the court of appeals.
¶9 The court of appeals accepted special action jurisdiction and
granted relief. Arojojoye, 2025 WL 1135746, at *1 ¶ 1. The court initially
rejected Allen’s argument that Arojojoye was not a wound care specialist
because he failed to sufficiently demonstrate that he held the certification
at the time he treated Crystal. Id. at *2 ¶ 11. The court instead concluded
that, given a witness’s competence to testify to facts within their personal
knowledge, Arojojoye’s uncontroverted declaration that he held the
certification supported the trial court’s finding that he was certified at the
time of treatment. Id. at *2 ¶ 12.
¶10 Allen also argued that Arojojoye was not certified in wound
care because the certification lacked any “special, distinct, or advanced
training in wound care” and that the certification was merely a marketing
tool. She further noted that it was not mentioned on his practice’s website,
and he did not hold himself out as a wound care specialist. Id. at *3
¶¶ 13–14. Relying on § 12-2604 and Baker, the court of appeals rejected
2 Arojojoye also sought summary judgment on two other issues not before
us.
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Opinion of the Court
these arguments and concluded that “Arojojoye’s board certification in
wound care by the [American Board of Wound Management (“ABWM”)]
establishes that . . . he was a wound care specialist within the meaning of
[§] 12-2604(A).” Id. ¶ 14.
¶11 The court further disagreed with Allen’s contention that
Arojojoye was practicing as an internist at the time of treatment. It also
concluded that “[t]o the extent [the trial court found] that the medical
treatment at issue in this case was outside Arojojoye’s wound care specialty,
this finding is supported by no evidence in the record.” Id. ¶ 17. Finally,
the court rejected Allen’s argument that an internist qualifies as a wound
care provider, reasoning that Baker requires an expert with the same
specialty, even if a physician with another specialty could have rendered
the treatment at issue. Id. at *4 ¶ 18. The court therefore determined that
Allen needed a board certified wound care specialist to testify as to the
applicable standard of care. Id. ¶ 20. As a result, it reversed the trial
court’s denial of Arojojoye’s motion for summary judgment and remanded
for entry of judgment in his favor. Id. ¶ 21.
¶12 Allen petitioned this Court for review. Because
expert witness qualifications in medical malpractice actions are a recurring
issue of statewide importance, we granted review on the rephrased
question: “Did the court of appeals misapply A.R.S. § 12-2604 and this
Court’s decision in Baker v. University Physicians Healthcare, 231 Ariz. 379
(2013), in concluding that Plaintiff’s medical malpractice expert was
unqualified to provide expert testimony?” We have jurisdiction under
article 6, section 5(3) of the Arizona Constitution.
DISCUSSION
¶13 We review summary judgment determinations de novo.
Glazer v. State, 237 Ariz. 160, 167 ¶ 29 (2015). In doing so, we consider the
facts in the light most favorable to the nonmoving party. Windhurst v.
Ariz. Dep’t of Corr., 256 Ariz. 186, 191 ¶ 11 (2023).
¶14 Allen argues that, consistent with Baker, a specialty is one that
“objectively” identifies and reflects “distinct training and experience,” so
the value of certification lies in “the advanced training and skill learned
through the certification requirements.” Allen further asserts that when a
certification neither provides nor requires advanced training or skill,
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Opinion of the Court
§ 12-2604’s requirements should not apply. Here, Allen notes that the
ABWM only requires three years of practice involving wound care services,
payment of a fee, and passage of an exam to obtain certification.
¶15 Arojojoye argues that a “specialty” is not limited to American
Board of Medical Specialties (“ABMS”) certifications and includes a broad
range of practice areas recognized by other certifying bodies. He contends
that a specialty is simply an area of medicine in which a physician may
become board certified. With respect to the ABWM, Arojojoye notes that
it is accredited by the National Commission for Certifying Agencies, and
the certification requires three-plus years of clinical wound care experience,
passage of a national exam, and six hours of continuing education annually,
“which is exactly the kind of certification process that § 12-2604 envisions.”
A. Baker and § 12-2604(A)(1)
¶16 Section 12-2604(A)(1) provides:
In an action alleging medical malpractice, a person shall not
give expert testimony on the appropriate standard of practice
or care unless the person is licensed as a health professional
in this state or another state and the person meets the
following criteria:
1. If the party against whom or on whose behalf the testimony
is offered is or claims to be a specialist, specializes at the time
of the occurrence that is the basis for the action in the same
specialty or claimed specialty as the party against whom or
on whose behalf the testimony is offered. If the party against
whom or on whose behalf the testimony is offered is or claims
to be a specialist who is board certified, the expert witness
shall be a specialist who is board certified in that specialty or
claimed specialty.
In Baker, this Court considered the meaning of “specialty,” “specialist,” and
what constitutes board certification under § 12-2604. 231 Ariz. at 384 ¶ 10.
We began by declaring the statute ensured that “in a medical malpractice
action, only physicians with comparable training and experience may
provide expert testimony regarding whether the treating physician
provided appropriate care.” Id. at 383 ¶ 9.
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AROJOJOYE V. ALLEN
Opinion of the Court
¶17 However, we noted that “only if the care or treatment
involved a medical specialty will expertise in that specialty be relevant to
the standard of care in a particular case.” Id. at 384 ¶ 12. Thus, “[i]f a
treating physician practices outside his or her specialty, the statute does not
require a testifying expert to possess qualifications in an irrelevant medical
specialty.” Id. ¶ 13. Accordingly, this Court interpreted § 12-2604(A) to
require “that a testifying expert specialize ‘in the same specialty or claimed
specialty’ as the treating physician only when the care or treatment at issue
was within that specialty.” Id. ¶ 14 (quoting § 12-2604(A)).
¶18 Turning to the meaning of “specialist” and “specialty,” we
“conclud[ed] that a ‘specialist’ is someone who devotes most of his or her
professional time to a particular ‘specialty.’” Id. at 385 ¶ 17. We further
noted that “the statute is . . . reasonably interpreted as contemplating that
‘specialty’ has a more general, objectively determinable meaning. In other
words, a physician might ‘claim’ to be a specialist, but the statute does not
mean that a ‘specialty’ is whatever the treating physician claims.” Id.
Ultimately, we “construe[d] ‘specialty’ for purposes of § 12-2604 as
referring to a limited area of medicine in which a physician is or may
become board certified.” Id. ¶ 21.
¶19 Baker grounded the determination of a specialty on board
certification because § 12-2604(A)(1) references “a specialist who is board
certified.” Id. ¶ 18. Additionally, the Court reasoned that “[d]efining
‘specialty’ by reference to practice areas in which a physician may obtain
board certification is a workable approach because these areas are
objectively identifiable and reflect recognition by certifying bodies that
certain practice areas involve distinct training and experience.” Id. ¶ 21.
However, we rejected limiting specialties to ABMS certifications. Id.
at 386 ¶ 22. Instead, we adopted a more flexible approach that determines
on a case-by-case basis whether a claimed specialty—or
subspecialty—qualifies as the relevant specialty, regardless of whether the
ABMS is the certifying body. Id. ¶¶ 24, 26.
¶20 We then set out what a trial court must do when a defendant
physician is or claims to be a specialist. Initially, a “court
must . . . determine if the care or treatment at issue involves the identified
specialty.” Id. ¶ 27. If it does, then an expert testifying against a
defendant physician “must share the same specialty as the [defendant]
physician.” Id. Finally, a court “must determine if the [defendant]
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Opinion of the Court
physician is board certified within that specialty. If so, any testifying
expert must also be board certified in that specialty.” Id.
¶21 The resolution of expert qualifications in Baker provides
further guidance. The parties contested whether the relevant specialty
was hematology or pediatric hematology-oncology. Id. at 387 ¶ 29. The
defendant physician was certified in both pediatrics and pediatric
hematology-oncology. Id. at 382 ¶ 3. The expert offered by the plaintiff
was certified in internal medicine, hematology, and medical oncology. Id.
¶22 The record in Baker “suggest[ed] that both non-pediatric and
pediatric hematologists could have treated a seventeen-year-old patient for
a blood disorder.” Id. at 387 ¶ 31. And we found that “[t]he trial court
did not abuse its discretion in concluding that [the defendant physician]
was practicing within her specialty of pediatric hematology-oncology.”
Id. Therefore, we concluded that § 12-2604 “required a testifying expert to
be certified in [the defendant physician’s] specialty, even if physicians in
other specialties might also have competently provided the treatment.”
Id.
¶23 We also noted parenthetically that the Court did not have the
occasion “to interpret the statutory language regarding a treating physician
who ‘claims to be a specialist who is board certified’” because the defendant
physician was “indisputably . . . board certified.” Id. at 387 ¶ 27. Here,
though, Arojojoye’s board certification is in dispute. Thus, we do have the
occasion to consider the application of § 12-2604 regarding a claimed board
certified specialty.
B. Standard of Review
¶24 As an initial matter, the parties dispute what standard of
review governs whether Dr. Arojojoye was treating Allen within an
identified specialty at the time of the alleged malpractice. Allen contends
that this determination is factual, entrusted to the trial court, and
reviewable only for abuse of discretion, and asserts that the court of appeals
violated that standard by substituting its own finding—that Arojojoye was
practicing as a wound care specialist—for the trial court’s finding that he
was practicing internal medicine.
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AROJOJOYE V. ALLEN
Opinion of the Court
¶25 Arojojoye responds that the court of appeals properly
reviewed the issue de novo because the trial court’s error was legal rather
than factual—it asked only whether he was “acting as an internist” rather
than whether he was acting within his board certified wound care
specialty—and that, in any event, the record was undisputed on that point,
leaving only a question of law. In his supplemental brief, Arojojoye offers
an alternative argument, conceding that Baker “seems to suggest (without
actually holding)” that abuse of discretion governs the specialty
identification inquiry. Still, he argues that the trial court abused its
discretion regardless because it either committed an error of law or reached
a conclusion unsupported by competent evidence.
¶26 Baker provides the answer. We review determinations
concerning expert witness qualifications for an abuse of discretion, aside
from issues regarding statutory interpretation, which we review de novo.
Baker, 231 Ariz. at 387 ¶ 30. “This standard of review equally applies to
admissibility questions in summary judgment proceedings.” Id.; see also
Rasor v. Nw. Hosp., LLC, 243 Ariz. 160, 163 ¶ 11 (2017) (quoting Baker in
reviewing a grant of summary judgment). We next consider whether the
care or treatment in question falls within Arojojoye’s claimed specialty.
C. Treatment Within the Specialty
¶27 Under Baker, “[t]he standard of care . . . necessarily depends
on the particular care or treatment at issue” and § 12-2604(A)(1) requires a
same-specialty expert “only when the care or treatment at issue was within”
the defendant’s specialty. 231 Ariz. at 384 ¶¶ 12, 14. Thus, a court must
initially identify the care or treatment at issue. And the record here
reflects considerable confusion.
¶28 Allen argues that the court of appeals failed to properly
consider what she alleges in her complaint. Specifically, she asserts that
she is not alleging that when Arojojoye treated Crystal’s wound, he failed
to meet the appropriate standard of care. Rather, she claims that Arojojoye
failed to provide the proper treatment when Crystal developed a fever or
when the infection began to worsen. Meillier’s declaration, which
addresses Arojojoye’s October 1, 2018 visit, states what treatment he should
have provided:
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AROJOJOYE V. ALLEN
Opinion of the Court
[Crystal] had a worsening of her left hip ulcer and was
experiencing fevers starting on October 1st. The worsening of
her ulcer represented a source of infection causing her sepsis.
Further workup with advanced imaging, surgery consultation for
infectious source control, and hospitalization for treatment of her
sepsis were indicated. Failure of Dr. Arojojoye to perform this
additional work up for evaluation and treatment for her sepsis
represents a breach of the standard of care.
(Emphasis added.) In other words, Allen does not allege that the wound
care Arojojoye provided caused or contributed to Crystal’s death, but rather
that his failure to follow up and provide treatment for the systemic infection
after the debridement caused her death.
¶29 Allen’s counsel underscored this distinction by arguing to the
trial court that “[t]here are no criticisms regarding the wound care
treatment.” Instead, counsel argued that “the whole criticism is
[Arojojoye] saw a fever, he noted a fever on October 1st, it’s an internal
medicine issue, and he did nothing about it as an internist. That’s the
criticism, okay, for Dr. Arojojoye.” 3
¶30 In contrast, Arojojoye focuses on the wound care
management he provided to Crystal, as confirmed by Meillier’s own
declaration. In particular, Arojojoye points out that Meillier’s declaration
included quotations from notes in Crystal’s medical records showing that
she received treatment from the “wound care team” from her admission in
July of 2018 and that “[w]ound care service Dr. Arojojoye was consulted for
evaluation . . . on August 6, 2018.” The declaration also stated that on
October 1, 2018, “Dr. Arojojoye of the wound care team . . . performed a
bedside debridement.” Arojojoye further asserts that his visit to Crystal
was part of a wound care team consultation to examine and assess
“multiple wounds,” which were addressed by the treatment plan he
ordered.
3 The court of appeals disregarded Allen’s citation to her counsel’s
arguments before the trial court because they “are not evidence.”
Arojojoye, 2025 WL 1135746, at *4 ¶ 19 (internal quotation marks omitted)
(internal citation omitted). We note counsel’s arguments not as evidence
in support of her underlying claim but to highlight the care or treatment
she alleged is at issue.
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Opinion of the Court
¶31 As to the treatment issue below, the trial court’s stated reason
for denying Arojojoye’s summary judgment motion reads: “While
Defendant Oyesiji Arojojoye M.D[.] has a certification as a wound
specialist, the care he rendered in this case—for which fault is alleged—falls
within his practice of internal medicine. Thus, Dr. [Meillier] is qualified to
testify.” The court of appeals challenged the trial court’s treatment
finding, stating that “[t]o the extent this constitutes a finding that the
medical treatment at issue in this case was outside Arojojoye’s wound care
specialty, this finding is supported by no evidence in the record.”
Arojojoye, 2025 WL 1135746, at *3 ¶ 17. The court then concluded that
Arojojoye was practicing wound care based on the declarations of
Arojojoye and Meillier describing the treatment actually rendered to
Crystal. Id.
¶32 The parties’ arguments and this record reveal that the court
of appeals and Arojojoye misapprehend Allen’s allegations regarding the
care or treatment at issue. It is not what Arojojoye did while treating
Crystal’s wound (as a wound care specialist or otherwise) that is at issue,
but what he did not do after she developed an infection. In other words,
the care or treatment at issue does not involve the adequacy of the wound
debridement itself, but the alleged failure to recognize, evaluate, and treat
Crystal’s developing systemic infection. § 12-2604(A)(1). And the record
does not reflect whether the treatment Arojojoye allegedly failed to provide
falls within the wound care specialty or not.
¶33 In reaching its conclusion regarding treatment, the court of
appeals considered only what Arojojoye did to treat Crystal’s wounds.
The court did not consider the follow-up care or treatment as alleged by
Allen. Thus, by not correctly identifying the care or treatment at issue to
determine whether it was within the practice of wound care, the court of
appeals did not properly apply § 12-2604.
¶34 With respect to the trial court’s ruling, it is indeterminate. In
denying summary judgment, the court found that “the care [Arojojoye]
rendered in this case” fell outside wound care. Rule 56(a), Arizona Rules
of Civil Procedure, required the court to state the reasons for its ruling with
enough clarity to permit appellate review. This finding does not do that,
because it permits two different readings that lead to two different
conclusions.
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Opinion of the Court
¶35 Under the first reading, “care rendered” means the treatment
Arojojoye actually gave Allen. On this reading, the court found that this
treatment—basic wound care—falls within internal medicine rather than
wound care. But basic wound care could fall within both specialties, and
the court’s finding does not address that possibility.
¶36 Under the second reading, “care rendered” means the
follow-up care and sepsis treatment that Allen alleges Arojojoye failed to
provide. This reading requires us to infer that “care rendered” refers to
care that was not rendered. On this reading, the court found that the
omitted follow-up and sepsis treatment falls within internal medicine only.
¶37 The record does not reveal which reading the trial court
adopted, or whether the court considered whether basic wound care might
fall within both specialties. Ordinarily, we would affirm “where any
reasonable view of the facts and law might support the judgment of the trial
court.” City of Phoenix v. Geyler, 144 Ariz. 323, 330 (1985); see also McAlister
v. Loeb & Loeb, LLP, 260 Ariz. 97, 108 ¶ 49 (2025) (affirming superior court’s
entry of summary judgment on other grounds). But we cannot apply that
principle without knowing what the trial court actually decided. And the
fact-intensive nature of the inquiry into whether a specialty qualifies under
§ 12-2604, which also governs expert witness qualification, counsels against
our resolving that question in the first instance. See Baker, 231 Ariz. at 386
¶ 26 (determination of relevant specialty “depend[s] on the circumstances
of a particular case”).
¶38 We are also mindful that a specialist may provide treatment
that does not involve their particular specialty but is part of a broader
practice. See id. And “different specialists may be prepared by training
and experience to treat the same medical issue for a particular patient.” Id.
at 383 ¶ 9. Thus, it might prove true that the alleged omissions are part of
the practice of internal medicine and wound care, similar to what the trial
court found in Baker. See id. at 387 ¶ 31. If so, then Baker makes clear that
Allen’s testifying expert must have the same board certified specialty as
Arojojoye. Id. at 386 ¶ 26 (discussing overlapping specialties and care).
Accordingly, we vacate the trial court’s ruling and remand for
consideration of Arojojoye’s motion while applying the principles in this
Opinion. See, e.g., Higdon v. Evergreen Int’l Airlines, Inc., 138 Ariz. 163, 167
(1983) (concluding that “where findings are infirm because of an erroneous
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Opinion of the Court
view of the law, a remand is the proper course unless the record permits
only one resolution of the factual issue”).
¶39 Our resolution renders further consideration of the parties’
arguments concerning Arojojoye’s claimed board certification unnecessary.
However, given the lower courts’ perfunctory assessment of his specialty
and the likelihood of further litigation on the issue on remand, we exercise
our discretion to provide further guidance on the application of § 12-2604.
D. ABWM Wound Care Certification Under § 12-2604(A)
1. Section 12-2604(A)(1)
¶40 If on remand the trial court determines that the treatment at
issue falls within wound care, “[t]he trial court then must determine if the
treating physician is board certified within that specialty.” Baker, 231 Ariz.
at 386 ¶ 27. As Baker noted, “a physician might ‘claim’ to be a specialist,
but the statute does not mean that a ‘specialty’ is whatever the treating
physician claims.” Id. at 385 ¶ 17. There is no reason to conclude
otherwise for a claimed board certified specialty.
¶41 Baker identified several characteristics of board certification
for a court’s consideration in determining whether a defendant physician’s
claimed area of practice qualifies as a specialty: (1) it is a voluntary process
administered by an organization that recognizes certain practice areas of a
branch of medicine or surgery; (2) it requires graduation from an accredited
medical school; (3) it involves “successful completion of residency or other
training,” reflecting distinct training and experience; and (4) it requires an
exam for certification and “continuing education and practice
requirements.” Id. ¶ 19. Other indicators of a qualifying board
certification include the conferral of “certain advantages such as hospital
privileges, lower malpractice insurance rates, and higher salaries.” Id.
¶ 20. Not part of the determination is whether the certification is
recognized by the ABMS. Id. at 386 ¶ 24. Nor are a physician’s motives
for obtaining certification relevant.
¶42 Here, the trial court simply stated that “Defendant
Oyesiji Arojojoye M.D[.] has a certification as a wound specialist.” The
court of appeals likewise concluded that “Arojojoye’s board certification in
wound care by the ABWM establishes that when he provided the treatment
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Opinion of the Court
at issue, he was a wound care specialist within the meaning of
[§] 12-2604(A).” Arojojoye, 2025 WL 1135746, at *3 ¶ 14. “But the statute
does not suggest that the [L]egislature intended the meaning of ‘specialty’
to turn on how a treating physician might describe his or her own particular
practice.” Baker, 231 Ariz. at 385 ¶ 17. And the record does not reveal the
extent of either court’s review of whether Arojojoye’s board certification
meets the requirements under § 12-2604. We express no view as to
whether it does.
¶43 Arojojoye argues that we should not “second guess the
accredited examination and certification process for wound care
management.” According to Arojojoye, “[m]edical professionals, not
courts or litigants, are in the best position to decide the proper criteria for
board certification.” As to the particulars of whether a certifying body
may offer certification, that may be true, but not with respect to whether
that certification satisfies the statutory requirements of § 12-2604.
¶44 Trial courts regularly perform a gatekeeping function in
determining the admissibility of expert testimony. See, e.g., State v. Strong,
258 Ariz. 184, 208 ¶ 101 (2024) (observing in context of Arizona Rule of
Evidence 702 that “[t]rial courts serve as the ‘gatekeepers’ of admissibility
for expert testimony, with the aim of ensuring such testimony is reliable
and helpful to the jury.” (quoting State v. Romero, 239 Ariz. 6, 9 ¶ 12 (2016))).
Moreover, judicial review ensures the specialty requirement remains tied
to the “comparable training and experience” under § 12-2604 and that the
certification reflects materially distinct training and experience. Baker,
231 Ariz. at 383 ¶ 9. Thus, when a defendant physician invokes a claimed
board certified specialty to exclude a plaintiff’s expert, the court must
review the defendant physician’s claimed certification to determine
whether it satisfies the requirements of § 12-2604(A).
2. Section 12-2604(A)(2)
¶45 As relevant here, subsection (A)(2) provides:
2. During the year immediately preceding the occurrence
giving rise to the lawsuit, devoted a majority of the person’s
professional time to either or both of the following:
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AROJOJOYE V. ALLEN
Opinion of the Court
(a) The active clinical practice of the same health profession as
the defendant and, if the defendant is or claims to be a
specialist, in the same specialty or claimed specialty.
¶46 As we explained in Baker, § 12-2604(A)(2) requires that a
testifying expert have devoted a majority of that expert’s professional time
to the relevant specialty in the year preceding the occurrence. Id. at 385
¶ 16. We further noted that “this requirement suggests that in order for
the [defendant] physician to be a specialist, he or she must have similarly
spent a majority of his or her professional time practicing or teaching in the
claimed specialty.” Id. Arojojoye argued at oral argument that this
“suggestion” is dicta.
¶47 Although this Court did not need to consider the timing
requirement of subsection (A)(2) in Baker, the observation we made
maintains the statute’s intent of ensuring comparable training and
experience between a testifying expert and a defendant physician. Id.
at 387 ¶ 28. Consequently, “[b]ecause an individual cannot devote a
‘majority’ of his or her time to more than one specialty,” id., a defendant
physician asserting a board certified specialty for purposes of § 12-2604
must have devoted a majority of his professional time to the relevant
specialty in the year preceding the occurrence, as well, see id. at 385 ¶ 16.
¶48 Because we remand this case to the trial court for
reconsideration, we do not consider Arojojoye’s argument that Allen
waived the issue of whether he satisfies the requirements of § 12-2604(A)(2).
Either party may raise arguments concerning expert qualifications under
§ 12-2604 based on our guidance in this Opinion. See, e.g., Gulf Homes, Inc.
v. Goubeaux, 136 Ariz. 33, 37 (1983) (noting that “[w]hen the appellate court
reverses and remands a cause without specific directions to enter judgment,
a new trial may be required”); Jimenez v. Wal-Mart Stores, Inc., 206 Ariz. 424,
427 ¶ 12 (App. 2003) (discussing the ability of parties on a remand for a new
trial to “make new motions, raise new objections, and present additional
evidence” (quoting United States v. Tham, 960 F.2d 1391, 1397 n.3 (9th Cir.
1992))).
CONCLUSION
¶49 We hold that the court of appeals did not properly apply
§ 12-2604 as interpreted in Baker, and we vacate its memorandum decision.
The trial court’s stated reason for denying Arojojoye’s motion for summary
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AROJOJOYE V. ALLEN
Opinion of the Court
judgment is unclear regarding the consideration of the care or treatment as
alleged by Allen, and whether it fell within wound care or not. We
therefore vacate the trial court’s ruling denying summary judgment and
remand for the court to consider the motion consistent with this Opinion.
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