Baqir v. Principi

CourtCourt of Appeals for the Fourth Circuit
DecidedJanuary 20, 2006
Docket04-2369
StatusPublished

This text of Baqir v. Principi (Baqir v. Principi) is published on Counsel Stack Legal Research, covering Court of Appeals for the Fourth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Baqir v. Principi, (4th Cir. 2006).

Opinion

PUBLISHED

UNITED STATES COURT OF APPEALS FOR THE FOURTH CIRCUIT

RIAZ BAQIR, M.D.,  Plaintiff-Appellant, v.  No. 04-2369 ANTHONY J. PRINCIPI, Secretary, Department of Veterans Affairs, Defendant-Appellee.  Appeal from the United States District Court for the Western District of North Carolina, at Asheville. Lacy H. Thornburg, District Judge. (CA-02-179)

Argued: September 21, 2005

Decided: January 20, 2006

Before KING and GREGORY, Circuit Judges, and R. Bryan HARWELL, United States District Judge for the District of South Carolina, sitting by designation.

Affirmed by published opinion. Judge King wrote the opinion, in which Judge Harwell joined. Judge Gregory wrote a separate opinion concurring in part and dissenting in part.

COUNSEL

ARGUED: John Richard Sutton, Jr., SUTTON LAW FIRM, Candler, North Carolina, for Appellant. Paul Bradford Taylor, Assistant United States Attorney, OFFICE OF THE UNITED STATES ATTORNEY, 2 BAQIR v. PRINCIPI Charlotte, North Carolina, for Appellee. ON BRIEF: April Burt Sut- ton, SUTTON LAW FIRM, Candler, North Carolina, for Appellant. Gretchen C. F. Shappert, United States Attorney, Charlotte, North Carolina, for Appellee.

OPINION

KING, Circuit Judge:

Dr. Riaz Baqir appeals the district court’s award of summary judg- ment in favor of the Secretary of the Department of Veterans Affairs (the "VA") in Baqir’s employment discrimination suit. Baqir initiated this action in the Western District of North Carolina, alleging claims under, inter alia, Title VII of the Civil Rights Act of 1964, as amended, 42 U.S.C. §§ 2000e to 2000e-17 ("Title VII"), and the Age Discrimination in Employment Act of 1967, as amended, 29 U.S.C. §§ 621-634 (the "ADEA"). Baqir maintains that the VA subjected him to a hostile work environment during his employment at the VA Med- ical Center in Asheville, North Carolina (the "Asheville VA Center"); discharged him from that employment on the basis of his race, color, religion, national origin, and age; and retaliated against him for seek- ing administrative relief on his discrimination claims. Following dis- covery, the court awarded summary judgment to the VA on each of Baqir’s Title VII and ADEA claims. As explained below, we affirm.

I.

A.

In his complaint, Baqir alleges that he is black, he is a practicing Muslim, his national origin is Pakistani, and he was born on Novem- ber 1, 1946.1 After receiving a medical degree in Bangladesh in 1970, Baqir pursued his career as a physician in the United States, eventu- 1 Because this appeal is from an award of summary judgment to the VA, we are obliged to present and assess the relevant facts in the light most favorable to Baqir, the non-moving party. See Seabulk Offshore, Ltd. v. Am. Home Assurance Co., 377 F.3d 408, 418 (4th Cir. 2004). BAQIR v. PRINCIPI 3 ally as a cardiologist. He worked as a cardiologist at a hospital in New York between 1989 and 1994, and at the VA Medical Center in Wilkes-Barre, Pennsylvania (the "Wilkes-Barre VA Center"), between 1994 and 1998. In April 1998, Baqir left the Wilkes-Barre VA Center for a one-year unaccredited fellowship at the Pennsylvania Hospital in Philadelphia. His fellowship focused on training in the specialized field of interventional cardiology, which involves per- forming invasive procedures such as catheterizations to treat block- ages in coronary arteries with balloons, stents, and cutting devices. During his fellowship, Baqir acted as the primary operator on only basic — and never complex — procedures. Nevertheless, upon the completion of his fellowship, Baqir’s supervisors recommended him as an interventional cardiologist, observed that he was ready to per- form more complicated procedures, and opined that he was prepared to work independently.

Baqir was thereafter hired to serve as an interventional cardiologist at the Asheville VA Center, a job opportunity created by the resigna- tions of the only two interventional cardiologists on the Asheville VA Center’s staff. Baqir was expected to serve as the sole interventional cardiologist at the Asheville facility and to work independently with- out further specialized training.2

On July 7, 1999, Baqir (then age fifty-two) received a written employment offer from the Asheville VA Center. The offer specified that Baqir’s appointment was contingent upon his "satisfactory com- pletion of the credentialing process" and "approval by the Medical Center Director," and that the appointment was to run for a temporary period not to exceed thirteen months. J.A. 62.3 Baqir had been recruited to work for the Asheville VA Center by its Chief of Surgery, Dr. Peter McKeown; however, as reflected in the written offer, the final hiring authority rested with the Medical Center Director, James Christian, a non-physician. 2 Baqir contends that he was not informed of these expectations at the time he was hired, and that he did not represent that he could meet these expectations. He points to no evidence, however, to dispute that these actually were the VA’s expectations. 3 Citations herein to "J.A. ___" refer to the contents of the Joint Appen- dix filed by the parties in this appeal. 4 BAQIR v. PRINCIPI On July 15, 1999, the Physician Professional Standards Board and the Medical Staff Executive Council (together, the "Board") of the Asheville VA Center met to review Baqir’s credentials and consider his request for privileges in interventional cardiology.4 It was observed that, although Baqir was recommended as an interventional cardiologist by his supervisors at the Pennsylvania Hospital, one of his colleagues at the Wilkes-Barre VA Center described Baqir’s prac- tice abilities as "average" and refused to sign a peer appraisal form because the number of procedures that Baqir claimed to have per- formed "appeared grossly exaggerated." J.A. 65. Based on these mixed reviews of Baqir’s work, the Asheville VA Center’s Chief of Medicine, Dr. Lewis Elliston, expressed concern that Baqir was inex- perienced and that there was no interventional cardiologist on staff to proctor him. Id.5 Accordingly, the Board recommended, on July 15, 1999, that Baqir be granted privileges in "general, diagnostic cardiol- ogy," but that privileges in interventional cardiology be withheld pending an assessment of Baqir by an interventional cardiologist at another facility. Id. at 65-66. These recommendations, as embodied in the minutes of the Board meeting, were accepted by the Asheville

4 "Credentials" include such items as relevant licenses, information on physical and mental health status, peer assessments of professional com- petence, continuing education records, and board certifications. "Privi- leges," which are granted based on credentials and other considerations, allow a physician to practice at a hospital in a particular field of medi- cine. 5 As one Asheville VA Center official explained, the Center requires each new employee to undergo "a probationary period" during which his performance is evaluated and he can be terminated without all of the for- malities afforded to longer-term employees. J.A. 123-24. For a "physi- cian provider," the probationary period includes a proctorship, or observation by another doctor "to have one more double-check on the competence of that provider." Id. at 124. The proctorship consists of observation and evaluation, and "[i]t is absolutely not an additional train- ing period." Id.

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