Bullock v. Arizona Board of Regents

District Court, D. Arizona·Decided January 23, 2025·No. 4:24-cv-00520·Unknown

Opinion

WO

Brenna Bullock, No. CV-24-00520-TUC-SHR

Plaintiff, Order Granting Defendant’s Motion to Dismiss v.

Arizona Board of Regents, et al.,

Defendants. Pending before the Court is Defendant Arizona Board of Regents’ (ABOR’s) Motion to Dismiss Plaintiff’s Injunctive Relief Claims (Doc. 23) filed pursuant to Federal Rule of Civil Procedure 12(b)(1). The Motion is fully briefed. For the reasons stated below, the Court will grant Defendant’s Motion. Plaintiff began her residency in the University of Arizona College of Medicine’s Ophthalmology Residency Program (the “Program”) in July 2021. (Doc. 26 at 2–3.) Plaintiff was the only female resident in her Program year. (Id. at 3.) Plaintiff expected to graduate from the Program in 2025 and planned to apply for a vitreoretinal surgery fellowship. (Id.) In April 2023, Plaintiff began expressing concerns to faculty members about gender discrimination in the Program. (Id. at 4.) In June 2023, after complaining she was receiving fewer surgical opportunities than male residents, Plaintiff was placed on administrative leave and required to undergo a behavioral health evaluation. (Id. at 5.) Plaintiff returned from leave and subsequently reported being subjected to retaliatory treatment and hostility. (Id. at 6–9.) She was again placed on administrative leave in January 2024 and required to undergo another behavioral health examination, after which she was required to attend therapy with a psychiatrist before returning to work. (Id. at 10– 11.) Plaintiff returned to work in April 2024. (Doc. 26 at 11.) In June, Program Director Defendant Todd Altenbernd, M.D., issued a Notice of Recommended Disciplinary Action informing Plaintiff the Program was considering her dismissal based on allegations of unprofessional conduct. (Id. at 12; Doc. 21-4 at 2–16.) Plaintiff appeared before the Clinical Competency Committee (CCC) and presented a statement to contest the recommended dismissal. (Doc. 26 at 13; Doc. 21-6 at 2.) On June 26, 2024, Altenbernd issued a Notice of Final Disciplinary Action dismissing Plaintiff from the Program. (Doc. 26 at 13; Doc. 21-6 at 2–6.) Plaintiff appealed to Defendant Conrad Clemens, M.D.—the Designated Institutional Officer (DIO)—asserting, among other things, Altenbernd had acted in retaliation for concerns raised by Plaintiff during her time in the Program. (Doc. 26 at 13; Doc. 27-1 at 7, 10–11.) Plaintiff asked Clemens to reverse the dismissal decision and reinstate her in the Program “subject to a six-month Performance Improvement Plan or a Probation.” (Doc. 26 at 13; Doc. 27-1 at 7.) Plaintiff also asked Clemens to obtain an “advisory opinion” from the Graduate Medical Education Committee (GMEC). (Doc. 26 at 13; Doc. 27-1 at 7.) The GMEC issued an advisory opinion recommending reversal of Plaintiff’s dismissal from the Program. (Doc. 26 at 14; Doc. 21-1 at 22.) On August 12, 2024, Clemens issued a decision reversing Plaintiff’s dismissal, noting she had not been afforded a sufficient opportunity to remediate the deficiencies identified in the Notice and imposing the requested six-month probationary period. (Doc. 26 at 14; Doc. 21-1 at 22– 24) Plaintiff was scheduled to return to the Program on September 1, 2024. (Doc. 26 at 15.) Prior to her return, the University provided Plaintiff with the parameters of her probation. (Doc. 19-1 at 2–6.) Plaintiff rejected the terms by email and expressed concerns about working with Defendant Altenbernd. (Doc. 26 at 14–15; Doc. 15-1 at 13–14.) On September 9, Defendant Clemens issued a second Final Decision rescinding the offer for Plaintiff to return on probation and upholding Altenbernd’s dismissal decision, noting Plaintiff had “repeatedly rejected the terms of the very probation that [she] requested” and the “decision is final and is not subject to further review within the University.” (Doc. 15- 1 at 13–14; Doc. 26 at 16.) Plaintiff asked to appeal the decision, and Clemens denied her request. (Doc. 26 at 16.) On September 26, 2024, Plaintiff filed a Notice of Appeal for Judicial Review of Administrative Decision in Pima County Superior Court pursuant to Arizona’s Administrative Review Act (ARA)—A.R.S. §§ 12-901 to 12-914—contesting the University’s final administrative decision dismissing her from the Program. (Doc. 21- 1 at 2.) On October 24, 2024, Plaintiff filed a three-count Complaint in this Court. (Doc. 1 at 17–20.) In Count One, Plaintiff asserts claims of sex discrimination and retaliation under Title IX against Defendant ABOR—the governing board responsible for overseeing the University of Arizona—seeking reinstatement in the Program as well as compensatory damages. (Id. at 17–18.) In Count Two, Plaintiff asserts violations of 42 U.S.C. § 1983 against three Program faculty members—Defendants Altenbernd, Clemens, and Ophthalmology Department Chair Jonathan Holmes, M.D.—seeking only monetary damages. (Id. at 18–19.) In Count Three, Plaintiff seeks a permanent injunction against ABOR “enjoining Defendants and their officers, agents, employees, independent contractors, or other persons acting under their supervision and control or at their request from committing any discrimination or retaliation” against her. (Id. at 19–20.) The same day, Plaintiff moved for a temporary restraining order (TRO) and preliminary injunction, asking the Court to enjoin the University and its faculty “from imposing [her] dismissal . . . from the University’s medical resident program” and “from further discriminati[ng] and retaliati[ng] against” her. (Doc. 2 at 1.) On November 5, 2024, the Court granted Plaintiff’s motion and issued a TRO ordering Defendants to immediately reinstate Plaintiff in the Program without probationary status. (Doc. 13.) Defendant ABOR subsequently moved to dissolve the TRO, arguing compliance was “impossible” because reinstatement would require the Arizona Medical Board to reissue Plaintiff’s medical license and Banner-University Medical Group to rehire Plaintiff as an employee. (Doc. 15 at 3–6.) Neither Banner nor the medical board are named as defendants in Plaintiff’s original Complaint. (See Doc. 1.) Plaintiff opposed Defendant’s motion and moved for sanctions based on Defendant’s failure to comply with the TRO. (Docs. 19, 20.) In response to Plaintiff’s motion for sanctions, Defendant asserted Plaintiff had failed to inform the Court of her pending action in superior court seeking reversal of her dismissal from the Program. (Doc. 21 at 2, 7.) And, Defendant argued, because Plaintiff was already seeking relief in state court through the process for judicial review of an administrative decision set forth in the ARA—“‘the only vehicle by which’ a resident ‘may test the decision of’ a university’s appeal committee”—the Court lacked subject- matter jurisdiction over Plaintiff’s claims for injunctive relief. (Id. at 7 (quoting Rosenberg v. Ariz. Bd. of Regents, 118 Ariz. 489, 492 (1978)).) On November 15, 2024, the Court held a hearing on Defendant’s motion to dissolve. (See Doc. 22.) During the hearing, Plaintiff confirmed she had initiated an appeal in Pima County Superior Court seeking judicial review of the University’s decision to dismiss her from the Program before filing her Complaint and request for injunctive relief in this Court. Defendant indicated its intent to file a motion to dismiss based on the Court’s purported lack of jurisdiction. Based on the new information presented, the Court dissolved the TRO, set deadlines for briefing on Defendant’s motion to dismiss, and scheduled a preliminary injunction hearing for January 8, 2025. (See id.) On November 22, 2024, Defendant ABOR filed the instant Motion, asking

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