Callaway v. Lee Memorial Health System

CourtDistrict Court, M.D. Florida
DecidedJanuary 10, 2022
Docket2:19-cv-00745
StatusUnknown

This text of Callaway v. Lee Memorial Health System (Callaway v. Lee Memorial Health System) is published on Counsel Stack Legal Research, covering District Court, M.D. Florida primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Callaway v. Lee Memorial Health System, (M.D. Fla. 2022).

Opinion

UNITED STATES DISTRICT COURT MIDDLE DISTRICT OF FLORIDA FORT MYERS DIVISION

DR. EILEEN CALLAWAY,

Plaintiff,

v. Case No.: 2:19-cv-745-SPC-MRM

LEE MEMORIAL HEALTH SYSTEM,

Defendant. / OPINION AND ORDER1 Before the Court is Defendant Lee Memorial Health System’s Motion for Summary Judgment (Doc. 56). Plaintiff Eileen Callaway responded in opposition (Doc. 64), to which Lee Health replied (Doc. 66). The Court grants the Motion. BACKGROUND Eileen Callaway is a former student of Florida State University’s medical residency program and resident physician with Lee Health. Callaway alleges that she experienced disability discrimination and was retaliated against for objecting to disability discrimination. She also alleges she was retaliated

1 Disclaimer: Documents hyperlinked to CM/ECF are subject to PACER fees. By using hyperlinks, the Court does not endorse, recommend, approve, or guarantee any third parties or the services or products they provide, nor does it have any agreements with them. The Court is also not responsible for a hyperlink’s availability and functionality, and a failed hyperlink does not affect this Order. against for taking job-protected leave and that her right to leave was interfered with.

In 2011, Lee Health and Florida State University College of Medicine entered an Affiliation Agreement to put a family medicine residency program in place at Lee Health facilities and to staff that program with FSU students. (Doc. 50-21). FSU developed the program, ran the residency, and maintained

accreditation, and, after ensuring that the residents met all requirements, presented them with a diploma. Lee Health provided the clinical facilities and other support. Dr. Gary Goforth started at FSU as the Program Director in 2012. The Program requires three years of training at local hospitals and

community physician offices. The Program took its first resident in 2014. Following medical school, Callaway spent a year as a surgical resident at Wayne State University at Detroit Medical Center. In the summer of 2015, she transferred to be a family medicine resident in FSU’s Medical Residency

Program and entered into a Resident Training Agreement—a three-party agreement between Callaway, Lee Health, and FSU. There are two components to graduate from FSU’s Medical Residency Program in compliance with accreditation standards: a two-year continuity

requirement, and 1650 continuity-care patient visits. As Program Director, Goforth determined how many transfer credits Callaway received. The number of transfer credits Callaway received was not settled right away. In 2017, Wayne State provided a letter stating that Callaway had over 800 patient visits while there. (Doc. 64-2). Because patient encounters for a

surgical residency differ from those in a family medicine program, Goforth gave Callaway credit for 150 patient visits—the average patients a first-year resident in a family medicine program sees. Goforth also gave her six-and-a- half month’s credit for the surgery program she came from.

Callaway testified about two other residents that transferred from Wayne State and allegedly received more credit than her. First, Chelsey Scheiner, who was a urology resident with a similar first-year surgical rotation schedule, received transfer credit for 600 patient visits. Goforth testified that

he would “never” have given her that much transfer credit. Second, Callaway believed that Roy, who had time in both emergency medicine and anesthesiology, received transfer credit for 1000 patient visits. But Callaway presents no affirmative evidence showing that Scheiner and Roy received the

credits she alleges. To work as a resident at Lee Health, Callaway had to be enrolled in FSU’s Medical Residency Program. Goforth had approval discretion over whether Callaway continued in the program.

During the first months there, Callaway had performance issues. In October 2015, she scored poorly on an annual in-training exam that assesses how the resident would perform on the board certification exam taken at the end of their residency. Callaway attributes the low score to the fact that the morning of the test she received news that a family member was involved in a

horrific accident. Because of the low score, FSU placed her on a “remediation plan” through March 2016. (Doc. 59-3). The plan set forth goals such as improving certain required test scores to at least the minimum passing level, improving efficiency on inpatient services, and improving her skills related to

patient encounters. She says other residents failed the exam and were not placed on a remediation plan, but she offers no evidence to support that claim. Callaway denies there were deficiencies in her performance, other than she took longer to complete certain tasks because she suffers from attention deficit

disorder. At the end of the remediation period, Callaway met many goals, but she remained below her expected level based upon years of training, and so the remediation period was extended through May 2016. Even so, Goforth

determined that she was eligible for a promotion. She took the in-training exam again at the end of the remediation period and received a perfect score, but Goforth questioned its validity because of how quickly the score jumped and how quickly she finished the test. The test was an old test available online

and he suspected that Callaway had reviewed the test beforehand. Despite performance issues, in February 2017, Lee Health extended Callaway an offer to work as a physician in their Bonita Bay office after completing her residency, beginning in January 2018. Lee Health and Callaway signed an employment agreement. (Doc. 59-5).

In June 2017, Callaway received verbal counseling for multiple issues, including lack of professionalism, lack of clinic volume, and efficiency, which were memorialized in a memorandum of record. (Doc. 59-6). She was warned that further actions may cause her dismissal from the Program.

The next month, Callaway was placed on an “academic enhancement plan” for clinical efficiency and professionalism. (Doc. 59-7). She was behind in the clinic encounters required to graduate from the residency program. Later that month, Callaway received another verbal counseling because

she left after a resident meeting without telling anyone and did not respond to messages until the next day. She also failed to show to present a lecture where multiple residents and faculty were in attendance. The verbal counseling is memorialized in a memorandum of record. (Doc. 59-8). According to the memo,

Callaway told Goforth she has been dealing with major depression and had to lie down after the resident meeting because of medication side effects. It appears this was the first time FSU learned of her depression. At her deposition, Callaway testified that she missed the lecture because she was

having neck spasms from the medications she was taking and had taken Benadryl. Goforth told her she must take FMLA time away from the program to deal with her personal medical issues. He told her to use FMLA leave to take off at least two weeks and ideally four weeks, but she could use FMLA leave for up to 12 weeks, if necessary. The memo reads: “Prior to returning to

work, she is advised that her provider(s) need to send a letter indicating that she is capable of caring for patients and managing her personal affairs as well as being medically stable.” (Doc. 59-8). Callaway says that she was forced to take this FMLA leave. Still, she testified that Lee Health allowed her to take

her requested FMLA leave and denied none of her FMLA requests. She testified she took the full 12 weeks of FMLA leave.

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