Cauley, M.D., Ph.D. v. Geisinger Clinic

CourtDistrict Court, M.D. Pennsylvania
DecidedJanuary 27, 2022
Docket4:21-cv-00045
StatusUnknown

This text of Cauley, M.D., Ph.D. v. Geisinger Clinic (Cauley, M.D., Ph.D. v. Geisinger Clinic) is published on Counsel Stack Legal Research, covering District Court, M.D. Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Cauley, M.D., Ph.D. v. Geisinger Clinic, (M.D. Pa. 2022).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE MIDDLE DISTRICT OF PENNSYLVANIA

KEITH CAULEY, M.D., Ph.D, No. 4:21-CV-00045

Plaintiff, (Chief Judge Brann)

v.

GEISINGER CLINIC,

Defendant.

MEMORANDUM OPINION

JANUARY 27, 2022 After an acrimonious end to his employment at the medical group Geisinger Clinic, Dr. Keith Cauley found himself unable to land a job. He quickly identified the culprit responsible for his misfortune. It seems that Geisinger was telling his prospective employers that he couldn’t be trusted to do his job—at least, not well. Dr. Cauley found this particularly galling because he agreed to resign from Geisinger only after the medical group promised it wouldn’t speak ill of him to others. Accordingly, Dr. Cauley filed suit, bringing claims for breach of contract, promissory estoppel, intentional misrepresentation, and defamation. Geisinger now moves to dismiss all but the breach of contract claim. For the reasons provided below, Geisinger’s motion is granted in part, denied in part.

I. BACKGROUND On August 21, 2019, Geisinger placed Dr. Cauley, an associate in the

neuroradiology division of Geisinger’s radiology department, on administrative leave due to an internal peer review that revealed poor performance on Dr. Cauley’s behalf.1 Geisinger informed Dr. Cauley that it would send a set of his

diagnostic reports to a third party for an external review, and that he would remain on administrative leave pending the outcome of the external review.2 Geisinger explained that if the third party reviewer agreed with Geisinger’s judgment of Dr. Cauley’s performance, he could be subject to an adverse peer review action and

would be reported to the National Provider Data Bank (“NPDB”).3 Alternatively, if Dr. Cauley resigned, he would not appear on the NPDB.4 Dr. Cauley engaged counsel and together they met with Geisinger on September 13, 2019.5 During this meeting, Dr. Cauley and Geisinger reached an

agreement whereby Dr. Cauley agreed to resign within 48 hours and, in exchange, Geisinger committed to do the following: (1) “Permit Dr. Cauley to meet to review the peer reviews”;

(2) “Only provide neutral references regarding Dr. Cauley’s employment including only dates of employment;

1 Doc. 21 ¶¶ 8, 16–19. 2 Id. ¶¶ 24–25. 3 Id. ¶ 27. 4 Id. ¶ 26. (3) “Refrain from conducting any activity that could result in a report to the NPDB”; and (4) “Refrain from including in Dr. Cauley’s personnel file anything regarding the peer reviews or negative references.”6 The terms of the agreement were memorialized in an email Dr. Cauley’s attorney sent Geisinger’s counsel later that day.7 In the summer of 2020, Dr. Cauley applied for a per diem position at Tufts

Medical Center in Boston, Massachusetts.8 Tufts offered Dr. Cauley a one-year position, subject to a credentialing process that required a reference from a clinical supervisor within two years of clinical practice.9 Dr. Cauley provided as his

reference Dr. Christopher Filippi, then a chairman at Tufts and previously Dr. Cauley’s clinical supervisor at Columbia Presbyterian in New York, New York.10 The Tufts credentialing representative informed Dr. Cauley that Dr. Filippi agreed to serve as his clinical reference.11

One week later, Tufts cancelled the credentialing process.12 Dr. Cauley then spoke with Dr. Filippi to figure out what happened.13 Dr. Filippi informed Dr. Cauley that he was aware of a memorandum circulated at Geisinger indicating that

anyone who provided a professional reference for Dr. Cauley would be in legal

6 Id. ¶ 36–37. 7 Id. ¶ 38; see also Doc. 21, Ex. B (J. Weinstock Sept. 13, 2019 Email). 8 Doc. 21 ¶ 42. 9 Id. ¶¶ 43–48. 10 Id. ¶¶ 53–55. 11 Id. ¶ 56. 12 Id. ¶ 57. jeopardy.14 The memorandum “called into question Dr. Cauley’s professional capacity.”15 Further, it is Dr. Cauley’s understanding that Geisinger representatives

“informed other prospective employers of Dr. Cauley of information relating to an internal investigation” that similarly “call[ed] into question Dr. Cauley’s abilities as a radiologist.”16

On January 8, 2021, Dr. Cauley filed suit against “Geisinger Health,” advancing claims for breach of contract, misrepresentation, and defamation.17 The following month, Dr. Cauley amended his complaint, substituting Geisinger Clinic as the defendant.18 Geisinger filed its first motion to dismiss on April 19, 2021,19

and its supporting memorandum of law on May 3, 2021.20 Seven days later, on May 10, 2021, Dr. Cauley filed the Second Amended Complaint, which included four counts: (1) breach of contract; (2) promissory estoppel; (3) intentional misrepresentation; and (4) defamation.21 Geisinger filed a

motion to dismiss the Second Amended Complaint on May 24, 2021.22 The motion has been fully briefed and is now ripe for disposition.23

14 Id. ¶ 59. 15 Id. ¶ 101. 16 Id. ¶ 103. 17 Doc. 1. 18 Doc. 8. Throughout this opinion, “Geisinger” refers to Geisinger Clinic. 19 Doc. 17. 20 Doc. 19. 21 Doc. 21. 22 Doc. 24. II. LAW Under Federal Rule of Civil Procedure 12(b)(6), the Court dismisses a

complaint, in whole or in part, if the plaintiff has failed to “state a claim upon which relief can be granted.” A motion to dismiss “tests the legal sufficiency of a claim”24 and “streamlines litigation by dispensing with needless discovery and factfinding.”25 “Rule 12(b)(6) authorizes a court to dismiss a claim on the basis of

a dispositive issue of law.”26 This is true of any claim “without regard to whether it is based on an outlandish legal theory or on a close but ultimately unavailing one.”27

Following the Roberts Court’s “civil procedure revival,”28 the landmark decisions of Bell Atlantic Corp. v. Twombly29 and Ashcroft v. Iqbal30 tightened the standard that district courts must apply to 12(b)(6) motions.31 These cases “retired”

the lenient “no-set-of-facts test” set forth in Conley v. Gibson and replaced it with a more exacting “plausibility” standard.32

24 Richardson v. Bledsoe, 829 F.3d 273, 289 n.13 (3d Cir. 2016) (Smith, C.J.) (citing Szabo v. Bridgeport Machines, Inc., 249 F.3d 672, 675 (7th Cir. 2001) (Easterbrook, J.)). 25 Neitzke v. Williams, 490 U.S. 319, 326–27 (1989). 26 Id. at 326 (citing Hishon v. King & Spalding, 467 U.S. 69, 73 (1984)). 27 Id. at 327. 28 Howard M. Wasserman, The Roberts Court and the Civil Procedure Revival, 31 Rev. Litig. 313, 316, 319–20 (2012). 29 550 U.S. 544 (2007). 30 556 U.S. 662 (2009). 31 Id. at 670 (citing Conley v. Gibson, 355 U.S. 41, 45–46 (1957)) Accordingly, after Twombly and Iqbal, “[t]o survive a motion to dismiss, a complaint must contain sufficient factual matter, accepted as true, to ‘state a claim

to relief that is plausible on its face.’”33 “A claim has facial plausibility when the plaintiff pleads factual content that allows the court to draw the reasonable inference that the defendant is liable for the misconduct alleged.”34 “Although the

plausibility standard does not impose a probability requirement, it does require a pleading to show more than a sheer possibility that a defendant has acted unlawfully.”35 Moreover, “[a]sking for plausible grounds . . .

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