DUCHEINE v. EAST ORANGE GENERAL HOSPITAL

CourtDistrict Court, D. New Jersey
DecidedMarch 15, 2023
Docket2:19-cv-18827
StatusUnknown

This text of DUCHEINE v. EAST ORANGE GENERAL HOSPITAL (DUCHEINE v. EAST ORANGE GENERAL HOSPITAL) is published on Counsel Stack Legal Research, covering District Court, D. New Jersey primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
DUCHEINE v. EAST ORANGE GENERAL HOSPITAL, (D.N.J. 2023).

Opinion

THE UNITED STATES DISTRICT COURT DISTRICT OF NEW JERSEY

Plaintiff, : Case No. 19-cv-18827 (ES) (CLW)

EAST ORANGE GENERAL HOSPITAL OPINION and JOHN/JANE DOES A through D, Defendants.

CATHY L. WALDOR, U.S.M.J. This matter comes before the Court upon Defendant East Orange General Hospital’s (“EOGH”) motion for summary judgment. (ECF No. 62). The parties consented to the undersigned’s authority to resolve this motion. (ECF No. 50). In accordance with Federal Rule of Civil Procedure 78 and Local Civil Rule 78.1, the Court resolves EOGH’s application without oral argument. Upon careful consideration of the record for this matter, and for good cause shown, and for the reasons discussed herein, EOGH’s motion is GRANTED IN PART AND DENIED IN PART. 1. RELEVANT BACKGROUND! a. Plaintiff’s Employment with EOGH Plaintiff Yvan Ducheine began working as a general surgeon at EOGH in 1998. (Def. Statement of Facts § 1, ECF No. 62-3). In that role, Plaintiff was required to comply with and abide by EOGH’s medical staff Bylaws. (/d. § 7). Among other things, those Bylaws empowered

' Unless otherwise noted, the factual background discussed herein is adapted from portions of EOGH’s Statement of Undisputed Material Facts that Plaintiff either expressly admitted or failed to adequately counter with relevant citations to the record.

EOGH’s Medical Executive Committee to review the qualifications and credentials of applicants and staff members, including reappointments, terminations, and suspensions, (id. ¶ 8), and to subject medical staff members to “additional consultation, monitoring or proctoring requirements” in certain circumstances. (Id. ¶ 9-10). Plaintiff entered into multiple contracts with EOGH in connection with his employment:

(1) a contract to come on staff and obey the law and the hospital’s procedures; (2) a contract to take emergency room calls; (3) a contract to take on a physician advisory role; and (4) a contract to collect outstanding bills from the Essex County Correctional Facility for services rendered to Essex County inmates. (Id. ¶ 62). Those contracts required Plaintiff to remain in good status regarding his medical license and privileges. (Id. ¶ 63). At his deposition, Plaintiff did not recall if any of those contracts addressed the concept of proctoring or what would happen if he was suspended or placed on probation. (Id. ¶ 64). b. Discipline Imposed by the New Jersey State Board of Medical Examiners and the Subsequent Impact on Plaintiff’s Employment With EOGH In 2003, two patients upon whom Plaintiff operated died either during or shortly after their procedures. (Id. ¶ 2). The New Jersey State Board of Medical Examiners (“NJSBE”) thereafter investigated those incidents but did not take any disciplinary action against Plaintiff until September 2017, when it entered into a Final Consent Order with him. (Id. ¶¶ 3-4). Pursuant to that Final Consent Order, NJSBE suspended Plaintiff’s New Jersey Medical License for twelve months. (Id. ¶ 4). More specifically, the Final Consent Order, as modified by a Supplemental

Order dated January 16, 2018, provided that Plaintiff would be actively suspended for two months and then placed on probation for the following ten months. (Id.; Pl. Statement of Fact ¶ 5.2, ECF No. 63-3). Under the terms of those orders, Plaintiff’s active suspension would run from November 1, 2017 through January 16, 2018. (Id.). EOGH’s Chief Executive Officer hired Plaintiff to work as a Physician Advisor at EOGH during the time of his suspension so that he would still have a source of income. (Def. Statement of Facts ¶ 6, ECF No. 62-3). In that role, Plaintiff assisted the hospital with the implementation of electronic health records. (Id.). On or about May 18, 2018, during the term of Plaintiff’s probationary period, EOGH appointed Plaintiff to its medical staff with provisional privileges, subject to the condition that he

submit to proctoring. (Id. ¶¶ 12-13). Specifically, EOGH required Plaintiff to complete eight major surgeries under the supervision of Dr. Lennox Alves and/or Dr. Jamie Soriano. (Id. ¶ 14). After doing so, Plaintiff “could be advanced to active staff status and become eligible to be placed on the Department of Surgery on-call schedule.” (Id. ¶ 14). The parties agree that, in accordance with the Bylaws, EOGH had the authority to impose the proctoring condition on Plaintiff. (Id. ¶ 12-13). Plaintiff notified EOGH that he had a “history” with Drs. Alves and Soriano, and while he tried to complete the required proctoring with them, he believed that they were deliberately delaying the process by failing to show up for their proctoring duties or complete necessary

paperwork. (Id. ¶ 15). EOGH then approved another physician, Dr. Maheshwari, to proctor Plaintiff’s remaining surgeries. (Id. ¶ 16). Plaintiff testified that there were delays in getting physicians to sign off on cases they had previously agreed to proctor. (Id. ¶ 17). Plaintiff further testified that he did not personally know the reason for the delays, (id. ¶ 17; Ducheine Dep. at 92:19-21, ECF No. 62-2), but that the hospital’s call schedule played a part. (Def. Statement of Facts ¶ 18, ECF No. 62-3; Ducheine Dep. at 93:6-7, ECF No. 62-2). On or about September 14, 2018, Plaintiff sent a letter to Dr. Alves informing him about the difficulties he was having completing the proctoring requirement and returning to active staff status. (Def. Statement of Facts ¶ 18, ECF No. 62-3). In that letter, Plaintiff complained that Dr. Alves was “deliberately delay[ing]” the process, opined that Drs. Alves and Soriano were personally profiting from that delay, and advising that Dr. Maheshwari had declined to provide further proctoring assistance. (Cert. of Ivan Novich, Esq. at Ex. M, ECF No. 62-2). c. The State of New York’s Investigation and Associated Discipline By letter dated January 24, 2018, the New York State Department of Health advised

Plaintiff that it was investigating his medical conduct. (Def. Statement of Facts ¶ 20, ECF No. 62- 3). New York began that investigation after the State of New Jersey provided it with notice of the Final Consent Order and Supplemental Order that, as discussed above, resulted in the suspension of Plaintiff’s New Jersey medical license. (Id. ¶ 21). At the State of New York’s request, Plaintiff participated in an interview with State officials on April 6, 2018. (Id. ¶¶ 23-24). Plaintiff did not disclose New York’s investigation to anyone at EOGH. (Id. ¶ 25). In August 2018, Plaintiff entered into a consent order with the New York State Board of Professional Medical Conduct, pursuant to which Plaintiff’s New York medical license was suspended for twelve months, with a twelve month stay. (Id. ¶¶ 29-30). That consent order further

provided that Plaintiff could only practice medicine in New York when supervised by a “practice monitor” approved in advance by the Board. (Id. ¶ 32). Plaintiff did not advise EOGH of the change regarding his New York medical license. (Id. ¶ 37). EOGH first learned of Plaintiff’s consent order with the State of New York when the State sent a copy to the hospital. (Id. ¶¶ 34- 35). d. Plaintiff’s Suspension From EOGH By letter dated October 1, 2018, EOGH’s Chief Executive Officer, Paige Dworak, advised Plaintiff: (1) that it had received the New York consent order; (2) that Plaintiff’s failure to notify EOGH about the restrictions placed on his New York medical license was a violation of Plaintiff’s obligations under the hospital’s Bylaws; and (3) as a result of that violation, EOGH was immediately suspending Plaintiff’s provisional medical staff privileges. (Id. ¶¶ 34, 38). On October 26, 2018, Plaintiff’s attorney sent a letter to Ms.

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DUCHEINE v. EAST ORANGE GENERAL HOSPITAL, Counsel Stack Legal Research, https://law.counselstack.com/opinion/ducheine-v-east-orange-general-hospital-njd-2023.