ESPEY, III, M.D. v. UNIVERSITY OF NORTH CAROLINA HEALTH CARE SYSTEM

CourtDistrict Court, M.D. North Carolina
DecidedJune 11, 2025
Docket1:24-cv-00128
StatusUnknown

This text of ESPEY, III, M.D. v. UNIVERSITY OF NORTH CAROLINA HEALTH CARE SYSTEM (ESPEY, III, M.D. v. UNIVERSITY OF NORTH CAROLINA HEALTH CARE SYSTEM) is published on Counsel Stack Legal Research, covering District Court, M.D. North Carolina primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
ESPEY, III, M.D. v. UNIVERSITY OF NORTH CAROLINA HEALTH CARE SYSTEM, (M.D.N.C. 2025).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE MIDDLE DISTRICT OF NORTH CAROLINA

JOHN ESPEY, III, M.D., ) ) Plaintiff, ) ) v. ) ) 1:24-cv -00128 UNIVERSITY OF NORTH CAROLINA ) HEALTH CARE SYSTEM, and BENJAMIN E. ) HAITHCOCK, M.D. ) ) Defendants. )

MEMORANDUM ORDER AND OPINION Before the Court is a Motion to Dismiss the First Amended Complaint (ECF 23) filed jointly by defendants University of North Carolina Health Care System and Benjamin E. Haithcock. The motion is GRANTED IN PART and DENIED IN PART. I. BACKGROUND The most relevant facts, taken in the light most favorable to the plaintiff, are as follows. See Ray v. Roane, 948 F.3d 222, 226 (4th Cir. 2020) (stating that, when reviewing a motion to dismiss, the court must “accept as true all of the factual allegations contained in the complaint”). In 2018, plaintiff John H. Espey, III, began a cardiothoracic surgery residency with UNC Health, where he was supervised by program director Benjamin Haithcock. ECF 21 ¶¶ 7, 9. Espey has been “diagnosed with and has suffered from Depression, Anxiety, and Attention Deficit Disorder,” conditions that “have been successfully treated by his physicians and therapists, including with medication management.” ¶ 11. While Espey was employed at UNC Health he was regularly evaluated and received comments from his supervisors stating that he was “performing satisfactorily.” ¶ 13. For example, Espey was told that he was “doing great on [t]he cardiothoracic service,” that he was “a very good resident,” and that he demonstrated “above-average performance.” Id. (alterations removed). Between May 2020 and June 2021, Espey was “regularly expected” to work long hours and frequent shifts, in violation of UNC’s internal duty hours policy. ECF 21 ¶¶ 15–16. As a result,

Espey became “extremely sleep deprived,” which “exacerbated symptoms associated with his underlying medical conditions” and “eroded the efficacy of prescription medications in controlling [his] symptoms.” ¶ 17. Espey “requested that his physician” adjust his medications. ¶ 18. Those adjustments “caused additional symptoms such as excessive sweating and hand tremors.” Id. In July 2021, Espey told Haithcock “that he was regularly being subjected to duty hour violations and that he believed that those violations were negatively impacting his health.” ECF 21 ¶ 20. Even after that conversation, Espey was repeatedly asked to work frequent shifts and long hours in violation of UNC’s internal policies, including a 39.5-hour shift on July 22, 2021, and a 36-hour shift on September 2, 2021. ¶¶ 21–24. In October 2021, Haithcock issued Espey a “letter of deficiency” on behalf of UNC Health,

claiming that Espey had “specific performance issues” and outlining a performance improvement plan for Espey to follow. ECF 21 ¶ 25. Espey believed “that specific allegations regarding performance were inaccurate and, instead, reflected supervisors’ observations regarding his sleep deprived appearance and medication induced comportment, such as excessive sweating.” Id. Espey “reminded” Haithcock “that he believed that the constant duty hour violations were an impediment to job performance.” Id. Still, Espey “made his best efforts to comply with the performance improvement plan.” ¶ 26. Several months later, Haithcock issued Espey a “referral letter” for a “medical examination,” which re-raised concerns from the earlier letter of deficiency and explained that Espey had been exhibiting particular behaviors which could be “symptomatic of a condition that needs to be addressed by a healthcare provider.” ECF 21 ¶¶ 30–31. Espey accepted the referral and took a leave of absence from his residency on April 1, 2022. ¶ 32. Two weeks later, while on leave, Espey “underwent a medical examination” based on the referral letter. Id. The examiner

determined that Espey’s “underlying mental health conditions interfered with his ability to accurately recall information . . . and that the constellation of underlying depression, physiological manifestations of anxiety and attention-deficit difficulties were preventing [Espey] from remaining fully focused in the workplace, retaining necessary information, and, managing his anxiety when in pressure situations.” Id. The examiner “recommended a period of leave from work that included treatment for medical conditions which had been exacerbated during the previous eight months.” ¶ 41. The day after Espey’s medical examination and while Espey was still on leave, Espey was “required to return to the workplace” for an “evaluation” of his job performance as judged against the performance improvement plan that had been instituted several months earlier. ECF 21 ¶ 34.

That evaluation described Espey’s performance as “satisfactory” on six of the seven “directives” of the performance improvement plan. ¶ 35. The seventh and final directive “related to communication and exchange of information.” ¶ 37. The evaluation stated that Espey “did not meet expectations” on that directive and that it was that directive “which prompted the program leadership to pursue” Espey’s referral to a medical examiner. Id. (alterations and quotation marks removed). Despite that evaluation, the complaint alleges that Espey had not received any other “written documentation” finding fault with his “communication and exchange of information.” ¶ 38. The complaint also alleges that Espey has “solicited and received extensive documentation from ‘health care professionals, faculty, and other care providers,’ with whom he worked and who provided numerous specific statements attesting to [Espey’s] effective communication behaviors.” ¶ 39. Espey spent almost four months on leave. ECF 21 ¶ 32. During that leave, Espey “received medical treatment that included both adjustments in medication and behavioral health counseling.”

¶ 42. Before returning to work, Espey “submitted to a fitness for duty medical examination” by an evaluator selected by UNC Health. ¶ 43. The evaluator determined “there was no evidence of unresolved mental health struggles, no concerns regarding inattentiveness or other traits which could make [Espey] vulnerable to making errors at work, and that [Espey] had demonstrated a dramatic decrease in symptoms associated with his underlying medical conditions.” Id. The evaluator concluded that “from a mental health perspective, there are no known barriers preventing” Espey from “immediately returning to work.” Id. After receiving that clearance, Espey returned to work. ¶ 45. When Espey returned to work, he learned that other supervising physicians had learned about his mental health conditions. ECF 21 ¶ 47. Espey alleges that Haithcock learned about his

particular diagnoses because they were included in a report shared with Haithcock after his medical examination. ¶¶ 40–41. The complaint further alleges that Haithcock shared that information with other supervising physicians, and did so without Espey’s permission. ¶¶ 47–48. Several months after Espey returned to work, he “experienc[ed] heart palpitations” and went to the emergency room. ECF 21 ¶ 50. After he was treated, he “sought to remain out of work the following day as recommended [by] his treating physician.” Id. When he requested the day off, Haithcock was “sarcastic and condescending.” Id. About a week later, Espey worked a 29-hour shift. ECF 21 ¶ 51. Per UNC’s policy, Espey “made arrangements for another provider . . . to assume care for his cases for the rest of the afternoon” and told a supervising physician “that he was transitioning care in order to comply with the duty hour policies.” Id. Haithcock then called Espey and said, in an “angry” and “sarcastic[]” tone, “I am befuddled as to why you think it’s O.K. for you to go home and rest!” ¶ 52. When Espey responded by referring to the UNC policy, Haithcock yelled “You have already made your

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ESPEY, III, M.D. v. UNIVERSITY OF NORTH CAROLINA HEALTH CARE SYSTEM, Counsel Stack Legal Research, https://law.counselstack.com/opinion/espey-iii-md-v-university-of-north-carolina-health-care-system-ncmd-2025.