Guy Amir v. St. Louis University

CourtCourt of Appeals for the Eighth Circuit
DecidedJuly 26, 1999
Docket98-2894
StatusPublished

This text of Guy Amir v. St. Louis University (Guy Amir v. St. Louis University) is published on Counsel Stack Legal Research, covering Court of Appeals for the Eighth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Guy Amir v. St. Louis University, (8th Cir. 1999).

Opinion

United States Court of Appeals FOR THE EIGHTH CIRCUIT ________________

No. 98-2894 ________________

Guy Amir, * * Appellant, * * Appeal from the United States v. * District Court for the * Eastern District of Missouri. St. Louis University, * * Appellee.

________________

Submitted: March 11, 1999 Filed: July 26, 1999 ________________

Before RICHARD S. ARNOLD, FLOYD R. GIBSON, and HANSEN, Circuit Judges.

HANSEN, Circuit Judge.

Guy Amir appeals from the district court’s order granting summary judgment in favor of St. Louis University (SLU). Amir alleges that SLU retaliated against him in violation of the Americans with Disabilities Act (ADA), 42 U.S.C. § 12203(a), by assigning him a failing grade in a psychiatry clinic and expelling him from SLU Medical School after he filed a grievance. Amir also alleges that SLU discriminated against him based upon his disability in violation of Title III of the ADA, section 504 of the Rehabilitation Act of 1973, and Missouri state law. We affirm the district court’s decision regarding the disability claim, but we reverse and remand on the retaliation claim.

I. FACTS AND BACKGROUND

In 1991, Amir graduated from the University of Southern California in Los Angeles with a bachelor’s degree in computer science. He was 19 years old when he graduated, and he earned his degree with magna cum laude distinction. In the fall of 1991, at the age of 20, Amir enrolled as a first year medical student at St. Louis University School of Medicine in St. Louis, Missouri. Amir’s difficulties at SLU began prior to his matriculation in medical school.

After his acceptance but prior to his actual enrollment at SLU, Amir met with William Stoneman, M.D., the Dean of SLU Medical School. Dean Stoneman requested the meeting after receiving reports from secretaries and other SLU staff members who characterized Amir’s behavior toward them as “arrogant.” When Dean Stoneman telephoned Amir to arrange the meeting, the Dean was greeted by a “voice mail” recording from a “Dr. Shane First.” Dean Stoneman asked Amir about the “Dr. Shane First” greeting. Amir told the Dean that he was in the process of legally changing his name to Dr. Shane First. When the Dean inquired about the reason for his name change, Amir became defensive and hostile. Dean Stoneman cautioned Amir not to represent himself as a physician. Dean Stoneman also commented on Amir’s poor attitude and behavior. He suggested that Amir might be better suited for a profession that is “less demanding of compassion” and warned Amir that his attitude needed improvement. Dean Stoneman, however, did not initiate action to revoke Amir’s admission to SLU Medical School.

Amir matriculated at SLU in the fall of 1991. Almost immediately upon his enrollment, Amir and a student from Washington University Medical School 2 reestablished the St. Louis chapter of an organization called the National Medical Society (“NMS”). In preparation for the reestablishment of this organization, Amir and other interested medical students met with former NMS members in the St. Louis area. One former member, Linda Schmitz, indicated that she was not interested in re- affiliating with NMS. In a casual conversation with Amir, however, Schmitz mentioned that she had box seat tickets to a St. Louis Cardinals baseball game. Amir and the other students then posted recruitment flyers, which listed Schmitz’s name as an affiliate of NMS. One of the flyers also advertised free box seat Cardinals tickets. Schmitz and other former NMS members whose names were listed on the flyers sent a letter to the Dean of SLU in which they indicated that they did not want their names used to promote Amir’s organization. Schmitz also stated in a separate letter that she did not offer her Cardinals tickets to Amir. SLU took no formal disciplinary action against Amir.

During his first year at SLU, Amir began experiencing academic difficulties. After failing his first biochemistry and anatomy exams, Amir asked to be placed in SLU’s extended curriculum program. The extended curriculum program allows eligible students an extra year to complete their first year medical school studies. SLU initially refused Amir’s request. After he failed to demonstrate sufficient progress in his second set of exams, however, SLU offered Amir the option of participating in the extended curriculum program or taking a leave of absence. Amir took a leave of absence.

Amir re-matriculated at SLU Medical School in the fall of 1992 as a first year medical student. Amir’s second attempt at his first year yielded better academic results. Apparently, SLU Medical School issues grades consisting of Honors, Near Honors, Pass, Weak Pass, or Fail. However, grades of Near Honors and Weak Pass are recorded only on a student’s internal grade records. Grades of Near Honors and Weak Pass are simply recorded as Pass on students’ transcripts furnished outsiders. Amir’s 1992-93 internal records reveal grades of Weak Pass in community medicine,

3 Near Honors in surgery research, and Honors in bioethics. The remainder of his grades were at the Pass level.

In his second year, Amir finished with grades of Weak Pass in neuroscience II, physical diagnosis and introduction to medicine. He earned Honors grades in working with the dying and medical communication skills. Again, the remainder of Amir’s grades were at the Pass level.

In his third year, Amir began the clinical phase of his medical school education. He enrolled in internal medicine, OB/Gyn, pediatrics, psychiatry, and surgery. During his psychiatry rotation, Amir became overwhelmed with an excessive fear that his food, drink, and medicine were contaminated by poison. In response to his fear of poison, Amir forced himself to vomit and ingested laxatives in an effort to purge the perceived poison from his body. Amir’s psychiatrist diagnosed him as suffering from severe obsessive compulsive disorder.1 Amir told his supervisor at the SLU psychiatry clinic about his condition in hopes it would prompt the supervisor to render a more favorable review of Amir’s performance in the clinic. Instead, the supervisor informed other physicians associated with the SLU clinic about Amir’s disorder. In response, one physician, Robin Park, M.D., urged Amir to seek medical treatment through hospitalization. Amir contends that he opposed hospitalization because it would have interfered with his psychiatry rotation and it would have “expose[d] him to stereotyping or negative impressions” from his colleagues at SLU Medical School. (Appellant’s Br. at 7.) Regardless, Amir signed a voluntary consent form and committed himself to hospitalization. Amir argues that Dr. Park threatened him with involuntary commitment and coerced Amir into admitting himself.

1 Amir’s psychiatrist had diagnosed Amir’s obsessive compulsive disorder during his second year of medical school. The severity of the disorder apparently did not manifest itself until Amir’s third and final year of medical school at SLU. 4 St. Louis Hospital treated Amir for conditions resulting from obsessive compulsive disorder. Upon his release from St. Louis Hospital, Amir sought re- admission to the psychiatry clinic. Dr. Park denied Amir’s request. Dr. Park told Amir that his prolonged absence from the clinic precluded his return.

Amir filed a formal grievance against Dr. Park in which he sought re-admission to the psychiatry clinic. Despite the recommendation of several physicians, SLU Medical School’s academic grievance committee denied his request. In his grievance, Amir alleged that Dr. Park coerced him into hospitalization and discriminated against him based upon his disorder. (Appellant’s App.

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Guy Amir v. St. Louis University, Counsel Stack Legal Research, https://law.counselstack.com/opinion/guy-amir-v-st-louis-university-ca8-1999.