Haig v. Dartmouth-Hitchcock Medical Center

CourtDistrict Court, D. Vermont
DecidedJanuary 31, 2023
Docket2:19-cv-00179
StatusUnknown

This text of Haig v. Dartmouth-Hitchcock Medical Center (Haig v. Dartmouth-Hitchcock Medical Center) is published on Counsel Stack Legal Research, covering District Court, D. Vermont primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Haig v. Dartmouth-Hitchcock Medical Center, (D. Vt. 2023).

Opinion

UNITED STATES DISTRICT COURT FOR THE DISTRICT OF VERMONT

Andrew Haig, MD,

Plaintiff,

v. Civil Action No. 2:19–cv–179–kjd

Dartmouth-Hitchcock Medical Center, Dartmouth-Hitchcock Clinic, Mary Hitchcock Memorial Hospital, and Dartmouth-Hitchcock Health, Defendants.

OPINION AND ORDER (Doc. 50)

Plaintiff Andrew Haig, MD, brings this action against Defendants Dartmouth-Hitchcock Medical Center, Dartmouth-Hitchcock Clinic, Mary Hitchcock Memorial Hospital, and Dartmouth-Hitchcock Health (collectively, “Dartmouth”) for breach of contract, promissory estoppel, and negligent misrepresentation. Dr. Haig asserts that Dartmouth extended him an offer of future employment and, after Dr. Haig’s acceptance and detrimental reliance, reneged on that offer. (See Doc. 1 at 13–14.) For relief, Dr. Haig seeks payment of damages suffered including lost wages and loss of business income, payment of expenses incurred in preparing to start work at Dartmouth, cooperation from Dartmouth to repair Dr. Haig’s reputation, and interest. (Id. at 15–16.) Pending before the Court is Dartmouth’s Motion for Summary Judgment (Doc. 50), which seeks dismissal of all claims. For the reasons explained below, Dartmouth’s Motion is GRANTED with respect to the breach of contract claim and DENIED with respect to the promissory estoppel and negligent misrepresentation claims. Factual Background The following facts are principally drawn from the parties’ Statements of Facts, and the documents referenced in the Statements of Facts. (See Docs. 50-2, 55-1.) The Court draws all factual inferences in favor of Dr. Haig, as the non-moving party, in accordance with the summary judgment standard. See Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 255 (1986)

(holding that on summary judgment “[t]he evidence of the non-movant is to be believed, and all justifiable inferences are to be drawn in his favor”). Dr. Haig has over twenty years of experience as a physician and is board certified in Physical Medicine and Rehabilitation (PM&R), a medical specialty that provides integrated, multidisciplinary care aimed at restoring function for disabled patients.1 (Doc. 55-1 at 1, ¶ 1.) He also has significant experience in Occupational Medicine, which focuses on the prevention and treatment of diseases and injuries occurring at work or in specific occupations. (Id. at 2, ¶ 1a.) In 2010, Dr. Haig sought employment as a PM&R physician at Dartmouth but was not offered the position. (Id. ¶¶ 3–4.) As part of his application for that position, Dr. Haig sent a

letter to Dartmouth criticizing its deficiencies in the area of PM&R. (Id. ¶ 5; see Doc. 50-4 at 3 (“I’ve become quite familiar with the long history of Dartmouth’s failure to support [PM&R]”; “Dartmouth’s structure strangles [PM&R] and thus harms itself.”).) In February 2017, Dr. Haig applied for a pain program director position at Dartmouth, again hoping Dartmouth was interested in building a PM&R program. (Doc. 55-1 at 2, ¶ 8.) Dr. Haig was not offered the position. (Id. at 3, ¶ 10.)

1 More specifically, PM&R, also known as physiatry, is “a medical specialty concerned with the prevention, diagnosis, treatment, and management of disabling diseases, disorders, and injuries typically of a musculoskeletal, cardiovascular, neuromuscular, or neurological nature by physical means (as by the use of electromyography, electrotherapy, therapeutic exercise, or pharmaceutical pain control).” Physical medicine and rehabilitation, MERRIAM-WEBSTER MEDICAL DICTIONARY, https://c.merriam-webster.com/medlineplus/ physical medicine and rehabilitation (last visited Sept. 16, 2022). Soon thereafter, Dr. Haig formed Haig Physical Medicine, PLC, where he began providing PM&R treatment to patients in Williston, Vermont starting in or around May 2017. (Id. ¶¶ 11–12.) In December 2017, Dr. Haig formed Haig Consulting (id. ¶ 13), an entity designed to enter into contracts with hospitals, health care systems, and insurance companies located internationally and in New England to “build programs in pain and rehabilitation” (Doc.

50-32 at 7:10–14; see Doc. 55-2 at 5, ¶ 7). In May 2018, Dr. Haig again sought a position at Dartmouth, this time with Dartmouth’s Pain and Spine Center. (Doc. 55-1 at 3, ¶ 15.) He was not offered the position. (Id.) In late 2018, Dartmouth was searching for a new section chief for its Occupational and Environmental Medicine (OEM)2 Section, a section within Dartmouth’s Department of Medicine, because the current chief was set to retire at the end of that year. (Id. at 5, ¶ 21.) After the retirement and while the search for a new section chief was ongoing, the position was filled internally by Dr. Carolyn Murray on an interim basis until June 1, 2019. (Id. ¶¶ 22, 22b.) On October 11, 2018, Dr. Haig emailed Dr. Maria Padin, Dartmouth’s Chief Medical Officer, to

express his interest in the OEM section chief position. (Id. ¶ 23.) On the same date, Dr. Karen Huyck, a Dartmouth physician in the OEM section, contacted Dr. Richard Rothstein, Chief of Dartmouth’s Department of Medicine and the person primarily responsible for hiring physicians within the Department, to suggest that Dr. Haig be considered for the OEM section chief position. (Id. ¶ 24; see id. at 4, ¶¶ 16, 19.) Although Dr. Rothstein was aware that Dr. Haig was

2 OEM is “[t]he branch of medicine concerned with work-related diseases, hazards, and injuries; working conditions; employee rehabilitation; and the regulations that pertain to these issues.” Occupational and environmental medicine, THE FREE DICTIONARY, https://medical-dictionary.thefreedictionary.com/ occupational+and+environmental+medicine (last visited Sept. 16, 2022). a physiatrist3 and not an OEM doctor, he decided to consider Dr. Haig for the OEM section chief position. (Id. at 6, ¶ 26.) On October 22, 2018, Dr. Rothstein spoke with Dr. Haig about the OEM section chief position, and the two discussed the possibility of eventually adding certain PM&R responsibilities to the position, given Dr. Haig’s focus on PM&R rather than OEM. (Id. at 7, ¶¶

29–30.) In mid-November 2018, Dr. Haig completed a first round of interviews at Dartmouth for the OEM section chief position. (Id. at 8, ¶ 33.) The interviews went well, other than some concerns that Dr. Haig did not have enough OEM experience. (Id.) On February 11, 2019, Dr. Haig interviewed at Dartmouth again, including with Dr. Edward Merrens, Dartmouth’s Chief Clinical Officer, and Dr. Maria Padin, Dartmouth’s Chief Medical Officer, each apparently forming a favorable impression of Dr. Haig. (Id. at 12, ¶ 49.) On the same date, Dr. Rothstein and Dr. Haig met for a second time; and Dr. Rothstein told Dr. Haig that he wanted him to be the next OEM section chief. (Id. at 10, ¶ 43.) In addition, according to Dr. Haig, Dr. Rothstein asked Dr. Haig “to move with all dispatch to apply for his New Hampshire medical license,” which Dr. Haig did.4 (Id. at 14, ¶ 59a.) Dr. Rothstein made

clear to Dr. Haig, however, that there were several matters yet to be resolved, including how Dr. Haig’s administrative, clinical, and academic time would be allocated and how conflicts of interest concerning Dr. Haig’s clinical and consulting practices would be managed. (Id. at 10, ¶ 43.) According to Dartmouth, although Dr. Rothstein “was confident [at this time] that the deal eventually would get done,” Dr. Haig’s employment as OEM section chief would “not be a

3 A physiatrist is “a physician who specializes in physical medicine and rehabilitation.” Physiatrist, MERRIAM-WEBSTER MEDICAL DICTIONARY, https://c.merriam-webster.com/medlineplus/physiatrist (last visited Sep. 16, 2022).

4 Dr. Haig also claims he was asked to apply for hospital privileges at Dartmouth, which he did. (See Doc.

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