In Re University of Medicine & Dentistry of New Jersey

677 A.2d 721, 144 N.J. 511, 1996 N.J. LEXIS 792, 152 L.R.R.M. (BNA) 2606
CourtSupreme Court of New Jersey
DecidedJune 19, 1996
StatusPublished
Cited by12 cases

This text of 677 A.2d 721 (In Re University of Medicine & Dentistry of New Jersey) is published on Counsel Stack Legal Research, covering Supreme Court of New Jersey primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
In Re University of Medicine & Dentistry of New Jersey, 677 A.2d 721, 144 N.J. 511, 1996 N.J. LEXIS 792, 152 L.R.R.M. (BNA) 2606 (N.J. 1996).

Opinion

The opinion of the Court was delivered by

GARIBALDI, J.

In this appeal, we consider the interrelationship between the New Jersey Employer-Employee Relations Act, N.J.S.A 34:13A-1 to -29, and the University of Medicine and Dentistry of New Jersey’s (UMDNJ) right to academic freedom. Specifically, we must determine whether UMDNJ, a public employer, violated the Act when it refused to allow an intern’s union representative to be present at an investigatory interview concerning the extent of discipline to be imposed on that intern for his alleged incompetence. A second issue is whether UMDNJ violated the Act when it refused to provide the intern’s union representative with notice and information regarding the disciplinary action.

I

UMDNJ was created for the purpose of “establishfing] and operating] programs of medical, dental, nursing, health related professions and health sciences education____” N.J.SA. 18A:64G-2. The University is comprised of several schools, one of which is the School of Osteopathic Medicine (SOM). UMDNJ *516 operates internship and residency programs at its medical schools, including the School of Osteopathic Medicine. Interns and residents working for UMDNJ are unionized. The Committee on Interns and Residents (CIR) is the union recognized as the majority representative that acts on behalf of interns and residents.

In New Jersey, every student who completes medical school and wishes to be licensed as a physician must complete a year of postgraduate training known as an internship. N.J.S.A. 45:9-8(3). At the conclusion of the internship, the intern’s employer files an evaluation of that intern’s performance with the State medical-licensing board, which determines whether to license the doctor to practice medicine. UMDNJ’s internship program requires interns to work each month in a different practice area under the guidance of a different faculty member/doctor. The job responsibilities of interns include working with patients, attending lectures, completing various assignments, and teaching medical school students. They are graded on their performance each month, and they also may receive oral evaluations from the faculty member to whom they are assigned. Interns at UMDNJ earn at least $32,000 annually for their work. UMDNJ’s School of Osteopathic Medicine operates an internship and residency training program for graduates of osteopathic medical schools at Kennedy Memorial Hospital and the University Medical Center.

A

In 1989, CIR and UMDNJ entered into a collective negotiating agreement (CNA) governing certain aspects of the terms and conditions of employment of interns and residents (collectively known as Housestaff Officers). In particular, the contract provides a mechanism to resolve disputes, or “grievances.” The CNA defines “grievance” as an allegation that there has been

1. A breach, misinterpretation or improper application of the terms of this Agreement; or
2. An improper or discriminatory application of, or failure to act pursuant to, the written rules, policies or regulations of the University or statutes to the extent that *517 any of the above established terms and conditions of employment which are matters which intimately and directly affect the work and welfare of Housestaff Officers and which do not significantly interfere with inherent management prerogatives pertaining to the determination of public policy.
[CNA, Article XIII]

The CNA provides for several different types of grievance resolution. In particular, the parties may agree to seek an informal resolution and avoid a formal adjudication of every allegation. Therefore, the CNA provides for an informal discussion between the aggrieved intern and the Chief Resident or other hospital designee. “The grievant may, at his or her option, request the presence of a mutually agreed upon CIR representative during attempts at informal resolution.” Ibid. Those unhappy with an informal resolution are permitted under the agreement to pursue a more formal process culminating in arbitration. Article XIII of the CNA provides that, diming this formal process, “[t]he Program Director or designee shall meet with the grievant and a representative of the ... CIR for the purpose of discussing the grievance.”

Article XIII of the CNA does, however, impose one important limit on this complaint procedure. “In no event shall matters concerning academic or medical judgment be the subject of a grievance under the provisions of this Article.” Thus, no intern or resident may grieve any decision that is based on academic or medical judgment.

While Article XIII of the CNA does not allow complaints about actions based on medical judgment, Article XIV of the CNA discusses “disciplinary action” and provides:

Housestaff Officers may be disciplined or discharged for cause, however, these actions shall be grievable____
The University shall give five (5) working days advance notice, in writing, of any intended disciplinary action to the affected Housestaff Officer and the CIR. The notice shall state the nature and extent of discipline, the specific charges against the Housestaff Officer and describe the circumstances upon which each charge is based.
[ (emphasis added) ]

*518 However, the CNA is not the only document governing the relationship between UMDNJ and its interns. UMDNJ also supplies its interns with an Internship Manual that provides additional rules and regulations governing the interns’ conduct. Article Nine in the Internship Manual provides for “Corrective Actions.” The Internship Manual specifically states that that provision does not apply to “terms and conditions of employment,” which are instead subject to the CNA.

Article Nine of the Internship Manual provides that

[w]henever an intern engages in, maltes or exhibits acts, statements, demeanor or professional conduct, either within or outside of the medical center, and the same is or is reasonably likely to be detrimental to patient safety or to the delivery of quality patient care, disruptive to medical center operations or an impairment to the community’s confidence in the medical center and/or its intern training program, corrective action against the intern may be initiated----

The manual does not provide for notice to CIR in such an instance; nor does it contemplate any place for CIR in the entire disciplinary process.

When such a complaint is made, the dean or a designee is to conduct “an investigation.” Such investigation “is not a ‘hearing,’ but may include a discussion with the person(s) initiating the request, and with other individuals who may have knowledge of the events involved.” At the conclusion of that investigation, a written report is filed that may recommend no action, admonition, warning, probation, suspension or termination.

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Bluebook (online)
677 A.2d 721, 144 N.J. 511, 1996 N.J. LEXIS 792, 152 L.R.R.M. (BNA) 2606, Counsel Stack Legal Research, https://law.counselstack.com/opinion/in-re-university-of-medicine-dentistry-of-new-jersey-nj-1996.