Jahangiri v. Lewis-Gale Medical Center, LLC

CourtDistrict Court, W.D. Virginia
DecidedDecember 20, 2022
Docket7:21-cv-00427
StatusUnknown

This text of Jahangiri v. Lewis-Gale Medical Center, LLC (Jahangiri v. Lewis-Gale Medical Center, LLC) is published on Counsel Stack Legal Research, covering District Court, W.D. Virginia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Jahangiri v. Lewis-Gale Medical Center, LLC, (W.D. Va. 2022).

Opinion

UNITED STATES DISTRICT COURT WESTERN DISTRICT OF VIRGINIA ROANOKE DIVISION WALI JAHANGIRI, ) Plaintiff. ) v. ) Civil No.: 7:21-cv-0427 ) LEWISGALE MEDICAL CENTER, ) By: Michael F. Urbanski LLC, ) Chief United States Defendant. ) District Judge ) MEMORANDUM OPINION Plaintiff Wali Jahangiri brought a complaint against Defendant LewisGale Medical Center, LLC (“LG”), containing six claims: Count I—Title VII Race Discrimination, Count II—Title VII National Origin Discrimination, Count HJ—Title VII Religious Discrimination, Count [V—Title VI Hostile Work Environment, Count V—Title VII Retaliation, and Count VI—Breach of Contract. As explained herein, considering the evidence in the light most favorable to Jahangiri, no reasonable jury could conclude that Jahangiri was subjected to unlawful race, national origin, or religious discrimination. Nor do the facts of this case support his claim for breach of contract. As a result, LG’s motion for summary judgment, ECF No. 44, will be GRANTED and the case dismissed with prejudice.! I. Factual Background Dr. Jahangiri is a South Asian, Muslim male born in Abbottabad, Pakistan. ECF No. 48 at 1. He began to work for LG in July 2018 as an internal medicine resident. Jahangiri’s

' Defendant’s pending motion to exclude expert testimony, ECF No. 39, is DENIED as Moot.

residency program class at LG included ten other Pakistani residents, all of whom successfully completed the program in 2021. Decl. of Dr. Edward Griffin, ECF No. 45-4, ¶ 5. The LG residency program, its contracts, and its residents, are governed by the policies

and procedures outlined in the GME Resident & Fellow Manual (“GME Resident Manual”). See GME Resident Manual 2019-2020, ECF No. 48-43. The GME Resident Manual outlines a number of key positions involved in the management of a residency program, including a Program Director,2 Designated Institutional Official,3 and Clinical Competency Committee.4 The three-year residency program is governed by a series of one-year contracts, each with a start date of July 1 and an end date of June 30.5 The reappointment and promotion

provision of each Resident Contract provides as follows: D. Conditions for reappointment and promotion. Hospital provides continuation and/or promotion of the Resident that is contingent upon satisfactory academic and professional performance by the Resident as determined by the Program Director and faculty, and in accordance with policies and procedures described in the GME Resident Manual. Achievement of competency based goals and objectives for each level of training will be used as one measure of performance and promotion, but not the only criteria of performance. Hospital is

2 The GME Resident Manual describes the role of the Program Director as follows: “The program director (PD) is the one physician designated with authority and accountability for the operation of the residency/fellowship program.” GME Resident Manual 2019-2020, ECF No. 48-43, at 5. Dr. Edward A. Griffin was the Program Director at LG during Jahangiri’s residency. 3 The GME Resident Manual describes the role of the Designated Institutional Official as follows: “The designated institutional official (DIO) is the individual in a sponsoring institution who has the authority and responsibility for all of the ACGME-accredited programs.” GME Resident Manual 2019-2020, ECF No. 48- 43, at 4. ACGME is the Accreditation Council for Graduate Medical Education. Dr. Sterling Ellsworth was the DIO at LG during Jahangiri’s residency. 4 The GME Resident Manual describes the role of the Clinical Competency Committee as follows: “The clinical competency committee (CCC) is a required body comprising three or more members of the active teaching faculty who is advisory to the program director and reviews the progress of all residents and fellows in the program.” GME Resident Manual 2019-2020, ECF No. 48-43, at 4. 5 The 2019-2020 Second Year Resident Contract signed by LG and Jahangiri is docketed at ECF Nos. 45-13 and 48-42. The 2020-2021 Third Year Resident Contract signed by LG and Jahangiri is docketed at ECF No. 45-31. not obligated to renew or extend this Agreement for subsequent training levels in the event that the academic and professional performance by the Resident is determined to be unsatisfactory, subject to the provisions of due process set forth in the GME Resident Manual. Hospital shall provide notice to the Resident prior to the End Date of this Agreement regarding promotion to the next year of training or graduation from the Program. If the Resident will not be promoted, the Program shall endeavor to provide as much notice as circumstances reasonably allow, prior to the end of this Agreement. Disputes that arise from the promotion or graduation decision may be directed through the grievance and due process procedure in accordance with the GME Resident Manual.

2019-2010 Second Year Resident Contract, ECF No. 48-42, at 3. Residents who experience difficulties meeting the required competencies6 may be placed on a remediation plan by LG, as outlined in the GME Resident Manual. GME Resident Manual 2019-2020, ECF No. 48-43, at 21-22. According to the GME Resident Manual, residents “may undergo remediation, which allows for a correction of deficiencies that require intervention.” Id. at 21. By September 2018, a few months after the start of Jahangiri’s residency, the Program Director, Dr. Edward A. Griffin, “began to receive reports that Plaintiff had exhibited unprofessional, angry, and rude behavior towards patients, staff, and faculty at LewisGale. In fact, some patients requested that Plaintiff be removed from their care.” Griffin Decl., ECF No. 45-4, ¶ 10. Jahangiri was placed in a remediation plan. See Griffin Sept. 6, 2018, Memorandum, ECF No. 45-4, at 10-11; Jahangiri First Remediation Plan, ECF No. 48-23. In

6 The GME Resident Manual defines Competencies as follows: “Competencies are specific knowledge, skills, behaviors and attitudes, and the appropriate educational experiences required of residents and fellows to complete GME programs. These include patient care, medical knowledge, practice-based learning and improvement, interpersonal and communication skills, professionalism and systems-based practice. GME Resident Manual 2019-2020, ECF No. 48-43, at 4. December 2018, Griffin met with Jahangiri and reviewed his written evaluations, which revealed continuing problems. See Memoranda Regarding Jahangiri Remediation Status, ECF No. 45-4, at 13-16.

On May 13, 2019, Jahangiri signed the 2019-2020 Second Year Resident Contract, ECF No. 48-42. As reflected in a June 17, 2019, memorandum authored by Griffin entitled Updated Remediation Plan, problems persisted: I met with Dr. Jahangiri this morning to go over his most recent evaluation by Dr. Jennifer Haynie. I informed him that:

1. Despite his objection, the evaluation establishes a lack of veracity (truthfulness) on his part. This interferes with working with patients, fellow house officers, and other hospital staff. 2. He is completely unprepared for rounds, which further complicates patient care and working in a health care team. 3. He is continually late for rounds. 4. His work and documentation is inefficient and disorganized.

Given these deficiencies, which reflect a significant deterioration from his previous evaluations:

1. He will not promote to PGY 2 level but will work on the ward teams as an intern, with close supervision by his upper level resident. The resident and the attending will advance his responsibilities at their discretion. 2. Further episodes of less-than-full truthfulness in dealing with fellow residents, staff and patients will lead to dismissal from the program. 3. While there is no timetable for promotion, the minimum time needed is at the discretion of the program director.

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Jahangiri v. Lewis-Gale Medical Center, LLC, Counsel Stack Legal Research, https://law.counselstack.com/opinion/jahangiri-v-lewis-gale-medical-center-llc-vawd-2022.