Karim v. New York City Health And Hospitals Corporation

CourtDistrict Court, S.D. New York
DecidedJune 4, 2020
Docket1:17-cv-06888
StatusUnknown

This text of Karim v. New York City Health And Hospitals Corporation (Karim v. New York City Health And Hospitals Corporation) is published on Counsel Stack Legal Research, covering District Court, S.D. New York primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Karim v. New York City Health And Hospitals Corporation, (S.D.N.Y. 2020).

Opinion

UNITED STATES DISTRICT COURT USDC SDNY SOUTHERN DISTRICT OF NEW YORK DOCUMENT SYED MOHAMMAD AFTAB KARIM, MD, ELECTRONICALLY FILED FAANS, DOC #: DATE FILED: _ 6/4/2020 Plaintiff, -against- 17 Civ. 6888 (AT) (OTW) NEW YORK CITY HEALTH AND HOSPITALS CORPORATION, LINCOLN HOSPITAL AND ORDER ADOPTING MENTAL HEALTH CENTER, MELISSA P. REPORT AND SCHORI, MD, individually and in her capacity as RECOMMENDATION Chief Medical Officer of Lincoln Hospital and Mental Health Center, JAY YELON, DO, individually and in his capacity as Chairman of Surgery of Lincoln Hospital and Mental Health Center, ROSS WILSON, MD, individually and in his capacity as Chief Medical Officer of New York City Health and Hospitals Corporation, and MARK HARTMAN, ESQ., individually and in his capacity as Deputy Counsel for New York City Health and Hospitals Corporation, Defendants. ANALISA TORRES, United States District Judge: This lawsuit arises out of Lincoln Hospital and Mental Health Center’s (“Lincoln Hospital”) denial of Plaintiff, Syed Mohammad Aftab Karim, M.D.’s, application for clinical privileges. Plaintiff brings this action against institutional defendants Lincoln Hospital and the New York City Health and Hospitals Corporation (“HHC”), a public corporation that operates Lincoln Hospital (collectively, “Institutional Defendants”); and individual defendants Melissa P. Schori, M.D., Chief Medical Officer of Lincoln Hospital, Jay Yelon, D.O., Chairman of Surgery of Lincoln Hospital, Ross Wilson, M.D., Chief Medical Officer of HHC, and Mark Hartman, Esq., Deputy Counsel for HHC. Second Amended Complaint (“SAC”) J 9-15, ECF No. 41. On May 1, 2018, the Court referred general pretrial matters in this case to the Honorable Ona T. Wang. ECF No. 43. By letter dated December 20, 2018, Plaintiff sought leave from

Judge Wang to file a third amended complaint (“TAC”). Pl. Letter at 4–6, ECF No. 100; see also Proposed TAC ¶¶ 194–208, ECF No. 100-1. On March 6, 2019, while Plaintiff’s request was pending, this Court granted Defendants’ motion to dismiss the SAC. March 6 Order, ECF No. 104. On March 25, 2019, Judge Wang issued a Report and Recommendation (the “R&R”)

recommending that the motion for leave to file the TAC be denied, because such amendment would be futile. R&R at 10, ECF No. 106. Before the Court is the R&R, to which Plaintiff filed timely objections. See Pl. Obj., ECF No. 111. For the reasons stated below, Plaintiff’s objections are OVERRULED, and the Court ADOPTS the R&R in its entirety. BACKGROUND1 The following facts are taken from the SAC, which the Court accepts as true for purposes of considering Plaintiff’s motion. See Koch v. Christie’s Int’l PLC, 699 F.3d 141, 145 (2d Cir. 2012). Plaintiff, a neurosurgeon, is a citizen of the United States, and was “born in India of Indian ancestry,” and “presents as Indian in ethnicity and appearance.” SAC ¶¶ 1, 9. Plaintiff is

also Muslim. Id. ¶ 9. In 2012, nonparty Westchester Neurological and Spine, PC (“Westchester Neurological”) offered Plaintiff a job on the condition that he obtain clinical privileges at Lincoln Hospital. Id. ¶ 24. In October 2012, Plaintiff applied for privileges, and Lincoln Hospital sent queries about him to institutions at which he had worked or studied. Id. ¶¶ 24, 29– 50. All of the responses Lincoln Hospital received were positive, id. ¶ 29, except for two: first, a response from an individual at a facility in Michigan (whose identity was not disclosed to

1 The Court presumes familiarity with the facts, which are set forth in the R&R, and, therefore, only briefly summarizes them here. See R&R at 1–4. The summary of facts is drawn from the SAC. Where relevant, the Court addresses the additional allegations Plaintiff seeks leave to file in the TAC. 2 Plaintiff) that stated that he or she recommended Plaintiff “with reservations” (without elaboration), id. ¶¶ 30–36; and second, a response from the University of Arkansas, where Plaintiff had worked in a post-graduate residency program, that stated that the reviewer would “not recommend” Plaintiff because he or she had “insufficient knowledge of this candidate to

make a recommendation,” id. ¶¶ 37–40. In March 2013, Dr. Yelon, Chairman of Lincoln Hospital’s Surgery Department, spoke with Plaintiff and suggested that he withdraw his application, implying that Plaintiff would be denied privileges if he did not withdraw. Id. ¶¶ 60–61. Meanwhile, Westchester Neurological had withdrawn its job offer to Plaintiff because of the delay in obtaining privileges. Id. ¶ 58. In August 2013, HHC provided a draft denial letter to Plaintiff, and offered him the opportunity to withdraw his application. Id. ¶ 64. The letter stated that the primary reason for denial was that “based on the assessments of individuals at other facilities, concerns did emerge relating to [Plaintiff’s] ability to work well with subordinates as part of a multi-disciplinary team,” as well as that Plaintiff had not presented evidence of medical malpractice coverage at the time of his

application. Id. ¶¶ 66–67. In September 2013, for the same reasons, Lincoln Hospital’s Medical Executive Committee (“MEC”) formally denied Plaintiff’s application for clinical privileges. Id. ¶¶ 73–77. In November 2013, Plaintiff appealed the denial to the MEC Review Committee, which upheld MEC’s decision. Id. ¶¶ 79–82. Plaintiff then appealed the denial to the New York Public Health and Health Planning Council (“PHHPC”), which, in April 2015, found that Lincoln Hospital’s “decision to deny privileges was not sufficiently related to standards of patient care or welfare, the objectives of the institution, or the character and competency of the health practitioner,” thus

3 violating New York Public Health Law § 2801-b, and instructed Lincoln Hospital “to review its actions in light of [the PHHPC’s] determination.” Id. ¶¶ 95–100. In June 2015, the MEC again denied privileges to Plaintiff, for the same reasons that supported its original determination and because of an additional response it had received from a

hospital in New Jersey where Plaintiff had previously worked, which indicated that Plaintiff had resigned to avoid the imposition of disciplinary measures. Id. ¶¶ 102–105. Lincoln Hospital referred the denial to HHC, and in October 2015, Ross Wilson, M.D., the Chief Medical Officer of HHC and acting as the designee of HHC’s President, specifically disagreed with the PHHPC’s determination, and reinstated the first MEC decision upholding the denial of privileges. Id. ¶ 106.2 In July 2014, Plaintiff sought review of the denial in an Article 78 proceeding in Supreme Court, New York County, where Defendants moved for summary judgment. Id. ¶ 110. The court denied the motion, id., but in October 2018, the Appellate Division, First Department reversed and granted Defendants’ motion, holding that they “established prima facie that the

decision to deny [P]laintiff physician professional privileges at Lincoln Hospital was made in good faith and on reasonable grounds,” and that “[t]he decision was based on admissible evidence of [P]laintiff’s poor interpersonal skills and difficulties in working with subordinates, which are reasonably related to the statutory standards of ‘patient care, patient welfare, the objectives of the institution or the character or competency of the applicant.’” Karim v. Raju, 2018 N.Y. Slip Op. 06864 (1st Dep’t Oct. 16, 2018) (citing N.Y. Pub. Health Law § 2801-b(1)), ECF No. 85-1. On September 12, 2019, the New York Court of Appeals denied Plaintiff’s

2 The complaint does not explain why MEC’s first denial was appealed to the MEC Review Committee and then to PHHPC, while the second denial was referred to HHC.

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Bluebook (online)
Karim v. New York City Health And Hospitals Corporation, Counsel Stack Legal Research, https://law.counselstack.com/opinion/karim-v-new-york-city-health-and-hospitals-corporation-nysd-2020.