Kirk v. Hitchcock

2000 DNH 203
District Court, D. New Hampshire·Decided September 29, 2000·No. CV-98-700-M·Published

Opinion

Kirk v . Hitchcock CV-98-700-M 09/29/00 UNITED STATES DISTRICT COURT

DISTRICT OF NEW HAMPSHIRE

Eileen Kirk, M.D., Plaintiff

v. Civil N o . 98-700-M Opinion N o . 2000 DNH 203 The Hitchcock Clinic, Mary Hitchcock Memorial Hospital, Dartmouth Hitchcock Medical Center, Dartmouth College, Dartmouth Medical School, Lisabeth Maloney, Barry Smith, Thomas Colacchio, and Ellen Hubbell, Defendants

O R D E R

Eileen Kirk, M.D. (Kirk), brings this action against her former employer, The Hitchcock Clinic, as well as Mary Hitchcock Memorial Hospital, Dartmouth Hitchcock Medical Center, Dartmouth College, Dartmouth Medical School, and three physicians (Maloney, Smith, and Colacchio) and a nurse (Hubbell) with whom she worked (collectively Defendants), seeking relief for alleged gender discrimination in violation of Title VII of the Civil Rights Act of 1964 (Title V I I ) . See 42 U.S.C. § 2000e, et seq. She also asserts common law claims of defamation, interference with

advantageous business relations, and wrongful discharge. Defendants have moved for summary judgment on all claims. Plaintiff objects. The motion is granted in part and denied in part.

Standard of Review

Summary judgment is appropriate when the record reveals “no genuine issue as to any material fact and . . . the moving party is entitled to a judgment as a matter of law.” Fed. R. Civ. P. 56(c). When ruling upon a party’s motion for summary judgment, the court must “view the entire record in the light most hospitable to the party opposing summary judgment, indulging all reasonable inferences in that party’s favor.” Griggs-Ryan v . Smith, 904 F.2d 1 1 2 , 115 (1st Cir. 1990).

The moving party “bears the initial responsibility of informing the district court of the basis for its motion, and identifying those portions of [the record] which it believes demonstrate the absence of a genuine issue of material fact.” Celotex Corp. v . Catrett, 477 U.S. 3 1 7 , 323 (1986). If the moving party carries its burden, the burden shifts to the

nonmoving party to demonstrate, with regard to each issue on which it has the burden of proof, that a trier of fact could reasonably find in its favor. See DeNovellis v . Shalala, 124 F.3d 2 9 8 , 306 (1st Cir. 1997).

At this stage, the nonmoving party “may not rest upon mere allegation or denials of [the movant’s] pleading, but must set forth specific facts showing that there is a genuine issue” of material fact as to each issue upon which he or she would bear the ultimate burden of proof at trial. Id. (quoting Anderson v . Liberty Lobby, Inc., 477 U.S. 2 4 2 , 256 (1986)). In this context, “a fact is ‘material’ if it potentially affects the outcome of the suit and a dispute over it is ‘genuine’ if the parties’ positions on the issue are supported by conflicting evidence.” Intern’l Ass’n of Machinists and Aerospace Workers v . Winship Green Nursing Center, 103 F.3d 196, 199-200 (1st Cir. 1996) (citations omitted).

Factual Background

Kirk, a medical doctor, began working for the Hitchcock Clinic (Clinic) in September of 1992 in the Department of

Obstetrics and Gynecology (OB/GYN). Her position was accompanied by appointments to the medical staff of Mary Hitchcock Memorial Hospital and Dartmouth Medical School, contingent upon her continued employment at the Clinic. As a standard condition of her employment, Kirk received annual reviews based, in part, on assessments by Clinic staff of her professional performance during the previous year. She became eligible for “voting membership” in the Clinic in October of 1997. Voting membership is essentially a permanent position equivalent to tenure in an academic institution. Kirk was reappointed to her position in 1993, 1994, 1995, and 1996. On October 2 3 , 1997, however, the Clinic’s Board of Governors voted 23-0 to deny her voting membership and to terminate her employment. At the time Kirk was terminated, she maintained one of the largest OB/GYN practices at the Clinic and was the only full-time female OB/GYN generalist.

For purposes of these proceedings Kirk’s employment with the Clinic was uneventful before 1994. In the fall of 1994 medical complications arose during a birth for which Kirk was responsible, resulting in brain damage to the baby. She investigated possible causes of the unfortunate occurrence and,

by the spring of 1995, she began reporting concerns about violations of practice standards, rules, and regulations promulgated by various health care organizations occurring within the Clinic’s labor and delivery ward (the Birthing Pavilion). Her concerns related to issues of quality improvement, quality assessment, quality assurance, quality assurance/improvement monitoring, nurse staffing, nurse competency, and various standards relating to the medical staff, nursing leadership, administration, and governing body (“quality assurance concerns”). During the period between 1995 and Kirk’s termination in 1997, she continued to raise quality assurance concerns within the Birthing Pavilion and continually requested an external review of its operation.

Sometime in 1996, the Clinic entered into negotiations with the Alice Peck Day Hospital (APD) to provide APD with obstetrical services. Kirk became aware of these negotiations in the summer of 1996 and, because she felt she was making little progress in resolving what she perceived to be legitimate patient care issues within the Birthing Pavilion, she requested assignment to APD. Dr. John Currie (Currie), who served as the Clinic’s chairman of

the OB/GYN department, and was responsible for assigning Clinic doctors to APD, refused to send Kirk because “she was a woman.”1 Kirk reported Currie’s comment to Maloney, the Medical Director, who in turn contacted Mary Childers (Childers), then responsible for equal opportunity matters at Dartmouth College, and requested an internal investigation. Based on her investigation, Childers concluded that Currie’s remark did not evidence discriminatory treatment but represented a business decision.2 Childers reported her preliminary conclusions to Kirk. At some point, Kirk was informed that if she desired, she could file a formal written complaint which would be investigated by the Clinic’s Human Resources Department.

On August 2 1 , 1996, Kirk was told by Colacchio that her annual appointment was being challenged due to the environment in labor and delivery which he attributed to Kirk. On September 3 ,

1 The record is not clear as to the exact words Currie used but “because ‘she was a woman’” is the language cited by Kirk and therefore will be accepted for purposes of this motion. See P l . Opp. to Summary Judgment at 5 .

2 Childers likened Currie’s decision to that of selecting women to teach female physical education classes. That i s , the Clinic had a business reason for retaining Kirk (and her large OB/GYN practice) at the Clinic.

Childers sent an email to Maloney, Colacchio, and Currie suggesting that failure to reappoint Kirk could result in her filing a lawsuit. On September 6, 1996, while Kirk was attending a conference in Washington, D.C., Maloney telephoned her and informed her that there had been a meeting among risk management and several administrators related to her upcoming reappointment. Kirk was told that it had been determined that, as a condition of reappointment, she would be required to sign a statement agreeing to several things, including: the appropriate methods for dealing with quality assurance issues within the Birthing Pavilion; mediation with one of the nurses with whom Kirk had recurring difficulties; and a promise to either refrain from accusing Currie of gender discrimination or to file a formal written complaint. Four days later, Maloney phoned Kirk again and reversed course – she told her she did not have to sign anything, but she still wanted her to submit a complaint in writing to Childers if she wished to pursue a sexual discrimination claim. Kirk never filed a complaint. Kirk was reappointed on September 1 2 , 1996.

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