Michael Alley, M.d., V. The University Of Washington

CourtCourt of Appeals of Washington
DecidedMay 11, 2026
Docket87618-0
StatusUnpublished

This text of Michael Alley, M.d., V. The University Of Washington (Michael Alley, M.d., V. The University Of Washington) is published on Counsel Stack Legal Research, covering Court of Appeals of Washington primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Michael Alley, M.d., V. The University Of Washington, (Wash. Ct. App. 2026).

Opinion

IN THE COURT OF APPEALS OF THE STATE OF WASHINGTON

MICHAEL ALLEY, M.D., No. 87618-0-I Appellant, DIVISION ONE v. UNPUBLISHED OPINION THE UNIVERSITY OF WASHINGTON, an agency of the State of Washington,

Respondent.

COBURN, J. — After repeated failures in meeting performance expectations, the

University of Washington (UW) dismissed Michael Alley from its five-year-long

orthopaedic surgery residency program near the end of his second year. Alley sued the

UW, alleging violations of the Washington Law Against Discrimination (WLAD), chapter

49.60 RCW. Alley argued that the UW failed to accommodate his disabilities, terminated

his residency because of his disabilities, and did not renew his residency in retaliation

for seeking disability accommodation. The trial court granted summary judgment in

favor of the UW after concluding that Alley failed to establish a prima facie case for a

failure to reasonably accommodate and that he failed to establish that the UW’s

nondiscriminatory basis for his dismissal was pretextual or was substantially motivated

by a discriminatory factor. We affirm. 87618-0-I/2

FACTS

After graduating medical school, Alley entered the UW Orthopaedic Surgery

Residency Program in July 2019. At that time Alley was taking prescribed medications

for recurrent major depressive disorder and attention deficit hyperactivity disorder. He

reported to his primary care physician in June 2019 that his depression was “under

control” but that it could be improved. His doctor prescribed a new medication but noted

that his depressive disorder was in remission. The following month, in July 2019, Alley’s

doctor adjusted his medications to treat his “shift work sleep disorder.”

As part of the UW’s residency program residents sign one-year agreements with

the UW, which must be renewed annually to remain in the five-year program. Alley

completed the first year of his residency and was renewed for a second year. As a

resident, Alley was supervised by residency program director Dr. Christopher Kweon,

who oversaw all orthopaedic surgery residents and gathered feedback from other

supervising doctors to assess residents’ individual progress in the program and their

employment status at the UW.

Alley began the second year of his residency in July 2020 that consisted of eight

clinical rotations, including three trauma clinic rotations supervised by attending

physicians at Harborview Medical Center. In August Alley started his first trauma

rotation. Within two weeks, Kweon received feedback from associate residency program

director Dr. Lisa Taitsman that Alley was “struggling” and was “way below his peer[s]” in

his performance at weekly fracture conferences where residents present on cases from

the previous week to supervising surgeons. Supervising attending physician Dr. Robert

Dunbar described Alley’s performance at fracture conferences as “the weakest in as

2 87618-0-I/3

long as I can remember.” Dunbar also described an instance where he asked Alley

“almost an embarrassingly easy question” that Alley could not answer. Concerns also

were raised regarding Alley’s clinical performance.

The following month Alley received a “Patient Safety Network” (PSN) complaint

that he performed a procedure on a patient without first administering anesthesia.

According to Alley’s later testimony, PSN complaints can be prepared and submitted by

any Harborview hospital staff about any issue that the complainant considers a threat to

patient safety.

Supervising attending physician Dr. Michael Githens told Alley in a meeting in

late September that if he continued to fall behind at the same rate, he would pose an

unsafe threat to patients “because he’s not going to know what he’s doing or why” and

“if there are things going on in his life outside of work that are interfering with his

development, whether family related, health related, addiction, or anything else, that it

was, one, critical that he acknowledges this, and, two, seek help.” Internal quotation

marks omitted. Alley responded that he had no issues and just needed more time to find

a study plan that worked for him. Alley thought he was performing satisfactorily in his

first trauma rotation and that he was improving. Githens felt that Alley lacked insight into

his poor performance and “seemed a bit angry at times and defensive of his position,

rather than acknowledging weaknesses.”

Concerns regarding Alley’s patient care, medical knowledge, and professionalism

resulted in the UW deciding to issue a “Focus of Concern” (FOC) letter. Kweon informed

Alley in September that he was going to be receiving the FOC letter. Around the same

time, Alley met with Kweon in person and disclosed his recurrent major depressive

3 87618-0-I/4

disorder. Alley told Kweon that it was “a possibility” that his depression may be affecting

his ability to perform his job.

UW issued its FOC letter on October 19. The letter mentioned performance

issues, including the complaint from September that Alley received regarding

performing a patient procedure without first administering anesthesia. In the letter,

Kweon listed action items that Alley was required to complete to get his performance

back on track. Kweon advised Alley that failure to perform satisfactorily in the identified

areas would result in disciplinary action up to and including dismissal, including

performance at a level appropriate in terms of medical knowledge and patient care and

consistently demonstrating behavior that is in line with department and school of

medicine standards regarding professionalism, teamwork, and communication. The

FOC letter also advised Alley:

If you believe that a medical condition is affecting your ability to perform your job, you may want to begin the accommodation request process by contacting the [UW] Disability Services Office [(DSO)] (https://hr.uw.edu/dso/). You are not required to disclose the medical need for an accommodation to us.

The DSO is an arm of the UW’s human resources department that receives and

analyzes disability accommodation requests and health care provider documentation for

potential accommodation. According to an apparent UW human resources publication

about disability accommodation for employees, if employees believe that a medical

condition is affecting their ability to perform their job, they “may want to begin the

accommodation request process by discussing your needs with your supervisor,

contacting your HR consultant or contacting DSO.” When employees reach out to their

supervisor about accommodations, supervisors are instructed to direct them to the

4 87618-0-I/5

DSO. The employee completes an application form explaining what accommodation

they are requesting and submits it with supportive medical documentation for the DSO’s

review. After that review, the UW’s Graduate Medicine Education Office, which

oversees all residency programs at the UW and keeps records of all residents and their

performance in their residency program, engages in an interactive process with

residents and their programs to determine if there can be reasonable accommodations

made. The residency program implements an accommodation only after the DSO has

vetted the accommodation and the accommodation is determined as reasonable.

At the time he received the FOC letter, Alley agreed that his performance at

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