Patel v. Shinseki

984 F. Supp. 2d 461, 2013 WL 6199566, 2013 U.S. Dist. LEXIS 168418
CourtDistrict Court, W.D. Pennsylvania
DecidedNovember 27, 2013
DocketCivil Action No. 2:12-cv-00969
StatusPublished
Cited by6 cases

This text of 984 F. Supp. 2d 461 (Patel v. Shinseki) is published on Counsel Stack Legal Research, covering District Court, W.D. Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Patel v. Shinseki, 984 F. Supp. 2d 461, 2013 WL 6199566, 2013 U.S. Dist. LEXIS 168418 (W.D. Pa. 2013).

Opinion

OPINION

MARK R. HORNAK, District Judge.

Plaintiff Chandrakant R. Patel (“Dr. Patel”), a retired part-time physician at the VA Pittsburgh Healthcare System, brings suit against Defendant Eric K. Shinseki in his official capacity as Secretary for the Department of Veterans Affairs, alleging age discrimination after Dr. Patel was allegedly terminated from his employment in retaliation for voicing complaints of discrimination, in violation of the Age Discrimination in Employment Act of 1967, 29 U.S.C. § 621 et seq. (“ADEA”). Before the Court is Defendant Secretary Shinseki’s Motion for Summary Judgment, ECF No. 21. The parties have extensively briefed this Motion and the Court’s deliberations have been materially aided by the oral argument presented by counsel. For the reasons that follow, Defendant’s Motion is granted.

I. BACKGROUND

While the parties contest many matters related to Dr. Patel’s employment, the relevant material facts are straightforward and undisputed.

a. Dr. Patel’s employment history at VA Pittsburgh Healthcare Systems.

In August of 2003, Plaintiff Dr. Patel was appointed to the position of part-time physician with VA Pittsburgh Healthcare Systems (“VAPHS”). Def.’s Stat. of Material Facts in Supp. of Summ. J. ¶ 9, ECF No. 23 (hereinafter “Def.’s Stat. Facts”). The VA Handbook sets forth the VA’s policy regarding the employment of part-time physicians as follows:

It is VHA [Veterans Health Administration] policy to use the services of qualified individuals on a part-time or intermittent basis when necessary to alleviate recruitment difficulties and in all cases where VHA work requirements do not support employment on a full-time basis. Decisions concerning utilization of part-time or intermittent employees must be related to patient care and other VA work requirements and supported by relevant staffing guidelines.

Def.’s Stat. Facts ¶ 12. Dr. Patel alleged that upon his hire he received a “verbal” promise from Dr. Mona Melhem, Associate Chief of Staff and Vice President of the Clinical Support Service Line, that he would be converted to full-time status in the future. Id. at ¶ 13. The Chief of Staff for VAPHS, Dr. Sonel, testified that there is no authority within the VA to make guarantees for future employment. Id. at ¶ 14.

Upon starting his VA employment in 2003, Dr. Patel worked in the nuclear medicine (“NM”) section where he and a fellow physician, Dr. Klein, split a full-time position by each working a part-time “0.5” [465]*465appointment. Id. at ¶ 17.1 Plaintiff frequently inquired about full-time employment and was informed that the nuclear medicine section’s workload only justified a part-time physician position. Id. at ¶20. However, Dr. Patel was provided with additional work opportunities to help alleviate his self-stated financial constraints. Id.

b. Positron Emission Tomography scanning at the YA.

Positron Emission Tomography (“PET”) scanning, a relatively new technology, was not applied in hospitals’ clinical setting until after the year 2000. Id. at ¶ 23. PET scanning has been formally described as follows:

A positron emission tomography scan is a safe, effective and painless molecular imaging exam that is used to detect the presence and extent of cancer, cardiovascular disease, neurological conditions and other physiological problems. While other imaging techniques — such as X-rays or CT scans — provide anatomical information about the way organs or tissues look, a PET scan shows what the cells in those organs or tissues are doing. That functional information is then used for diagnosis, evaluation and treatment of disease.

Id. at ¶ 24. The training required to administer and read PET scans is significant and involves coursework and performing hundreds of case studies under the supervision of a qualified individual. Id. at ¶ 26. Dr. Patel had no post-doctorate training or fellowship in PET scanning, and his preVA Pittsburgh employment did not include the administration of PET scans and interpretation of PET scan imagery. Id. at ¶¶ 27, 28. VAPHS physicians must obtain PET credentialing and clinical privileges from the VA’s credentialing committee in order to perform and interpret PET scan imagery for VAPHS. Id. at ¶29. Dr. Patel was never credentialed by the VA in PET scan imagery, and was therefore categorically unqualified to perform PET scans at VAPHS. Id. at ¶ 30.

In 2007, the VA published a directive (hereinafter “the PET Directive”) authorizing the acquisition and increased use of PET scanning as a vital resource within the VA medical community. Id. at ¶31. Previously, the VA had a contract with the University of Pittsburgh to perform its PET/CT services. Id. at ¶ 32. In 2008, VAPHS acquired a PET scan machine in the nuclear medicine section; however, neither Dr. Patel nor Dr. Klein were qualified to use the PET scan machine. Id. at ¶ 33. The PET Directive tasked each facility director with the responsibility of ensuring that professional medical staff providing PET interpretations were credentialed and privileged. Id. at ¶ 34.

On January 9, 2008, the VA hired Dr. Tanuja Kanderi as a part-time physician and assigned her to the nuclear medicine section with the primary responsibility of administering and interpreting PET/CT scans at VAPHS. Id. at ¶ 35. At the time of her hire, Dr. Kanderi was under 40 years of age. Id. at ¶ 36. Dr. Kanderi’s credentials included a board certification in nuclear medicine and completion of a PET/CT fellowship at Stanford University. Id. at ¶ 37. She was also credentialed and received clinical privileges from the VA credentialing committee to perform PET scans. Id. at ¶ 38. Dr. Kanderi initially worked a part-time schedule of three days per week. Id. at ¶ 39.

[466]*466c. The PET workload increase and the conversion of Dr. Kanderi to full-time employment.

VA Statistics Reports reveal that the PET scan workload of VAPHS steadily increased between the years 2008-2011 as follows: 2008 (228 cases); 2009 (610 eases); 2010 (809 eases); and 2011 (929 cases). Id. at ¶ 40. According to Chief of Staff Dr. Jain, VAPHS’s PET scan workload was brought back in-house. Id. at ¶41. Dr. Jain also testified that oncologists and other clinicians requested PET/CT scan availability at VAPHS five days per week as opposed to the three days per week that were being performed by Dr. Kanderi. Id. at ¶ 42. According to Dr. Jain, it was most cost-effective to convert Dr. Kanderi to full-time status in order to meet the needs of the increased workload in PET/CT scans at VAPHS. Id. at ¶ 43. Dr. Kanderi was officially converted to full-time status effective February 14, 2010. Id. at ¶ 44. In addition to performing PET scans, Dr. Kanderi assisted with non-PET nuclear medicine cases. Id. at ¶ 57.

d. Dr. Klein’s retirement and Dr. Patel’s request for full-time work.

In a June 2, 2010 email sent to various VAPHS officials, Dr. Patel indicated that he was notified of Dr. Klein’s imminent retirement and requested conversion to a full-time physician position in the Nuclear Medicine Department. Id. at 50. Dr.

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984 F. Supp. 2d 461, 2013 WL 6199566, 2013 U.S. Dist. LEXIS 168418, Counsel Stack Legal Research, https://law.counselstack.com/opinion/patel-v-shinseki-pawd-2013.