Rondon Clavo v. Midwestern University

CourtDistrict Court, D. Arizona
DecidedMarch 19, 2025
Docket3:24-cv-08025
StatusUnknown

This text of Rondon Clavo v. Midwestern University (Rondon Clavo v. Midwestern University) is published on Counsel Stack Legal Research, covering District Court, D. Arizona primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Rondon Clavo v. Midwestern University, (D. Ariz. 2025).

Opinion

1 WO 2 3 4 5 6 IN THE UNITED STATES DISTRICT COURT 7 FOR THE DISTRICT OF ARIZONA

9 Carlos M. Rondon Clavo, No. CV-24-08025-PCT-KML

10 Plaintiff, ORDER

11 v.

12 Midwestern University, et al.,

13 Defendants. 14 15 Plaintiff Carlos M. Rondon Clavo, a physician from Venezuela, made medical 16 mistakes during the second year of his residency at Kingman Regional Medical Center. 17 Defendant Kingman terminated his residency. Dr. Clavo filed this suit claiming the 18 termination was discriminatory and violated his contracts with both Kingman and 19 defendant Midwestern University, the private educational institution that sponsored the 20 residency program. Kingman and Midwestern have each filed motions to dismiss the 21 current complaint. Those motions are granted, but Dr. Clavo may amend three of his 22 claims. 23 I. Factual Background 24 Dr. Clavo, who is Hispanic, obtained his medical degree in Venezuela before 25 immigrating to the United States. (Doc. 38 at 3.) After a series of post-doctoral fellowships, 26 in 2019 he matched through the National Resident Matching Program with Kingman 27 Regional Medical Center, a hospital in northern Arizona. (Doc. 38 at 2–4.) Kingman’s 28 emergency room residency program is sponsored by Midwestern University, a private 1 university accredited by the Accreditation Council for Graduate Medical Education 2 (“ACGME”). (Doc. 38 at 4.) 3 Dr. Clavo was required to sign a “residency employment agreement” that governed 4 the terms of his relationship with Kingman.1 (Doc. 41-1.) The agreement provided 5 Kingman would “employ” Dr. Clavo as a resident for his PGY-2 year (post-grad-year 2, 6 i.e., the second year following his medical school graduation), from July 1, 2021 to June 7 30, 2022. (Doc. 41-1.) Under the agreement, Dr. Clavo agreed to care for Kingman patients 8 in exchange for the salary, bonus and benefits explicitly described. (Doc. 41-1 at 3, 7.) 9 Either party could terminate the agreement in various ways. (Doc. 41-1 at 8–9.) Among 10 those, Kingman could immediately terminate Dr. Clavo “for cause” on written notice if he 11 engaged in an act, omission, or pattern of conduct that “pose[d] a danger to patient 12 welfare[.]” (Doc. 41-1 at 8.) 13 Dr. Clavo’s complaint admits he made medical mistakes at Kingman during that 14 PGY-2 year. (Doc. 38 at 8.) In October 2021, he accidentally placed a catheter incorrectly 15 during a central line procedure, but “acted promptly to prevent injury to the patient” and 16 “took full responsibility for the error.” (Doc. 38 at 8.) Nonetheless, Kingman placed Dr. 17 Clavo on “remediation,” a disciplinary sanction with potential to escalate, requiring him to 18 perform additional procedures under the supervision of defendant Dr. Justina Truong. 19 (Doc. 38 at 2.) 20 While Dr. Clavo was completing his first period of remediation, he disagreed with 21 his attending physician Dr. Merrill (who is not a named defendant) regarding a 22 1 Dr. Clavo refers to the operative document as a “residency agreement” and claims 23 Kingman explicitly identifies itself as “the School” in the agreement. (Doc. 38 at 4.) But the document he references and attaches to his complaint is not a residency agreement, nor 24 is Kingman a party to it: it is a “student intern agreement and release” releasing an unnamed company from liability arising from Dr. Clavo’s participation in some type of clinical 25 experience involving paramedics. (Doc. 38-1.) Kingman attached the actual residency agreement to its motion to dismiss and asked the court to incorporate it by reference. (Docs. 26 41 at 5, 41-1.) Dr. Clavo did not oppose Kingman’s request or contest the residency agreement’s authenticity in his response. (See Doc. 44.) Because the complaint refers 27 extensively to the residency employment agreement, it is central to Dr. Clavo’s breach-of- contract claim against Kingman, and no party questions its authenticity, the court treats the 28 document as part of the complaint and assumes its contents are true for purposes of the motion to dismiss. See Marder v. Lopez, 450 F.3d 445, 448 (9th Cir. 2006). 1 cardiovascular diagnosis. (Doc. 38 at 9–10.) Although Dr. Clavo expressed his opinion 2 “privately and respectfully” and was ultimately correct in the diagnosis, Dr. Merrill 3 chastised him for being “aggressive” and reported him for “insubordination,” thereby 4 invoking “racist stereotypes of Hispanic or Latino men[.]” (Doc. 38 at 9–10.) Kingman 5 then placed him on another remediation plan justified by perceived gaps in his medical 6 knowledge. (Doc. 38 at 11.) The second remediation plan required Dr. Clavo to “discuss 7 ALL patient care decisions . . . with an attending physician on the service” until April 1, 8 2022, and warned that he could be removed from active clinical duties if it appeared at any 9 time that patient safety was compromised. (Doc. 38-1 at 105.) 10 A month later, in January 2022, Dr. Clavo encountered a patient with a leg fracture 11 and administered a moderate dose of ketamine as an anesthetic, consistent with his PGY-2 12 status and Kingman policy.2 (Doc. 38 at 11, 13.) He tried to find attending physician Dr. 13 Jahnny before doing so, but Jahnny was busy attending to other patients and Dr. Clavo 14 decided “time was of the essence” in sedating the patient. (Doc. 38 at 11.) Dr. Jahnny 15 arrived in time to help reduce the fracture and initially complimented Dr. Clavo’s work but 16 later claimed Dr. Clavo did not timely inform him about the procedure. (Doc. 38 at 12.) 17 Kingman terminated Dr. Clavo in a written letter dated February 4, 2022. (Doc. 31- 18 1 at 109.) The letter referenced the fracture reduction, stating Dr. Clavo had “performed 19 another unsupervised procedure without the attending physician’s consent while in active 20 remediation for a similar event.” (Doc. 31-1 at 109.) The termination letter invoked the 21 paragraph of the resident employment agreement permitting “immediate termination for 22 cause” where a resident’s act, omission, or pattern of conduct poses a danger to patient 23 welfare. (Doc. 31-1 at 109.) 24 Dr. Clavo requested an appeal hearing, which Midwestern administered in 25 2 Kingman contests Dr. Clavo’s assertion that he acted within policy in administering the 26 ketamine and asks for “judicial notice” of its sedation policy. (Doc. 41 at 6.) The sedation policy is not a matter of public record and therefore cannot be judicially noticed without 27 converting the motion to one for summary judgment. See Fed. R. Civ. P. 12(d). Unlike for the residency employment agreement, the incorporation-by-reference exception does not 28 apply because the sedation policy is not central to Dr. Clavo’s claims and the complaint does not refer to it extensively. See supra note1. 1 accordance with a written “academic and disciplinary action due process policy.” (Docs. 2 38 at 14, 38-1 at 2.) The appeal committee voted to terminate Dr. Clavo from the residency 3 program on May 20, 2022. (Doc. 38 at 14.) 4 Nearly nineteen months later, Dr. Clavo filed a complaint in the U.S. District Court 5 for the Northern District of Illinois, which was later transferred to the District of Arizona. 6 (Doc. 18.) Dr. Clavo amended the complaint. (See Doc. 38.) The first amended complaint 7 alleges five counts arising from the termination: 8 1. Title VII discrimination and retaliation based on race and national origin against 9 Kingman; 10 2. Unlawful discrimination under 42 U.S.C. § 1981 against Kingman and four 11 individually-named physician defendants (Drs. Nelcamp, Sergent, Truong, and 12 Dawson) who participated in supervising and terminating Dr. Clavo; 13 3.

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Rondon Clavo v. Midwestern University, Counsel Stack Legal Research, https://law.counselstack.com/opinion/rondon-clavo-v-midwestern-university-azd-2025.