Stephanie Waggel v. George Washington University

957 F.3d 1364
CourtCourt of Appeals for the D.C. Circuit
DecidedMay 8, 2020
Docket18-7181
StatusPublished
Cited by58 cases

This text of 957 F.3d 1364 (Stephanie Waggel v. George Washington University) is published on Counsel Stack Legal Research, covering Court of Appeals for the D.C. Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Stephanie Waggel v. George Washington University, 957 F.3d 1364 (D.C. Cir. 2020).

Opinion

United States Court of Appeals FOR THE DISTRICT OF COLUMBIA CIRCUIT

Argued November 20, 2019 Decided May 8, 2020

No. 18-7181

STEPHANIE WAGGEL, APPELLANT

v.

GEORGE WASHINGTON UNIVERSITY, APPELLEE

Appeal from the United States District Court for the District of Columbia (No. 1:16-cv-01412)

Peter K. Tompa argued the cause for appellant. With him on the briefs was Jason H. Ehrenberg.

Nicholas S. McConnell argued the cause for appellee. With him on the brief was James N. Markels.

Before: ROGERS, GARLAND and RAO, Circuit Judges.

Opinion for the Court filed by Circuit Judge RAO.

RAO, Circuit Judge: Stephanie Waggel underwent treatment for cancer while working as a psychiatry resident at the George Washington University Hospital. Less than a year 2 later, the University terminated Waggel based on documented instances of unprofessionalism and deficient performance. Waggel alleges the University violated the Americans with Disabilities Act (“ADA”) by failing to provide a reasonable accommodation and discriminating against her because of her cancer. Waggel further alleges the University retaliated against her and interfered with her rights under the Family and Medical Leave Act (“FMLA”). The district court granted summary judgment for the University on all claims. Because Waggel failed to request an accommodation under the ADA and failed to rebut the University’s legitimate justifications for its actions, we affirm.

I.

Stephanie Waggel joined the George Washington University Hospital for a four-year psychiatry residency program in July 2014. The residency program involves both clinical rotations under the supervision of attending physicians and academic coursework. To advance through each successive year, a resident must satisfy the program’s minimum competency and training requirements. Residents receive intensive feedback from their supervising physicians channeled through the residency program’s director, Dr. Lisa Catapano. From the beginning, Waggel’s supervisors reported concerns about her allegedly unprofessional conduct, resistance to feedback, and lack of clinical knowledge.

In April 2015, Waggel was diagnosed with a renal cyst later confirmed to be stage one kidney cancer. Waggel suffered significant stress and anxiety from the diagnosis as well as physical discomfort related to the cyst. During this period, Waggel’s supervising physicians reported a decline in her performance and in one instance sent Waggel home from a shift after determining she was unfit to deliver patient care. After 3 this incident, Waggel conferred with Dr. Catapano and a University administrator about medical leave. Although the University offered Waggel the option of seeking leave as an ADA accommodation, Waggel ultimately took ordinary vacation days to travel within the United States and abroad. In July 2015, Waggel underwent an inpatient surgery that successfully removed the cyst. Although the University granted two weeks of medical leave, Waggel found it extremely difficult to arrange time off for surgery notwithstanding the seriousness of her condition. Further, despite approval for two weeks of light duty upon returning to work, Waggel worked very long hours during this time, including shifts lasting more than twenty hours. For the remainder of her time in the program, Waggel needed to attend medical appointments for follow-up cancer screenings, treatment related to lingering physical symptoms, and therapy for ongoing anxiety related to her diagnosis. Waggel often struggled to secure time off and had to deal with supervisors who sometimes kept her late when she had appointments and told her to plan the appointments around the program’s schedule.

In her second year in the residency program, Waggel’s behavior at work prompted several complaints by supervising physicians to Dr. Catapano. In one incident, Waggel allegedly exhibited dangerous patterns of dealing with psychiatric patients by using methods of restraint contrary to University policy. In several others, Waggel allegedly missed shifts or failed to appropriately communicate patient status to other physicians. Dr. Catapano interceded to notify Waggel of these deficiencies and develop a plan to remedy shortfalls in training and performance. Waggel attributed the complaints in large part to her illness and believed the University was mistreating her because of her medical needs. 4 In October 2015, Waggel’s relationship with Dr. Catapano and other program leaders deteriorated further when she encountered difficulties scheduling leave for a mandatory licensing exam. Although initially approved for a four-day administrative leave, the University revised Waggel’s leave to two days for the stated purpose of maintaining uniform treatment with other residents. The program offered Waggel the option of taking additional personal leave, but also noted that further absences might cause her to work fewer than the minimum number of days required to complete the rotation. After an increasingly hostile email exchange with her supervisors, Waggel announced the following day that she would be taking two weeks of FMLA leave from program responsibilities.

In November 2015, Waggel was placed on forced administrative leave by Dr. Jeffrey Berger, the University’s Associate Dean for Graduate Medical Education, pending investigation into allegations about Waggel’s behavior. According to several police and community reports, Waggel appeared publicly intoxicated at an apartment complex near the hospital, engaged in loud and disruptive conduct, and used abusive language toward observers. The University initially viewed these reports as raising concerns about Waggel’s mental health and suitability for patient care. After discussing the issue with Waggel, however, Dean Berger accepted Waggel’s explanation that the incident arose from disputes with a neighbor rather than a substance abuse problem. Several weeks later, the University determined Waggel was ineligible for promotion to her third year in the program based on letters of deficiency she had accumulated over the previous year. In addition to describing instances of unprofessional conduct noted above, the letters indicated Waggel had failed two required courses and neglected to complete other administrative requirements. 5

Throughout Spring 2016, Waggel engaged in a series of discussions with Dr. Catapano and Dean Berger about remedying her performance, getting back on track to complete the program, and the possibility of transferring to a new residency program. According to the University, Waggel declined to follow up on offers to remedy identified deficiencies, threatened to bring legal action, and, in one instance, attempted to attend a class for which she lacked eligibility by misrepresenting her status to the instructor. According to Waggel, the University sought to burden her career by making it difficult to remedy her deficiencies, declining to provide specific feedback, and refusing to help her transfer to another residency program. Waggel took a second round of FMLA leave, this time as intermittent leave, to attend medical appointments in March.

In April 2016, a committee of supervising faculty voted unanimously to recommend dismissal, citing Waggel’s letters of deficiency, a notice of unprofessional conduct related to her eligibility misrepresentation, and additional concerns about her suitability for patient care. This decision was adopted by Dr. Catapano, sustained on independent review, and affirmed on appeal by a senior University official.

After properly exhausting administrative remedies before the Equal Employment Opportunity Commission, Waggel filed suit against the University for failure to accommodate her disability and other disability discrimination under Title I of the ADA, 42 U.S.C.

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Bluebook (online)
957 F.3d 1364, Counsel Stack Legal Research, https://law.counselstack.com/opinion/stephanie-waggel-v-george-washington-university-cadc-2020.