Tufaro v. Board of Regents of the University of Oklahoma

107 F.4th 1121
CourtCourt of Appeals for the Tenth Circuit
DecidedJuly 9, 2024
Docket23-6039
StatusPublished
Cited by27 cases

This text of 107 F.4th 1121 (Tufaro v. Board of Regents of the University of Oklahoma) is published on Counsel Stack Legal Research, covering Court of Appeals for the Tenth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Tufaro v. Board of Regents of the University of Oklahoma, 107 F.4th 1121 (10th Cir. 2024).

Opinion

Appellate Case: 23-6039 Document: 010111076876 Date Filed: 07/09/2024 Page: 1 FILED United States Court of Appeals Tenth Circuit PUBLISH July 9, 2024 UNITED STATES COURT OF APPEALS Christopher M. Wolpert FOR THE TENTH CIRCUIT Clerk of Court _________________________________

ANTHONY P. TUFARO, D.D.S., M.D., F.A.C.S.,

Plaintiff - Appellant,

v. No. 23-6039

THE STATE OF OKLAHOMA EX REL. BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA; JASON R. SANDERS, M.D., MBA, in his individual and official capacities as the Senior Vice President and Provost; JOHN P. ZUBIALDE, M.D., in his individual and official capacities as the Executive Dean of the College of Medicine; BARISH H. EDIL, M.D., F.A.C.S., in his individual and official capacities as Chair of the Department of Surgery,

Defendants - Appellees. _________________________________

Appeal from the United States District Court for the Western District of Oklahoma (D.C. No. 5:20-CV-01138-J) _________________________________

Shannon F. Davies, Spencer Fane, LLP (Courtney D. Powell, with her on the briefs), Oklahoma City, Oklahoma, for Appellant. Appellate Case: 23-6039 Document: 010111076876 Date Filed: 07/09/2024 Page: 2

M. Daniel Weitman, University of Oklahoma Office of Legal Counsel (Tina S. Ipka and John C. Curtis, III, with him on the brief), Norman, Oklahoma, for Appellees. _________________________________

Before HARTZ, McHUGH, and FEDERICO, Circuit Judges. _________________________________

FEDERICO, Circuit Judge.

From 2017 to 2019, Dr. Anthony Tufaro served as Chief of Plastic &

Reconstructive Surgery and Professor of Medicine at the University of

Oklahoma (“OU”). In 2019, OU gave Tufaro notice that his contract would not

be renewed. Following his departure from OU, Tufaro filed a wrongful

termination lawsuit in state court against OU and three OU doctors in his

chain of command (the “Individual Defendants”; together with OU,

“Defendants”). Generally, he alleges that Defendants terminated him because

he was exposing a range of discrepancies and misconduct within OU’s Medical

and Dental Colleges.

Tufaro’s case was removed to federal court and, ultimately, none of his

claims advanced past summary judgment. Tufaro now appeals several of the

district court rulings that ended his case against Defendants.

I

In March 2017, OU offered Tufaro a “consecutive term” faculty position

to serve as Professor of Surgery and Chief of Plastic and Reconstructive

Surgery. His offer letter, which he and OU both signed, stated that he would

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be responsible for a range of research, teaching, clinical, supervisory, and

administrative duties.

In September 2017, OU’s Board of Regents formally approved Tufaro’s

appointment and sent him a contract for employment as a non-tenured faculty

member. Under the contract terms, Tufaro was “eligible” for consecutive

annual term appointments with no restriction on the number of terms he could

serve. Aplt. App’x III at 128-29. Tufaro signed the contract on October 3, 2017.

Tufaro’s contract also specifically incorporated and made Tufaro’s

employment subject to the OU Health Sciences Faculty Handbook (the

“Handbook”). The 2017 Handbook, which was in effect at the time, stated that

“[c]onsecutive term appointments are automatically renewed for the next fiscal

year unless notification of non-renewal is given[.]” Aplt. App’x I at 39. The

Handbook also included a notice period for any “non-renewal” that increased

upon each year of employment at OU. For example, in year one, the Handbook

guaranteed Tufaro 90 days’ notice before any non-renewal could take effect

and, in year two, guaranteed at least 180 days’ notice.

Under Tufaro’s OU employment agreement, Tufaro’s appointment

renewed automatically in October 2018. In January 2019, he began to voice

internal complaints regarding the following topics:

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1. billing for unperformed surgical procedures;

2. unsupervised resident surgical procedures;

3. surgical procedures performed outside clinic hours;

4. failing to properly secure medications and drugs;

5. breaches of patient confidentiality; and

6. improper billing and referral protocols by the affiliated oral surgeons employed by OU’s College of Dentistry.

Aplt. App’x V at 93.

Throughout early 2019, Tufaro voiced these complaints within OU by

writing emails and engaging with OU’s compliance department. All of Tufaro’s

complaint emails were sent from his official OU email address to other official

OU email addresses (i.e., OU medical executives, compliance officials, and oral

surgeons affiliated with OU’s Dental College), and none of Tufaro’s complaints,

whether by email or in person, traveled outside OU’s campus.

Tufaro’s immediate supervisor, Dr. Barish Edil, was the Chair of Surgery

at OU. Edil raised issues with Tufaro’s performance in the written portion of

Tufaro’s 2019 annual review, written by hand in a box titled “Department

Chair action items.” Aplt. App’x IV at 225. Tufaro claims these comments were

backfilled after his review to justify his termination. Around this time, Edil

consulted with an OU in-house lawyer who suggested that OU could end

Tufaro’s employment using the non-renewal path set forth in the Handbook.

Edil recommended this path in a letter to his supervisor, Dr. John Zubialde,

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the Dean of OU’s Medical College. Edil’s letter listed four reasons to support

non-renewal, citing issues with Tufaro’s “[l]ack of professionalism and

collegiality[,]” “[i]nsufficient clinical productivity and faculty oversight[,]”

“[p]oor leadership in recruitment[,]” and “[d]isregard for proper financial &

fiduciary management of his division causing extensive losses to the

Department and the Division since he began his term.” Id at 219.

Zubialde agreed with Edil’s suggestion and, in turn, recommended

Tufaro’s non-renewal to his supervisor, Dr. Jason Sanders. As OU’s Senior Vice

President and Provost of the Health Sciences Center, Sanders was OU’s

decisionmaker on this matter. He sent Tufaro a letter in May 2019 providing

timely notice of non-renewal of Tufaro’s contract. Sanders did not provide any

reason or justification to Tufaro, but he did inform him that his employment

would end in 180 days, on November 14, 2019, in accord with the notice

provision required by the Handbook, § 3.2.7(b). Around six months later, in

November 2019, Tufaro exited OU.

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To recap, here is the sequence of Tufaro’s hiring and departure from OU:

1. Hiring. OU hires Tufaro in October 2017.

2. Internal Complaints. In January 2019, Tufaro raises complaints on six topics.

3. Annual Review. Tufaro’s annual review in March 2019 is positive, although Tufaro alleges that Edil backfilled negative comments.

4. Chair Suggestion. In March 2019, the Chair of Surgery recommends Tufaro’s non-renewal to the Medical College Dean.

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5. Dean Suggestion. The Dean agrees, and that same month, he recommends Tufaro’s non-renewal to the Provost.

6. Notice of Non-Renewal.

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Cite This Page — Counsel Stack

Bluebook (online)
107 F.4th 1121, Counsel Stack Legal Research, https://law.counselstack.com/opinion/tufaro-v-board-of-regents-of-the-university-of-oklahoma-ca10-2024.