Tuli v. Brigham & Women's Hospital

656 F.3d 33, 2011 U.S. App. LEXIS 18003, 113 Fair Empl. Prac. Cas. (BNA) 116, 2011 WL 3795599
CourtCourt of Appeals for the First Circuit
DecidedAugust 29, 2011
Docket08-2026, 09-1597, 09-1603, 09-1731
StatusPublished
Cited by51 cases

This text of 656 F.3d 33 (Tuli v. Brigham & Women's Hospital) is published on Counsel Stack Legal Research, covering Court of Appeals for the First Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Tuli v. Brigham & Women's Hospital, 656 F.3d 33, 2011 U.S. App. LEXIS 18003, 113 Fair Empl. Prac. Cas. (BNA) 116, 2011 WL 3795599 (1st Cir. 2011).

Opinion

BOUDIN, Circuit Judge.

Now before us are four appeals in a case brought by Dr. Sagun Tuli, a female neurosurgeon, against her employer Brigham and Women’s Hospital (“the Hospital”) and her former co-worker and supervisor Dr. Arthur Day. The first appeal was by the Hospital from a preliminary injunction sought and obtained by Tuli; the three more recent appeals followed a jury verdict awarding Tuli damages against the defendants and a permanent injunction crafted by the district judge.

In 2002, the Hospital hired Tuli as an associate surgeon in the Department of Neurosurgery and Day as residency director and vice chairman of the department. In 2002 and 2003, Tuli was made the department’s professionalism officer and representative to the Hospital’s Quality Assurance and Risk Management Committee (“QARM”), which required her to investigate and in some cases report on other doctors’ case complications. In 2004, the departure of two colleagues left Tuli as the sole spine surgeon; she says that, unlike prior male doctors, she was not promoted to the position of Director of Spine.

Most of Tuli’s claims stem from her interactions with Day, who became her supervisor when he was promoted to chair the department in 2007. As QARM representative, Tuli was asked to investigate three of Day’s cases, which ultimately were reported to the state’s Board of Registration of Medicine. Tuli alleged that Day’s behavior toward women has been consistently inappropriate and demeaning. Starting in 2005 and continuing until 2007, Tuli began to bring her concerns about Day to Dr. Anthony Whittemore, the chief medical officer of the Hospital.

Tuli herself exchanged cross-charges with a resident in 2005. He accused her of threatening his job after he told Day that she was upset by Day’s decision to operate on one of her patients against her wishes; Tuli accused the resident of mismanaging one of her patients by failing to check blood work, leading to a complication requiring urgent care. Tuli also received a number of patient complaints in 2006 and 2007, primarily concerning her attitude and communication skills.

*38 Tub’s medical staff credentials were due for review by the Hospital’s credentials committee in October 2007. Day presented Tub’s case to the committee, stating that she had mood swings, that twenty to thirty members of the operating room staff did not want to work with her, and that she would benefit from anger management training. The committee then conditioned Tub’s reappointment on obtaining an evaluation within four months by an outside agency called Physician Health Services (“PHS”) and agreeing to comply with its recommendations.

After concerns were raised about the lack of specificity of Day’s presentation, the committee had Whittemore re-present Tub’s ease at a December 2007 meeting; Whittemore provided a somewhat more balanced opinion, but mostly rehashed the issues Day had discussed during the earlier meeting and did not tell the committee of Tub’s prior complaints against Day. The committee affirmed its earlier decision. Near the end of December, Tub filed the present lawsuit and sought a preliminary injunction to prevent loss of her privileges during the pendency of the case.

Under both federal and state law, Tub’s complaint charged the Hospital and Day with gender discrimination through both disparate treatment and a hostile work environment, 1 retaliation, 2 and violation of Massachusetts’ Health Care Whistleblower Act. 3 It also charged the Hospital with equal pay violations under both federal and state law 4 and Day with intentional interference with advantageous relations and slander.

The district court granted the preliminary injunction, which the Hospital appealed; shortly thereafter the trial resulted in a jury decision favorable to Tub in most respects, which then led to a permanent injunction. This court then deferred action on the original appeal, anticipating that it would be mooted by the superceding permanent injunction. When the Hospital said that attorneys’ fees might be affected by the resolution of the appeal on the original injunction, we instead consolidated the old appeal with the new appeal from the final judgment.

The jury awarded Tub $600,000 against the Hospital in compensatory damages on the retaliation claim; $1,000,000 in compensatory damages against it on the hostile work environment claim; $20,000 in damages against Day for economic harm on the interference claim; and nominal damages for the whistleblower claim against the Hospital, the slander claim against Day, and non-economic harm from the interference claim against Day. Tub lost her discriminatory disparate treatment and unequal pay claims. Both sides have now appealed from the final judgment.

Hostile work environment. In contesting the award on the hostile work environment claim, the Hospital makes four different arguments. We begin with the contention that the claim failed as a matter of law. Our review on such issues is de novo, but the evidence is taken in the light most favorable to the verdict. Monteagudo v. Asociacion de Empleados del Estado Libre Asociado de P.R., 554 F.3d 164, 170 (1st Cir.), cert, denied, — U.S. -, 130 S.Ct. 362, 175 L.Ed.2d 31 (2009).

*39 To prevail on such a claim based on gender discrimination, Tuli had to offer evidence to show that

(1) she is a member of a protected class; (2) she was subjected to unwelcome harassment; (3) the harassment was based upon gender; (4) the harassment was sufficiently severe or pervasive that it altered the conditions of her employment and created an abusive working environment; (5) the offending conduct was both objectively and subjectively offensive; and (6) some basis for employer liability has been established.

Aponte-Rivera v. DHL Solutions (USA), Inc., 650 F.3d 803, 808 (1st Cir.2011) (citing Douglas v. J.C. Penney Co., 474 F.3d 10, 15 (1st Cir.2007)).

Assuming admissibility, the evidence was ample. The primary actors, in Tub’s account, were Day and another doctor — Dr. Dong Kim- — who like Day is no longer at the Hospital. Kim’s conduct, according to testimony set forth below that the jury could have accepted, was blatantly sexist and offensive; Day’s, according to other evidence, sufficiently demeaning to a female surgeon as to be unlawful. Because chronology is pertinent, the principal episodes are set out in a time line:

2002-03: Day ignores Tub at conferences by stating, “[Ljet’s ask the spine guys, Eric and Marc, what they think,” and omitting her despite the fact that she is also a spine surgeon.
2004: At a graduation dinner and in front of a female resident, Day asks Tub, “Can you get up on the table to dance so you could show them how to behave.”

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656 F.3d 33, 2011 U.S. App. LEXIS 18003, 113 Fair Empl. Prac. Cas. (BNA) 116, 2011 WL 3795599, Counsel Stack Legal Research, https://law.counselstack.com/opinion/tuli-v-brigham-womens-hospital-ca1-2011.