United States v. Daniel O. Thompson, III

749 F.2d 189, 1984 U.S. App. LEXIS 18630
CourtCourt of Appeals for the Fifth Circuit
DecidedSeptember 13, 1984
Docket83-1409
StatusPublished
Cited by9 cases

This text of 749 F.2d 189 (United States v. Daniel O. Thompson, III) is published on Counsel Stack Legal Research, covering Court of Appeals for the Fifth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
United States v. Daniel O. Thompson, III, 749 F.2d 189, 1984 U.S. App. LEXIS 18630 (5th Cir. 1984).

Opinion

E. GRADY JOLLY, Circuit Judge:

In this suit, the United States sought to recover over $15,000 in incentive salary bonuses it had paid to Daniel Thompson, a doctor formerly employed by the National Health Service, because Thompson resigned from his position before the end of the period for which he had agreed to serve. Thompson argued that he was entitled to keep the salary bonuses because his resignation had been involuntary. The district court granted summary judgment for the government, and Thompson appeals that judgment. Because the record shows without contradiction that Thompson failed to pursue other avenues open to him short of resigning, we affirm the judgment of the district court.

I.

As in all appeals from cases decided by summary judgment, we view the evidence in the light most favorable to the party opposed to summary judgment. Viewed in Thompson’s favor, we briefly summarize the occurrences which led to this lawsuit.

In 1977, Thompson accepted a two-year commission from the National Health Service Corps (NHSC), a uniformed service created by the United States government to provide medical personnel for the staffs of federal and federally-aided medical and scientific agencies. Thompson’s acceptance of the commission was conditioned upon his being selected to receive variable incentive pay. 1 Thompson was assigned to serve as a staff doctor at the Su Clinica Familiar, a rural community health clinic located in Raymondville, Texas, which is *191 primarily funded by the federal government and staffed by NHSC personnel. Thompson received an incentive payment of $12,500 at the beginning of both his first and second years at Su Clinica Familiar.

Thompson was aware that he would be assigned to Su Clinica Familiar before he accepted his NHSC commission. He interviewed both Dr. Fisch, the clinic’s medical director, and the doctor whose position he filled before he accepted the job. They assured him during this interview that the nurses employed at the clinic were competent and that there had never been any legal trouble at the clinic due to the use of nurses in direct patient care. Because of the NHSC benefits, the clinic location and Thompson’s favorable impression of the clinic based on this interview, he accepted the NHSC commission.

In his position as Associate Medical Director of Su Clinica Familiar, Thompson was to supervise the work of NHSC nurse practitioners and nurse midwives as well as to provide medical care directly to patients. After he began work, Thompson discovered that some of the clinic’s “nurse practitioners” were in fact licensed vocational nurses. Two qualified nurse practitioners left the clinic and were replaced by one nurse practitioner trainee. In addition, the licensed pharmacist was on duty only two or three days per week, and in his absence his duties were performed by an unlicensed assistant. When Thompson expressed to Fisch his concern that the staff was not adequately trained, Fisch assured him that the clinic was actively seeking qualified staff members.

Thompson also became aware that the nurses at the clinic were performing duties which, in his opinion, included the diagnosis of illness and treatment of patients. The clinic’s nurses frequently wrote prescriptions which were filled at the clinic pharmacy. Thompson reviewed and signed the prescriptions made by nurses once a week. Thompson questioned the legality of these procedures, but Fisch assured him that there were no legal problems at the clinic.

In 1978, Fisch told Thompson that the Texas Board of Medical Examiners (TBME) was investigating allegations that the clinic nurses were engaged in the unauthorized practice of medicine. However, Fisch told Thompson that TBME had approved changes in the clinic’s procedures which would satisfy the board’s concerns. Under the new procedures, Thompson was required to countersign all patient charts at the time the patient was seen by a clinic nurse, even if Thompson did not see the patient himself.

Thompson was concerned that the new procedure gave the false impression that he was providing supervision over the clinic nurses. In fact, the overwhelming number of patients treated at the clinic, as well as the number of patients treated by the nurses at locations outside the clinic, made it impossible for Thompson to oversee all the nurses’ work. In an affidavit, Thompson later described the new procedure as “a rubber stamp operation.” Thompson again was assured that the new procedures were legal when he questioned Fisch about them.

On the advice of his brother, a Texas attorney, Thompson requested that the clinic hire an additional staff doctor. Fisch promised him that he would try to recruit another doctor, but Thompson did not trust this promise. Thompson’s brother advised him that if he continued to follow the clinic’s policies, he might be in danger of losing his medical license on grounds that he was aiding in the unlicensed practice of medicine. Thompson became very concerned about this possibility, despite Fisch’s continued assurances that the clinic’s procedures were legal and that Thompson was in no danger of losing his license. Fisch told Thompson that the federal government would intervene on the clinic’s behalf in any legal actions instigated by TBME. Thompson’s brother advised Thompson to resign immediately.

In September 1978 Thompson accepted a new position in Austin, Texas. In his affidavit, Thompson explained the reasons for his resignation:

*192 I came to realize that without my medical license to rubber stamp the activities of the nurses the clinic could not function. I had been vocal about my objections to the practices at the clinic. The other physicians had ostracized me. I had no alternative but to leave the clinic and the NHSC. I feared retaliation if I stayed in the NHSC. A transfer was unthinkable. I knew too much and had been too vocal.
I worked for the NHSC at Su Clinica Familiar in Raymondville fifteen months out of my two-year contract. The only reason I left was for fear that my medical license would have been in jeopardy if I had stayed. I was upset, worried, and afraid. I would have stayed but for that____ My termination was not voluntary in any sense of the word and solely the result of the procedures at the clinic, which were wrongful by design. I had no choice but to participate in the wrongful procedures and perhaps be disciplined by the TBME, refuse to sign charts and prescriptions where I had not supervised the nurse and be fired or worse, or resign.

Thompson did not inform NHSC of the reasons for his resignation when he left Su Clinica Familiar. He did so, through his lawyer, after NHSC began its efforts to force Thompson to return a portion of the variable incentive pay benefits he had received in return for his promise to work for NHSC for two full years.

II.

Even though Thompson did not perform services for the full bonus period for which he was paid, he refused to repay any of his incentive pay benefits, and the government filed this suit, seeking judgment for more than $15,000. 2

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Cite This Page — Counsel Stack

Bluebook (online)
749 F.2d 189, 1984 U.S. App. LEXIS 18630, Counsel Stack Legal Research, https://law.counselstack.com/opinion/united-states-v-daniel-o-thompson-iii-ca5-1984.