Walter Zawislak, M.D. v. the Texas A&M University Health Science Center

Court of Appeals of Texas·Decided June 23, 2021·No. 10-18-00038-CV·Published

Opinion

IN THE

TENTH COURT OF APPEALS

No. 10-18-00038-CV

WALTER ZAWISLAK, M.D., Appellant

v.

THE TEXAS A&M UNIVERSITY HEALTH SCIENCE CENTER, Appellee

From the 85th District Court Brazos County, Texas

Trial Court No. 16-001998-CV-85

MEMORANDUM OPINION

In three issues, Walter Zawislak, M.D., (Zawislak) appeals from the trial court’s judgment granting Texas A&M University System Health Science Center’s (TAMHSC) plea to the jurisdiction and dismissing with prejudice all the causes of action, claims, and relief sought by Zawislak against TAMHSC in the underlying suit. We will affirm.

BACKGROUND

The Texas Medical Board (the Board) filed a complaint against Zawislak with the State Office of Administrative Hearings. Following a hearing regarding the complaint, the administrative law judge (ALJ) issued a “Proposal for Decision” containing findings of fact and conclusions of law. Thereafter, the Board issued a “Final Order” adopting the ALJ’s findings of fact and conclusions of law, including conclusions that Zawislak had committed negligence in his performance of several medical services.

The Board reprimanded Zawislak in its Final Order. The Board also ordered, among other things, that Zawislak contact TAMHSC to schedule a Knowledge, Skills, Training, Assessment, and Research (KSTAR) assessment. The Board stated in its Final Order that the assessment should be of Zawislak and his practice of medicine and should determine whether Zawislak should undergo an education plan. The Board further ordered that if TAMHSC recommended an education plan for Zawislak, then Zawislak must complete it.

The ensuing relationship between Zawislak and TAMHSC led to the underlying lawsuit. Zawislak originally sued TAMHSC for defamation, but in his amended petition, Zawislak dropped his defamation claim and instead asserted causes of action against TAMHSC for negligence under the Texas Tort Claims Act (TTCA) and for breach of contract. More specifically, Zawislak alleged as follows in his live petition at the time the trial court granted TAMHSC’s plea to the jurisdiction: Zawislak entered into an “Agreement for Professional Services” (the Agreement) with TAMHSC for TAMHSC to conduct a KSTAR assessment for him. Under the Agreement, TAMHSC was to perform the following duties in conducting Zawislak’s KSTAR assessment:

• provide five medical records that had been de-identified that Zawislak would review and provide formal feedback as to the care rendered;

Zawislak v. Tex. A&M Univ. Health Sci. Ctr. Page 2 • provide the opportunity to assess four patient scenarios using standardized patients and conduct a formal physical assessment, document findings, and be prepared to discuss the findings and rationale for such;

• provide four National Board of Medical Examiners Tests with Subject Examination by TAMHSC;

• check references and obtain feedback on past and present performance applicable to the assessment;

• provide a formal written evaluation of Zawislak at the conclusion of the assessment;

• provide micro-cognitive computerized testing through TAMHSC; and • provide ECG 12-lead and rhythm strip analysis through TAMHSC.

In turn, Zawislak consented in the Agreement to:

• complete all necessary paperwork, including authorization to contact references that may have knowledge of his medical practice;

• fully participate in the aforementioned “activities”;

• compensate TAMHSC pursuant to the Agreement;

• be present at TAMHSC as scheduled; and • allow KSTAR follow-up at one- and five-year post-assessment.

Zawislak alleged that TAMHSC, however, performed its duties under the Agreement negligently. Zawislak asserted that TAMHSC breached its duty of care to him because TAMHSC failed to adhere to the Agreement’s “STANDARD OF CARE” section, which states: “TAMHSC warrants that Services shall be performed by personnel possessing competency consistent with applicable industry standards.”

Zawislak alleged that his KSTAR assessment consisted of a rigorous two-day evaluation, which TAMHSC employee Dr. Steele (Steele) oversaw. Before the assessment began, TAMHSC interviewed Zawislak to determine his specific area of medical practice, but after the assessment started, Zawislak immediately noticed that he was not being tested in his correct field of medicine. Zawislak is an emergency medicine (EM) physician, and he was being administered an ambulatory care medicine (ACM) exam. Zawislak immediately notified the proctor of the issue. Zawislak also emailed Steele after the exam, requesting that Steele review the ACM exam with the faculty of the EM department of TAMHSC’s medical school to determine if they thought that the ACM exam was “a good indicator of the working knowledge of EM.” Steele refused to do so.

Zawislak alleged that he “suffered direct and obvious discomfort and mental anguish . . . from the duress, stress, and frustration [of] improperly testing [him] outside his field of medicine” during the KSTAR assessment. Zawislak further asserted that TAMHSC, having full knowledge of Zawislak’s discomfort, “falsely and negligently reported” the following written statements about him:

• Zawislak was distressed to the point that he appeared to be distracted, which can have an impact on patient safety, and

• Zawislak should have a forensic psychiatric exam to define the underlying causes of his behaviors and the sources of his distress more clearly, which would allow him to get treatment to help ease his distress and help him communicate and behave in a more professional way.

Zawislak alleged that TAMHSC further breached its duty of care to him because the TAMHSC employee who was responsible for administering the Electrocardiogram and Rhythm Strip Interpretation Test (ERSIT) of the KSTAR assessment had no expertise, training, or adequate supervision to determine whether the materials that she used for the assessment were suitable for testing purposes. During the administration of the Zawislak v. Tex. A&M Univ. Health Sci. Ctr. Page 4

ERSIT, Zawislak challenged the integrity of the exam by informing the TAMHSC employee that about half of the electrocardiograms and several of the rhythm strips had artifacts that would cause interpretation errors. The employee reproduced the electrocardiograms and rhythm strips multiple times. After finally using a different printer, the reproductions were of high resolution and did not have the previously identified artifacts. Zawislak thereafter received a perfect ERSIT score.

Zawislak finally alleged that TAMHSC employees negligently used the KSTAR assessment materials to evaluate his performance and that the condition of the KSTAR assessment materials were inadequate to evaluate him. According to Zawislak, TAMHSC failed to provide the opportunity to assess four patient scenarios using standardized patients, as expressly promised in the Agreement. Zawislak asserted that instead, TAMHSC’s use of the KSTAR patient scenarios required Zawislak to ignore recognized standards of care for EM physicians. Zawislak alleged that additionally, TAMHSC failed to provide adequate micro-cognitive computerized testing, as expressly promised in the Agreement, because TAMHSC’s computer frequently malfunctioned during the testing.

Zawislak alleged that TAMHSC’s “use or condition of its KSTAR assessment and evaluation,” as described above, caused Zawislak “personal injuries that resulted in direct and obvious mental anguish, duress, stress, and frustration from improperly testing [Zawislak] outside his field of medicine.” Zawislak’s “mental anguish, stress, and frustration [were] further exacerbated” because his medical career and medical license were placed in jeopardy. Zawislak alleged that he should therefore be entitled to the following damages: mental anguish, medical expenses, loss of services, and loss of past and future earning capacity.

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Walter Zawislak, M.D. v. the Texas A&M University Health Science Center, (Tex. Ct. App. 2021).

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