Moore-Stovall v. Veterans Affairs, Secretary of

Filing 114

MEMORANDUM AND ORDER sustaining Defendant's 74 Motion for Summary Judgment. Signed by Chief Judge Kathryn H. Vratil on 9/3/2013. (mg)

IN THE UNITED STATES DISTRICT COURT
FOR THE DISTRICT OF KANSAS
JOYCE MOORE-STOVALL, M.D.,

)
)
Plaintiff,
)
)
v.
)
)
ERIC SHINSEKI,
)
Secretary of Veterans Affairs,
)
)
Defendant.
)
__________________________________________)

CIVIL ACTION
No. 10-2643-KHV

MEMORANDUM AND ORDER
Plaintiff asserts Title VII claims against her former employer, the Veterans Administration.
Plaintiff alleges that defendant took adverse employment actions against her because of sex, race
and national origin and in retaliation for her complaints of discrimination.1 This matter comes
before the Court on Defendant’s Motion For Summary Judgment (Doc. #74) filed February 19,
2013. Defendant seeks summary judgment on all of plaintiff’s claims, arguing that (1) it did not take
adverse action against plaintiff, (2) to the extent that it did take adverse action, it did so for
legitimate business reasons and (3) plaintiff cannot show pretext. For reasons set forth below, the
Court finds that defendant’s motion should be sustained.
I.

Summary Judgment Standards
Summary judgment is appropriate if the pleadings, depositions, answers to interrogatories

and admissions on file, together with the affidavits, if any, show no genuine issue as to any material

1

Plaintiff also asserted Title VII claims for racial harassment, sexual harassment and
national origin harassment and a claim under the Equal Pay Act. The pretrial order does not include
an Equal Pay Act claim and in response to defendant’s motion for summary judgment, plaintiff has
abandoned her Title VII harassment claims. See Pretrial Order (Doc. #66) filed December 20, 2012;
Plaintiff’s Response To Defendant’s Motion For Summary Judgment And Suggestions In
Opposition (Doc. #96) filed May 3, 2013, at 46.

fact and that the moving party is entitled to a judgment as a matter of law. See Fed. R. Civ. P. 56(c);
Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 247 (1986); Vitkus v. Beatrice Co., 11 F.3d 1535,
1538-39 (10th Cir. 1993). A “genuine” factual dispute is one “on which the jury could reasonably
find for the plaintiff,” and requires more than a mere scintilla of evidence. Liberty Lobby, 477 U.S.
at 252. A factual dispute is “material” only if it “might affect the outcome of the suit under the
governing law.” Id. at 248.
The moving party bears the initial burden of showing that there are no genuine issues of
material fact. Celotex Corp. v. Catrett, 477 U.S. 317, 322-23 (1986); Justice v. Crown Cork & Seal
Co., 527 F.3d 1080, 1085 (10th Cir. 2008). Once the moving party meets its burden, the burden
shifts to the nonmoving party to show that a genuine issue remains for trial with respect to the
dispositive matters for which she carries the burden of proof. Nat’l Am. Ins. Co. v. Am. Re-Ins. Co.,
358 F.3d 736, 739 (10th Cir. 2004); see Matsushita Elec. Indus. Co. v. Zenith Radio Corp., 475 U.S.
574, 586-87 (1986). As to these matters, the nonmoving party may not rest on her pleadings but
must set forth specific facts. Fed. R. Civ. P. 56(e)(2); Matsushita, 475 U.S. at 586-87; Justice, 527
F.3d at 1085. Conclusory allegations not supported by evidence are insufficient to establish a
genuine issue of material fact. Jarvis v. Potter, 500 F.3d 1113, 1120 (10th Cir. 2007); see Kidd v.
Taos Ski Valley, Inc., 88 F.3d 848, 853 (10th Cir. 1996).
When applying this standard, the Court views the factual record in the light most favorable
to the party opposing the motion for summary judgment. Duvall v. Ga.-Pac. Consumer Prods., L.P.,
607 F.3d 1255, 1260 (10th Cir. 2010). The Court may grant summary judgment if the nonmoving
party’s evidence is merely colorable or is not significantly probative. Liberty Lobby, 477 U.S. at
250-51. Essentially, the Court asks “whether the evidence presents a sufficient disagreement to

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require submission to the jury or whether it is so one-sided that one party must prevail as a matter
of law.” Id. at 251-52.
II.

Facts2
The following facts are undisputed or construed in a light most favorable to plaintiff.
Plaintiff is an African-American female who describes her national origin as

“African-American American.” She is a board certified radiologist. Plaintiff worked at the VA
Medical Center in Leavenworth, Kansas from July of 1979 until July of 2008. The VA Medical
Center is part of the Eastern Kansas Health Care System (“EKHCS”). During the relevant times,
Dr. Jafar Amini, M.D. was Chief of Radiology in Leavenworth and was plaintiff’s immediate
supervisor. Dr. Muralidhara Rao, M.D. was Service Line Manager for radiology and laboratories,
and was plaintiff’s second level supervisor. Dr. Rao began working at EKHCS in 1974. He has
never worked with a female radiologist other than plaintiff or supervised any other AfricanAmerican radiologist.
Productivity Issues
In September of 2004, Dr. Rao removed plaintiff from reading neurological MRIs. Dr. Rao
testified that he did so because plaintiff had missed a number of diagnoses involving neurological
MRIs and he wanted to improve MRI reports.
On October 11, 2005, Dr. Rao sent each EKHCS radiologist a memorandum with his or her
projected Relative Value Unit (“RVU”) productivity for 2005.3 Plaintiff’s projected annual

2

The Court has attempted to distill the relevant facts from the parties’ numerous
detailed fact statements.
3

To measure radiologist productivity, the VA uses Relative Value Units (“RVUs”) for
(continued...)
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productivity was 2,543 RVUs, at the low end of all of the radiologists. Dr. Rao set a goal for each
staff radiologist to exceed 5,000 RVUs in fiscal year 2006.
After she received the memorandum, plaintiff complained to Dr. Rao that her RVU numbers
were low because she had fewer opportunities than other radiologists to read certain modalities. On
January 19, 2006, Dr. Rao met with plaintiff to discuss how to increase her RVU numbers. They
agreed that plaintiff would read all CTs, MRIs and plain films after Dr. Amini left for the day at
approximately 2:00 p.m. Dr. Amini, however, later told the technicians not to let plaintiff read the
CTs and MRIs and told plaintiff to leave them for him to read the next day. After the meeting on
January 19, 2006, plaintiff did not always read available CTs.
New Salary Determinations In 2006
The parties’ fact statements contain no details about how the VA determined physician
salaries before 2006. It apparently involved a lock-step salary computation based upon job
description, tenure and job grade. See Memorandum (Doc. #75-64).4 On January 8, 2006, the VA

3

(...continued)
different types of radiological studies. MRIs and CTs have higher RVU values than X-Rays or plain
films.
4

The VA Memorandum which sets out the major provisions of the new pay plan
provides limited information about the prior plan, as follows.
This new pay system became effective on January 8, 2006. The
course of action for conversion consisted of three distinct processes:
a. Effective January 8, 2006, all physicians and dentists received a
2.1 % increase on their existing rate of base pay resulting from the
2006 annual pay adjustment as well as any tenure and/or within grade
increases that may have been applicable under the existing pay
system.
(continued...)
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implemented a new pay system for physicians based on three components: (1) base pay determined
by years in the VA system5 (2) market pay based on local salary rates and the VA’s need to
recruit/retain that particular physician and (3) performance pay for meeting certain goals and

4

(...continued)
b. Additionally, after the 2.1 % annual adjustment and any applicable
tenure and/or within grades increases were applied, the sum of base
pay plus special pay for all physicians and dentists was converted to
a rate of base pay on the new Base and Longevity Pay Schedule
based on the physician’s or dentist’s years of VHA service. The
remaining dollars then became market pay. Thus the market pay
established on conversion was the amount of pay that remained after
calculating the base pay.
c. The last step of the conversion process required that all physicians
and dentists have a market pay review performed by a Compensation
Panel. All Compensation Panel reviews of market pay were to have
been completed by April 7, 2006.

Doc. #75-64.
5

STEP TENURE (in years)

SALARY

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15

$90,000
$93,000
$96,000
$99,000
$102,000
$105,000
$108,000
$111,000
$114,000
$117,000
$120,000
$123,000
$126,000
$129,000
$132,000

2 or less
2 to 4
4 to 6
6 to 8
8 to 10
10 to 12
12 to 14
14 to 16
16 to 18
18 to 20
20 to 22
22 to 24
24 to 26
26 to 28
more than 28

Doc. #77-10.
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objectives. The VA designed the new pay system to recruit and retain qualified physicians by
offering competitive pay. To implement the new system, the VA set up Compensation Panels to
conduct a market pay review and recommend pay adjustments.
Dr. Rao testified that the Compensation Panel recommended the market pay for each
physician based on eight non-discriminatory factors, including years of experience in a speciality
or assignment, need for the speciality at the facility, health care labor market for the speciality, board
certifications, accomplishments in the speciality, prior VA experience, cost-of-living and other
considerations.6 The VA instructed Panel members not to consider factors such as race, gender,

6

Defendant’s Statement of Fact (“SOF”) Number 51 states as follows:

The Compensation Panel reviewed each physician, made pay recommendations
based upon non-discriminatory factors that included the years of experience, training,
job duties, and the relative difficulty in recruiting and retaining a given specialty in
a particular geographic area. Rao 1:104:14-1:105:21; Rao 1:123:2-1:124:12; Rao
1:136:9-1:136:19; Rao 1:145:22- 1:145:24; see VA798-800 (listing factors to
consider).
Memorandum Of Points And Authorities In Support Of Defendant’s Motion For Summary Judgment
(Doc. #75) filed February 19, 2013, at 21. Plaintiff’s response to SOF 51 is “Controverted. The
term ‘based upon non-discriminatory factors’ is argumentative and not a statement of fact.”
Plaintiff’s Response To Defendant’s Motion For Summary Judgment And Suggestions In
Opposition (Doc. #96) filed May 3, 2013 at 10. Defendant replied as follows:
Plaintiff’s assertion that this SOF is argumentative by asserting that the term “based
upon non-discriminatory factors” is argumentative is erroneous. It is an assertion of
fact – that the actions of the Compensation Panel did not use discriminatory factors
when making pay recommendations, and then enumerating the legitimate
non-discriminatory factors that were considered. Plaintiff fails to controvert this
SOF with any evidence that goes to the substance of the SOF and it should, therefore,
be deemed admitted. Fed. R. Civ. P. 56(c)(1); D. Kan. Rule 56.1.
Defendant’s Reply In Support Of Its Motion For Summary Judgment (Doc. #103) filed May 31,
2013, at 23-24. The Court finds that defendant’s SOF 51 is perhaps argumentative and certainly is
conclusory. The Court does not deem SOF 51 uncontroverted and therefore does not consider it in
(continued...)
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prior EEO activity and national origin. After the Panel made pay recommendations, the relevant
area Director determined each physician’s pay, taking into consideration the funding required for
all clinical specialties at the particular medical center.7
On February 27, 2006, EKHCS held a Compensation Panel review of its radiologists.
Dr. Rao was the only radiologist on the panel. The Panel made salary recommendations to EKHCS
Director Robert M. Malone, Jr., an African-American male from the United States. Malone then
set the salary for each radiologist.
In 2006, Dr. Rao was the Service Line Manager for more than 85 radiology and laboratory
employees in Topeka and Leavenworth. Dr. Rao also read nuclear medicine and sonography
studies. In the Leavenworth radiology department, Dr. Amini, who worked part-time, supervised
plaintiff and also performed diagnostic and therapeutic radiology. Plaintiff worked full time and
performed only diagnostic work.8
In the Topeka radiology department, Dr. Sudhir Arumanla supervised Dr. Rao Chigurupati
and Dr. Mark Greenberg, and also performed diagnostic and therapeutic radiology. Dr. Arumanla
worked full time. Dr. Chigurupati practiced only diagnostic radiology and worked full time;

6

(...continued)
ruling on the motion for summary judgment.
7

The Compensation Panel did not consider the financial solvency of a medical center,
and therefore the Director’s final pay decision could be less than the recommendation.
8

Plaintiff practiced only diagnostic radiology, although she was also was certified to
practice therapeutic radiology. In the VA health care system, therapeutic radiologists perform more
complex types of procedures which involve greater risk and require more skill, training, clinical
privileges, independent judgment and even slightly more physical exertion. The national survey
which the Panel used to guide their salary recommendations indicated that therapeutic radiologists
tended to earn about $4,000 more annually than diagnostic radiologists.
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Dr. Greenberg practiced diagnostic and therapeutic radiology and worked part-time.
Plaintiff was the only female radiologist at EKHCS. Dr. Amini, an Iranian/Middleasterner,
is from Iran; Dr. Arumanla and Dr. Chigurupati are Asians from India; and Dr. Greenberg is a
Caucasian from the United States.
The Panel recommended raising the salary of Dr. Rao, who was Service Line Manager for
radiology and laboratories, from $189,957 to $225,000 – an 18.45 per cent increase. Dr. Rao had
31 years of experience with the VA and was board certified in internal medicine and nuclear
medicine. Director Malone approved a final salary of $215,000 – a 13.18 per cent increase.
The Panel recommended raising the salary of Dr. Amini, who was Chief of Radiology in
Leavenworth, from $181,557 to $220,000 – a 21.17 per cent increase. Dr. Amini had 18 years of
experience with the VA and was board certified in radiology. Director Malone approved a final
annual salary of $215,000 – an 18.42 per cent increase.
The Panel recommended raising the salary of Dr. Arumanla, who supervised the Topeka
radiology department, from $169,957 to $215,000 – a 26.50 per cent increase. Dr. Arumanla had
one and a half years of experience with the VA and was board certified in radiology. Director
Malone approved a final annual salary of $200,000 – a 17.68 per cent increase.
The Panel recommended raising plaintiff’s annual salary from $184,957 to $200,000 – an
8.13 per cent increase. Plaintiff had 26 years of experience with the VA and was board certified in
radiology. Director Malone approved a final salary of $195,000, two and one half per cent lower
than the recommendation (a 5.43 per cent increase). Malone knew that plaintiff was female, but did
not know her race, national origin or prior EEO activity.
The Panel recommended that Dr. Chigurupati’s annual salary of $165,957 remain unchanged.

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Dr. Chigurupati had 19 years of experience with the VA and was not board certified in any
speciality. Director Malone approved the Compensation Panel’s recommendation.
The Panel recommended that Dr. Greenberg’s annualized salary be raised from $161,957 to
$190,000, for an increase of 17.32 per cent.9 Dr. Greenberg had three years of experience with the
VA and was board certified in radiology. Director Malone approved the Compensation Panel’s
recommendation.
Dr. Rao testified that Drs. Amini, Arumanla and Greenberg performed higher quality work
than plaintiff and that Drs. Amini and Arumanla consistently produced more RVUs than plaintiff.
Dr. Rao testified that the panel believed that Drs. Arumanla and Greenberg were more likely than
plaintiff to leave the Topeka VA, in part because plaintiff had worked for the VA since 1979 and
had not indicated that she was likely to seek other employment.
Plaintiff’s Performance Ratings
For the fiscal year ending September 30, 2006, Dr. Rao gave plaintiff a “High Satisfactory”
performance rating. Doc. #75-22. Dr. Rao noted, however, that plaintiff’s 2005 calendar year
productivity was only 2,543 RVUs – just over half the annual goal. For the first seven months of
2006, plaintiff produced 1,998 RVUs, which equated to 3,425 RVUs per year. In response, plaintiff
asserted that she deserved an “Outstanding” rating, but Dr. Rao did not change her rating.
In the spring of 2006, the VA implemented the new pay system, including Performance Pay
as an incentive. Plaintiff’s Performance Pay plan for July 1 through September 30, 2006 included

9

Dr. Greenberg was a part-time employee, so his salary was prorated.
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only one goal: to produce 1,250 RVUs.10 Doc. #75-20. If plaintiff met this goal, she could earn an
additional $5,000. Drs. Chigurupati and Greenberg had identical Performance Pay plans. For July 1
through September 30, 2006, plaintiff produced 897.94 RVUs, so she earned no Performance Pay.
Drs. Greenberg and Chigurupati also failed to qualify for Performance Pay for that period. Id.
Plaintiff’s Performance Pay plan for October 1, 2006 to September 30, 2007 contained six
performance goals, including to read 95 per cent of studies within 48 hours – a goal which applied
to all radiologists in the EKHCS.
Written Counseling On November 28, 2006
On November 28, 2006, Dr. Rao issued plaintiff a “Written Counseling” for failure to timely
respond while she was on call and then falsely denying that the VA had followed proper procedures
to contact her. Doc. #75-46. The Written Counseling addressed an incident in October of 2006,
when the administrative officer on duty (“AOD”) had tried to contact plaintiff to read a patient
X-ray. The AOD called plaintiff’s home at 10:00 a.m., but the person who answered told the AOD
to call plaintiff’s government-issued cell phone. When the AOD called the government-issued cell
phone “the message received was ‘user unavailable.’” Doc. #75-48. The AOD also called
plaintiff’s pager, but plaintiff did not respond. The AOD then called Dr. Rao who also tried to reach
plaintiff. By the time plaintiff responded at 1:00 p.m., another doctor had read the X-ray. The AOD
told Dr. Rao that “[t]his has occurred several times this year with Dr. Stovall.” Doc. #75-33 at 1.
On November 1, 2006, Dr. Amini told plaintiff that he expected her to promptly respond
when she was on call. Plaintiff responded in writing as follows:

10

Plaintiff’s Performance Pay plan for July through September of 2006 included the
following incentives: 1,250 RVUs – $5,000; 1,125 RVUs – $2,500; 1,000 RVUs – $1,000. Doc.
#75-20.
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I dispute the accusation by the AOD that she attempted to contact me on the
government-issued cell phone. . . . It is unrealistic for management to expect for me
to return calls to doctors when I am on call if I am not notified through the correct
channels by the AOD.
Doc. #75-47. Dr. Rao reviewed telephone logs from the hospital and plaintiff’s government-issued
cell phone and concluded that the AOD had attempted to reach plaintiff at her home phone, her
government cell phone and by pager.
Denial Of Plaintiff’s Request For Training In November Of 2006
On November 20, 2006, plaintiff requested approval from the Core Pit Committee for $3,500
for advanced training for multi-slice cardiovascular CTs. The VA policy allowed each physician
up to $1,000 per year for training. Plaintiff had already received her allotment of training for that
year and she had received CT training from the Philips Company. The Committee denied plaintiff’s
request for training.
Letter Of Admonishment In April Of 2007
At noon on Saturday, February 17, 2007, plaintiff was on call when she was notified to read
CT scans of an emergency room patient. Technical problems delayed the download to plaintiff’s
home computer, and by 2:00 p.m. only half of the images had transferred. Dr. Ferrell, the ER
doctor, called to ask plaintiff to come to the hospital. Plaintiff responded, “I have a life” and told
him that she was not coming in because she had been at the hospital late the night before. Doc. #7528. Nearly six hours after the CT, plaintiff gave Dr. Ferrell a verbal reading. Dr. Ferrell later told
Dr. Rao that plaintiff’s reading missed acute appendicitis and was grossly inadequate.
On March 7, 2007, Dr. Rao issued plaintiff a Proposed Admonishment because of her “rude,
unprofessional and unacceptable response.” Doc. #75-27. Plaintiff replied that the digital system
had repeatedly malfunctioned. She admitted that she had told Dr. Ferrell that it was not her problem,
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and that it was not her responsibility to ensure that the digital systems are operational. Plaintiff
repeated that “I do have a life” and stated that she had exercised professional judgment when she
refused to go to the hospital. Doc. #75-45 at 2-3. Dr. Rao found that plaintiff’s response to
Dr. Ferrell’s request was inappropriate and issued a Letter of Admonishment. Doc. #75-26.
July 16, 2007 Incident Regarding Investigation Of Plaintiff’s Use Of CDs For
Patient Medical Records
On April 17, 2007, plaintiff sent the Field Information Security Officer a request to “store,
transport and utilize VA sensitive information outside protected environments.”11 Doc. #75-43. The
justification for the request stated that the information would be used “[f]or ON CALL coverage that
is provided from home.” Id. at 1. On May 16, 2007, Information Security Officer (“ISO”) Earl
Hatcher sent plaintiff an email which stated that “Your Authorization to transport and utilize VA
sensitive information outside protected environments is approved.

Please take the proper

precautions when transporting or transmitting data off site.” Doc. #75-11. Dr. Rao testified that this
“authorization is to access images from home while on call for radiology purposes, and no other
approval.” Doc. #75-6 at 21.
Shortly before July 16, 2007, Dr. Rao learned that plaintiff had directed a radiology clerk to

11

Plaintiff’s request referred to VA Directives 6601 and 6504, and affirmed that her
request for authorization complied with those directives. VA Directive 6601 defines sensitive
information to include all department data that requires protection from disclosure “on any storage
media or in any form or format,” including “records about individuals requiring protection under
various confidentiality provisions such as the Privacy Act and the HIPAA Privacy Rule” such as
“individually identifiable medical . . . information.” Doc. #75-65 at 3-4. VA Directive 6504
governed “VA employees’ transmission, transportation, and use of, and access to, VA data outside
VA facilities,” Doc. #75-67 at 1, and states “VA employees are permitted to transport, transmit,
access and use VA data outside VA facilities only when such activities have been specifically
approved by the employee’s supervisor” and where adequate security measures have been taken.
Id.
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prepare CDs containing patient studies. Dr. Rao asked the clerk to stop preparing the CDs because
of restrictions regarding transfer of patient medical records. Dr. Rao’s Administrative Officer,
Jeannie Idol, then told ISO Hatcher that plaintiff was asking for disks with sensitive information and
that Dr. Rao did not know why.12 Hatcher was responsible for protecting information at the VA and
investigating security issues. Hatcher contacted the radiology clerk, who told him that the CDs “had
to do with training.” Doc. #75-10 at 6. This was a red flag to Hatcher because he believed that
plaintiff was not authorized to take sensitive information home for training purposes. Hatcher
explained the issue to Marie Weldon, the Director of EKHCS, who told him that “we need to talk
to Dr. Stovall.” Id. at 7. Hatcher also contacted Barbara Murphree, the Privacy Officer, who was
responsible for investigating privacy breaches.

Director Weldon asked Murphree to go to

Leavenworth to investigate the CDs.
Murphree contacted Dr. Rao and told him that Weldon had instructed her to interview
plaintiff and confiscate the CDs. On July 16, 2007, Murphree went to the radiology department in
Leavenworth. Dr. Rao introduced Murphree as the Privacy Officer and told plaintiff that Murphree
wanted to talk to her. Plaintiff told Dr. Rao that she was busy reading radiographic studies, but that
she would meet with Murphree after she had finished.
When plaintiff finished her work, Murphree followed plaintiff to her office, and said “Give
me the CDs.” Murphree told plaintiff that she was there at the Director’s request and needed to
know if plaintiff had authority to burn the CDs. Plaintiff told Murphree to leave so she could make
a phone call. Murphree continued to ask plaintiff about the CDs in a very rude and aggressive

12

Dr. Rao testified that he had not had an opportunity to ask plaintiff why she was
burning CDs before the incident on July 16, 2007. Before July 16, 2007, Dr. Rao had never talked
to plaintiff about the CDs.
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manner. Murphree tried to grab the briefcase that plaintiff was holding, grabbed plaintiff’s arm and
then yelled when plaintiff pulled her briefcase back. In response to the raised voices, Idol arrived
and told plaintiff that Murphree had orders from administration to get into her office. VA security
officers arrived, and at that point, plaintiff had pushed Murphree out of the office. The officers
directed everyone to come out, but plaintiff quickly shut the door, pinching Murphree’s hand
between the door and the jamb. When the officers got the door open, Dr. Rao had just arrived and
asked plaintiff to cooperate.
The security officers escorted plaintiff to the security office, where plaintiff gave the CDs
to the VA Police Chief and returned to her office. There, she found Murphree reviewing her
podiatry teaching records for original hard copy medical records. Murphree removed approximately
eight documents from plaintiff’s office, verified that two were original medical records and returned
them to the original medical record files.
Plaintiff’s Medical Leave
Following the incident on July 16, 2007, plaintiff took medical leave. Her physician,
Dr. E. Kent Stevenson, determined that beginning July 23, 2007, plaintiff was totally temporarily
disabled. Dr. Stevenson diagnosed plaintiff with PTSD and identified the incident of July 16, 2007,
as “clearly causing her extreme distress,” stating that it “has lead to insomnia, bad dreams [and]
anxiety.” Doc. #96-15. Five months later, on December 14, 2007, Dr. Stevenson determined that
plaintiff could return to work on January 3, 2008. Id.
Plaintiff’s November 13, 2007 Proficiency Rating
Plaintiff’s Proficiency Reports for 1999 to 2006 were all positive, with no ratings below
Satisfactory. On November 13, 2007, Dr. Amini issued a Proficiency Report for plaintiff for the

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period of October 1, 2006, through September 30, 2007. Doc. #75-19. He gave plaintiff an overall
rating of Satisfactory, a High Satisfactory in Clinical Competence and Education Competence, and
a Low Satisfactory for the “Personal Qualities” element. The “Personal Qualities” element
considers the employee’s “emotional stability, dependability, relations with staff and community,
eliciting cooperation, handling groups and adherence to ethical standards.” Id. at 1. The Proficiency
Report, which Dr. Rao approved, specifically noted “several incidents that occurred in this rating
period result[ing] in a rating of low satisfactory.” Id. Dr. Rao explained that the incidents included
(1) the written counseling on November 28, 2006, regarding plaintiff’s false statements about efforts
to contact her while she was on call, (2) plaintiff’s failure to properly read the CT of Dr. Ferrell’s
E.R. patient with appendicitis and (3) plaintiff’s failure to comply with VA policies regarding CDs
with patient medical information and her failure to cooperate with the investigation on July 16, 2007.
Plaintiff’s Return To Work
When plaintiff returned to work on January 3, 2008, she had 238 plain films to read, some
of which were from November. Plaintiff read them all, which counted against her requirement to
read them within 48 hours.13
On January 4, 2008, plaintiff confirmed that she had taken the CDs off the VA campus.
Plaintiff stated that she had directed the clerk to burn CDs of certain patient files with interesting

13

Defendant points out that plaintiff was not responsible for meeting the 48-hour
turnaround goal for any radiographic studies she read for Topeka. Plaintiff has not pointed to any
evidence concerning how many of the 238 films were for Topeka.
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cases to use for teaching podiatry residents.14 After plaintiff confirmed in writing that she had
removed sensitive information from the VA, Mr. Hatcher put in an incident ticket to Central Office.
Plaintiff admitted that the only possible authorization to transport the CDs off VA premises
was the memorandum dated April 17, 2007 and the email from Mr. Hatcher. On March 7, 2008,
Dr. Amini issued plaintiff a memorandum of Written Counseling. The Written Counseling stated
that “[s]pecific written authorization is required to carry information off-station,” and that plaintiff
“failed to meet my expectations with regard to safeguarding confidential materials.” Doc. #75-25.
Overtime In June And July Of 2008
In June of 2008, Dr. Amini left 88 of his general radiology studies unread before he took
leave for several days. Plaintiff read them without assistance from others. She worked 15 hours a
day for several days to meet the 48-hour turnaround time without receiving overtime pay or
compensatory time. On July 17 and 18, 2008, plaintiff worked 13 hours per day to meet the 48-hour
turnaround time. On June 14 and 21, and July 5, 20, 26 and 27, 2008, plaintiff worked weekends
so that she could complete 95 percent of her studies within the 48-hour turnaround time. As a VA
physician, plaintiff was ineligible for overtime pay or compensatory time and she did not know of

14

Dr. Rao questioned plaintiff’s justification for making the CDs. For example,
Dr. Rao knew that the VA had been filmless (i.e. digital) for more than six years by the time plaintiff
began having CDs burned, so when the investigation revealed that plaintiff had begun burning CDs
for podiatry residents for less than one year, even though she had been collecting X-rays to teach
podiatry residents since 1978, it led him to doubt that Plaintiff was actually using the CDs for the
stated purpose. Further, the CDs contained MRIs of the head which, in Dr. Rao’s opinion, were not
necessary to training podiatry residents. Also, Dr. Rao believed that CDs were not necessary to train
podiatry residents because training took place on the VA campus where plaintiff had access to all
of the images without using CDs. Plaintiff testified, however, that she used these CDs for training
of residents and for research.
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any physician who actually received compensatory time or overtime between 2005 and 2008. No
one ever directed plaintiff to work weekends or late hours in order to meet the 48-hour turnaround
goal.
Plaintiff’s Separation From Employment
On June 27, 2008, plaintiff sent an email to Drs. Rao and Amini stating that she had
completed a retirement application. Plaintiff retired on July 31, 2008.
Before July of 2008, plaintiff had contemplated retiring as soon as she became eligible. On
January 21, 2008, Dr. Stevenson noted that plaintiff said she would have 30 years in July; on
February 18, 2008, he noted that plaintiff’s goal was to retire; on April 14, 2008, he noted that
plaintiff could possibly retire in July of 2008; on May 27, 2008, he noted that plaintiff had indicated
that she was going to retire from the VA on July 31, 2008, so that she could work as a radiologist
elsewhere.
Plaintiff testified that at some point after she first returned to work in January of 2008, she
decided to retire. Plaintiff explained that she was feeling the stress of having to work on weekends
and be on call, and that she felt stress pain in her arm and had ulcers and gastric upset. Plaintiff
testified that she decided that in order to continue to provide the best care possible for her patients
without mis-diagnoses, that it would be best for her to retire. She made the decision because of the
physical and emotional stress that she was under. Plaintiff stated that she retired because she was
afraid of not providing proper patient care. In an employment application on January 7, 2011,
plaintiff certified that she had never been discharged from any position for any reason.
Dr. Rao denied that he took any action to force plaintiff to retire. After plaintiff informed
-17-

Dr. Rao by email that she was retiring, he never had a conversation with her.
Administrative Complaints
On November 18, 2005, Dr. Rao learned that plaintiff had contacted the VA Office of
Resolution Management with a complaint of discrimination which named him as the responding
management official. On December 20, 2005, plaintiff filed an EEOC charge (“Claim 303”) which
alleged discrimination based upon gender, race and national origin. Highly summarized, Claim 303
asserted disparate treatment regarding assignment of duties which made it more difficult for plaintiff
to achieve the quota of RVUs as compared to her co-workers.
On August 11, 2006, plaintiff filed another EEOC charge (“Claim 822”) which alleged
discrimination based upon gender, race, national origin and retaliation, and violation of the Equal
Pay Act. In short, Claim 822 asserted that on May 17, 2006, the VA gave male doctors higher pay
increases than plaintiff.
On December 26, 2006, plaintiff filed a third EEOC charge (“Claim 408”) alleging gender,
race and national origin discrimination, and retaliation based on (1) her performance pay for 2006;
(2) denial of her request to re-allocate accrued annual and sick leave balances; (3) disciplinary
actions including a Written Counseling on November 28, 2006; (4) disparate treatment in duty
assignments, including a 48 hour turn-around requirement effective December 16, 2006, and peer
review process restrictions on December 15, 2006, and (5) denial of her request on November 20,
2006, to attend advance Cardiac CT training.
On January 3, 2009, plaintiff filed a fourth EEOC charge (“Claim 508”) alleging gender, race
and national origin discrimination and retaliation because defendant (1) assigned plaintiff to “7 days
-18-

on and 7 days off” on-call coverage in July and August of 2008 while her male counterparts received
more days off; (2) forced plaintiff to retire on July 31, 2008; (3) required plaintiff to work 13 hours
per day on July 17 and 18, 2008, to meet the 48-hour turnaround time; (4) assigned plaintiff to cover
the Leavenworth and Topeka VA hospitals from July 14 at 4:30 p.m. through July 21, 2008 at
8:00 a.m.; (5) failed to provide plaintiff assistance when Dr. Amini was on leave; (6) required
plaintiff to work several weekends in the summer of 2008 to meet the 48-hour turnaround time but
did not require male radiologists to do so; (7) in June of 2008, failed to provide plaintiff assistance
when Dr. Amini took leave for several days; (8) interrupted plaintiff on March 4, 2008, when she
was reading high RVU studies; (9) on January 3, 2008, told plaintiff that if she did not answer the
questions of an HR representative, she would not receive access to the VA computers to do her job;
(10) on November 13, 2007, issued plaintiff a “Low Satisfactory” proficiency report; (11) on July
16, 2007, orchestrated an incident involving an administrative investigation that resulted in plaintiff
having to seek treatment for job-related stress and continued to make plaintiff’s work environment
stressful, ultimately forcing her to retire on July 31, 2008.
On November 29, 2010, plaintiff filed this lawsuit.
III.

Analysis
Plaintiff asserts that defendant discriminated against her on the basis of race, gender and

national origin, and retaliated against her for protected activity by taking the following actions:
(1) giving her a comparatively low pay raise after the 2006 Compensation Panel; (2) confronting her
on July 16, 2007 regarding CDs containing patient information; and (3) constructively discharging
her. Defendant argues that it did not take adverse action against plaintiff and that even if it did, it
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did so for legitimate business reasons and not because of sex, race or national origin or in retaliation
for protected activity.
A.

Title VII Discrimination Claims

Plaintiff may establish that defendant acted with discriminatory intent under Title VII either
directly, through direct or circumstantial evidence, or indirectly, through the inferential burdenshifting scheme established in McDonnell Douglas Corp. v. Green, 411 U.S. 792, 804 (1973). See
Jones v. Okla. City Pub. Schs., 617 F.3d 1273, 1278-79 (10th Cir. 2010).15 Here, plaintiff relies on
the indirect method of proving discrimination. Under the McDonnell Douglas burden-shifting
framework, plaintiff has the initial burden of establishing a prima facie case of discrimination.
McDonnell Douglas, 411 U.S. at 802; Sanders v. Sw. Bell Tel., L.P., 544 F.3d 1101, 1105 (10th Cir.
2008). If plaintiff satisfies her burden, the burden shifts to defendant to articulate a legitimate,
nondiscriminatory reason for terminating plaintiff’s employment. McDonnell Douglas, 411 U.S.
at 802-03; Sanders, 544 F.3d at 1105 (citing Morgan v. Hilti, Inc., 108 F.3d 1319, 1323 (10th Cir.
1997)). If defendant does so, the burden shifts back to plaintiff to show a genuine issue of material
fact whether defendant’s stated reason is pretextual, i.e. unworthy of belief. Sanders, 544 F.3d at
1105. If plaintiff so shows, she gets over the hurdle of summary judgment. Id.
To establish a prima facie case of race, sex or national origin discrimination under Title VII,
plaintiff must show that (1) she is a member of protected class; (2) she suffered adverse employment

15

In Jones, the Tenth Circuit considered whether the McDonnell Douglas framework
applied to ADEA claims after the Supreme Court’s decision in Gross v. FBL Fin. Servs., Inc.,557
U.S. 167 (2009). Jones, 617 F.3d at 1278. It held that “Gross does not preclude our continued
application of McDonnell Douglas to ADEA claims.” Id.
-20-

action; and (3) the action took place in circumstances which give rise to an inference of
discrimination.16 Defendant concedes the first element of a prima facie case as to plaintiff’s claims
of race, sex and national origin, i.e. that plaintiff, a female African-American, belongs to each of
these three protected classes. As to the second and third elements, defendant argues that it is entitled
to summary judgment because plaintiff cannot show adverse employment action and cannot show
that any such action occurred under circumstances which give rise to an inference of discrimination.
For purposes of a discrimination claim, adverse employment action is a “significant change
in employment status, such as hiring, firing, failing to promote, reassignment with significantly
different responsibilities, or a decision causing a significant change in benefits.” Piercy v. Maketa,
480 F.3d 1192, 1203 (10th Cir. 2007) (internal quotation omitted). The Tenth Circuit liberally
defines the phrase “adverse employment action.” Such actions are not simply limited to monetary
losses in the form of wages or benefits. Instead, the Tenth Circuit takes a “case-by-case approach,”

16

The Tenth Circuit sometimes describes the prima facie case a bit differently, with
four requirements. See, e.g., Luke v. Hosp. Shared Servs. Inc., 513 Fed. Appx. 763, 765 (10th Cir.
2013). “To set forth a prima facie case of discrimination, a plaintiff must establish that (1) she is a
member of a protected class, (2) she suffered an adverse employment action, (3) she qualified for
the position at issue, and (4) she was treated less favorably than others not in the protected class.”
Id. The Tenth Circuit has acknowledged the differing explications of the test, as follows.
We note that the district court evaluated [plaintiff’s] prima facie case under an older,
four-part test from the original McDonnell Douglas. We use a more recent variation
of this test, a three-part test articulated by the Supreme Court in Burdine, which the
Tenth Circuit expressly prefers. Sorbo v. United Parcel Serv., 432 F.3d 1169, 1173
(10th Cir. 2005). Similar variations of this test have also been applied in this circuit.
E.g., Turner, 563 F.3d at 1142 (articulating a slightly different four-part test). Under
all of these tests, the prima facie burden is “slight[.]”
Tabor v. Hilti, 703 F.3d 1206, 1216 n.4 (10th Cir. 2013).
-21-

examining the unique factors relevant to the situation at hand. Jones, 617 F.3d at 1279; see Plotke
v. White, 405 F.3d 1092, 1100 (10th Cir. 2005) (no rigid rule about what circumstances allow
inference of discrimination). Courts have enumerated a variety of circumstances that can give rise
to an inference of discriminatory motive, including preferential treatment of employees outside the
protected class. Plotke, 405 F.3d at 1100.
1.

2006 Lower Pay Raise
a.

Adverse Employment Action

Defendant argues that plaintiff did not suffer adverse employment action when she received
a lower percentage raise than other radiologists after the 2006 Compensation Panel. Defendant notes
that it increased plaintiff’s pay, and that plaintiff was the highest paid non-supervisory radiologist
in the EKHCS who practiced only diagnostic radiology. Neither party cites a case directly on point.
This Court has noted that receiving a lower raise than similarly situated employees can be adverse
employment action. Taher v. Wichita State Univ., 526 F. Supp.2d 1203, 1218 (D. Kan. 2007) (citing
Amro v. Boeing Co., 232 F.3d 790, 798 (10th Cir. 2000)). On this record, however, it is not clear
that any of the other radiologists were similarly situated to plaintiff.17 For the sake of argument, for
purposes of the motion for summary judgment, the Court assumes that defendant’s decision to give
plaintiff a lower pay raise than board certified supervisory co-workers constituted adverse
employment action.

17

Plaintiff lumps together all radiologists, without regard to board certification,
supervisory duties, and other factors which were relevant under the 2006 compensation plan, and
focuses only on the percentage increase. Since the 2006 compensation plan was not percentagebased, this focus does not necessarily suggest discriminatory intent.
-22-

b.

Circumstances Giving Rise To Inference Of Discrimination

As to the third element, defendant asserts that plaintiff cannot show a nexus between
plaintiff’s lower pay raise and her race, gender and/or national origin. Plaintiff points to evidence
that the VA gave her a 5.43 per cent pay raise, while it gave raises of 13.18 to 17.68 per cent for
male counterparts of different races and different national origins. Plaintiff also points out that
before the 2006 Compensation Panel, she had earned the highest salary of all radiologists, and
afterward she had a lower salary than all but Dr. Greenberg, who had only three years of experience
compared to her 27 years. Plaintiff asserts that this circumstantial evidence suggests that the Panel
recommended that she receive a lower salary increase because of race, gender or national origin.
Although Director Malone made the final salary decisions, he based those decisions on Panel
recommendations. Plaintiff therefore argues that defendant is liable for discrimination by the Panel,
which Director Malone adopted.
As noted, Dr. Greenberg and plaintiff were the only non-supervisory certified radiologists.
Director Malone adopted the panel recommendation for Dr. Greenberg’s salary ($190,000), and
adopted the panel recommendation ($200,000) minus $5,000 for plaintiff’s salary ($195,000).
Dr. Malone was himself African American and at the time he approved plaintiff’s salary, he did not
know her race, national origin or prior EEOC activity. His decision-making process, seen from the
vantage point of what he knew at the time, does not raise an inference of discriminatory intent. Even
though in terms of percentages or even absolute dollars, plaintiff received a lower increase than
Dr. Greenberg, she still received a higher salary than he did (on a prorated basis). The base pay
component of the compensation plan also took into account that plaintiff had longer tenure than
-23-

Dr. Greenberg. The fact that the plan did not afford greater weight to tenure does not raise an
inference of discriminatory intent.
Plaintiff essentially asserts that because she went from earning the highest salary to nearly
the lowest salary among board-certified radiologists, she has shown circumstances which give rise
to an inference of discrimination. She ignores the fact that the VA adopted an entirely new
compensation plan which replaced a compensation plan based primarily on length of service in the
VA. The new plan considered three components: (1) length of service in the VA system, (2) market
pay, which included eight factors, and (3) performance pay. Plaintiff has produced no evidence that
the plan itself was a pretext for discrimination. She does not claim that the Compensation Panel
improperly calculated her length of service or that of Dr. Greenberg.

In challenging the

Compensation Panel’s application of the market pay component, which included the VA’s
assessment of its need to retain her services, plaintiff has not shown direct or circumstantial evidence
that any Panel member except Dr. Rao knew her race, national origin or prior EEO activity, or
considered those factors in making plaintiff’s salary recommendation. Nevertheless, for purposes
of summary judgment, the Court assumes for the sake of argument that plaintiff has made the de
minimis showing required for a prima facie case of gender, race and national origin discrimination.
c.

Proffered Legitimate Non-discriminatory Reason

Defendant argues that it has set forth legitimate, nondiscriminatory reasons for plaintiff’s
raise. Defendant asserts that the Compensation Panel followed the directive to determine salary
based on nondiscriminatory factors including years of service, years of experience in a speciality
or assignment, need for the speciality at the facility, health care labor market for the speciality, board
-24-

certifications, accomplishments in the speciality, prior VA experience, cost-of-living and other
considerations. Defendant argues that the Panel applied these factors, and particularly considered
job duties and recruitment and retention needs, to reach a recommendation as to each radiologists’
pay raise. Further, Director Malone, who made the final decision, was African American and when
he approved plaintiff’s salary he did not know her race, national origin or prior EEO activity.
As to job duties, defendant notes that plaintiff had no supervisory responsibilities, whereas
Dr. Rao was the Service Line Manager for EKHCS, Dr. Amini was Chief of Radiology in
Leavenworth and Dr. Arumanla was the supervisor in Topeka. Further, Drs. Amini, Arumanla and
Greenberg practiced both diagnostic and therapeutic radiology, whereas plaintiff practiced only
diagnostic radiology, a lower-paid specialty. Thus, plaintiff was the only non-supervisory board
certified radiologist who practiced only diagnostic radiology. She was therefore not similarly
situated to any other radiologist. Moreover, Dr. Rao testified that Drs. Amini and Arumanla read
more studies and produced higher quality work than plaintiff. Further, the Panel determined that
Drs. Arumanla and Greenberg were more prone to leave the VA. Plaintiff, on the other hand, had
worked for the VA in Leavenworth for decades and had not indicated that she was likely to seek
other employment.
The Court finds that defendant has pointed to evidence of a legitimate, non-discriminatory
reasons for the decision to give plaintiff a lower pay raise than other radiologists. The burden thus
shifts back to plaintiff to show a genuine issue of material fact whether the VA’s proffered reasons
are a pretext for discrimination.

-25-

d.

Pretext

Plaintiff can present many forms of evidence to establish that defendant’s stated reasons are
pretextual. Kendrick v. Penske Transp. Servs., Inc., 220 F.3d 1220, 1230 (10th Cir. 2000) (plaintiff
need not pursue particular means of demonstrating stated reasons pretextual). A plaintiff typically
makes a showing of pretext in one of three ways, with evidence that (1) defendant’s stated reason
for the adverse employment action was false; (2) defendant acted contrary to a written company
policy; or (3) defendant acted contrary to an unwritten policy or practice. Id. Plaintiff can show
pretext by revealing “such weaknesses, implausibilities, inconsistencies, incoherencies, or
contradictions in the employer’s proffered legitimate reasons for its action that a reasonable
factfinder could rationally find them unworthy of credence.” Townsend v. Lumbermens Mut. Cas.
Co., 294 F.3d 1232, 1242 (10th Cir. 2002) (citing Morgan, 108 F.3d at 1323).
Plaintiff primarily argues that the Panel’s consideration of the likelihood that a physician
might leave the VA ran counter to the eight factors it was to consider – in particular, the level of
experience – and that “this change was significant and clearly was used to the detriment of
[plaintiff].” Plaintiff’s Response To Defendant’s Motion For Summary Jugdment And Suggetions
In Opposition (Doc. #96) filed May 3, 2013 at 59-60. Plaintiff also points out that although
defendant asserts that she did lower quality work than the other radiologists, in October of 2005 she
had received an overall rating of “Outstanding” – the highest possible rating. She also points out
that diagnostic radiologists earned an average of only about $4,000 less per year than therapeutic
radiologists, and thus the fact that she practiced diagnostic radiology did not justify a large disparity
in pay increase. Plaintiff asserts that defendant’s proffered reasons are not believable, and that

-26-

“[there is] no doubt that impermissible reasons (race, sex and national origin) are the only remaining
reasons that her pay was so dramatically lower” than her co-workers. Id. at 62.
Defendant argues that plaintiff has failed to demonstrate that its proffered reasons are a
pretext for discrimination. Defendant notes that consideration whether a physician might leave is
consistent with at least three of the prescribed factors: need for the specialty/assignment at the
facility; health care labor market for the specialty/assignment; and other considerations. Defendant
points out that Compensation Panel members were trained not to consider race, gender, prior EEO
activity and national origin. Defendant also notes that the Panel did not consider the salary
percentage increase because that number was not pertinent to its objective: to set a pay rate
comparable to what the physician would earn outside the VA.

Further, Dr. Malone (an

African-American of United States origin) made the ultimate decision and he could not have based
his decision on race or national origin because he did not know that plaintiff was an
African-American from the United States. Holmes v. Potter, 384 F.3d 356, 362 (7th Cir. 2004)
(usually, employer’s lack of knowledge about protected category rings death knell for discrimination
claims).

Finally, defendant notes that experience was only one of eight considerations in

determining market pay. Further, the Base and Longevity Pay Schedule took into account years of
experience, and presumably plaintiff received all of the credit she deserved on that schedule.
Plaintiff points out that although Dr. Malone made the ultimate decision about the new pay
rate for each radiologist, he either adopted the Panel recommendation (Drs. Chigurupati and

-27-

Greenberg) or lowered it by $5,000 (Dr. Amini), $10,000 (Dr. Rao) or $15,000 (Dr. Arumanla).18
Plaintiff cites evidence that she was the only woman, the only African-American and the only
radiologist from the United States, and that despite being the most experienced, she went from being
the highest paid to the lowest paid board certified radiologist. She argues that such evidence raises
a genuine issue of material fact whether defendant’s proffered reason was a pretext for
discrimination. The Court disagrees.
To establish pretext, plaintiff must show weaknesses, implausibilities, inconsistencies,
incoherencies or contradictions in defendant’s proffered reasons for its action such that a reasonable
fact finder could rationally find them unworthy of credence and therefore infer that defendant did
not act for the asserted non-discriminatory reasons. See Jaramillo v. Colo. Judicial Dep’t, 427 F.3d
1303, 1308 (10th Cir. 2005). Here, plaintiff does not offer evidence which discredits defendant’s
explanation for its decision regarding her pay raise. She does not contest the facts on which
defendant’s proffered reasons rest – that she had no supervisory responsibilities, that she practiced
only diagnostic radiology, that Drs. Amini and Arumanla produced higher quality work and that

18

At oral argument, plaintiff asserted that Dr. Rao had substantial influence on the
Compensation Panel because he was the only radiologist on the Panel. The record contains no direct
evidence, however, of any overt prejudice on the part of Dr. Rao. Cf. Shager v. Upjohn Co., 913
F.2d 398, 405-06 (7th Cir.1990) (evidence that supervisor who recommended termination expressed
animosity toward older workers and exaggerated plaintiff’s performance deficiencies sufficient to
withstand motion for summary judgment). The Tenth Circuit has adopted cat’s paw liability in a
Title VII case; an employer may be liable for the bias of a subordinate if plaintiff can show that the
subordinate’s discriminatory reports, recommendation or other actions caused adverse employment
action. EEOC v. BCI Coca-Cola Bottling Co., 450 F.3d 476, 487 (2006). Plaintiff must establish
more than mere influence or input; she must show that the subordinate proximately caused the
adverse action. Crowe v. ADT Security Servs., Inc., 649 F.3d 1189, 1194 (10th Cir. 2011). Here,
plaintiff offers no evidence that Dr. Rao – who had worked with plaintiff for some 27 years when
he sat on the Compensation Panel – had a discriminatory motive.
-28-

Drs. Arumanla and Greenberg were more prone to leave the VA. She does not offer evidence that
defendant failed to follow its policy for making the pay determination. Rather, she relies exclusively
on the fact that she is in a protected class. Plaintiff has failed to raise a genuine doubt about
defendant’s motivation or produce evidence refuting or showing that defendant’s stated reasons for
the decision regarding her raise were implausible, inconsistent or unworthy of credence. Stated
another way, plaintiff’s evidence is insufficient for a reasonable jury to find that defendant’s
proffered justifications were not the real reasons for the decision. The Court therefore finds that
defendant is entitled to summary judgment on plaintiff’s claims that the VA discriminated against
her on the basis of race, sex and national origin in determining her pay raise in 2006.
2.

July 16, 2007 Incident Regarding CDs
a.

Adverse Employment Action

Defendant concedes for purposes of summary judgment motion that plaintiff suffered adverse
employment action when Murphree confronted her about the CDs on July 16, 2007.
b.

Circumstances Giving Rise To Inference Of Discrimination

Defendant argues that plaintiff has not shown any nexus between the CD incident and her
race, gender or national origin. Plaintiff asserts that when Dr. Rao learned that she was having CDs
burned, he should have discussed the situation with her, then told Murphree that plaintiff had
authorization to take certain records off premises. She asserts that instead, Dr. Rao “dropped Ms.
Murphree off at Dr. Moore-Stovall’s office, left and let an avoidable and unfortunate series of events
play out.” Doc. #96 at 63-64. Plaintiff does not controvert the fact that she was not authorized to

-29-

burn the CDs or that the VA was justified in issuing the Written Counseling.19 Moreover, although
plaintiff argues that Dr. Rao somehow orchestrated her confrontation with Murphree, defendant
correctly pointed out at oral argument that it was plaintiff’s response to Murphree’s investigation
which created the physical confrontation. No reasonable jury could find any nexus between the CD
incident and plaintiff’s race, gender or national origin.
3.

Constructive Discharge

Plaintiff claims that the VA constructively discharged her by forcing her to retire on July 31,
2008, after plaintiff endured a “steady stream of conduct” including (1) reassigning high RVU work
away from her; (2) instructing her not to read higher RVU work; (3) giving her the lowest salary
increase in 2006; (4) giving her no performance pay; (5) refusing her request for training;
(6) reducing her performance appraisals from “Outstanding” in 2005 to “High Satisfactory” in
2005-2006 to “Satisfactory” in 2006-2007; (7) in 2006-2007, rating plaintiff “Low Satisfactory” for
“Personal Qualities” (the first “Low Satisfactory” rating she ever received); (8) subjecting plaintiff
to the CD incident on July 16, 2007; (9) prompting plaintiff to take medical leave from July of 2007
to January of 2008; (10) requiring plaintiff to read 238 plain films in January of 2008;
(11) disciplining plaintiff in March of 2008 for possessing the CDs involved in the incident on
July 16, 2007 and (12) requiring plaintiff to work overtime and weekends in June and July of 2008

19

Defendant points to evidence that plaintiff had medical records transferred to CDs
and removed the CDs from VA premises for purposes other than to provide on call patient care, even
though she was not authorized to do so. VA policy required officials to investigate possible security
breaches. Further, after Dr. Rao introduced Murphree to plaintiff as the Privacy Officer, plaintiff
refused to answer Murphree’s questions or to give her the CDs, and only then became involved in
a physical confrontation.
-30-

to meet the 48 hour turn-around policy.
Defendant first points out that on January 7, 2011, plaintiff stated in an application for
employment that she had never been discharged from any position for any reason. Defendant asserts
that plaintiff therefore has admitted that she was not constructively discharged. The fact that
plaintiff stated that she had never been discharged, however, does not compel the conclusion that
she was not “constructively” discharged.20
In the alternative, defendant asserts that plaintiff has not provided facts that support the
conclusion that she had no choice other than to resign. “Under the constructive discharge doctrine,
an employee’s reasonable decision to resign because of unendurable working conditions is
assimilated to a formal discharge for remedial purposes. The inquiry is objective: Did working
conditions become so intolerable that a reasonable person in the employee’s position would have
felt compelled to resign?” Keller v. Crown Cork & Seal USA, Inc., 491 Fed. Appx. 908, 915 (2012)
(quoting Pa. State Police v. Suders, 542 U.S. 129, 141 (2004)); see also Tran v. Trs. of State Colls.,
355 F.3d 1263, 1270 (10th Cir. 2004) (constructive discharge occurs when reasonable person in
employee’s position would view working conditions as intolerable and feel she had no other choice
but to quit). Under the objective test, “neither the employee’s subjective views of the situation, nor
her employer’s subjective intent with regard to discharging her, are relevant.” Tran, 355 F.3d at
1270.
Here, as a matter of law, the actions that plaintiff complains of did not rise to the level of an

20

Defendant also notes that in January of 2008, plaintiff began to contemplate taking
retirement as soon as she became eligible in July of 2008.
-31-

intolerable situation that left her no choice except to resign. See MacKenzie v. City & Cnty. of
Denver, 414 F.3d 1266, 1281-82 (10th Cir. 2005) (actions may have made plaintiff unhappy, but not
every unhappy employee has actionable claim of constructive discharge). To the extent that plaintiff
complains about discipline regarding the CD incident, she has not produced evidence that the
discipline was unwarranted. Moreover, although plaintiff asserts that lowered performance reviews
helped compel her to resign, negative performance evaluations do not establish constructive
discharge without evidence that the reviews set the employee on a “dead-end path towards
termination.” See Fischer v. Avanade, Inc., 519 F.3d 393, 412 (7th Cir. 2008). Further, although
plaintiff asserts that the VA made her work environment unbearable by requiring her to work
weekends and overtime and by reassigning higher value RVU work to others, a reassignment does
not amount to a constructive discharge “unless the proffered employment options would have been
so difficult or unpleasant that a reasonable person in the employee’s shoes would have felt
compelled to resign.” Rushton v. City of Warren, 90 Fed. Appx. 912, 917 (6th Cir. 2004). A
reasonable person in plaintiff’s position would not find intolerable a requirement to work some
evenings and some weekends. See Sanchez v. Denver Pub. Schs., 164 F.3d 527, 534 (10th Cir.
1998) (while plaintiff no doubt found working conditions extremely difficult, and stress exacerbated
her health problems, defendant’s actions did not leave plaintiff with no choice but to resign).
Plaintiff also cites her comparatively low raise in salary in 2006. Viewing all of these matters singly
or in combination, plaintiff has not presented a genuine issue of material fact whether she
objectively had no other choice but to quit and therefore felt compelled to resign. See Baca v. Sklar,
398 F.3d 1210, 1218 (10th Cir. 2005); Monaco v. Quest Diagnostics, Inc., No. 08-2500-KHV, 2010

-32-

WL 3843622, at *15 (D. Kan. Sept. 24, 2010) (bar for constructive discharge quite high).
B.

Retaliation

Title VII makes it unlawful for an employer to retaliate against an employee “because [s]he
has opposed any practice made an unlawful employment practice by this subchapter.” 42 U.S.C.
§ 2000e-3(a). To state a prima facie Title VII retaliation claim, plaintiff must show (1) she engaged
in protected opposition to discrimination, (2) a reasonable employee would have found the
challenged action materially adverse and (3) a causal connection between the protected activity and
the materially adverse action. Khalik v. United Air Lines, 671 F.3d 1188, 1193 (10th Cir. 2012);
see Montes v. Vail Clinic, Inc., 497 F.3d 1160, 1176 (10th Cir. 2007) (to establish causal
connection, plaintiff must show that individual who took adverse action knew of protected activity).
If plaintiff so shows, the burden of production shifts to defendant. If defendant offers a legitimate,
nondiscriminatory reason for the adverse action, the burden shifts back to plaintiff to demonstrate
that the proffered explanation is a pretext for retaliation.
Until recently, a plaintiff could establish causation by demonstrating that retaliation was a
motivating factor in the employment act. The Supreme Court recently held, however, that Title VII
retaliation claims require proof that the desire to retaliate was the but-for cause of the challenged
employment action. Univ. of Tex. Sw. Med. Ctr. v. Nassar, 133 S.Ct. 2517, 2533 (2013).21 This
holding reconciles the causation standard for Title VII retaliation claims with the standard the

21

The Supreme Court issued the Nassar decision one day before oral argument on
defendant’s motion for summary judgment in this case. The Court therefore directed the parties to
file supplement briefs to address how Nassar impacts the analysis of causation in plaintiff’s
retaliation claim.
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Supreme Court previously set out in the ADEA context in Gross v. FBL Financial Services, Inc.,
557 U.S. 167 (2009).22
Plaintiff asserts that defendant retaliated against her for EEOC complaints by taking the same
employment actions on which she bases her claims of race, gender and national origin
discrimination: (1) her less favorable pay raise after the 2006 Compensation Panel; (2) the July 16,
2007 confrontation about CDs containing patient information; and (3) constructive discharge based
upon a series of events.
1.

Protected Opposition

Defendant concedes that plaintiff engaged in protected opposition by filing three EEOC
charges: on December 20, 2005 (asserting discrimination in assignment of duties which made it
difficult to obtain RVUs); on August 11, 2006 (asserting discrimination on May 17, 2006 when the
VA gave male doctors of different races and national origin higher pay increases than plaintiff); and
on December 26, 2006 (alleging discrimination as to performance pay, leave balances, multiple
disciplinary actions including disparate treatment in duty and denial of training).

22

After Gross, the Tenth Circuit found that “the rule articulated in Gross has no logical
effect on the application of McDonnell Douglas to age discrimination claims.” Jones v. Okla. City
Pub. Sch., 617 F.3d 1273, 1278 (10th Cir. 2010). The Tenth Circuit noted that McDonnell Douglas
“does not shift the burden of persuasion from the plaintiff to the defendant. Rather, it shifts only the
burden of production.” Id.; see Cruces v. Int’l Down & Feather Testing Lab., No. 11-CV-984 TS,
2013 WL 3423259, at *10 (D. Utah July 8, 2013) (but-for causation standard set out in Nassar places
higher burden on plaintiff than standard previously utilized in Tenth Circuit, but does not alter
analysis at prima facie stage).
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2.

Adverse Employment Action

Unlike in disparate treatment cases, a materially adverse action for purposes of a retaliation
claim need not affect the employee’s terms and conditions of employment. Burlington N. & Santa
Fe Ry. Co. v. White, 548 U.S. 53, 64 (2006) (adverse action for purposes of retaliation claim need
not be “adverse employment action” as construed in Title VII discrimination cases). The employer’s
action must be materially adverse, however, to separate trivial harms from actionable injuries
because Title VII does not establish “a general civility code for the American workplace.” See
Somoza v. Univ. of Denver, 513 F.3d 1206, 1212 (10th Cir. 2008) (citing Oncale v. Sundowner
Offshore Servs., Inc., 523 U.S. 75, 80 (1998)). Plaintiff must show that the challenged action could
dissuade a reasonable employee from making or supporting a charge of discrimination. Somoza,
513 F.3d at 1214.
a.

2006 Compensation Panel

As set forth in the analysis of plaintiff’s discrimination claim, the Court assumes for sake of
argument that plaintiff has set forth evidence that the 2006 salary decision was an adverse
employment action. The Court also presumes that it meets the less exacting standard for a materially
adverse employment action for a retaliation claim.
b.

July 16, 2007 Incident

As noted in the analysis of plaintiff’s discrimination claim, defendant concedes for purposes
of summary judgment motion that plaintiff suffered adverse employment action when Murphree
confronted her about the CDs on July 16, 2007.

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c.

Constructive Discharge

Plaintiff claims that the VA constructively discharged her in retaliation for filing EEOC
complaints. Plaintiff notes that she filed charges of discrimination on November 2, 2005, June 26,
2006 and November 9, 2006 before she retired July 31, 2008. She asserts that in retaliation for her
protected activity, defendant forced her to retire by subjecting her to a “steady stream of conduct”
including the 12 actions on which she bases her constructive discharge discrimination claim.23 See
Plaintiff’s Brief Regarding Causation (Doc. #112) filed July 8, 2013, at 10. Plaintiff does not assert
a separate retaliation claim based each of the 12 actions; rather, she asserts that taken together,
defendant’s conduct as a whole made working conditions so intolerable that a reasonable person
would have felt forced to resign.24 See Plaintiff’s Response (Doc. #96) at 64-65; Plaintiff’s Brief
Regarding Causation (Doc. #112) at 11 (asserting that 12 incidents establish constructive discharge).

23

The factual bases for plaintiff’s constructive discharge retaliation claim include
(1) reassigning her to lower RVU work; (2) instructing her not to read higher RVU work; (3) giving
her the lowest salary increase in 2006; (4) giving her no performance pay; (5) rejecting her request
for training; (6) reducing her performance appraisals from “Outstanding” in 2005 to “High
Satisfactory” in 2005-2006 to “Satisfactory” in 2006-2007; (7) giving her a “Low Satisfactory”
rating in 2006-2007 for the category of “Personal Qualities; (8) subjecting her to the July 16, 2007
incident regarding CD’s; (9) triggering her medical leave from July of 2007, to January of 2008; (10)
in January of 2008, requiring her to read 238 plain films; (11) in March of 2008, disciplining
plaintiff for possessing the CDs that were involved in the July 16, 2007, incident; and (12) requiring
plaintiff to work overtime and weekends, in June and July of 2008, in an effort to meet the agency’s
48-hour policy.
24

In response to defendant’s motion for summary judgment on her retaliation claims,
plaintiff incorporates her arguments regarding the discrimination claims. In addressing her
constructive discharge discrimination claim, plaintiff argued that defendant engaged in an extended
effort to separate her from her employment by subjecting her to “a steady stream of conduct aimed
at discriminating and retaliating against her,” and that “[t]hese incidents establish that the Agency
constructively discharged [plaintiff].” Plaintiff’s Response (Doc. #96) at 56.
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For the reasons set forth in the Court’s analysis of plaintiff’s discrimination claims, the Court finds
that plaintiff has not set forth facts on which on which a jury could find that defendant constructively
discharged her.
3.

Causal Connection

Plaintiff may show a causal connection with evidence of circumstances which justify
inference of retaliatory motive, such as protected conduct followed closely by adverse action.
Annett v. Univ. of Kan., 371 F.3d 1233, 1239 (10th Cir. 2004). Standing alone, temporal proximity
between the protected activity and the retaliatory conduct must be very close in time. O’Neal v.
Ferguson Constr. Co., 237 F.3d 1248, 1253 (10th Cir. 2001). Otherwise, “plaintiff must offer
additional evidence to establish causation.” Id. As noted, after Nassar, plaintiff must show that the
retaliatory motive was the but-for cause of the adverse action. Here, plaintiff engaged in protected
opposition on December 20, 2005, August 11, 2006 and December 26, 2006.
a.

2006 Compensation Panel

For the sake of argument, the Court assumes that defendant took an adverse employment
action when it gave plaintiff a significantly lower pay raise than other board certified radiologists.
Plaintiff must therefore establish a causal connection between her EEOC charge on December 20,
2005 and the decision regarding her pay raise.
On November 18, 2005, Dr. Rao learned that plaintiff was going to file an EEOC charge, and
she did so on December 20, 2005. Although Director Malone made the final salary determination
in June of 2006, plaintiff has presented evidence that he primarily based his decision on the Panel
recommendation, and the Panel held its review on February 27, 2006. Dr. Rao participated in the

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review, and at oral argument plaintiff asserted that as the only radiologist on the Panel, Dr. Rao had
a great deal of influence on the Panel recommendation. Plaintiff did not, however, include that
assertion in her statement of facts. In any event, plaintiff implicitly relies on a cat’s paw argument –
that Dr. Rao knew that plaintiff had filed a formal EEOC charge on December 20, 2005, and that
on February 27, 2006, to retaliate for her protected conduct, he steered the Panel to recommend a
lower raise for plaintiff than other radiologists.
As noted, the Tenth Circuit has adopted cat’s paw liability in Title VII discrimination cases.
See EEOC v. BCI Coca-Cola Bottling Co. of Los Angeles, 450 F.3d 476, 488 (2006). Plaintiff can
hold an employer liable for the bias of a subordinate if plaintiff can show that the subordinate’s
discriminatory reports, recommendation or other actions caused adverse employment action. Id. at
487. Assuming that cat’s paw liability applies to plaintiff’s retaliation claim, plaintiff must first
establish a genuine issue of material fact concerning the retaliatory motive of the subordinate,
Dr. Rao. Id. at 488. Plaintiff must then establish a but-for causal relationship between the
subordinate’s actions and the employment decision.
Plaintiff offers no direct evidence that Dr. Rao – who apparently worked with plaintiff
without incident for nearly three decades before any of the events described in this case – had a
retaliatory motive.25 Rather, she points out that before the compensation panel met on February 27,

25

Plaintiff asserts that Dr. Rao was biased against her, as follows:

That Dr. Rao did not hold Dr. Moore-Stovall in high regard is evidenced by the fact
that he chose to engage in a personal attack on her when he decided to support a low
satisfactory rating for her “Personal Qualities” and refused to respond to Dr.
Moore-Stovall’s request for clarification for the basis of this rating, tersely
(continued...)
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2006, Dr. Rao learned of the EEOC charge that she filed on December 20, 2005. Plaintiff asserts
that this temporal proximity supports an inference that Dr. Rao had a retaliatory motive and
establishes a causal relationship between that retaliatory motive and the Panel’s adverse
recommendation regarding her raise. Courts have found that a one and one-half month gap may be
sufficient on its own to establish causation, while a delay of three months is not. See Conner v.
Schnuck Mkts., Inc., 121 F.3d 1390, 1395 (10th Cir. 1997) (four month period between protected
activity and termination not sufficient in itself to infer causation); Anderson v. Coors Brewing Co.,
181 F.3d 1171, 1179 (10th Cir. 1999) (assuming two months and one week sufficient to support
prima facie case of retaliation, but not sufficient to overcome defendant’s proffered reasons for
terminating her). Here, the two to three month period between Dr. Rao’s knowledge of plaintiff’s
protected activity on December 20, 2005, and his participation in the Compensation Panel
recommendation on February 27, 2006, is sufficient to suggest a retaliatory motive on the part of
Dr. Rao. Plaintiff has not produced any evidence, however, on which a jury could find that

25

(...continued)
instructing her to “sign and return proficiency report with your comments.” (SOF
414-416). Similarly, as discussed above, Dr. Rao, knowing that a concern existed
regarding Dr Moore-Stovall’s possession of the CDs chose to simply do nothing and,
by doing so, left her to her fate. Perhaps the best insight into Dr. Rao’s disdain for
Dr. Moore-Stovall is that, when she informed him in June of 2008, that she was
going to resign, he never said one word to her. (SOF 473). Keep in mind that she
continued to work well into July before she stopped working. Additionally, Dr. Rao
and Dr. Moore-Stovall had worked together continuously from July of 1979 to July
of 2008, a period of 29 years. (SOF 338). Clearly, Dr. Rao had no interest
whatsoever in having even a professional relationship with Dr. Moore-Stovall or
even simply acknowledging that a longtime colleague was leaving her employment.
Plaintiff’s Response Brief (Doc. #96) at 68.
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Dr. Rao’s retaliatory motive was the but-for cause of Director Malone’s ultimate decision to give
plaintiff a lower raise than other radiologists. See Nassar, 133 S.Ct. at 2521. Plaintiff has produced
no evidence that Dr. Rao had any particular influence on the Compensation Panel. Further, plaintiff
has produced no evidence that other members of the Panel, or the final decision maker, Director
Malone, had any knowledge of plaintiff’s EEOC complaint. The temporal proximity of plaintiff’s
EEOC complaint and the Panel recommendation, without more, does not raise a genuine issue of
material fact whether Dr. Rao’s retaliatory motive was the but-for cause of the final salary decision.
Defendant is therefore entitled to summary judgment on plaintiff’s claim that defendant retaliated
against her for protected opposition when it determined her 2006 raise.
b.

July 16, 2007 Incident

Plaintiff must establish a causal connection between her EEOC charges on December 20,
2005, August 11, 2006 and December 26, 2006 and the July 16, 2007 incident regarding the CDs.
More than six months elapsed between plaintiff’s EEOC charge on December 26, 2006 and the
incident on July 16, 2007; thus, temporal proximity does not raise a genuine issue of material fact
regarding causation. Moreover, plaintiff does not controvert the fact that she was not authorized to
burn the CDs or that the VA was justified in issuing a Written Counseling. Although plaintiff argues
that Dr. Rao somehow orchestrated her confrontation with Murphree, defendant correctly pointed
out at oral argument that it was plaintiff’s response to Murphree’s investigation which created the
physical confrontation. No reasonable jury could find any nexus between the CD incident and
plaintiff’s protected opposition.

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IT IS THEREFORE ORDERED that Defendant’s Motion For Summary Judgment
(Doc. #74) filed February 19, 2013 be and hereby is SUSTAINED.
Dated this 3rd day of September, 2013, at Kansas City, Kansas.
s/ Kathryn H. Vratil
Kathryn H. Vratil
United States District Judge

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