Gul v. Center for Family Medicine

CourtListener 901904Sd25 de fev. de 2009

Abrir fonte

Texto completo

GIENAPP, Circuit Judge.
[¶ 1.] Samina Gul, M.D. (Dr. Gul) commenced an action for breach of contract, defamation, and violation of due process against the Center for Family Medicine (CFM) and one of its physicians, Dr. Earl Kemp (Dr. Kemp). The parties filed cross motions for summary judgment, although Dr. Gul’s motion was for partial summary judgment as to liability on the contract claim. The circuit court ruled in favor of CFM and Dr. Kemp on the defamation, due process, and breach of contract claims. The circuit court also ruled that Dr. Gul was entitled to summary judgment as to her last month of salary under the contract. Dr. Gul appeals the due process and breach of contract summary judgment rulings and we affirm.

FACTS AND PROCEDURE

[¶ 2.] CFM is affiliated with the University of South Dakota Medical School. In April 2004 Dr. Gul was accepted into CFM’s medical residency program in the area of family medicine. Dr. Kemp, a family practice physician employed by CFM, supervised the residency program. Dr. Gul was accepted into the program on April 19, 2004, and signed a contract for the program on April 28, 2004. The contract was for a one-year term that was the first year of the three-year residency program.1 Pursuant to the contract, Dr. Gul was paid a stipend for her services. Dr. Gul began her residency with CFM on June 26, 2004.2

[¶ 3.] Problems with Dr. Gul’s work developed and Dr. Gul was advised on December 30, 2004, that she was receiving a Notice of Unsatisfactory Performance and was placed on probation. That document provided in part that there were concerns about Dr. Gul’s professionalism, organizational skills, and problem-solving abilities. Additionally, there were concerns with Dr. Gul’s proficiency in speaking and writing the English language.

[¶ 4.] On April 27, 2005, Dr. Gul was notified by CFM that her residency contract would not be renewed for another year. CFM provided Dr. Gul with a document titled Notice of Non-Renewal of Resident Contract for Dr. Gul (Notice of Non-Renewal) which explained the non-renewal decision. The document served as official notice that Dr. Gul’s residency contract would not be renewed by CFM after June 30, 2005, and that she would not be receiving a certificate of completion for her first year of residency. The Notice of Non-Renewal referenced the granting of a remedial month. Dr. Gul was subsequently told to turn in her keys and badge, and her scheduled rotations were assigned to other residents. At that time Dr. Gul was informed by CFM that she would be paid through the month of May.

[¶ 5.] Dr. Gul was provided with the Residents Manual which was comprised of the various policies and guidelines perti*632nent to the residency program. The manual provided that if a resident was being considered for dismissal from the program, she could request a hearing before the Resident Oversight Committee (ROC) in order to contest the dismissal.

[¶ 6.] After receiving the Notice of Non-Renewal, Dr. Gul requested a hearing before the ROC, which was held a few weeks later. After the hearing, at which Dr. Gul was represented by counsel, the ROC voted sixteen to one to approve the non-renewal decision. In accordance with the procedure set forth in the Residents Manual, Dr. Gul appealed the ROC’s decision to the Graduate Medical Education Committee. Dr. Gul was granted a hearing before that Committee, which was comprised of seven physicians who supervise medical residents. The Committee heard evidence provided by Dr. Gul and her attorney, and the Committee ultimately affirmed the decision of the ROC. Dr. Gul then appealed the decision to CFM’s Board of Directors, which affirmed the decision not to renew Dr. Gul’s residency contract.

[¶ 7.] Dr. Gul commenced an action against CFM and Dr. Kemp for defamation, breach of contract, and due process violations. The circuit court granted summary judgment in favor of CFM and Dr. Kemp on those claims while simultaneously granting summary judgment in favor of Dr. Gul for her last month’s salary, that being the month of June. Dr. Gul is appealing the circuit court’s decision granting summary judgment in favor of CFM and Dr. Kemp on the issues of breach of contract and a claimed denial of due process. The summary judgment as to the defamation claim was not appealed.

STANDARD OF REVIEW

[¶ 8.] This matter is before the Court on appeal from a grant of summary judgment. Summary judgment

shall be rendered forthwith if the pleadings, depositions, answers to interrogatories, and admissions on file, together with the affidavits, if any, show that there is no genuine issue as to any material fact and that the moving party is entitled to a judgment as a matter of law.

SDCL 15 — 6—56(c). “In reviewing a grant of summary judgment under SDCL 15 — 6— 56(c) we must determine whether the moving party has demonstrated there is no genuine issue of material fact and [the moving party] is entitled to judgment as a matter of law.” Hoglund, v. Dakota Fire Ins. Co., 2007 SD 123, ¶ 7, 742 N.W.2d 853, 856. All reasonable inferences drawn from the facts must be viewed in favor of the nonmoving party and reasonable doubts should be resolved against the moving party. Wilson v. Great N. Ry. Co., 83 S.D. 207, 212, 157 N.W.2d 19, 21 (1968). “The burden is on the moving party to clearly show an absence of any genuine issue of material fact and an entitlement to judgment as a matter of law.” Butler Mach. Co. v. Morris Const. Co., 2004 SD 81, ¶ 5, 682 N.W.2d 773, 776 (quoting Chilson v. Kimball Sch. Dist. No. 7-2, 2003 SD 53, ¶ 7, 663 N.W.2d 667, 669). “Our task on appeal is to determine only whether a genuine issue of material fact exists and whether the law was correctly applied” by the lower court. Wojewski v. Rapid City Reg'l Hosp., Inc., 2007 SD 33, ¶ 12, 730 N.W.2d 626, 631 (quoting Read v. McKennan Hosp., 2000 SD 66, ¶ 8, 610 N.W.2d 782, 784). The construction of a written contract is a question of law for the Court to consider. Dirks v. Sioux Valley Empire Elec. Ass’n, 450 N.W.2d 426, 427-28 (S.D.1990). Affirmance is proper if any basis exists which would support the circuit court’s ruling. Breen v. Dakota Gear & Joint Co., Inc., 433 N.W.2d 221, 223 *633(S.D.1988). “A disputed fact is not ‘material’ unless it would affect the outcome of the suit under the governing substantive law in that a ‘reasonable jury could return a verdict for the nonmoving party.’ ” Weitzel v. Sioux Valley Heart Partners, 2006 SD 45, ¶ 17, 714 N.W.2d 884, 891 (quoting S.D. State Cement Plant Comm’n v. Wausau Underwriters Ins., Co., 2000 SD 116, ¶ 9, 616 N.W.2d 397, 401).

ANALYSIS AND DECISION ISSUE ONE

[¶ 9.] Whether there was a breach of the one-year residency contract.

[¶ 10.] “A contract is an agreement to do or not to do a certain thing.” SDCL 53-1-1. The elements that must be met in a breach of contract claim are: (1) an enforceable promise; (2) a breach of the promise; and (3) resulting damages. Guthmiller v. Deloitte & Touche, LLP, 2005 SD 77, ¶ 14, 699 N.W.2d 493, 498.

[¶ 11.] The contract at issue provides that “CFM retains the right to terminate this contract at any time should the Resident, in the opinion of CFM, fail to act within his/her best professional capacity and ability, and commensurate with the highest standards of practice and ethics applicable to the Family Practice specialty.” The contract also references a Residents Manual that provides “rules, regulations, policies and procedures.” The pertinent language in the Residents Manual pertaining to dismissals states, “[w]hen a resident is being considered for dismissal, the Program Director or designee shall notify the resident, in writing, of the charges and of the proposed dismissal. The resident may request a hearing before the ROC.”3

[¶ 12.] Dr. Gul contends that summary judgment was improper because CFM terminated her without a hearing prior to termination, in breach of the contract. However, the record shows otherwise.

[¶ 13.] The record demonstrates that Dr. Gul was notified in writing of the charges and of the proposed dismissal. On April 27, 2005, Dr. Gul received the Notice of Non-Renewal which summarized her unsatisfactory performance.4 The record also reveals other circumstances, prior to the April 27, 2005, notice, where Dr. Gul received notice, feedback, and opportunities to be heard regarding her deficient performance. In that regard, Dr. Gul was given a Notice of Unsatisfactory Performance in December 2004 which outlined her unsatisfactory performance. She discussed the items in this document with Dr. Kemp and another physician. At this time she was also placed on probation. The Residents Manual indicates that Dr. Gul *634could have requested a hearing before the ROC upon receipt of this notice, but she did not do so. After Dr. Gul received the Notice of Unsatisfactory Performance, she continued to receive evaluations and feedback and was given copies of her performance reviews which showed inadequate performance in several areas. Furthermore, the Notice of Non-Renewal on April 27, 2005, did not act as immediate termination. The document states that Dr. Gul’s “residency contract will not be renewed after June 30, 2005.”

[¶ 14.] After the Notice of Non-Renewal on April 27, 2005, Dr. Gul did not perform any duties in connection with her first-year residency contract except for some minimal duties in connection with finishing uncompleted medical reports. There does exist a factual dispute as to whether or not Dr. Gul was told not to report to work by Dr. Kemp, or whether Dr. Gul did not show up for duties as instructed.5 However, this factual dispute is not material to Dr. Gul’s claims and as a consequence does not defeat summary judgment.6 “A disputed fact is not ‘material’ unless it would affect the outcome of the suit under the governing substantive law in that a ‘reasonable jury could return a verdict for the non-moving party.’ ” Weitzel, 2006 SD 45, ¶ 17, 714 N.W.2d at 891.

[¶ 15.] Dr. Gul was also provided all of the hearings outlined in the Residents Manual. A hearing before the ROC was held within a few weeks of Dr. Gul’s request. After the hearing, during which Dr. Gul was represented by counsel, the ROC voted sixteen to one to approve the non-renewal decision. Dr. Gul then appealed the ROC’s decision to the Graduate Medical Education Committee, which was comprised of seven physicians who supervise medical residents. The Committee heard evidence provided by Dr. Gul and her attorney, but ultimately affirmed the decision of the ROC. Dr. Gul then appealed the decision to CFM’s Board of Directors, which also agreed with the decision not to renew Dr. Gul’s residency contract.

[¶ 16.] Dr. Gul does not dispute that the contract was a one-year contract. Dr. Gul does not dispute that she has now been paid the entire stipend owed her for that one-year contract period. What Dr. Gul does contend is that the contract and Residents Manual provided for due process hearings prior to termination. However, the Notice of Non-Renewal of April 27, 2005, indicated that the residency will not be renewed after June 30, 2005. The notice also indicated that, “[n]either is it anticipated that you will be awarded a certification of completion of the first year.” Dr. Gul claims the wording of the Residents Manual provides for an appeal from a proposed dismissal. The April 27, 2005, notice was a proposed dismissal as of June 30, 2005, not an April 27, 2005, dismissal, so it was a proposed dismissal. As a result, Dr. Gul’s claim is without merit.

[¶ 17.] The circuit court was correct in finding that there were no genuine issues of material fact as to whether Dr. Gul was *635provided adequate notice of her poor performance prior to receiving the Notice of Non-Renewal. Additionally, Dr. Gul was provided all opportunities for review as outlined in the Residents Manual.

ISSUE TWO

[¶ 18.] Whether Dr. Gul’s due process rights were violated.

[¶ 19.] The Fourteenth Amendment to the United States Constitution and Article VI, Section 2 of the South Dakota Constitution provide a party a right to due process before being deprived of life, liberty, or property. Generally, due process requires “notice and an opportunity to be heard.” Wuest v. Winner Sch. Dist. 59-2, 2000 SD 42, ¶25, 607 N.W.2d 912, 918. Additionally, due process must be granted at a “meaningful time and in a meaningful manner.” Hollander v. Douglas County, 2000 SD 159, ¶ 17, 620 N.W.2d 181, 186 (quoting Schrank v. Pennington County Bd. of Comm’rs, 1998 SD 108, ¶ 13, 584 N.W.2d 680, 682). However, this Court has found that dismissing a student for academic reasons does not necessitate a hearing. Delaney v. Heimstra, 288 N.W.2d 769, 772 (S.D.1980) (citing Bd. of Curators ofUniv. of Mo. v. Horowitz, 435 U.S. 78, 89, 98 S.Ct. 948, 955, 55 L.Ed.2d 124,135 (1978)).

[¶ 20.] The circuit court found that Dr. Gul was a student in CFM’s residency program. Dr. Gul argues that she should be considered an employee, and not a student, for purposes of the due process analysis. To support this, Dr. Gul cites the fact that she was paid a salary of $41,355 for her services for the year under the residency contract. CFM contends that Dr. Gul was a student enrolled in CFM’s residency program.7

[¶ 21.] The issue of whether a medical resident is considered a student or an employee is a matter of first impression before this Court, but has been addressed in other jurisdictions. A Minnesota court addressed this issue in Ross v. University of Minnesota, 439 N.W.2d 28 (Minn.Ct.App.1989). In Ross, a medical resident in the University of Minnesota’s psychiatry program was dismissed because his work performance was below minimum standards and he lacked interpersonal skills. Id. at 30-31. The resident filed suit against the university alleging, among other claims, that the dismissal from the residency program had violated his due process rights. Id. The court in Ross found that a medical resident is a student for the purpose of reviewing a decision to dismiss him for academic reasons, and that holding otherwise “would be to threaten the autonomy of academic institutions to determine standards for the passing and failing of students.” Id. at 33. The court further noted that dismissing a resident from a hospital-based residency should be treated the same as failing a graduate student for the inability to meet academic requirements. Id.

[¶ 22.] The Fifth Circuit Court of Appeals also addressed this issue in Davis v. Mann, 882 F.2d 967 (5thCir.l989). In Davis, a dental resident in the University of Mississippi’s dental residency program was dismissed for unsatisfactory academic *636performance. Id. at 971. The resident sued the university asserting that his due process rights had been violated. The court concluded that a dental resident should be considered a student rather than an employee:

The residency program is distinct from other types of employment in that the resident’s “work” is what is academically supervised and evaluated. It is well-known that the primary purpose of a residency program is not employment or a stipend, but the academic training and the academic certification for successful completion of the program.

Id. at 974. Other courts have agreed that a medical resident should be categorized as a student rather than an employee. Regents of Univ. of Minn. v. United States, 2008 WL 906799, at *6 (D.Minn. Apr.1, 2008) (holding that residents are students, not employees subject to FICA taxes); Halverson v. Univ. of Utah Sch. of Med., 2007 WL 2892638, at *11 (D.Utah Sept.28, 2007) (holding that medical residents are not considered employees and are entitled to lesser due process procedures than employees).

[¶ 23.] We agree that medical residents are students and not employees. The fact that Dr. Gul received a stipend does not alter the fact that she was participating in an academic program in order to receive academic certification. As a student, Dr. Gul is not entitled to the same due process protection as an employee.

[¶ 24.] In Delaney v. Heimstra, we held that a hearing is not required when a student is dismissed for academic reasons. 288 N.W.2d at 771. The Delaney Court followed the United States Supreme Court opinion in Board of Curators of University of Missouri v. Horowitz, 435 U.S. at 89, 98 S.Ct. at 955, and recognized that a hearing may be “useless or harmful in finding out the truth concerning scholarship.” Id. at 771. In Delaney, we adopted the standard set forth in Gaspar v. Bruton, 513 F.2d 843 (10thCir.l975):

[S]chool authorities, in order to satisfy Due Process prior to termination or suspension of a student for deficiencies in meeting minimum academic performance, need only advise that student with respect to such deficiencies in any form. All that is required is that the student be made aware prior to termination of his failure or impending failure to meet those standards.

Id. at 772. In adopting that standard, we held that an MBA student’s procedural due process requirements were met when the student was notified of his academic deficiencies and when, after failing to meet the academic criteria, the MBA student was afforded the opportunity to have a request for special consideration reviewed by the MBA Committee. Id.

[¶ 25.] Dr. Gul was provided with ample notice that she was not meeting the minimum academic performance required for the medical residency. In December 2004, Dr. Gul was given the Notice of Unsatisfactory Performance and was placed on probation. This notice detailed the concerns that CFM had with Dr. Gul’s performance. Also, between January and April 2005, Dr. Gul was given copies of her performance reviews that showed her inadequate performance in several areas. Additionally, in April 2005, Dr. Gul was given a follow-up review that indicated that, while she was making some improvements, her performance still fell below what was expected of a first-year resident. Dr. Gul was afforded all due process to which a medical resident is entitled, and summary judgment was proper.

[¶ 26.] GILBERTSON, Chief Justice, KONENKAMP and MEIERHENRY, Justices, concur.
*637[¶ 27.] ZINTER, Justice, concurs specially.
[¶ 28.] GIENAPP, Circuit Judge, for SABERS, Retired Justice, disqualified.

. There is no contractual guarantee that a contract will be offered for the second year of residency. The three-year residency program consists of three separate one-year contracts.

. The term of the contract was from June 23, 2004, to June 30, 2005. The annual compensation was $41,355.

. Although the residency program is a three-year program the contract is a one-year contract specifically stating that: "The term of this agreement commences June 23, 2004 and terminates June 30, 2005. It is understood that this contract is for a portion of a three year program.” Dr. Gul received payment for the entire term of the contract. Dr. Gul had originally received payment for eleven months, but the circuit court's decision added the payment for the twelfth month with the indication that this was done pursuant to discussions at the summary judgment hearing. The transcript of that hearing is not a part of the record before this Court.

. The document listed several deficiencies including doubts about Dr. Gul's ability to independently develop differential diagnoses for complex patients and an inability to develop appropriate diagnostic and therapeutic plans. The document also noted Dr. Gul’s problems in speaking and understanding verbal English and problems communicating in written English. Finally, the document expressed doubts about whether Dr. Gul would be able to "develop adequate skills in application of basic clinical knowledge to care for patients even with more clinical training.”

. The assignment of duties or non-assignment of duties was solely at the discretion of CFM.

. It was at the time of this factual dispute that Dr. Kemp informed Dr. Gul that she would be paid through May 2005, but pursuant to the circuit court’s decision she was ultimately paid through June 2005, which was the entire amount she was to be paid under the contract. No person may recover a greater amount in damages for the breach of an obligation than he could have gained by full performance on both sides absent statutory exemplary or penal damages. See SDCL 21 — 1— 5; Nelson v. WEB Water Dev. Ass'n, Inc., 507 N.W.2d 691, 700 (S.D.1993).

. CFM and Dr. Kemp also assert that they are not state actors and, thus, no due process analysis is warranted. However, the record does not indicate that this argument was presented to the circuit court and as a consequence it has been waived. “An issue may not be presented for a first time on appeal.” Schlumbohm v. City of Sioux Palls, 2001 SD 74, ¶ 22, 630 N.W.2d 93, 98. Our function is that of review, therefore, "issues not presented to the trial court are not before us on appeal.” Chipperfield v. Woessner, 84 S.D. 13, 19, 166 N.W.2d 727, 730 (1969).

ZINTER, Justice
(concurring specially).

[¶ 29.] I agree there is a genuine issue of disputed fact whether Dr. Gul was terminated on April 27, 2005, before she received her contractual right to a hearing. See supra ¶ 14. Defendants admitted the point at oral argument when they conceded that at a minimum there was “confusion” over the matter. This Court notes that this dispute of fact was not material because Dr. Gul was paid for the balance of her contract. Id. n. 6. I write to address Dr. Gul’s additional contention that the dispute of fact regarding termination was material to her claim for consequential damages.

[¶ 30.] Dr. Gul is mistaken because she sued in contract rather than tort, and therefore, she was not entitled to the consequential damages she claimed (collateral damages arising after her contract ended). Damages for breach of a definite term employment contract are generally limited to the lost wages that would have been earned until the end of the contract. Bad Wound v. Lakota Cmty. Homes, Inc., 1999 SD 165, ¶ 11, 603 N.W.2d 723, 726. Although Dr. Gul’s claimed consequential damages may have been recoverable in tort, they were not recoverable in her suit for breach of contract. See id. ¶¶ 11-13, 603 N.W.2d at 726. Therefore, the dispute of fact regarding termination was not material to the issue of consequential damages.

#24860-a-GIENAPP, Circuit Judge
2009 SD 12

IN THE SUPREME COURT
OF THE
STATE OF SOUTH DAKOTA

* * * *

SAMINA GUL, M.D., Plaintiff and Appellant,

v.

CENTER FOR FAMILY
MEDICINE and DR. EARL KEMP, Defendants and Appellees.

* * * *

APPEAL FROM THE CIRCUIT COURT
OF THE SECOND JUDICIAL CIRCUIT
MINNEHAHA COUNTY, SOUTH DAKOTA

* * * *

HONORABLE WILLIAM J. SRSTKA, JR.
Judge

* * * *

SHAWN M. NICHOLS of
Cadwell, Sanford, Deibert & Garry, LLP Attorneys for plaintiff
Sioux Falls, South Dakota and appellant.

R. ALAN PETERSON
STEVEN J. MORGANS
DANA VAN BEEK PALMER of
Lynn, Jackson, Shultz & Lebrun, PC Attorneys for defendants
Sioux Falls, South Dakota and appellees.

* * * *

ARGUED ON
September 29, 2008

OPINION FILED 2/25/09
#24860

GIENAPP, Circuit Judge

[¶1.] Samina Gul, M.D. (Dr. Gul) commenced an action for breach of

contract, defamation, and violation of due process against the Center for Family

Medicine (CFM) and one of its physicians, Dr. Earl Kemp (Dr. Kemp). The parties

filed cross motions for summary judgment, although Dr. Gul's motion was for

partial summary judgment as to liability on the contract claim. The circuit court

ruled in favor of CFM and Dr. Kemp on the defamation, due process, and breach of

contract claims. The circuit court also ruled that Dr. Gul was entitled to summary

judgment as to her last month of salary under the contract. Dr. Gul appeals the due

process and breach of contract summary judgment rulings and we affirm.

FACTS AND PROCEDURE

[¶2.] CFM is affiliated with the University of South Dakota Medical School.

In April 2004 Dr. Gul was accepted into CFM's medical residency program in the

area of family medicine. Dr. Kemp, a family practice physician employed by CFM,

supervised the residency program. Dr. Gul was accepted into the program on April

19, 2004, and signed a contract for the program on April 28, 2004. The contract was

for a one-year term that was the first year of the three-year residency program.1

Pursuant to the contract, Dr. Gul was paid a stipend for her services. Dr. Gul began

her residency with CFM on June 26, 2004. 2

1. There is no contractual guarantee that a contract will be offered for the
second year of residency. The three-year residency program consists of three
separate one-year contracts.

2. The term of the contract was from June 23, 2004, to June 30, 2005. The
annual compensation was $41,355.
#24860

[¶3.] Problems with Dr. Gul's work developed and Dr. Gul was advised on

December 30, 2004, that she was receiving a Notice of Unsatisfactory Performance

and was placed on probation. That document provided in part that there were

concerns about Dr. Gul's professionalism, organizational skills, and problem-solving

abilities. Additionally, there were concerns with Dr. Gul's proficiency in speaking

and writing the English language.

[¶4.] On April 27, 2005, Dr. Gul was notified by CFM that her residency

contract would not be renewed for another year. CFM provided Dr. Gul with a

document titled Notice of Non-Renewal of Resident Contract for Dr. Gul (Notice of

Non-Renewal) which explained the non-renewal decision. The document served as

official notice that Dr. Gul's residency contract would not be renewed by CFM after

June 30, 2005, and that she would not be receiving a certificate of completion for

her first year of residency. The Notice of Non-Renewal referenced the granting of a

remedial month. Dr. Gul was subsequently told to turn in her keys and badge, and

her scheduled rotations were assigned to other residents. At that time Dr. Gul was

informed by CFM that she would be paid through the month of May.

[¶5.] Dr. Gul was provided with the Residents Manual which was comprised

of the various policies and guidelines pertinent to the residency program. The

manual provided that if a resident was being considered for dismissal from the

program, she could request a hearing before the Resident Oversight Committee

(ROC) in order to contest the dismissal.

[¶6.] After receiving the Notice of Non-Renewal, Dr. Gul requested a

hearing before the ROC, which was held a few weeks later. After the hearing, at

-2-
#24860

which Dr. Gul was represented by counsel, the ROC voted sixteen to one to approve

the non-renewal decision. In accordance with the procedure set forth in the

Residents Manual, Dr. Gul appealed the ROC's decision to the Graduate Medical

Education Committee. Dr. Gul was granted a hearing before that Committee,

which was comprised of seven physicians who supervise medical residents. The

Committee heard evidence provided by Dr. Gul and her attorney, and the

Committee ultimately affirmed the decision of the ROC. Dr. Gul then appealed the

decision to CFM's Board of Directors, which affirmed the decision not to renew Dr.

Gul's residency contract.

[¶7.] Dr. Gul commenced an action against CFM and Dr. Kemp for

defamation, breach of contract, and due process violations. The circuit court

granted summary judgment in favor of CFM and Dr. Kemp on those claims while

simultaneously granting summary judgment in favor of Dr. Gul for her last month's

salary, that being the month of June. Dr. Gul is appealing the circuit court's

decision granting summary judgment in favor of CFM and Dr. Kemp on the issues

of breach of contract and a claimed denial of due process. The summary judgment

as to the defamation claim was not appealed.

STANDARD OF REVIEW

[¶8.] This matter is before the Court on appeal from a grant of summary

judgment. Summary judgment

shall be rendered forthwith if the pleadings, depositions,
answers to interrogatories, and admissions on file,
together with the affidavits, if any, show that there is no
genuine issue as to any material fact and that the moving
party is entitled to a judgment as a matter of law.

-3-
#24860

SDCL 15-6-56(c). "In reviewing a grant of summary judgment under SDCL 15-6-

56(c) we must determine whether the moving party has demonstrated there is no

genuine issue of material fact and [the moving party] is entitled to judgment as a

matter of law." Hoglund v. Dakota Fire Ins. Co., 2007 SD 123, ¶7, 742 NW2d 853,

856. All reasonable inferences drawn from the facts must be viewed in favor of the

nonmoving party and reasonable doubts should be resolved against the moving

party. Wilson v. Great N. Ry. Co., 83 SD 207, 212, 157 NW2d 19, 21 (1968). "The

burden is on the moving party to clearly show an absence of any genuine issue of

material fact and an entitlement to judgment as a matter of law." Butler Mach. Co.

v. Morris Const. Co., 2004 SD 81, ¶5, 682 NW2d 773, 776 (quoting Chilson v.

Kimbell Sch. Dist. No. 7-2, 2003 SD 53, ¶7, 663 NW2d 667, 669). "Our task on

appeal is to determine only whether a genuine issue of material fact exists and

whether the law was correctly applied" by the lower court. Wojewski v. Rapid City

Reg'l Hosp., Inc., 2007 SD 33, ¶12, 730 NW2d 626, 631 (quoting Reed v. McKennan

Hosp., 2000 SD 66, ¶8, 610 NW2d 782, 784). The construction of a written contract

is a question of law for the Court to consider. Dirks v. Sioux Valley Empire Elec.

Ass'n, 450 NW2d 426, 427-28 (SD 1990). Affirmance is proper if any basis exists

which would support the circuit court's ruling. Breen v. Dakota Gear & Joint Co.,

Inc., 433 NW2d 221, 223 (SD 1988). "A disputed fact is not 'material' unless it

would affect the outcome of the suit under the governing substantive law in that a

'reasonable jury could return a verdict for the nonmoving party.'" Weitzel v. Sioux

Valley Heart Partners, 2006 SD 45, ¶17, 714 NW2d 884, 891 (quoting S.D. State

-4-
#24860

Cement Plant Comm'n v. Wausau Underwriters Ins., Co., 2000 SD 116, ¶9, 616

NW2d 397, 401).

ANALYSIS AND DECISION

ISSUE ONE

[¶9.] Whether there was a breach of the one-year residency contract.

[¶10.] "A contract is an agreement to do or not to do a certain thing." SDCL

53-1-1. The elements that must be met in a breach of contract claim are: (1) an

enforceable promise; (2) a breach of the promise; and (3) resulting damages.

Guthmiller v. Deloitte & Touche, LLP, 2005 SD 77, ¶14, 699 NW2d 493, 498.

[¶11.] The contract at issue provides that "CFM retains the right to

terminate this contract at any time should the Resident, in the opinion of CFM, fail

to act within his/her best professional capacity and ability, and commensurate with

the highest standards of practice and ethics applicable to the Family Practice

specialty." The contract also references a Residents Manual that provides "rules,

regulations, policies and procedures." The pertinent language in the Residents

Manual pertaining to dismissals states, "[w]hen a resident is being considered for

dismissal, the Program Director or designee shall notify the resident, in writing, of

the charges and of the proposed dismissal. The resident may request a hearing

before the ROC." 3

3. Although the residency program is a three-year program the contract is a
one-year contract specifically stating that: "The term of this agreement
commences June 23, 2004 and terminates June 30, 2005. It is understood
that this contract is for a portion of a three year program." Dr. Gul received
payment for the entire term of the contract. Dr. Gul had originally received
payment for eleven months, but the circuit court's decision added the
payment for the twelfth month with the indication that this was done
-5-
#24860

[¶12.] Dr. Gul contends that summary judgment was improper because CFM

terminated her without a hearing prior to termination, in breach of the contract.

However, the record shows otherwise.

[¶13.] The record demonstrates that Dr. Gul was notified in writing of the

charges and of the proposed dismissal. On April 27, 2005, Dr. Gul received the

Notice of Non-Renewal which summarized her unsatisfactory performance. 4 The

record also reveals other circumstances, prior to the April 27, 2005, notice, where

Dr. Gul received notice, feedback, and opportunities to be heard regarding her

deficient performance. In that regard, Dr. Gul was given a Notice of Unsatisfactory

Performance in December 2004 which outlined her unsatisfactory performance. She

discussed the items in this document with Dr. Kemp and another physician. At this

time she was also placed on probation. The Residents Manual indicates that Dr.

Gul could have requested a hearing before the ROC upon receipt of this notice, but

she did not do so. After Dr. Gul received the Notice of Unsatisfactory Performance,

she continued to receive evaluations and feedback and was given copies of her

performance reviews which showed inadequate performance in several areas.

Furthermore, the Notice of Non-Renewal on April 27, 2005, did not act as

pursuant to discussions at the summary judgment hearing. The transcript of
that hearing is not a part of the record before this Court.

4. The document listed several deficiencies including doubts about Dr. Gul's
ability to independently develop differential diagnoses for complex patients
and an inability to develop appropriate diagnostic and therapeutic plans.
The document also noted Dr. Gul's problems in speaking and understanding
verbal English and problems communicating in written English. Finally, the
document expressed doubts about whether Dr. Gul would be able to "develop
adequate skills in application of basic clinical knowledge to care for patients
even with more clinical training."
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immediate termination. The document states that Dr. Gul's "residency contract will

not be renewed after June 30, 2005."

[¶14.] After the Notice of Non-Renewal on April 27, 2005, Dr. Gul did not

perform any duties in connection with her first-year residency contract except for

some minimal duties in connection with finishing uncompleted medical reports.

There does exist a factual dispute as to whether or not Dr. Gul was told not to

report to work by Dr. Kemp, or whether Dr. Gul did not show up for duties as

instructed. 5 However, this factual dispute is not material to Dr. Gul's claims and as

a consequence does not defeat summary judgment. 6 "A disputed fact is not

'material' unless it would affect the outcome of the suit under the governing

substantive law in that a 'reasonable jury could return a verdict for the non-moving

party.'" Weitzel, 2006 SD 45, ¶17, 714 NW2d at 891.

[¶15.] Dr. Gul was also provided all of the hearings outlined in the Residents

Manual. A hearing before the ROC was held within a few weeks of Dr. Gul's

request. After the hearing, during which Dr. Gul was represented by counsel, the

ROC voted sixteen to one to approve the non-renewal decision. Dr. Gul then

appealed the ROC's decision to the Graduate Medical Education Committee, which

5. The assignment of duties or non-assignment of duties was solely at the
discretion of CFM.

6. It was at the time of this factual dispute that Dr. Kemp informed Dr. Gul
that she would be paid through May 2005, but pursuant to the circuit court's
decision she was ultimately paid through June 2005, which was the entire
amount she was to be paid under the contract. No person may recover a
greater amount in damages for the breach of an obligation than he could have
gained by full performance on both sides absent statutory exemplary or penal
damages. See SDCL 21-1-5; Nelson v. WEB Water Dev. Ass'n, Inc., 507
NW2d 691, 700 (SD 1993).
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was comprised of seven physicians who supervise medical residents. The

Committee heard evidence provided by Dr. Gul and her attorney, but ultimately

affirmed the decision of the ROC. Dr. Gul then appealed the decision to CFM's

Board of Directors, which also agreed with the decision not to renew Dr. Gul's

residency contract.

[¶16.] Dr. Gul does not dispute that the contract was a one-year contract. Dr.

Gul does not dispute that she has now been paid the entire stipend owed her for

that one-year contract period. What Dr. Gul does contend is that the contract and

Residents Manual provided for due process hearings prior to termination. However,

the Notice of Non-Renewal of April 27, 2005, indicated that the residency will not be

renewed after June 30, 2005. The notice also indicated that, "[n]either is it

anticipated that you will be awarded a certification of completion of the first year."

Dr. Gul claims the wording of the Residents Manual provides for an appeal from a

proposed dismissal. The April 27, 2005, notice was a proposed dismissal as of June

30, 2005, not an April 27, 2005, dismissal, so it was a proposed dismissal. As a

result, Dr. Gul's claim is without merit.

[¶17.] The circuit court was correct in finding that there were no genuine

issues of material fact as to whether Dr. Gul was provided adequate notice of her

poor performance prior to receiving the Notice of Non-Renewal. Additionally, Dr.

Gul was provided all opportunities for review as outlined in the Residents Manual.

ISSUE TWO

[¶18.] Whether Dr. Gul's due process rights were violated.

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[¶19.] The Fourteenth Amendment to the United States Constitution and

Article VI, Section 2 of the South Dakota Constitution provide a party a right to due

process before being deprived of life, liberty, or property. Generally, due process

requires "notice and an opportunity to be heard." Wuest v. Winner Sch. Dist. 59-2,

2000 SD 42, ¶25, 607 NW2d 912, 918. Additionally, due process must be granted at

a "meaningful time and in a meaningful manner." Hollander v. Douglas County,

2000 SD 159, ¶17, 620 NW2d 181, 186 (quoting Schrank v. Pennington County Bd.

of Comm'rs, 1998 SD 108, ¶13, 584 NW2d 680, 682). However, this Court has found

that dismissing a student for academic reasons does not necessitate a hearing.

Delaney v. Heimstra, 288 NW2d 769, 772 (SD 1980) (citing Bd. of Curators of Univ.

of Mo. v. Horowitz, 435 US 78, 89, 98 SCt 948, 955, 55 LEd2d 135 (1978)).

[¶20.] The circuit court found that Dr. Gul was a student in CFM's residency

program. Dr. Gul argues that she should be considered an employee, and not a

student, for purposes of the due process analysis. To support this, Dr. Gul cites the

fact that she was paid a salary of $41,355 for her services for the year under the

residency contract. CFM contends that Dr. Gul was a student enrolled in CFM's

residency program. 7

[¶21.] The issue of whether a medical resident is considered a student or an

employee is a matter of first impression before this Court, but has been addressed

7. CFM and Dr. Kemp also assert that they are not state actors and, thus, no
due process analysis is warranted. However, the record does not indicate
that this argument was presented to the circuit court and as a consequence it
has been waived. "An issue may not be presented for a first time on appeal."
Schlumbohm v. City of Sioux Falls, 2001 SD 74, ¶22, 630 NW2d 93, 98. Our
function is that of review, therefore, "issues not presented to the trial court
are not before us on appeal." Chipperfield v. Woessner, 84 SD 13, 19, 166
NW2d 727, 730 (1969).
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in other jurisdictions. A Minnesota court addressed this issue in Ross v. University

of Minnesota, 439 NW2d 28 (MinnCtApp 1989). In Ross, a medical resident in the

University of Minnesota's psychiatry program was dismissed because his work

performance was below minimum standards and he lacked interpersonal skills. Id.

at 30-31. The resident filed suit against the university alleging, among other

claims, that the dismissal from the residency program had violated his due process

rights. Id. The court in Ross found that a medical resident is a student for the

purpose of reviewing a decision to dismiss him for academic reasons, and that

holding otherwise "would be to threaten the autonomy of academic institutions to

determine standards for the passing and failing of students." Id. at 33. The court

further noted that dismissing a resident from a hospital-based residency should be

treated the same as failing a graduate student for the inability to meet academic

requirements. Id.

[¶22.] The Fifth Circuit Court of Appeals also addressed this issue in Davis v.

Mann, 882 F2d 967 (5thCir 1989). In Davis, a dental resident in the University of

Mississippi's dental residency program was dismissed for unsatisfactory academic

performance. Id. at 971. The resident sued the university asserting that his due

process rights had been violated. The court concluded that a dental resident should

be considered a student rather than an employee:

The residency program is distinct from other types of
employment in that the resident's "work" is what is
academically supervised and evaluated. It is well-known
that the primary purpose of a residency program is not
employment or a stipend, but the academic training and
the academic certification for successful completion of the
program.

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Id. at 974. Other courts have agreed that a medical resident should be categorized

as a student rather than an employee. Regents of Univ. of Minn. v. United States,

2008 WL 906799, at *6 (DMinn Apr. 1, 2008) (holding that residents are students,

not employees subject to FICA taxes); Halverson v. Univ. of Utah Sch. of Med., 2007

WL 2892633, at *11 (DUtah Sept. 28, 2007) (holding that medical residents are not

considered employees and are entitled to lesser due process procedures than

employees).

[¶23.] We agree that medical residents are students and not employees. The

fact that Dr. Gul received a stipend does not alter the fact that she was

participating in an academic program in order to receive academic certification. As

a student, Dr. Gul is not entitled to the same due process protection as an employee.

[¶24.] In Delaney v. Heimstra, we held that a hearing is not required when a

student is dismissed for academic reasons. 288 NW2d at 771. The Delaney Court

followed the United States Supreme Court opinion in Board of Curators of

University of Missouri v. Horowitz, 435 US at 89, 98 SCt at 955, and recognized that

a hearing may be "useless or harmful in finding out the truth concerning

scholarship." Id. at 771. In Delaney, we adopted the standard set forth in Gaspar v.

Burton, 513 F2d 843 (10thCir 1975):

[S]chool authorities, in order to satisfy Due Process prior
to termination or suspension of a student for deficiencies
in meeting minimum academic performance, need only
advise that student with respect to such deficiencies in
any form. All that is required is that the student be made
aware prior to termination of his failure or impending
failure to meet those standards.

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Id. at 772. In adopting that standard, we held that an MBA student's procedural

due process requirements were met when the student was notified of his academic

deficiencies and when, after failing to meet the academic criteria, the MBA student

was afforded the opportunity to have a request for special consideration reviewed by

the MBA Committee. Id.

[¶25.] Dr. Gul was provided with ample notice that she was not meeting the

minimum academic performance required for the medical residency. In December

2004, Dr. Gul was given the Notice of Unsatisfactory Performance and was placed

on probation. This notice detailed the concerns that CFM had with Dr. Gul's

performance. Also, between January and April 2005, Dr. Gul was given copies of

her performance reviews that showed her inadequate performance in several areas.

Additionally, in April 2005, Dr. Gul was given a follow-up review that indicated

that, while she was making some improvements, her performance still fell below

what was expected of a first-year resident. Dr. Gul was afforded all due process to

which a medical resident is entitled, and summary judgment was proper.

[¶26.] GILBERTSON, Chief Justice, KONENKAMP and MEIERHENRY,

Justices, concur.

[¶27.] ZINTER, Justice, concurs specially.

[¶28.] GIENAPP, Circuit Judge, for SABERS, Retired Justice, disqualified.

ZINTER, Justice (concurring specially).

[¶29.] I agree there is a genuine issue of disputed fact whether Dr. Gul was

terminated on April 27, 2005, before she received her contractual right to a hearing.

See supra ¶14. Defendants admitted the point at oral argument when they

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conceded that at a minimum there was "confusion" over the matter. This Court

notes that this dispute of fact was not material because Dr. Gul was paid for the

balance of her contract. Id. n6. I write to address Dr. Gul's additional contention

that the dispute of fact regarding termination was material to her claim for

consequential damages.

[¶30.] Dr. Gul is mistaken because she sued in contract rather than tort, and

therefore, she was not entitled to the consequential damages she claimed (collateral

damages arising after her contract ended). Damages for breach of a definite term

employment contract are generally limited to the lost wages that would have been

earned until the end of the contract. Bad Wound v. Lakota Cmty. Homes, Inc., 1999

SD 165, ¶11, 603 NW2d 723, 726. Although Dr. Gul's claimed consequential

damages may have been recoverable in tort, they were not recoverable in her suit

for breach of contract. See id. ¶¶11-13, 603 NW2d at 726. Therefore, the dispute of

fact regarding termination was not material to the issue of consequential damages.

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