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23-3
2d Cir.
May 1, 2023
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Background

  • Plaintiff Robert Sampson is a Stony Brook medical student who sued the National Board of Medical Examiners (NBME) under the ADA, alleging denial of testing accommodations for USMLE Step 1 and seeking a mandatory preliminary injunction requiring accommodations.
  • Sampson separately sued Stony Brook for discrimination and sought to enjoin his dismissal under the school's seven‑year graduation rule; that case was stayed while the parties consented to a 60‑day extension.
  • The district court granted Sampson a mandatory preliminary injunction against NBME ordering accommodations on Step 1.
  • NBME appealed; the Second Circuit reviews preliminary injunctions for abuse of discretion and applies heightened standards for mandatory injunctions (strong showing of irreparable harm and clear/substantial likelihood of success).
  • The Second Circuit vacated and remanded, holding the district court erred in finding a strong showing of irreparable harm because Sampson’s ability to continue medical school depended on the separate Stony Brook litigation.
  • The panel instructed the district court on remand to consider developments in the Stony Brook case and whether Stony Brook (or NBME in the Stony Brook case) is a required party under Rule 19.

Issues

Issue Plaintiff's Argument Defendant's Argument Held
Whether Sampson showed irreparable harm to justify a mandatory preliminary injunction Sampson: without accommodations he will likely fail Step 1 and cannot progress in medical school NBME: Sampson’s progression depends on Stony Brook’s decision to dismiss him; harm is contingent on separate litigation Vacated injunction — district court erred; harm was contingent on the Stony Brook case so Sampson failed to show the required strong showing of irreparable harm
Whether heightened standards for mandatory injunction were met Sampson: met heightened standards (strong irreparable harm and clear likelihood of success) NBME: Sampson did not meet heightened standards Court held the district court did not adequately apply the heightened mandatory‑injunction standard and remanded for reconsideration
Whether other parties are necessary under Rule 19 Sampson: (implicit) relief against NBME alone sufficient NBME: district court should consider whether Stony Brook is a required party because relief may be ineffective without it Court suggested district court consider joinder of Stony Brook (or whether NBME should be joined in the Stony Brook case) on remand

Key Cases Cited

  • Oneida Nation of N.Y. v. Cuomo, 645 F.3d 154 (2d Cir. 2011) (abuse of discretion standard for preliminary injunction review)
  • Lynch v. City of New York, 589 F.3d 94 (2d Cir. 2009) (framework for finding abuse of discretion)
  • Yang v. Kosinski, 960 F.3d 119 (2d Cir. 2020) (heightened standards for mandatory preliminary injunctions)
  • United States v. Students Challenging Regulatory Agency Procs., 412 U.S. 669 (U.S. 1973) (subsequent events generally do not affect validity of a previously entered preliminary injunction)
  • Ramsay v. Nat’l Bd. of Med. Examiners, 968 F.3d 251 (3d Cir. 2020) (discussing limitations on relief when a third party is not joined)
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Case Details

Case Name: Sampson v. National Board of Medical Examiners
Court Name: Court of Appeals for the Second Circuit
Date Published: May 1, 2023
Citation: 23-3
Docket Number: 23-3
Court Abbreviation: 2d Cir.
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