2021 Decisions
Opinions of the United States Court of Appeals for the Third Circuit
9-24-2021
Monique Russell v. Educational Commission for For
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“Monique Russell v. Educational Commission for For” (2021). 2021 Decisions. 826. https://digitalcommons.law.villanova.edu/thirdcircuit_2021/826
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MONIQUE RUSSELL; JASMINE RIGGINS; ELSA M. POWELL; and DESIRE EVANS, v. EDUCATIONAL COMMISSION FOR FOREIGN MEDICAL GRADUATES, Appellant
No. 20-2128
UNITED STATES COURT OF APPEALS FOR THE THIRD CIRCUIT
September 24, 2021
Before: RESTREPO, BIBAS, and PORTER, Circuit Judges
PRECEDENTIAL. On Appeal from the United States District Court for the Eastern District of Pennsylvania (District Court No. 2:18-cv-05629). District Judge: Honorable Joshua D. Wolson. Argued February 11, 2021.
Morgan, Lewis & Bockius
1000 Louisiana Street, Suite 4000
Houston, TX 77002
Matthew D. Klayman
Brian W. Shaffer
Morgan Lewis & Bockius
1701 Market Street
Philadelphia, PA 19103
Counsel for Appellant
Nicholas M. Centrella
Robin S. Weiss
Conrad O’Brien
1500 Market Street
West Tower, Suite 3900
Philadelphia, PA 19102
Brent P. Ceryes
Schochor Federico & Staton
1211 Saint Paul Street
Baltimore, MD 21202
Brenda Harkavy
Patrick A. Thronson [ARGUED]
Janet Janet & Suggs
4 Reservoir Circle, Suite 200
Baltimore, MD 21208
Scott L. Nelson
Public Citizen Litigation Group
1600 20th Street, N.W.
Washington, DC 20009
Law Offices of Peter G. Angelos
100 North Charles Street
One Charles Center, 22nd Floor
Baltimore, MD 21201
Cory L. Zajdel
Z Law
2345 York Road, Suite B-13
Timonium, MD 21093
Counsel for Appellee
Diana Huang
American Medical Association
25 Massachusetts Avenue, N.W., Suite 600
Washington, DC 20001
Leonard A. Nelson
American Medical Association
330 North Wabash Avenue, Suite 39300
Chicago, IL 60611
Counsel for Amicus American Medical Association, Association of American Medical Colleges, and Pennsylvania Medical Society in support of Appellant
Gilbert Dickey
McGuireWoods
201 North Tryon Street, Suite 3000
Charlotte, NC 28202
Matthew A. Fitzgerald
McGuireWoods
800 East Canal Street
Richmond, VA 23219
Counsel for Amicus Chamber of Commerce in support of Appellant
OPINION OF THE COURT
RESTREPO, Circuit Judge.
This case presents the question whether the District Court abused its discretion when it certified an “issue class” pursuant to
I. FACTUAL BACKGROUND
A. The Educational Commission for Foreign Medical Graduates
Graduates of foreign medical schools who wish to be accepted to a United States medical-residency program must have graduated from a recognized foreign institution, demonstrated English-language proficiency, and passed the first two steps of the United States Medical Licensing Examination. Defendant-Appellant Educational Commission for Foreign Medical Graduates (“the Commission“) is a Philadelphia-based nonprofit that certifies that such graduates have satisfied those requirements. The Commission carries out this function in two ways. First, it administers the English-language and medical examinations the foreign medical school graduates must pass. Second, the Commission verifies, using primary sources, that the applicant received a medical degree from a qualifying institution.
As the central certification agency for graduates of foreign medical schools, the Commission also investigates what it calls “irregular behavior.” According to internal policies, the Commission may investigate “all actions or attempted actions on the part of applicants . . . that would or could subvert the examination, certification or other processes, programs, or services of [the Commission].” J.A. 254. The Commission‘s investigation of such behavior proceeds as follows. When the Commission receives an allegation that an applicant committed irregular behavior, it reviews the allegation and determines whether sufficient evidence supports the charge. If sufficient
B. A Foreign Doctor Named Charles Igberase
In early 1992, a man named Oluwafemi Charles Igberase applied to the Commission for certification. He eventually passed the medical-licensing and English-language examinations and was issued the Commission‘s certification. But no residency program accepted him. So, in March 1994, Igberase submitted a second application for certification to the Commission. In that application, however, Igberase rearranged his name (“Igberase Oluwafemi Charles” instead of “Oluwafemi Charles Igberase“); used a different date of birth (April 17, 1961 instead of April 17, 1962); and responded “No” to the question of whether he had ever previously submitted an application to the Commission. Igberase passed each required examination and was certified by the Commission for a second time. But in June 1995, the Commission learned that Igberase had obtained two of its certifications under different names and
In 1996, Igberase applied to the Commission for certification for yet a third time. In this application, Igberase ditched his first two names and invented another one: “John Nosa Akoda.” J.A. 263. As he had twice before, Igberase (as Akoda) eventually passed the medical-licensing and English-language examinations and received the Commission‘s certification. After receiving the certification as “Akoda,” Igberase applied for and was admitted to a residency program in New Jersey. But in August 2000, the residency program learned that the social security number Akoda used in his application belonged to Igberase. The residency program informed the Commission of the inconsistency, provisionally suspended the doctor it knew as Akoda, and, after an internal investigation, in November 2000, dismissed him.
Once it learned of Akoda‘s possible misuse of Igberase‘s social security number, the Commission launched its own investigation. Based on the information it had received from the residency program, the Commission sent Akoda a “charge letter.” In it, the Commission told Akoda that it had “received information alleging that you may have engaged in irregular behavior,” specifically that he had twice before applied for certification using the name “Igberase.” J.A. 284. The Commission told Akoda that the allegations “require[] an explanation,” and granted him fifteen days to submit a written response. J.A. 285.
A week later, as Akoda, Igberase responded. He denied the allegations, telling the Commission that “[t]he identification numbers listed in your letter apparently belong to my
The Commission official overseeing Akoda‘s case apparently did not buy the explanation. In a December 2000 memorandum intentionally not made part of Akoda‘s official file, the official wrote that he and others believed Igberase and Akoda were one in the same. J.A. 293. But the official concluded that he did not have enough evidence to recommend Akoda‘s case to the Commission‘s credentialling committee. So Akoda‘s credential remained active.
In October 2006, Igberase, again as “Akoda,” applied to a residency program at Howard University Medical Center. As part of his application, he submitted to the Commission three letters of recommendation. But the Commission was suspicious of Akoda, so one of its officials attempted to verify the authenticity of these three letters of reference. The official sent each reference the recommendation letter submitted by Akoda and asked each whether the letter was authentic. The record does not reflect whether the official received a response from any of the references.
Despite the official‘s reservations, Igberase (as Akoda) was admitted to Howard‘s residency program. He successfully completed the program in 2011. After completing the program, he applied for and received a Maryland medical license using fake identification documents. That same year, he became a member of the medical staff at Prince George‘s Hospital Center and began seeing patients there.
The Commission subsequently invalidated Akoda‘s foreign-doctor certification, and the Maryland Board of Physicians revoked his medical license.
C. Patients of Igberase sue the Commission
The named Plaintiffs are Monique Russell, Jasmine Riggins, Elsa Powell, and Desire Evans. Each received medical treatment from the doctor known as “Akoda,” who was certified by the Commission in 1997. Igberase performed unplanned emergency cesarean-section surgery on Russell and Riggins and delivered Evans‘s and Powell‘s children. These Plaintiffs also seek to represent a class of similarly situated individuals who likewise received medical treatment from “Akoda.” But the Plaintiffs (appellees here) did not sue Igberase. Instead, they sued the Commission, and asserted claims of negligent infliction of emotional distress arising out of the Commission‘s certification of Igberase as “Akoda.”
Eventually, the district court certified a class of “All patients examined or treated in any manner by Oluwafemi Charles Igberase (a/ka [sic] Charles J. Akoda) beginning with his enrollment in a postgraduate medical education program at Howard University in 2007.” J.A. 63-64. But the district court did not certify the class under any subsection of
- (1) whether the Commission undertook or otherwise owed a duty to class members.
- (2) whether the Commission breached any duty that it owed to class members.
- (3) whether the Commission undertook or otherwise owed a duty to hospitals and state medical boards, such that it may be held liable to class members pursuant to the Restatement (Second) of Torts § 324A.
- (4) whether the defendant breached any duty that it owed to hospitals and state medical boards.
In short, the particular issues the district court certified for class treatment concern only the duty and breach elements of Plaintiffs’ claim. The district court therefore left for individualized proceedings whether each Plaintiff was injured; whether the Commission‘s breach of the relevant duty (if it had a duty that was breached) actually and proximately caused those injuries; whether those injuries are due a particular amount of damages; and whether the Commission could raise any affirmative defense, including, presumably, whether each Plaintiff‘s consent to medical treatment by Igberase breaks the causal chain. In the wake of the
II. THE LEGAL FRAMEWORK OF ISSUE-CLASS CERTIFICATION
A. Rule 23 outlines one procedure for pursuing aggregate litigation
The class action is “an exception to the usual rule that litigation is conducted by and on behalf of the individual named parties only.” In re Hydrogen Peroxide Antitrust Litig., 552 F.3d 305, 309 n.6 (3d Cir. 2009) (quoting Gen. Tel. Co. of Sw. v. Falcon, 457 U.S. 147, 155 (1982)). One reason the class action is an exceptional form of litigation is because final judgments in such actions may implicate the procedural and substantive rights of absent persons.
The Supreme Court recently reiterated the principle that absent persons may not be bound by federal-court judgments unless one of a limited number of historically recognized exceptions is satisfied. See Taylor v. Sturgell, 553 U.S. 880, 893 (2008). A “properly conducted” class action is one such exception. Id. at 894-95. A properly conducted class action requires that (1) “[t]he interests of the nonparty and her representative are aligned“; (2) “either the party understood herself to be acting in a representative capacity or the original court took care to protect the interests of the nonparty“; and (3) there was “notice of the original suit to the persons alleged to have been represented.” Id. at 900.
In the class context, “these limitations are implemented by the procedural safeguards in Federal Rule of Civil Procedure 23.” Id. at 900-01. The procedural safeguards of
The requirements of
Once beyond
B. Issue-class certification under Rule 23(c)(4) grants district courts broad but well-defined discretion to certify particular issues for class treatment
Let us restate the text of
But neither
We explained
The district court declined to certify either class. As to the plaintiffs’ proposed
In affirming the district court‘s decision not to certify a
- 1. the type of claim(s) and issue(s) in question;
- 2. the overall complexity of the case;
- 3. the efficiencies to be gained by granting partial certification in light of realistic procedural alternatives;
- 4. the substantive law underlying the claim(s), including any choice-of-law questions it may present and whether the substantive law separates the issue(s) from other issues concerning liability or remedy;
- 5. the impact partial certification will have on the constitutional and statutory rights of both the class members and the defendant(s);
- 6. the potential preclusive effect or lack thereof that resolution of the proposed issue class will have;
7. the repercussions certification of an issue(s) class will have on the effectiveness and fairness of resolution of remaining issues; - 8. the impact individual proceedings may have upon one another, including whether remedies are indivisible such that granting or not granting relief to any claimant as a practical matter determines the claims of others;
- 9. and the kind of evidence presented on the issue(s) certified and potentially presented on the remaining issues, including the risk subsequent triers of fact will need to reexamine evidence and findings from resolution of the common issue(s).
When assembled, the Gates factors construct a functional framework to aid the district courts tasked with resolving issue-class certification questions.3 But Gates did not define which “issues” would be appropriate for class treatment or,
At several points, Gates appears to suggest that the certified “issues” should (perhaps except in exceptional circumstances) be able to resolve a defendant‘s liability. See, e.g., id. at 272id. at 273 (“The trial court here did not abuse its discretion by declining to certify a liability-only issue class when it found liability inseverable from other issues that would be left for follow-up proceedings.“); id. (“Nor did the court err in finding no marked division between damages and liability.“); id. at 274 (“Plaintiffs have neither defined the scope of the liability-only trial nor proposed what common proof would be presented.“); id. (“A trial on whether the [issues proposed] is unlikely to substantially aid resolution of the substantial issues on liability and causation.“).
Reading “issues” in
Viewing Gates to permit the certification of issues that do not resolve liability comports with our pre-Gates caselaw. In Chiang v. Veneman, 385 F.3d 256 (3d Cir. 2004), we noted “that courts commonly use
Moreover, the text of
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In sum, district courts tasked with resolving motions to certify issue classes must make three determinations. First,
III. DISCUSSION
Guided by
We review the District Court’s decision to certify the duty and breach issues of Plaintiffs’ negligent infliction of emotion distress claim for abuse of discretion. Gates, 655 F.3d at 262. A district court abuses its discretion if its “decision rests upon a clearly erroneous finding of fact, an errant conclusion of law or an improper application of law to fact.” Id. (quoting In re Hydrogen Peroxide, 552 F.3d 305, 320 (3d Cir. 2009)). Whether the district court employed the correct legal standard
A. The District Court erred in certifying this issue class
Two reasons, each independently sufficient, support the conclusion that the District Court misapplied Gates when it certified for class treatment the duty and breach elements of Plaintiffs’ negligent infliction of emotional distress claim.
First, the District Court did not determine whether the duty and breach elements of Plaintiffs’ claim satisfied
Second, separate and apart from the District Court’s failure to determine whether the duty and breach elements of Plaintiffs’ claim satisfied any subsection of
Relatedly, the District Court did not rigorously consider what efficiencies would be gained by resolution of the certified issues. To be sure, the District Court briefly discussed the efficiencies of a single trial and broached other options with the parties. J.A. 60-61. But more was needed. To prove their claim that the Commission negligently inflicted emotional distress, Plaintiffs will need to show (as with all causes of action arising under state tort law) duty, breach, cause, and harm. But the District Court certified an issue class with respect to the duty and breach elements only. So even if the District Court finds that the Commission owed a relevant legal duty to the Plaintiffs that it subsequently breached, each Plaintiff, in individual proceedings, will have to prove that they were injured; that the Commission’s breach of the relevant duty actually and proximately caused those injuries; that those injuries are due a particular amount of damages; and that the Commission’s affirmative defenses (including, presumably, each Plaintiff’s consent to medical treatment by Igberase) are not decisive.
The District Court may also wish to consider whether the duty and breach elements of Plaintiffs’ negligent infliction
Of course, the District Court may very well be correct that “there are efficiencies to be gained by certifying a class on these issues because it will allow for a single trial with a single, preclusive determination about [the Commission]’s conduct, rather than the presentation of the same evidence about [the Commission] again, and again, and again to separate juries.” J.A. 60. Duty is an issue of law. Therefore, it must be decided separately from breach, causation, and damages. See Sharpe v. St. Luke’s Hosp., 821 A.2d 1215, 1219 (Pa. 2003). It is true that deciding if the Commission had a duty to investigate requires balancing several factors. Id. But none of that requires individual evidence, for each patient shared the same distanced relationship of trust with the Commission. Likewise, breach would require only common evidence: How much investigating did the Commission do? Did it know or should it have known that Igberase was a fraud? Did it take enough steps to investigate him based on warnings received from various parties, including the New Jersey residency program? Should it have followed up in later years once Igberase was admitted to another residency program? No absent class member would have anything special to add in her individual trial. There will be plenty left for individual proceedings, but these major issues could be resolved on a class-wide basis.5
B. The Commission’s remaining arguments for reversal are unavailing or inapposite
The Commission and its amicus offer two additional bases on which to reverse the District Court. The Commission first argues that “the plain text of
That is not accurate. A majority of the courts of appeals have concluded that in appropriate cases
The Fifth Circuit, however, in a footnote adopted what is known as “the narrow view,” which prohibits issue-class certification if
Amicus Chamber of Commerce offers yet another reason to reverse the District Court: that the District Court’s
* * * * *
Because the District Court failed to determine whether the proposed issues satisfied a subsection of
IV. CONCLUSION
For these reasons, we vacate the District Court’s Order certifying for aggregate treatment the duty and breach elements of Plaintiffs’ negligent infliction of emotional distress claim, and remand for further proceedings consistent with this opinion.
