Appellee, Steven Krouse, brought this suit against his former employer, National Railroad Passenger Corporation (Amtrak), under the Federal Employers’ Liability Act (FELA), 45 U.S.C. §§ 51-60 (1988), for damages for injuries allegedly caused by Amtrak’s negligence. 1 Krouse’s theory of liability was that Amtrak negligently assigned him to work under conditions which it knew or should have known were beyond his physical capacity and which aggravated a knee and ankle injury he had sustained on the job. A jury found that Amtrak’s negligence contributed to Krouse’s injuries and that Krouse’s contributory negligence was responsible for his injuries to the extent of twenty-five percent. Judgment was entered for Krouse on the jury verdict in the amount of $262,500, representing the amount of damages as “diminished by the jury in proportion to the amount of negligence attributable to [the] employee.” See 45 U.S.C. § 53. Appellant’s principal argument on appeal is that the trial court erred in holding that appellee’s claim for negligent assignment was not barred because the cause of action did not accrue under the FELA’s statute of limitations until the employer’s tortious conduct ceased. We agree and hold that a cause of action under the FELA accrues when the claimant knows or, in the exercise of reasonable diligence, should know of the injury and its cause and that the limitations period is not tolled beyond that date. Since the resolution of a factual question is required to resolve the limitations question, applying a different legal standard from that relied upon by the trial court, we vacate the judgment in favor of appellee and remand the case for further proceedings and a new trial consistent with this opinion.
I.
While performing his job as a car repairman for Amtrak on January 12, 1987, Krouse fell from a train and injured his ankle. The next day, Krouse notified his supervisor, Bernard Campbell, about the incident and told him that he needed medical attention. It was not until January 15, 1987 that Campbell completed injury report forms and referred Krouse to Amtrak’s medical dispensary, where Dr. Josefino Ce-ballos diagnosed that he had a severely sprained ankle, with ecchymosis of the *492 right ankle and foot. 2 Dr. Ceballos recommended that Krouse wear a figure eight ankle brace, work light duty for three weeks, and refrain from walking excessively. 3 Dr. Ceballos informed Krouse’s supervisors of the recommendation for light duty. The evidence was disputed as to whether the doctor arranged a follow-up visit with Krouse; however, the undisputed evidenced shows that there were no followup visits.
After being informed of Dr. Ceballos’ recommendation, Campbell assigned Krouse to a desk job on January 16th, but another supervisor relieved him of the assignment about two hours later after someone from the union complained about Krouse performing managerial functions. Mr. Campbell reassigned Krouse to his regular duties as a car repairman. Krouse continued to experience a mild swelling of the ankle, and he walked with a limp. He noticed that these conditions occurred more in the evening and near the end of the week. Krouse also testified that his ankle hurt worse once he returned to work in late January 1987 following a brief vacation.
Krouse complained of pain to his supervisors and co-workers intermittently between January 13, 1987 and early 1988. None of Krouse’s successor supervisors was informed of his condition, and they continued to assign him jobs which required extensive walking over ballast (a gravel-like material). Finally, Krouse complained of extreme pain to his last supervisor, who accommodated him with breaks when he needed them. The evidence at trial showed that in spite of his persistent pain, Krouse signed Amtrak forms on February 3, 1987 and February 23, 1987 certifying that he could perform regular duties and had no restriction of motion. The evidence also showed that Krouse did not seek medical attention for the two years following the injury and that he worked at outside jobs involving prolonged standing or physical labor while employed at Amtrak.
Krouse contacted an attorney on January 24, 1989 who referred him to an orthopedic surgeon, Dr. Frank Watkins. Dr. Watkins concluded that appellee’s prolonged walking on uneven surfaces delayed the healing of Krouse’s initial injury and further aggravated his injured ankle. Dr. Watkins advised Krouse to perform only light duty and to avoid walking on the ballast because it would further aggravate and damage his ankle. Amtrak’s manager stated that such work was not available, and Krouse did not return to work for Amtrak thereafter.
Dr. Watkins referred Krouse to another specialist, Dr. Phillip Omohundro, who also attributed the severity of Krouse’s injury to his continued walking over uneven surfaces at Amtrak. Dr. Omohundro determined that Krouse had a five percent permanent, partial impairment of the right ankle and a ten percent partial impairment to the right knee. Appellee’s occupational disease expert, Dr. Mark Bradley, also attributed Krouse’s permanent disability to his walking over uneven surfaces for prolonged periods and to the failure of appellant’s medical department to restrict appel-lee’s duties appropriately and follow up on the status of his injury and treatment.
After extensive discovery, Amtrak moved for summary judgment, arguing that the undisputed facts showed that the FELA’s statute of limitations, 45 U.S.C. § 56, on Krouse’s claim of negligent assignment commenced to run more than three years before appellee filed suit on March 2, 1990. Essentially, appellant argued that appellee possessed sufficient information concerning his injury and its possible cause to put him on notice of a possible claim more than three years before he filed his complaint.
4
In opposition, appellee
*493
contended his complaint was for a continuous tort, negligent assignment, for which the statute of limitations is tolled until the employee’s exposure to the dangerous conditions ceases. Therefore, appellee argued, the statute of limitations commenced to run when he finally terminated his employment with Amtrak on January 25,1989. Finding persuasive the analysis in
Page v. United States,
Appellant argues on appeal that appel-lee’s claim is barred by operation of the FELA’s statute of limitations, 45 U.S.C. § 56. It is appellant’s position that the undisputed facts disclosed in connection with Amtrak’s summary judgment motion, as well as the evidence adduced at trial, revealed that appellee knew or should have known prior to three years before filing suit the facts essential to place him on notice of a claim against Amtrak. According to appellant, it is these circumstances which determine when the cause of action accrues under the FELA’s statute of limitations. Appellee argues that his claim is one for negligent assignment, a continuing tort, and that the statute of limitations under the FELA does not commence to run until the employer ceases to assign the employee to the harmful activity. It is appellee’s position that the statute of limitations is tolled under such circumstances until the last day the employee was subjected to the conditions which caused the injuries, as the trial court concluded. To resolve the question presented by the parties’ competing arguments, we examine the federal statute and pertinent case law.
II.
An action cannot be maintained under the FELA unless commenced within three years from the date the cause of action accrued. 45 U.S.C. § 56. In interpreting the limitations provision in the FELA, we are required to apply federal substantive law.
See Monessen Southwestern Ry. Co. v. Morgan,
The FELA does not provide a method for determining when a cause of action accrues; therefore, we look to federal case law for that interpretation.
Albert v. Maine Cent. R. Co.,
In
Urie,
the plaintiff sued his employer for damages under the FELA claiming that he had contracted silicosis, a lung disease, as a result of inhaling silica dust during the thirty years or so preceding the filing of suit.
In
Kubrick, supra,
the Supreme Court applied the discovery rule in a case under the FTCA and held that the statute of limitations begins to run from the time the injured party has sufficient critical facts to put him on notice that a wrong has been committed for which he should undertake an investigation to determine his entitlement to redress.
In resolving cases under the FELA, federal courts have applied the discovery rule as set forth in
Urie
and refined by
Kubrick
for injuries or illnesses which manifest themselves sometime after the initial exposure to the harm or after continued exposure to it.
See, e.g., Fries v. Chicago & N.W. Transp. Co.,
Applying the rules extracted from this line of cases, appellant argues that the undisputed facts show that Krouse was aware of the requisite facts to start the running of the statute of limitations more than three years preceding the filing of his complaint. Before addressing that claim, we reject appellee’s argument that the continuing tort of negligent assignment differs from the occupational illness cases in such a way as to warrant a different interpretation of the statute of limitations. Rather, we agree with appellant that such cases also involve continuing torts, an ongoing breach of duty with injuries resulting from a succession of negligent acts.
See Fogg v. National R.R. Passenger Corp.,
To support his argument that the statute of limitations did not commence to run in this case until the tortious conduct ceased, upon termination of his employment, appellee relies on
Fletcher v. Union Pac. Ry. Co.,
Appellant argues that
Fletcher
is wrongly decided as a result of a misreading of the Third Circuit’s decision in
Fowkes.
Appellant’s position appears to be well taken, particularly in light of a Third Circuit decision more than thirty years later clarifying the
Fowkes
rule and identifying the outer limits of any tolling exception to the limitations period in a FELA case once a plaintiff has discovered the injury and its cause.
See Kichline, supra,
We understand Fowkes to mean that continuing conduct of a defendant will not stop the ticking of the limitations clock begun when plaintiff obtained requisite information. On discovering an injury and its cause, a claimant must choose to sue or forego that remedy.
Id. 12
Appellee also relies, as did the trial court, upon the D.C. Circuit case of
Page.
In a suit under the FTCA, relying on
Fletcher,
the
Page
court also held that when the tort involves a continuing injury, the limitations period begins to run when the tortious conduct ceases.
Page
involved a claim by a veteran for injuries resulting from drug treatment administered through the Veterans Administration between 1961 and 1980 which Page did not challenge until 1981.
We are not persuaded to follow the
Page
court’s interpretation of the statute of limitations under the FTCA in this case which involves a question related to the FELA statute of limitations.
Page
departs from the
Urie
and
Kubrick
rules which have been utilized by the majority of the federal circuits in determining when a cause of action accrues under the FELA. To the extent that the
Page
court relied on
Fletcher,
for the reasons expressed above, we do not regard it as persuasive authority. Moreover, the
Page
rule would be at odds with the interpretation of the FELA by the more persuasive federal cases and with the purpose of the FELA statute of limitations. The purpose of the FELA statute of limitations is to guard against stale claims and to encourage the prompt presentation of claims.
See Kubrick, supra,
To further the remedial purposes of FELA, Urie granted an extension of time to a claimant who was unaware of his injury. Once discovery occurs, however, it becomes necessary to consider the oth *498 er side of the coin — the policy against presentation of stale claims. Although the continuing violation concept implies that the liability feature of the claim has not become stale, the same cannot be said of the damages phase. Proof relevant to reduction of damages which a defendant might be able to produce soon after the time the plaintiff discovers his injury may become difficult to obtain because of the passage of time if presentation of the claim is postponed. If the discovery rule is not enforced, damages can continue indefinitely, accumulating at the option of the claimant.
Accordingly, we hold that the statute of limitations under the FELA commenced to run on the negligent assignment claim when appellee knew or should have known of his injury and that its possible cause was work-related.
Fries, supra,
Relying on
Kichline, supra,
appel-lee also argues that all claims are not necessarily barred, specifically a claim for aggravation for the original injury occurring during an unbarred period. In
Kichline,
the court held that if plaintiff could establish a claim for damages for aggravation which occurred within the statutory period, then that particular claim would not be time-barred.
III.
Appellant also argues that the trial court abused its discretion in admitting evidence of the time-barred medical malpractice claim. Appellant contends that the evidence was irrelevant to the negligent assignment claim, or alternatively, its probative value was outweighed by its unduly prejudicial effect. Although we reverse on other grounds, we address the issue because it may arise at any retrial. In a negligent assignment case, a plaintiff
*499
must prove that the railroad, through its agents, knew or should have known of the employee’s diminished work capacity and nevertheless assigned him tasks which exposed him to an unreasonable risk of harm.
Fogg, supra,
For the foregoing reasons, we reverse and remand for further proceedings and for a new trial consistent with this opinion.
Reversed and remanded.
. While dismissing Kichline’s main claim, the court remanded the case for further proceedings on any cause of action which he might have for aggravation occurring within the period of limitations.
Kichline, supra,
Notes
. Under the FELA, a common carrier engaged in interstate commerce is liable for damages for injuries sustained by any person while employed by the carrier which result in whole or in part from the negligence of any of the carrier’s officers, agents, or employees. 45 U.S.C. § 51.
. Dr. Ceballos explained that ecchymosis is the pooling of blood under the surface of the skin.
. Dr. Ceballos defined excessive walking as more than fifty yards repeatedly, about three or four times a day.
. Amtrak also contended that any claim of medical malpractice by plaintiff had to be based on Dr. Ceballos’ treatment on January 16, 1987, and therefore, was time-barred. However, ap-pellee’s counsel represented in a memorandum in opposition to the motion for summary judgment that he was not asserting a medical malpractice claim in this case. Rather, appellee contended that his claim was one for negligent assignment arising out of the conduct of his *493 supervisors and personnel in Amtrak’s medical department.
. 28 U.S.C. § 2401(b) (1976).
. Page involved the interpretation of statutory time limitations under the FTCA.
. Although
Kubrick
arose under the FTCA, federal courts have relied upon it in conjunction with
Urie
in setting the parameters of the discovery rule under the FELA.
Albert, supra,
. In conceding the application of the discovery rule in a dental malpractice case, this court stated that it rejected the Supreme Court’s interpretation of the discovery rule in
Kubrick
insofar as it required only knowledge of the injury and its probable cause to commence the running of the limitations period.
Bussineau v. President & Directors of Georgetown College,
. Federal trial courts have also applied the discovery rule as derived from
Urie
and
Kubrick
under which the cause of action accrues when a plaintiff has knowledge of his injury and its possible cause.
See Frasure, supra,
. In Fogg, we recognized the railroad's continuing duty to assign its employees to work for which they are reasonably suited and that it breaches that duty if it negligently assigns the employee to work beyond his capacity. We also approved the trial court’s jury instruction stating the law on an employer’s liability under the doctrine of negligent assignment. Id. at 789. After explaining that the employer has a continuing duty, the trial court instructed the jury, and we approved the following statement of the law:
A railroad company breaches that duty if it negligently requires its employee to perform work beyond her physical capacity, that is if the Defendant knew or should have known of the Plaintiffs diminished work capacity and in spite of that knowledge Defendant unreasonably continued to assign Plaintiff to tasks that Defendant knew or should reasonably have known would aggravate her physical condition.
Id.; see also Ragsdell
v.
Southern Pac. Transp. Co.,
. Appellee argues that Kichline does not support appellant’s claim on appeal because under Kichline an aggravation of an injury would not be time-barred. However, Kichline recognized a separate cause of action for aggravation apart from a claim of negligent assignment. Id. at 361. The Kichline court held that any claim for which plaintiff had knowledge of his injury pri- or to three years before filing suit would be barred. Id. at 360. However, the court also held that a cause of action for aggravation which occurred within the limitations period would not necessarily be barred. Id. at 361. The court acknowledged the difficult burden that plaintiff would face in attempting to establish the extent of the injury occurring within the limitations period. Id.
. In
Gross,
the court found that the Department of Agriculture had intentionally inflicted emotional distress upon the plaintiff by wrongfully denying him an opportunity to participate in certain federal programs over an extended period of time. The government contended that the FTCA statute of limitations barred suit unless it was tolled and that the statute of limitations began to run when plaintiff knew of his injury. The court rejected the government’s
Kubrick
argument, holding that the rule in
Kubrick
does not apply in cases of continuing torts.
Gross, supra,
. In
Fowkes, supra,
the jury was asked whether plaintiff knew or should have known that the physical condition for which he claimed damages occurred before the critical date.
. Prior to trial, having ruled that only the negligent assignment claim would proceed to trial, the trial court properly barred any reference to the inadequacy of the treatment that appellant’s agent provided Krouse.
