View source for Braswell v. Haywood Reg'l Med. Ctr.

In '''''Braswell v. Haywood Reg'l Med. Ctr.''''', 2007 U.S. App. LEXIS 9555 (4th Cir. Apr. 26, 2007), the U.S. Court of Appeals for the [[Fourth Circuit]] applied [[HCQIA]] to hold in favor of a defendant hospital against a claim of defamation and breach of contract by a physician disciplined in a [[peer review]] proceeding.  This decision is unpublished and has restrictions on citing it as precedent.

The [[Fourth Circuit]] also ruled against the plaintiff physician on his retaliation claim against the public hospital, by holding that:

:Although [the physician] has an interest in expressing concerns about the manner in which the state-owned hospital operates, the Hospital has a greater interest in regulating speech that interferes with its core mission. To meet the medical needs of Haywood County, the Hospital, like all hospitals in more sparsely populated areas, must devote extra effort to recruiting physicians. Accordingly, the Hospital has a significant interest in preventing staff doctors from interfering with the Hospital's recruiting efforts. The Hospital also has an important interest in maintaining a collegial atmosphere. As stated above, doctors must frequently consult with each other and assist in performing surgeries. Braswell's actions negatively affected his relationship with his colleagues and thus impacted his ability to provide quality care to patients at the Hospital. See Ridpath v. Bd. of Governors Marshall Univ., 447 F.3d 292, 317 (4th Cir. 2006) (considering whether employee's speech "impaired harmony among coworkers" or "damaged close personal relationships").

:For all of these reasons, we conclude that Braswell's letter was not protected speech. Therefore, Braswell cannot establish a claim of [[First Amendment]] retaliation.

[[category:Circuit Cases]]
[[category:Fourth Circuit]]
[[category:Health Law]]