Case: 13-14275   Date Filed: 05/02/2014   Page: 1 of 7


                                                        [DO NOT PUBLISH]

            IN THE UNITED STATES COURT OF APPEALS

                     FOR THE ELEVENTH CIRCUIT
                       ________________________

                             No. 13-14275
                         Non-Argument Calendar
                       ________________________

                D.C. Docket No. 8:11-cv-01638-SCB-TBM

ABRAHAM I. AWAAD,

                                                             Plaintiff-Counter
                                                         Defendant-Appellant,

                                  versus

LARGO MEDICAL CENTER, INC.,
a Florida corporation
d.b.a. Largo Medical Center,

                                                           Defendants-Counter
                                                           Claimant-Appellee,

NON-PARTY PHYSICIANS,

                                                          Third Party Plaintiff.
                      ________________________

                Appeal from the United States District Court
                    for the Middle District of Florida
                      ________________________

                              (May 2, 2014)

Before TJOFLAT, MARCUS and JORDAN, Circuit Judges.
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PER CURIAM:

      Abraham I. Awaad appeals the district court’s grant of summary judgment to

defendant Largo Medical Center, Inc. (“LMC”), in his case alleging racial

discrimination, in violation of 42 U.S.C. § 1981. Awaad, a Palestinian male, held

medical staff privileges with LMC as a nephrologist with a specialty in electrolyte

disorders. Following the death of one of Awaad’s patients, LMC initiated a peer

review process of Awaad’s conduct in that case and others. LMC’s Medical Care

Evaluation Committee (“MCEC”) and its medical executive committee (“MEC”)

required Awaad to enroll in the Physician Recovery Network (“PRN”) program,

and attend a post-graduate course in fluid and electrolyte management. Awaad

never completed these actions, and had his medical staff privileges revoked. The

district court granted summary judgment to LMC, concluding that Awaad had

failed to identify any suitable comparators, and failed to show that LMC’s asserted

legitimate, nondiscriminatory reason for firing him was false. On appeal, Awaad

argues that: (1) the district court improperly ignored his identified comparators; (2)

even if there were no suitable comparators, there was sufficient circumstantial

evidence from which a jury could infer a discriminatory intent; and (3) LMC’s

alleged nondiscriminatory reason for revoking his medical staff privileges was

pretextual. After careful review, we affirm.




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      We review de novo a district court’s grant of summary judgment. Weeks v.

Harden Mfg. Corp., 

, 1311 (11th Cir. 2002). Summary judgment is

proper if the evidence shows “that there is no genuine issue as to any material fact

and the movant is entitled to judgment as a matter of law.” Fed.R.Civ.P. 56(a).

The evidence and factual inferences from the evidence are construed favorably to

the party opposing summary judgment. Reynolds v. Bridgestone/Firestone, Inc.,

, 469 (11th Cir. 1993).

      Under 42 U.S.C. § 1981, discrimination in the right to make and enforce

contracts on the basis of ethnicity or ancestry is prohibited. Saint Francis Coll. v.

Al-Khazraji, 

, 613 (1987). Both section 1981 and Title VII have the

same requirements of proof and use the same analytical framework. Standard v.

A.B.E.L. Servs., Inc., 

, 1330 (11th Cir. 1998).                  Moreover, the

McDonnell Douglas 1 standard for a prima facie case is applicable in employment

discrimination suits brought under 42 U.S.C. § 1981. 

      When, as here, a plaintiff relies on circumstantial evidence to prove

discrimination, we apply the burden-shifting approach articulated in McDonnell

Douglas. Crawford v. Carroll, 

, 975-76 (11th Cir. 2008). Under the

McDonnell Douglas framework, a plaintiff has the initial burden to establish a

prima facie case of discrimination, which creates a rebuttable presumption that the


1
      McDonnell Douglas Corp. v. Green, 

(1973).

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employer discriminated against the plaintiff. EEOC v. Joe’s Stone Crabs, Inc., 

, 1272 (11th Cir. 2002).       To establish a prima facie case of racial

discrimination on the basis of disparate treatment, the plaintiff must show that: (1)

he is a member of a protected class; (2) he was subjected to an adverse

employment action; (3) his employer treated similarly-situated employees more

favorably; and (4) he was qualified to do the job. Maniccia v. Brown, 

, 1368 (11th Cir. 1999). When a plaintiff alleges discriminatory discipline,

the quantity and quality of the comparator's misconduct must be nearly identical to

the plaintiff’s. 

analysis, the ultimate burden of proving that the

employer intentionally discriminated against the plaintiff on an unlawful basis

remains at all times with the plaintiff. Joe’s Stone 

.

      Under McDonnell Douglas, if a plaintiff makes the requisite showing of a

prima facie case, and the employer articulates a legitimate, nondiscriminatory

reason for its actions, then the plaintiff must offer evidence that the alleged reason

of the employer is a pretext for illegal 

. To

establish pretext, the plaintiff must show that: (1) the offered reason was false; and

(2) the decision was motivated by some illegal purpose. Springer v. Convergys

Customer Mgmt. Group Inc., 

, 1349 (11th Cir. 2007). A plaintiff

may not “recast an employer’s proffered nondiscriminatory reasons or substitute

his business judgment for that of the employer. Provided that the proffered reason


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is one that might motivate a reasonable employer, an employee must meet that

reason head on and rebut it . . . .” Chapman v. AI Transp., 

, 1030

(11th Cir. 2000) (en banc). Furthermore, federal courts do not sit “as a super-

personnel department that reexamines an entity’s business decisions . . . .” Elrod v.

Sears, Roebuck & Co., 

, 1470 (11th Cir. 1991) (internal quotation

omitted). It is not the role of the examining court to second guess the wisdom of

the reasoning, the court must only determine if the reasons given were merely a

cover for a discriminatory intent. Brown v. American Honda Motor Co., 

, 951 (11th Cir. 1991).

      We have cautioned that establishing the elements of the McDonnell Douglas

framework “is not, and never was intended to be, the sine qua non for a plaintiff to

survive a summary judgment motion in an employment discrimination case,” and

that a plaintiff may also defeat a summary judgment motion by presenting “a

convincing mosaic” of circumstantial evidence that “raises a reasonable inference

that the employer discriminated against [him].” Smith v. Lockheed-Martin Corp.,

, 1328 (11th Cir. 2011). As long as the circumstantial evidence

raises a reasonable inference that the employer discriminated against the plaintiff,

summary judgment is improper. 

if we were to assume that Awaad has made a prima facie case,

LMC has offered a legitimate, nondiscriminatory reason for revoking Awaad’s


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medical staff privileges -- that he failed to complete the MEC’s requirements.

Awaad has not shown that there is a genuine dispute of fact suggesting that this

reason was pretextual because, among other things, Awaad has not shown the

falsity of the proffered reason. Indeed, Awaad concedes that he did not complete

the MEC’s requirements that he enroll in the PRN and attend a post-graduate

course in fluid and electrolyte management. Further, the reason is one that a

reasonable employer might rely upon to revoke a physician’s medical staff

privileges, and Awaad has not met that reason head on and rebutted it. See

.

      Awaad has also failed to present a genuine issue of material fact indicating

that there is “a convincing mosaic” of circumstantial evidence raising a reasonable

inference that LMC discriminated against him. See 

. The

most probative evidence stems from an incident in which Dr. Larry Feinman

reprimanded Awaad for telling a patient’s family that a nurse was shortening the

dialysis treatment time. According to the record, Feinman instructed Awaad to

refrain from making such comments, suggesting that it could make Awaad and

LMC vulnerable to a lawsuit, and told him that he was practicing medicine “the

Palestinian way.” On this record, this one comment from one doctor -- given the

myriad decisionmakers involved in Awaad’s revocation of privileges who Awaad

did not accuse of discriminatory animus, as well as Awaad’s failure to link the


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revocation with any such animus -- is not sufficient to create a genuine dispute of

fact about “a convincing mosaic of circumstantial evidence that would allow a jury

to infer intentional discrimination by the decisionmaker.” 

(emphasis added; footnote and international quotation omitted).

      In short, Awaad has failed to show that there is a genuine issue of material

fact as to whether LMC discriminated against him. Accordingly, we affirm.

      AFFIRMED.




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