Sharon Selmon Smith v. David Steven Braden ( 1997 )


Menu:
  •                             IN THE SUPREME COURT OF MISSISSIPPI
    NO. 97-CA-01290-SCT
    CONSOLIDATED WITH
    NO. 98-CA-00235
    SHARON SELMON SMITH, NATURAL MOTHER OF BRIAN LAMONT SELMON,
    DECEASED, AND NATURAL MOTHER AND GUARDIAN OF BRANDON LAMAR
    SCURLARK AND BRITTNEY LASHAUN SMITH, MINORS AND NATURAL SIBLINGS
    OF BRIAN LAMONT SELMON, DECEASED, AND STEVE SELMON, NATURAL
    FATHER OF BRIAN LAMONT SELMON, DECEASED, ALL WRONGFUL DEATH
    BENEFICIARIES OF BRIAN LAMONT SELMON, DECEASED
    v.
    DAVID STEVEN BRADEN, M.D.
    DATE OF JUDGMENT:                                  08/26/1997
    TRIAL JUDGE:                                       HON. JAMES E. GRAVES, JR.
    COURT FROM WHICH APPEALED:                         HINDS COUNTY CIRCUIT COURT
    ATTORNEY FOR APPELLANTS:                           L. CHRISTOPHER BREARD
    ATTORNEYS FOR APPELLEE:                            STUART G. KRUGER
    C. YORK CRAIG, JR.
    NATURE OF THE CASE:                                CIVIL - WRONGFUL DEATH
    DISPOSITION:                                       REVERSED AND REMANDED - 08/24/2000
    MOTION FOR REHEARING FILED:
    MANDATE ISSUED:                                    9/15/2000
    EN BANC.
    SMITH, JUSTICE, FOR THE COURT:
    STATEMENT OF THE CASE
    ¶1. This appeal comes to this Court from the Circuit Court of Hinds County, Mississippi, First Judicial
    District, where summary judgment was granted in favor of Dr. David S. Braden upon a finding that Dr.
    Braden is an employee of the University of Mississippi Medical Center and that the plaintiffs failed to file
    their action within the one-year statute of limitations provided by Miss. Code Ann. § 11-46-11 (Supp.
    1999). We find that at present there is a genuine material issue of fact. Therefore, this case is remanded for
    additional discovery and application by the trial judge of the five-part test recently adopted by this Court in
    Miller v. Meeks, No. 1999-CA-00210-SCT, 
    2000 WL 86317
    (Miss. June 29, 2000), in determining
    whether Dr. Braden is an employee or an independent contractor.
    STATEMENT OF FACTS
    ¶2. Brian Lamont Selmon, age two, died July 13, 1994, subsequent to a cardiac catheterization performed
    by Dr. David S. Braden at the University of Mississippi Medical Center. Dr. Braden is an Assistant
    Professor of Pediatrics at the University. Brian's parents, Sharon Selmon Smith and Steve Selmon, brought
    a negligence suit for damages individually and on behalf of Brian's siblings, against Dr. Braden, University
    Hospital and Cindy Wilson, R.N. The action was filed in the Circuit Court of Hinds County, Mississippi,
    First Judicial District, on July 12, 1996.
    ¶3. The University and Cindy Wilson were subsequently dismissed from the action pursuant to the trial
    court's finding that the plaintiffs failed to meet the one-year statute of limitations set forth in Miss. Code Ann.
    § 11-46-11(3) (Supp. 1999). Dr. Braden filed a Motion to Dismiss pursuant to the same rationale,
    asserting that he is an employee of the University. In his order of March 19, 1997, the trial judge stated that
    he would take Dr. Braden's motion to dismiss under advisement pending limited discovery on the issue of
    Dr. Braden's employment status. The trial judge stated that, in addition to outstanding discovery, the
    plaintiffs would be permitted to propound ten interrogatories to Dr. Braden, ten interrogatories to the
    University, five requests for production of documents to the University, and five requests for production of
    documents to Dr. Braden. The plaintiffs were not allowed to take any depositions. The court stated that
    after such discovery was completed and plaintiffs had presented evidence regarding Dr. Braden's
    employment status to the court, the court would then determine whether additional discovery should be
    allowed, including whether the plaintiffs would be allowed to depose Dr. Braden.
    ¶4. The plaintiffs propounded three sets of interrogatories to Dr. Braden, five sets of requests for
    production of documents to the University, and four sets of requests for production of documents to Dr.
    Braden. The plaintiffs also served upon Medical Assurance Company of Mississippi, Dr. Braden's
    malpractice carrier, a subpoena duces tecum requesting, among other things, all documents relating to Dr.
    Braden, including Dr. Braden's application for membership, application for insurance, employment status,
    bills for coverage and notice of any negligence claims. In response to the subpoena, Medical Assurance
    filed a motion to quash and for a protective order, stating that the trial court should first rule upon Dr.
    Braden's Motion to Dismiss before considering the appropriateness of the subpoena duces tecum. Dr.
    Braden filed a motion joining the motion to quash filed by Medical Assurance, claiming attorney-client
    privilege and the work product doctrine. The plaintiffs filed a response to the motions to quash. These
    subpoenas were never answered, and the trial court never ruled on the motions.
    ¶5. The plaintiffs requested at the time of the hearing before the trial court on Dr. Braden's motion to
    dismiss that they be allowed to pursue production of the subpoenaed documents and to take the depositions
    of Dr. Braden and other individuals at the University and at Medical Assurance. The request for further
    discovery was denied. The court treated Dr. Braden's Motion to Dismiss as a Motion for Summary
    Judgment according to M.R.C.P. 12(b). The court granted summary judgment in favor of Dr. Braden on
    August 26, 1997. The court found that Dr. Braden is an employee of the University, within the meaning of
    Miss. Code Ann. § 11-46-1(f), and that the plaintiffs' action is time-barred because it was filed outside the
    one-year statute of limitations found in Miss. Code Ann. § 11-46-11. The Plaintiffs filed a Motion to
    Reconsider Dismissal and a Rule 60 Motion for Relief from Judgment or Order and to Reconsider
    Dismissal. Both motions were denied. Aggrieved, plaintiffs timely filed their Notice of Appeal on September
    24, 1997, raising the following issues:
    I. THE TRIAL COURT ERRED IN GRANTING SUMMARY JUDGMENT IN FAVOR
    OF DR. BRADEN AND IN PERMITTING ONLY LIMITED DISCOVERY ON THE
    ISSUE OF DR. BRADEN'S EMPLOYMENT STATUS.
    II. THE ACTION IS NOT BARRED BY THE STATUTE OF LIMITATIONS OF MISS.
    CODE ANN. § 11-46-11(3).
    III. THE TORT CLAIMS ACT IS UNCONSTITUTIONAL.
    STANDARD OF REVIEW
    ¶6. This Court reviews de novo a grant of summary judgment. Aetna Cas. & Sur. Co. v. Berry, 
    669 So. 2d
    56, 70 (Miss. 1996). A motion for summary judgment is granted only when the trial court finds that the
    plaintiff would be unable to prove any facts to support his claim. Delahoussaye v. Mary Mahoney's, Inc.,
    
    696 So. 2d 689
    , 690 (Miss.1997). On appeal, the trial court's decision is reversed only if it appears that
    triable issues of fact remain when the facts are viewed in the light most favorable to the nonmoving party.
    Robinson v. Singing River Hosp. Sys., 
    732 So. 2d 204
    , 207 (Miss. 1999) (citing Box v. State Farm
    Mut. Auto. Ins. Co., 
    692 So. 2d 54
    , 56 (Miss. 1997)).
    DISCUSSION OF LAW
    I. THE TRIAL COURT ERRED IN GRANTING SUMMARY JUDGMENT IN FAVOR
    OF DR. BRADEN AND IN PERMITTING ONLY LIMITED DISCOVERY ON THE
    ISSUE OF DR. BRADEN'S EMPLOYMENT STATUS.
    ¶7. If Dr. Braden is an employee of the University, he is entitled to the protections of the Tort Claims Act,
    Miss. Code Ann. § § 11-46-1 et seq. (Supp. 1999). Because this action was filed outside the one-year
    statute of limitations provided in § 11-46-11(3), a finding that Dr. Braden is an employee of the University
    would result in the plaintiffs' action being time-barred under the Act. The plaintiffs argue that the trial court
    erred in finding that Dr. Braden is an employee of the University. The plaintiffs do not dispute that Dr.
    Braden is an employee of the University in his role as Assistant Professor of Pediatrics, but they argue, that
    Dr. Braden is not an employee of the University in his practice of medicine. They submit that there exists an
    issue of material fact as to whether Dr. Braden is strictly an employee, and that, at the very least, they
    should be allowed to conduct further discovery on the issue.
    ¶8. Facts pertinent to the employment relationship between Dr. Braden and the University are as follows.
    Dr. Braden's position at the University is Assistant Professor of Pediatrics. On September 16, 1993, the
    Board of Trustees of State Institutions of Higher Learning approved Dr. Braden's change in status from
    Assistant Professor of Pediatrics, School of Medicine, to Assistant Professor of Pediatrics, School of
    Medicine and Attending Physician, University Hospital. Dr. Braden's salary remained the same despite the
    change in status. Dr. Braden was informed of this change by interdepartmental memorandum dated
    September 17, 1993. However, the change in status was not delineated in Dr. Braden's next employment
    contract, effective July 1, 1994, which states simply that he is Assistant Professor of Pediatrics.
    ¶9. The contract between the University and Dr. Braden is entitled "Employment Contract," and it refers to
    Dr. Braden as an "employee" numerous times. Under the contract in force at the time of the alleged
    negligence, Dr. Braden was to receive an annual salary of $52,770.00.(1) However, the contract also
    provides that Dr. Braden, in addition to his annual contracted salary, will be permitted to earn additional
    income from medical practice. Dr. Braden is permitted to retain 100% of the earnings from his practice up
    to a total income of $140,000. Income in excess of $140,000 is divided fifty/fifty between Dr. Braden and
    the University. Dr. Braden is responsible for all billing and collection of income from the patients he treats.
    The University bills separately for hospital services. Both the University and Dr. Braden have the right to
    terminate the employment relationship at will. Dr. Braden receives State employee health insurance. He is
    eligible for State employee retirement benefits. His malpractice insurance is discounted based on his
    employment at the University.
    ¶10. Dr. Braden states in his affidavit that his practice at the University differs from the practice of private
    physicians in that private physicians have admitting privileges at various hospitals and are not employees of
    those hospitals. Dr. Braden states that he teaches students and treats patients as part of his employment at
    the University and that patient care is a vehicle for teaching at the University. He states that he does not
    have a private practice independent of the University. Dr. Braden states that he is prohibited from admitting
    patients anywhere but at the University and is prohibited from acting as primary treating physician at any
    hospital besides the University. He states that only University faculty are allowed to admit patients at the
    University. He states that the University provides his office space and pays the salaries of office support
    staff, including nurses and catheterization laboratory personnel. He states that the University controls what
    patients he treats, the number of patients he treats, and does not allow him to refuse to treat a patient or to
    terminate treatment of a patient. Dr. Braden states that he could not have treated Brian Selmon if Brian had
    not been a patient of the University, could not have admitted Brian at any hospital but the University, and
    could not have performed a cardiac catheterization on Brian anywhere but at the University.
    ¶11. Most of the facts and assertions above point to the existence of a strict employment relationship
    between Dr. Braden and the University. The facts above which do not demonstrate a strict employment
    relationship are that it was solely the responsibility of Dr. Braden to bill and collect the income from his
    treatment of patients and that Dr. Braden was permitted to retain 100% of those remittances up to a
    specified amount. The clarity of the relationship, however, becomes hazy in light of the partnership entered
    into by Dr. Braden and other pediatric cardiologists in his department.
    ¶12. Dr. Braden was a member of a partnership called Children's Cardiac Care Consultants (hereinafter,
    CCC). CCC was organized on September 1, 1992. Dr. Braden became a partner on November 1, 1993,
    and remained a partner until the partnership's dissolution on June 30, 1995. The partnership agreement was
    entered into by Dr. James Joransen, Dr. Charles Gaymes, and Dr. Braden, and eligible for membership
    upon the approval of all existing partners were new faculty members of pediatric cardiology at the
    University.
    ¶13. The agreement states that "the offices of the partnership shall be located at University Medical Center,
    Division of Pediatric Cardiology . . . ." The partnership agreement expressly gives the partners the right to
    designate another location for the offices. The agreement states that all three physicians will convey to the
    partnership all equipment, instruments and supplies currently utilized by the physicians in their "private
    practices" at the University. The documents state that all income of the physicians derived from their "private
    practice of the Profession [including, but not limited to, all receipts for professional medical services related
    to pediatric cardiology, such as interpretation of . . . tests performed by the partners as resident full-time
    members of the teaching pediatric faculty" at the University "shall become the property of the partnership . .
    . ." The partnership was to pay "all general business expenses related to the private medical practice of the
    partners. . . ," including equipment and office supplies. The partnership was to pay each partner a specific
    amount of remuneration each month. The agreement even contains a non-competition clause which states
    that if a partner withdraws from the partnership and practices within twenty-five miles of the nearest
    boundary of the City of Jackson within two years from the date of withdrawal, a penalty of $30,000 will be
    assessed as liquidated damages.
    ¶14. Dr. Braden states in his affidavit that CCC was formed to meet the University's requirement that Dr.
    Braden and other pediatric cardiologists at the University be responsible for the billing and collecting of
    income. Dr. Braden submits that CCC was a vehicle for the collection and distribution of income. He states
    that "[t]his arrangement was dictated by UMC." What Dr. Braden means by "dictated" is not clear. There is
    nothing in the contract documents or bylaws requiring such an organization. Furthermore, the partnership
    documents certainly do more than allow for the collection and distribution of income. For instance, as noted
    above, the documents provide for the ownership of all equipment and office supplies, and for the provision
    of liability insurance, life insurance, and disability insurance. The documents even contain a non-competition
    clause. The documents repeatedly refer to the physicians' "private practice" of pediatric cardiology at the
    University. Interestingly, particularly in light of Dr. Braden's assertion that the physicians' contracts with the
    University "dictate" such a partnership, the partnership agreement contains no reference to the payment of
    any amount exceeding an income of $140,000 to the University. If the purpose of the partnership were
    solely to collect and distribute income as "dictated" by the contract with the University, the documents
    seemingly would mention the mechanism by which the University was to be paid its fifty percent.
    ¶15. Furthermore, Dr. Braden states in his Response to Plaintiffs' Third Set of Interrogatories that the
    arrangement under which CCC would collect and distribute income was "expressly controlled and
    permitted by UMC as set forth in [his] contract." There is no mention in the contract documents of control
    over such an arrangement or permission to form such an arrangement. Also, the W-2's from the University
    show taxes assessed on Dr. Braden's salary as assistant professor, but do not report the income Dr.
    Braden received from his practice. Dr. Braden listed the income received from his partnership with CCC
    and also that received from Pediatric Critical Care Associates, discussed below, on his income tax returns.
    He paid self-employment tax on that income.
    ¶16. Dr. Braden was also a member of a partnership known as Pediatric Critical Care Associates
    (hereinafter, PCCA). Dr. Braden mentions in his affidavit that he was a member of PCCA, but does not
    clearly explain its purpose or function. The partnership was formed July 1, 1992. Dr. Braden states in his
    Response to Plaintiffs' Third Set of Interrogatories that he was a member of PCCA from the first day of his
    employment with the University until the group's dissolution on June 30, 1995. The Director of the Pediatric
    Critical Care Division of the University, designated by the partnership agreement as the managing partner of
    the partnership, was responsible for the day-to-day operation of the partnership and could negotiate on
    behalf of the partnership. Dr. Braden states in his Response that the care given by PCCA to University
    patients was provided at the "behest and direction" of the Department of Pediatrics. Dr. Braden states that
    his employment at the University was "contingent upon [his] agreeing to provide care for these patients."
    There is no indication, however, that there was any requirement that Dr. Braden be a member of the
    partnership to provide that care.
    ¶17. Like the CCC agreement, the partnership agreement of PCCA states that the partnership offices are
    to be located at the University or at any location that the partners later agree to designate. The agreement
    states that all business expenses, including employee salaries and equipment, are to be paid by the
    partnership. Interestingly, Dr. Braden's affidavit states that the University paid the salaries of "office support
    staff." From the PCCA documents, however, it appears that at least some salaries of office staff were paid
    by the partnership.
    ¶18. The documents state that all fees for pediatric intensive care services other than salary from the
    University are considered the income of the partnership. Income is to be distributed monthly according to
    the number of shares each partner had in the partnership. Membership is limited to the faculty members of
    the Department of Pediatrics at the University.
    ¶19. The plaintiffs emphasized repeatedly to the trial judge that they wished to depose Dr. Braden. Dr.
    Braden's affidavit states that the University provided his office space and that the University had complete
    control over which patients he saw and over how many patients he saw. However, as the plaintiffs pointed
    out to the trial judge, the contract documents and bylaws contain nothing about office space or control over
    patients treated. Dr. Braden also discusses briefly in his affidavit the formation and purpose and formation
    of CCC. The partnership documents of CCC seemingly contradict Dr. Braden's explanation of the
    partnership. The deposition of Dr. Braden would possibly have shed light on the conflict or absence of
    conflict regarding the partnership's relation to Dr. Braden's employment status.
    ¶20. Also conflicting with Dr. Braden's assertion that he is strictly an employee of the University is
    information provided by Dr. Braden in his application for malpractice insurance. Dr. Braden contends in his
    affidavit that he was solely employed by the University and that, unlike private doctors, had no private
    practice separate from the University. However, in the coverage application, dated July 26, 1994, and
    submitted to Medical Assurance, in response to the request that he name all hospitals where he intends to
    practice during the coverage period, Dr. Braden lists, in addition to the University, both Woman's Hospital
    and Methodist Medical Center where he was apparently serving as a consultant. Dr. Braden lists the same
    three hospitals in answer to the application's request that he provide the name of "any health-care institution
    in which you hold or are applying for staff privileges" to which the insurer should send a Certificate of
    Insurance. Interestingly, Dr. Braden's affidavit states that he is prohibited from acting as the "primary
    treating physician" anywhere but at the University. Dr. Braden, though he states that he is prohibited from
    admitting patients anywhere but at UMC, never states that he is prohibited from having and utilizing staff
    privileges at other hospitals. It seemingly would be of importance in the trial court's determination of the
    motion for summary judgment whether it was possible for Dr. Braden to treat patients at other hospitals
    without violating the prohibition that he not be the "primary treating physician." Apparently, Dr. Braden was
    permitted, at least, to consult with other physicians regarding the care of patients at other hospitals.
    ¶21. Furthermore, in the same coverage application, in response to the request that he check the
    appropriate description of his practice, Dr. Braden checked the box entitled "partnership," not the box
    entitled "employer/employee relationship." Dr. Braden also requested partnership liability. However, the
    declarations page of that policy states that Dr. Braden carries individual professional liability, not partnership
    liability. It is not clear from the record whether CCC or Dr. Braden paid the insurance premiums. The
    partnership agreement of CCC states that the partnership will pay the premiums, and that each partner must
    carry at least $3,000,000 per occurrence and $3,000,000 aggregate. Dr. Braden carried this amount.
    ¶22. The issue of Dr. Braden's employment status has not been fully fleshed out. There exists conflicting
    evidence, particularly in regards to the partnerships of which Dr. Braden was a member. Given that there
    are questions of fact remaining on the issue, specifically with regard to the partnership formed by Dr.
    Braden and other pediatric cardiologists, coupled with the plaintiffs' having previously attempted to conduct
    discovery on this issue, the trial court's grant of summary judgment was premature.
    ¶23. This Court has recently considered the issue at hand in Owens v. Thomae, 
    759 So. 2d 1117
    (Miss.1999). At issue in Owens was the employment status of a surgeon and two resident doctors. The
    case was filed in July 1997. In August 1997, Owens subpoenaed the personnel records of all three doctors,
    and all three filed motions to quash or for a protective order. In November 1997, five months after the
    complaint was filed, the trial judge held a hearing on the doctors' motions to dismiss. Though Owens made
    no written request for additional time to conduct discovery, at the hearing Owens explained to the trial judge
    her need for more time to pursue discovery on the issue of the doctors' employment status. Nevertheless,
    the trial court granted summary judgment in favor of all three doctors, finding that all three were employees
    of the University and, thus, were entitled to the protections of the Tort Claims Act. On appeal, Owens
    contended that the trial court improperly granted the doctors' motions for summary judgment without
    allowing her additional time for further discovery. This Court held that the trial court was correct in
    determining that the two residents were employees of the hospital, but that the employment status of the
    surgeon was unclear. 
    Owens, 759 So. 2d at 1122
    . The Court stated that, in light of Owens' request for a
    continuance in order to conduct discovery, coupled with her having previously attempted to conduct
    discovery on the issue and the fact that the discovery needed was in the possession of the party moving for
    summary judgment, further discovery should have been permitted on the issue of the surgeon's employment
    status. 
    Id. This Court stated,
    "Contested status issues invariably require discovery.... While summary
    judgment may be appropriate where the status issue has been fully fleshed out and there are no material
    issues of fact, it cannot be said that the status issue in this case has been fully fleshed out." Owens, slip op.
    at 8-9 (citations omitted).
    ¶24. As in Owens, the trial court's grant of summary judgment in the case at hand was premature. The
    plaintiffs diligently pursued discovery on the issue of Dr. Braden's employment status. Though the plaintiffs
    filed their complaint in July 1996, Dr. Braden did not file his amended answer asserting that he is an
    employee of the University subject to the notice and limitations provisions of the Act until December 1996.
    The plaintiffs began discovery of the issue. Their subpoena duces tecum issued to Medical Assurance was
    met with motions to quash filed by Medical Assurance and Dr. Braden. Even prior to the trial court's order
    limiting discovery on the issue, the plaintiffs expressed their need for full discovery, particularly their desire
    to depose Dr. Braden. In March of 1997, just three months after Dr. Braden filed his amended complaint
    asserting the Tort Claims Act, the trial judge issued its order limiting discovery. The plaintiffs then pursued
    further discovery, and at the hearing on Dr. Braden's motion to dismiss, just five months after the order
    limiting discovery, the plaintiffs again requested that they be allowed to depose Dr. Braden and reiterated
    their desire to obtain the insurance records at the hearing on Dr. Braden's motion to dismiss. Their request
    was denied, and summary judgment granted in favor of Dr. Braden.
    ¶25. This Court has explained that the "party resisting summary judgment must present specific facts why he
    cannot oppose the motion and must specifically demonstrate 'how postponement of ruling on the motion will
    enable him, by discovery or other means, to rebut the movant's showing of the absence of a genuine issue
    of fact.'" 
    Owens, 759 So. 2d at 1120
    (citing Prescott v. Leaf River Forest Prods, Inc., 
    740 So. 2d 301
    ,
    307 (Miss. 1999)). The plaintiffs demonstrated in detail their need for further discovery to the trial judge in
    June of 1997 in their Response to Medical Assurance's Motion to Quash as well as at the hearing on Dr.
    Braden's Motion to Dismiss. The plaintiffs clearly attempted to obtain information regarding Dr. Braden's
    relationship with the University, but were hindered in their ability to do so by the trial court's limiting of
    discovery, particularly the trial court's refusal to allow the plaintiffs to depose Dr. Braden and the trial
    court's failure to rule on the motions to quash the plaintiffs' subpoena duces tecum to Medical Assurance.
    Though the plaintiffs did not file a motion to compel in response to the motions to quash, they did file a
    response pleading and requested at the hearing on the motion to dismiss that the trial judge require
    compliance with the subpoenas. It cannot be said that the plaintiffs were dilatory in attempting discovery on
    this issue.
    ¶26. Dr. Braden argues that this Court should be persuaded by the Opinion of the Attorney General of
    Mississippi, No. 98-0500 (Sept. 4, 1998). In that opinion, written in response to a letter from a University
    official, the Attorney General states:
    Based upon the facts as stated in your letter and the statutes cited hereinabove, it is our opinion that
    staff physicians under contract with the University of Mississippi Medical Center are employees of a
    governmental entity of the State of Mississippi, and the Medical Center is responsible for affording
    them a defense and paying any judgment against them or settlement for any claim arising out of an act
    or omission within the course and scope of their employment, and within the limits of the Mississippi
    Tort Claims Act.
    (emphasis added). It is important to note that the Attorney General states that the opinion is based upon the
    facts stated in the letter from the University. Specifically, the letter states:
    Faculty of the University of Mississippi Medical Center, sometimes referred to as staff physicians
    enter into a contract for their services and receive payment therefor from the University of Mississippi
    Medical Center, an agency or arm of the State of Mississippi. In addition, they are required to
    participate in a faculty practice plan pursuant to their employment contract with the Board of Trustees.
    The practice plans as approved by the Board of Trustees since 1955, provide additional income for
    faculty physicians, a portion of which is payable to UMMC.
    ¶27. It is not clear that the Attorney General's opinion, based upon the limited facts presented in the
    University's letter, is persuasive in the situation at hand. First, there is no provision in the contract documents
    contained in the record which states that Dr. Braden is required to maintain a practice. Second, it is not
    clear that Dr. Braden's contract included a "faculty practice plan." There is no mention of such in the record.
    And third, whether an individual is considered an employee or independent contractor is an incredibly fact-
    sensitive determination which can hardly be rubber-stamped by a holding that applies across-the-board to
    all physicians on salary at the University.
    ¶28. This Court recently considered the Attorney General's opinion in Pickens v. Donaldson, 
    748 So. 2d 684
    (Miss. 1999). Pickens brought an action for negligent diagnosis against Doctors John Donaldson,
    Vibha Vig, and Alan Causey, all physicians at UMC. As in the case at hand, the issue in Pickens issue was
    whether the doctors treated the patient as independent contractors, charging fees for the services separate
    and apart from what was charged by the University. The trial court granted summary judgment in favor of
    all three doctors. Pickens argued on appeal that summary judgment was improper and that full discovery
    should continue. This Court held that summary judgment was properly granted in favor of Dr. Vig, but that
    summary judgment was improper in regards to Doctors Donaldson and Causey, stating that the case should
    be remanded for additional discovery. 
    Id. at 689-90. The
    Court referred to the Attorney General's opinion
    discussed above, noting its explanation that staff physicians at UMC are not compensated solely by the
    State. 
    Id. at 688. The
    Court distinguished Doctors Donaldson and Causey from Dr. Vig, who clearly
    claimed she is not a staff physician. 
    Id. at 689. The
    Court noted that because Doctors Donaldson and
    Causey did not claim that they are not staff physicians, there was a question as to whether they might not be
    covered by the MTCA. 
    Id. The Court remanded
    the case for further discovery on the issue. Dr. Braden
    makes no claim that he is not a staff physician.
    ¶29. Not only was the trial court's grant of summary judgment premature, but it is even questionable
    whether the trial judge truly found there was no issue of fact as to Dr. Braden's employment status. In
    explaining to plaintiffs' counsel why he was granting summary judgment in favor of Dr. Braden, the trial
    judge stated:
    Let me tell you where I am. I've heard this enough times that I'm really concerned about it. We have
    all these doctors at University Medical Center that are allowed to engage in what they say is not a
    private practice but which looks just like one. And then when something happens, they run under the
    immunity umbrella. And I think it's a serious enough question that it needs to be addressed. And I
    think the Supreme Court needs to address it because I don't know whether they're employees of the
    State or not to be honest with you. I don't know, which is why I allowed some discovery to explore
    it. Every time I've been presented with it before, the case ended up being resolved without that
    question ever being ultimately answered by the Supreme Court. So I don't know what the answer is.
    At the hearing on Plaintiffs' Motion to Reconsider, the following exchange took place between the trial
    judge and plaintiffs' counsel, Chris Breard:
    Mr. Breard: . . . But the point still is that there appears to be at least some doubt in the Court's mind
    as to the employment status of these individuals.
    The Court: Oh, I'm telling you I don't know.
    Mr. Breard: Well, under those circumstances that's what I'm saying, summary judgment should be
    inappropriate.
    The Court: Well, I'm telling you I don't know but I'm also telling you that it's not an issue for
    determination by a jury. I don't know and I want them to tell me. I don't think the jury is going to be
    able to tell me that. . . . I'm convinced that the motion was appropriately granted but I'm saying to
    them on the record: I don't know, Supreme Court. Please tell me.
    ¶30. It is a well-established principle that summary judgments should be granted with great caution. Brown
    v. Credit Ctr., Inc., 
    444 So. 2d 358
    , 362 (Miss. 1983). It appears from the above statements that the
    trial judge granted summary judgment, not out of an exercise of caution, but rather out of an exercise of
    frustration. From these statements, it appears that the trial judge granted the motion for summary judgment
    merely to "pass the buck" to this Court, without making a determination that there was no issue of fact on
    the issue. The completion of discovery is, in this case, desirable.
    ¶31. The plaintiffs also urge this Court to interpret the definition of "employee" in § 11-46-1(f) to exclude
    physicians such as Dr. Braden. The plaintiffs submit that the legislature's intent to exclude physicians such as
    Dr. Braden from the definition of "employee" is demonstrated by the failure of the both houses of the State
    legislature to pass proposed revisions which would have included in the definition "interns, residents and
    fellows at the University of Mississippi Medical Center and all other physicians employed by the state or a
    political subdivision." H.B. 416, S.B. 2565. Both bills died in committee.
    ¶32. This argument is problematic. The legislative intent of a statute can hardly be based solely on that
    which the legislature failed to do. Such an interpretation would amount to the legislature's having spoken by
    its silence, or, stated otherwise, taken action by inaction. It could just as easily be said that the legislature
    did not pass the revisions to section § 11-46-1(f) because it determined the additional language to be
    superfluous and the existing language to already adequately cover physicians such as Dr. Braden.
    ¶33. Nevertheless, though it cannot be said that the § 11-46-1(f), on its face, excludes Dr. Braden from the
    protections of the MTCA, it can not be said there is no question of fact as to Dr. Braden's employment
    status. The trial court's grant of summary judgment was improper. The trial court's judgment is therefore
    reversed, and this case is remanded for additional discovery.
    ¶34. On remand, the trial court shall utilize the test set forth by this Court in Miller v. Meeks, No. 1999-
    CA-00210-SCT, 
    2000 WL 863167
    (Miss. June 29, 2000). As we noted in Miller, application of the
    traditionally applied Richardson factors has proven troublesome in evaluating the relationship between the
    University and its faculty physicians such as Dr. Braden. Miller at * 7 (citing Richardson v. APAC-Miss.,
    Inc., 
    631 So. 2d 143
    , 150 (Miss. 1994)). In Miller, this Court adopted the following five-part test for
    determining the employment status of doctors like Dr. Braden for the purposes of liability under the MTCA:
    1. the nature of the function performed by the employee;
    2. the extent of the state's interest and involvement in the function;
    3. the degree of control and direction exercised by the state over the employee;
    4. whether the act complained of involved the use of judgment and discretion;
    5. whether the physician receives compensation, either directly or indirectly, from the patient for
    professional services rendered.
    Miller at *8 (citing James v. Jane, 
    282 S.E.2d 864
    (Va. 1980)). A full and meaningful application of
    these factors is currently not possible under the record before us. On remand and after further discovery,
    the trial court shall weigh these factors.
    II. THE ACTION IS NOT BARRED BY THE STATUTE OF LIMITATIONS OF MISS.
    CODE ANN. § 11-46-11(3).
    ¶35. The plaintiffs argue that even if Dr. Braden is an employee of the University and thus protected under
    the Act, the plaintiffs' action is not time-barred because the one-year statute of limitations did not begin to
    run until they were notified by experts of the possible causal relationship between Dr. Braden's alleged
    negligence and Brian's death. The Plaintiffs contend that even if the trial court's grant of summary judgment
    in favor of Dr. Braden was correct on the issue of whether Dr. Braden is an employee of the University,
    there exists a question of fact as to when the statute of limitations began to run and that this issue should be
    considered on remand.
    ¶36. After the completion of proceedings in the trial court and during the pendency of this appeal, this Court
    handed down Barnes v. Singing River Hosp. Sys., 
    733 So. 2d 199
    (Miss. 1999). The plaintiffs filed their
    Notice of Appeal on January 9, 1999. This Court handed down Barnes on January 12, 1999, and denied
    a motion for rehearing on April 22, 1999. The Plaintiffs cited the Barnes rationale in their appellate brief
    filed August 19, 1999. This was the earliest opportunity that the Plaintiffs could have cited to Barnes. Thus,
    though the Plaintiffs did not raise this argument before the trial court, the issue should be considered upon
    remand.
    ¶37. The well-established discovery rule states that the statute of limitations is tolled until the actual
    discovery of the injury to be redressed. In Barnes this Court held that the discovery rule would be
    incorporated into actions involving latent injuries brought under the Mississippi Tort Claims Act. 
    Id. at 203- 06.
    We noted that to do so was particularly important given the relatively short one-year statute of
    limitations provided by the Mississippi Tort Claims Act. 
    Id. at 205. In
    the case at hand, a question of fact
    exists regarding when the statute of limitations began to run. Because of Barnes, which arose after the
    completion of proceedings in the trial court, the trial court should consider this issue on remand.
    III. THE TORT CLAIMS ACT IS UNCONSTITUTIONAL.
    ¶38. A party challenging the constitutionality of a statute must prove unconstitutionality beyond a reasonable
    doubt. Secretary of State v. Wiesenberg, 
    633 So. 2d 983
    , 989 (Miss.1994); Mississippi Power Co. v.
    Goudy, 
    459 So. 2d 257
    , 263 (Miss.1984). All doubts must be resolved in favor of validity of a statute.
    Loden v. Mississippi Pub. Ser. Comm'n, 
    279 So. 2d 636
    , 640 (Miss.1973).
    ¶39. The plaintiffs argue that application of the Tort Claims Act to bar suit against Dr. Braden violates
    various constitutional guarantees. All arguments are without merit. First, the plaintiffs argue that the Act
    violates their right to due process by depriving them of their "day in court." This Court stated in Mohundro
    v. Alcorn County, 
    675 So. 2d 848
    (Miss. 1996), that no due process violation exists where the
    complaining party is not deprived of a protected property interest. 
    Id. at 852 (citing
    Robinson v. Stewart,
    
    655 So. 2d 866
    , 869 (Miss. 1995); Tucker v. Hinds County, 
    558 So. 2d 869
    , 873 (Miss. 1990)). This
    Court explained in Wells v. Panola County Bd. of Educ., 
    645 So. 2d 883
    (Miss. 1994), that there was
    no right to sue the State or its political subdivisions at common law. Mohundro at 852. Because the
    Legislature has continued to withhold the right to bring such a suit, there is no property right to sue the
    State. 
    Id. Thus, there can
    be no due process violation. 
    Id. The Fifth Circuit
    reached the same conclusion in
    Grimes v. Pearl River Valley Water Supply Dist., 
    930 F.2d 441
    (5th Cir. 1991).
    ¶40. The plaintiffs argue that the rationale of Mohundro is inapplicable to the case at hand because at
    common law there was a right to sue physicians. For this proposition, plaintiffs cite Womble v. Singing
    River Hosp., 
    618 So. 2d 1252
    (Miss. 1993). The Court in Womble overruled prior case law which held
    that physicians employed by public entities are qualifiedly immune from suit for medical treatment decisions.
    
    Id. at 1263. The
    Court stated that physicians employed by public entities are not afforded protection by
    common law qualified immunity where their decisions do not involve formulating or implementing public
    policy. 
    Id. at 1265. The
    Attorney General, via amicus brief, argues that though there has always been a right
    to sue physicians, there has also always been sovereign immunity for state employees, and that because
    Womble addressed pre-Act liability issues, its analysis does not apply to the case at hand.
    ¶41. The Attorney General's discussion of the inapplicability of Womble to the current provisions of the Act
    misses the mark. The plaintiffs' purpose in discussing Womble is to show that, at common law, physicians
    were not protected by qualified immunity, and that because Mohundro's holding rested upon a finding that,
    at common law, there was no right to sue the State or its subdivisions, Mohundro's rationale is
    inapplicable.
    ¶42. Nevertheless, even if there were a common law right to sue a physician, the plaintiffs' due process
    rights have not been violated. As the Fifth Circuit explained in Grimes, the plaintiffs' claim that they have
    been deprived of their "day in court" involves the concept of procedural due process. 
    Grimes, 930 F.2d at 444
    . To prevail on a claim for denial of procedural due process, the plaintiffs must show not only that they
    were deprived of a protected property interest, but also that they were denied the process due them.
    Logan v. Zimmerman Brush Co., 
    455 U.S. 422
    , 428, 102 S.Ct. 1148,1154, 
    71 L. Ed. 2d 265
    (1982).
    The United States Supreme Court has explained that a state may erect reasonable procedural requirements
    for triggering the right to adjudication, such as statutes of limitations, and a state accords due process when
    it terminates a claim for failure to comply with a reasonable procedural rule. 
    Logan, 455 U.S. at 437
    , 102
    S.Ct. at 1158-59. Even should Dr. Braden be found to be an employee of the University, the Plaintiffs are
    not denied a right to adjudication. The Act does not necessarily prohibit the Plaintiffs' action, but merely
    restricts the time in which they may bring the action. The Fourteenth Amendment requires only "an
    opportunity. . .granted at a meaningful time and in a meaningful manner." 
    Id. (quoting Armstrong v.
    Manzo, 
    380 U.S. 545
    , 552, 
    85 S. Ct. 1187
    , 1191, 
    14 L. Ed. 2d 62
    (1965)). The plaintiffs fail to
    demonstrate that they were denied the process due them.
    ¶43. The plaintiffs also argue that the Act violates the Remedy Clause of Miss. Const., Art. 3, § 24, which
    provides that the courts shall be open and a remedy shall be available for every injury. This Court held in
    Mohundro that the Act does not violate the Remedy Clause. The Court noted that "the remedy clause is
    not an absolute guarantee of a trial and that it is the legislature's decision whether or not to address
    restrictions upon actions of government entities." 
    Mohundro, 675 So. 2d at 852
    (citing Robinson, at 868-
    69). The Court explained,
    The Mississippi Constitution places no limitation on the Mississippi Legislature's ability to enact
    legislation. . . . The basic principle of sovereign immunity is that the "king can do no wrong."
    Consequently, the state is free from any liabilities unless it carves an exception. These exceptions
    come in the form of tort claims acts. The Mississippi Legislature has carved no such exception for this
    type of suit. . . and the "remedy clause" of the Mississippi Constitution does not require them to do so.
    
    Mohundro, 675 So. 2d at 852
    (quoting 
    Grimes, 930 F.2d at 443-44
    ).
    ¶44. The plaintiffs also contend that the Act violates their right to trial by jury. They seem to assert this
    interchangeably with their assertion that the Act violates the Remedy Clause and their due process right to a
    "day in court." They make no independent argument regarding any violation of the right to trial by jury.
    There is no right to trial by jury to actions brought under the Act pursuant to § 11-46-13.
    ¶45. The plaintiffs also assert the Act violates their right to equal protection. This argument is without merit
    as well. First, the plaintiffs apparently base this argument on the assertion that if Dr. Braden is protected
    under the Act, he is treated differently from other physicians practicing medicine in Mississippi. This Court
    stated in Mississippi Ins. Guar. Ass'n v. Gandy, 
    289 So. 2d 677
    , 679 (Miss. 1973), that "one who is not
    prejudiced by the enforcement of an act of the legislature cannot question its constitutionality or obtain a
    decision as to its constitutionality on the ground that it impairs the rights of others." The plaintiffs fail to
    demonstrate that they are denied equal protection under the Act, that is, that they are treated differently
    from others similarly situated. They argue only that Dr. Braden is treated differently from other physicians
    practicing medicine in this state. Furthermore, this Court has held that the Act does not violate equal
    protection, Vortice v. Fordice, 
    711 So. 2d 894
    (Miss. 1998), as has the Fifth Circuit, Grimes v. Pearl
    River Valley Water Supply Dist., 
    930 F.2d 441
    (5th Cir. 1991). Because the plaintiffs do not constitute
    a class which would require the use of strict or intermediate scrutiny, the rationale of both Fordice and
    Grimes applies to the case at hand.
    ¶46. Finally, the plaintiffs argue that the notice and statute of limitations provisions of § 11-46-11 and the
    definition of "employee" found in § 11-46-1(f) are unconstitutionally vague. This Court has held that the
    notice provision of § 11-46-11is not unconstitutionally vague. Holmes v. Defer, 
    722 So. 2d 624
    (Miss.
    1998), overruled on other grounds by Carr v. Town of Shubuta, 
    733 So. 2d 261
    (Miss. 1999) (citing
    City of Jackson v. Lumpkin, 
    697 So. 2d 1179
    (Miss. 1997), overruled on other grounds by Carr)). The
    plaintiffs' argument regarding the one-year statute of limitations is likewise without merit. A statute is
    unconstitutionally vague when people of common intelligence must guess at its meaning and differ as to its
    application. Connally v. General Constr. Co., 
    269 U.S. 385
    , 391, 
    46 S. Ct. 126
    , 127, 
    70 L. Ed. 322
    (1926). Section 11-46-11(3) states, "All actions brought under the provisions of this chapter shall be
    commenced within one (1) year next after the date of the tortious, wrongful or otherwise actionable conduct
    . . . ." People of common intelligence are not forced to guess at the meaning of this provisions. It could not
    be clearer. Finally, the plaintiffs' argument that the definition of "employee" is unconstitutionally vague is
    likewise misplaced. Section 11-46-1(f) states:
    "Employee" means any officer, employee or servant of the State of Mississippi or a political
    subdivision of the state, including elected or appointed officials and persons acting on behalf of the
    state or a political subdivision in any official capacity, temporarily or permanently, in the service of the
    state or a political subdivision whether with or without compensation. The term "employee" shall not
    mean a person or other legal entity while acting in the capacity of an independent contractor under
    contract to the state or a political subdivision; provided, however, that for purposes of the limits of
    liability provided for in Section 11-46-15, the term "employee" shall include physicians under contract
    to provide health services with the State Board of Health, the State Board of Mental Health ro any
    county or municipal jail facility while rendering services under contract.
    The plaintiffs contend that this provision must be vague because the parties, and, apparently, even the trial
    judge, could not agree as to whether Dr. Braden is an employee of the University. The fact that the parties
    disagree as to whether an individual is an employee does not mean the statute's definition is vague. The
    question of whether an individual is an employee or independent contractor is necessarily a fact-sensitive
    determination.
    CONCLUSION
    ¶47. There is, at present, an issue of fact regarding Dr. Braden's employment status at the University. The
    trial court's grant of summary judgment is therefore reversed, and this case is remanded to the trial court for
    completion of discovery on this issue. There also exists an issue of fact regarding when the statute of
    limitations began to run against the plaintiffs' action. Should the trial court determine that Dr. Braden is an
    employee of the University, the trial court should consider, in light of this Court's opinion in Barnes v.
    Singing River Hosp. Sys., 
    733 So. 2d 199
    (Miss. 1999), whether the one-year statute of limitations has
    run against the plaintiffs' claim. The plaintiffs' contention that the Tort Claims Act is unconstitutional is
    without merit.
    ¶48. REVERSED AND REMANDED FOR PROCEEDINGS CONSISTENT WITH THIS
    OPINION.
    PITTMAN, P.J., MILLS, WALLER AND COBB, JJ., CONCUR. BANKS, P.J.,
    CONCURS IN PART AND DISSENTS IN PART WITH SEPARATE WRITTEN
    OPINION JOINED BY McRAE AND DIAZ, JJ. McRAE, J., CONCURS IN PART AND
    DISSENTS WITH SEPARATE WRITTEN OPINION JOINED BY DIAZ, J., AND
    JOINED IN PART BY BANKS, P.J. PRATHER, C.J., NOT PARTICIPATING.
    BANKS, PRESIDING JUSTICE, CONCURRING IN PART AND DISSENTING IN PART:
    ¶49. While I agree with most of what the majority has to say, in my view, it misses the mark in considering
    whether the remedies clause of our constitution is violated by tort claims legislation immunizing state
    employees in instances where they were not so immunized at common law at the time that the remedies
    clause was adopted. I too, would reverse and remand, and I agree that the least that is required is a
    determination whether the defendant physician was in fact acting solely as a state employee as we have
    refined the question in Miller v. Meeks, No. 1999-CA-00210-SCT, 
    2000 WL 863167
    (Miss. June 29,
    2000). I go further, however, and also acknowledge that the tort claims act is unconstitutional insofar as it
    immunizes state employees from suit.
    ¶50. The majority correctly observes that while Muhondro v. Alcorn County, 
    675 So. 2d 848
    Miss.
    1996), addressed certain constitutional claims as relating to the immunity of the sovereign, it did not address
    those claims as they affect immunity for state employees. That is, the answer that the tort claims act does
    not detrimentally affect a common law right because there was no cause of action against the sovereign at
    common law, does not hold true for state employees. Inexplicably, the majority recognizes this fact with
    regard to the due process claim but ignores it when it discusses the remedies clause claim where it is equally
    applicable. We have never squarely addressed the issue whether the remedies clause of Section 24 of our
    constitution is violated by legislation which immunizes state employees from suit. I suggest that we answer
    the question in the affirmative, for the reasons stated in my dissent in Sullivan v. Washington, No. 1998-
    CA-01518-SCT, 
    2000 WL 1161072
    (Miss. Aug. 17, 2000).
    ¶51. While, unlike the case in Sullivan v. Washington here some benefit is provided in lieu of the
    common law right of action, the benefit is in my view insufficient as a substitute.(2) Parties allegedly injured
    by the negligence of a state employee are treated with a shortened statute of limitations, sometimes
    burdensome notice requirements, a laundry list of specific conduct exemptions and a cap on damages
    recoverable. In exchange for this, the tort claims act provides only that the state will be liable for some of
    the tortious acts of its employees. In my view, the substitute remedy is illusory and in many instances no
    substitute at all. I would hold that there the benefits accorded under the tort claims act are insufficient to
    support that act's immunization of state employees for conduct not covered by qualified immunity. I would
    declare that aspect of the act unconstitutional.
    McRAE AND DIAZ, JJ., JOIN THIS OPINION.
    McRAE, JUSTICE, CONCURRING IN PART AND DISSENTING IN PART:
    ¶52. While I agree with the majority in reversing this case as there are clearly unresolved issues of fact, I
    must dissent to the inference that Dr. Braden could be shrouded with immunity under our state's Tort Claims
    Act. Such a finding would strip the plaintiffs of a property right without due process. There is no need for
    further discovery in order to resolve Dr. Braden's employment status. As a member of a partnership
    supplying services to the hospital, he is in a "dual capacity" and cannot seek shelter under the Act. In
    addition it would put a cap on the amount of recovery allowed which is in direct conflict with the remedy
    clause. There never was intended, nor should there be, a limit to an individual's right to redress harm.
    Accordingly, I concur in part and dissent in part.
    ¶53. "It is not within the power of the legislature to deny a remedy in the courts for the vindication of a legal
    right or the redress of a legal wrong."(3) Apparently in the years that have passed since former Justice
    George Ethridge made this statement, the majority has forgotten its meaning and the importance of Article e,
    Section 24 of the Constitution of 1890, which reads:
    All courts shall be open; and every person for an injury done to him in his lands, goods, person or
    reputation, shall have remedy by due course of law; and right and justice shall be administered without
    sale, denial, or delay.
    ¶54. The majority fails to recognize that holding Dr. Braden immune is in violation of the remedy clause in
    several ways, as well as the constitution that secures the right to a trial by jury. As noted by Justice Sullivan
    in his dissenting opinion in Robinson v. Stewart, 
    655 So. 2d 866
    (Miss. 1995), "While this clause does not
    explicitly grant an infinite, unlimited guarantee to seek a remedy by due course of law, a statute which
    denies a potential litigant any possibility of bringing suit violates its clear meaning."
    ¶55. The plaintiffs were denied their constitutional right to open access to the courts and due process when
    they were denied the opportunity to depose Dr. Braden, his partners at Children's Cardiac Care
    Consultants, the representative of his insurer, Medical Assurance and the administrative personnel and
    Board of Directors at the University of Mississippi Medical Center regarding his status as an employee or
    independent contractor.
    ¶56. The fact that Dr. Braden is an employee of the University of Mississippi Medical Center for some
    purposes does not affect liability for his negligence while privately practicing medicine and earning outside
    income. Similar situations involving a "dual capacity" employee have been considered by this Court. We
    have recognized that as "the rule which acknowledges that a person may be an independent contractor as to
    certain work and a mere agent or employee as to other work for the same employer." Kight v. Sheppard
    Bldg. Supply, Inc., 
    537 So. 2d 1355
    , 1359 (Miss. 1989).
    ¶57. The language of Miss. Code Ann. § 11-46-1 does not specifically include physicians practicing
    medicine who also happen to be professors at the University of Mississippi Medical Center. The history of
    this state's treatment of such physicians supports the idea that they are to be held personally liable for
    medical treatment decisions. Womble v. Singing River Hosp., 
    618 So. 2d 1252
    (Miss. 1993). Moreover,
    the legislative intent to not include these physicians is supported by the fact that since the enactment of the
    state tort claims act, the legislature has revisited the definition in two bills introduced in the 1997 session of
    the legislature.(4) Both bills attempted to expand the act to included physicians such as Dr. Braden in the
    definition of employee. Neither bill became law. Such is indicative of the legislative intent to exclude
    University of Mississippi Medical Center physicians from the Act.
    ¶58. To include physicians in the position of Dr. Braden would require a court to judicially interpret the
    statute. Are we to say then that an injured patient should be required to "guess" the doctor's employment
    status? Even the judge sitting in this case was unsure of Dr. Braden's status while hearing arguments on a
    Motion to Dismiss:
    I've heard this enough times that I'm really concerned about it. We have all of these doctors at
    University Medical Center that are allowed to engage in what they say is not a private practice but
    which looks just like one. . . And I think the Supreme Court needs to address this because I don't
    know whether they're employees of the State or not to be honest with you.
    If a trial judge is unsure about Dr. Braden's status, the burden of deciding should not be put on the plaintiffs.
    ¶59. Dr. Braden was employed by the state of Mississippi to teach medicine, not practice it. In fact, Dr.
    Braden's W-2's from the University of Mississippi Medical Center show his income there as an "assistant
    professor." Further, Dr. Braden also produced income tax returns from the separate partnership of the
    Children's Cardiac Consultants of which he was charged self-employment tax. The limitations in the
    contract pointed out by Dr. Braden as limiting the scope of his medical practice, and his ability to choose
    what patients to treat is not controlling. What is controlling is Dr. Braden's relationship with his patients. Any
    limitations found in the contract do not change the fact that when he is treating a patient, Dr. Braden is
    practicing medicine as a partner in CCC, hired by the medical center. The patient is incurring charges billed
    by CCC for treatment performed by Dr. Braden. In fact, the patient receives a separate bill from the
    University of Mississippi Medical Center. Clearly from the facts set forth above Dr. Braden is not
    within the definition of state employee. He was part of a separate partnership, separate billing, separate
    income which he paid self-employment taxes, separate liability insurance, and separate counsel when sued.
    Working in a "dual capacity", Dr. Braden is answerable for any potential negligence involved in the
    treatment of the Smiths' son.
    ¶60. In a pre-Tort Claims Act case, Womble v. Singing River Hosp., 
    618 So. 2d 1252
    (Miss.1993), this
    Court considered whether doctors employed by a public entity hospital should be protected by qualified
    immunity. We held these doctors did not implement policy and were, therefore, not protected by immunity:
    None of the considerations undergirding common law qualified immunity are applicable to medical
    treatment decisions. First of all, there is nothing inherently governmental about decisions
    regarding individual medical treatment. They do not involve the formulation of public policy
    in any respect. Therefore, the notion of promoting governmental decisions that are in the
    public good is completely inapplicable. Second the fact that a physician or other medical provider
    is employed by the State does not expose that physician to any greater threat of suit than he would
    otherwise face in private practice.
    
    Womble, 618 So. 2d at 1263-64
    (emphasis added).
    ¶61. If Dr. Braden is held to be an employee protected by the Tort Claims Act, the Smiths are denied
    equal protection under the law, as well as their right to a trial by jury, especially in light of the fact that Dr.
    Braden was a partner in another partnership and chose to personally carry his own insurance policy. If Dr.
    Braden was in fact a state employee under the act as he claims, there would be absolutely no need for
    insurance because the University of Mississippi Medical Center would provide for his defense and he would
    be "allegedly immune" and not need the coverage.
    ¶62. In the event the Tort Claims Act is found to be applicable to Dr. Braden's position, the plaintiffs' action
    should not be barred by the one-year statute of limitation. Dr. Braden does not work directly for an
    institution that enjoys immunity. Rather, he is a partner and agent in Children's Cardiac Care Consultants
    which provides work to the University of Mississippi Medical Center on a contract basis. In fact, he was
    also serving as a partner in the Pediatric Critical Care Assistance ("PCCA"). A contractual relationship
    between a state or government owned hospital and a physician should not be sheltered under the umbrella
    of immunity for negligent acts in the treatment of patients, particularly when there is no notice to the patient
    and the partnership and physician receives compensation from the patient directly.
    ¶63. This Court has adhered to a discovery rule in actions brought under the Tort Claims Act:
    There may be rare cases where the patient is aware of his injury prior to the [expiration of the
    limitations period], but does not discover and could not have discovered with reasonable diligence the
    act or omission which caused the injury. In such cases, the action does not accrue until the latter
    discovery is made.
    Smith v. Sanders, 
    485 So. 2d 1051
    , 1052-53 (Miss. 1986). Under the circumstances, the plaintiffs never
    had proper notice of Dr. Braden's alleged employment status. In addition, while the plaintiffs were aware of
    the death of their son, they had no way of knowing that Dr. Braden was responsible for those injuries until
    notified by experts. This effectively tolled the running of the statute of limitations and Tort Claims Act notice
    provisions which might apply.(5)
    ¶64. At the very least, a summary judgment should never have been entered in this case. To dismiss this suit
    under the Act due to the statute of limitation would once again be protecting those who least need it and
    penalizing the victim. I would reverse and allow for a full trial on the merits.
    ¶65. Accordingly, I concur in part and dissent in part.
    DIAZ, J., JOINS THIS OPINION. BANKS, P.J., JOINS IN PART.
    1. The most recent contract contained in the record provides that Dr. Braden's annual salary is $63,600.
    The arrangement regarding retention of fees earned by treating patients and splitting income in excess of
    $140,000 remains the same.
    2. Sullivan v. Washington presented a case in which there was no remedy at all because the incident
    complained of occurred at a time when only statutory sovereign immunity was effective before the full tort
    claim act providing that the state would be liable for certain acts of its employer became effective.
    3. Found in the book Mississippi Constitutions, written by former Associate Justice George H. Ethridge of
    the Supreme Court of Mississippi and published in 1928.
    4. HB 416 and Senate Bill 2565, 1997.
    5. See also Senate Bill 2974 which amends § 11-46-11 to provide a savings clause for those under the
    disability of infancy or unsoundness of mind limited to 21 years. Effective on passage. Signed 4/10/2000.