Behazin v. Dignity Health CA2/2 ( 2020 )


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  • Filed 9/2/20 Behazin v. Dignity Health CA2/2
    NOT TO BE PUBLISHED IN THE OFFICIAL REPORTS
    California Rules of Court, rule 8.1115(a), prohibits courts and parties from citing or relying on opinions
    not certified for publication or ordered published, except as specified by rule 8.1115(b). This opinion
    has not been certified for publication or ordered published for purposes of rule 8.1115.
    IN THE COURT OF APPEAL OF THE STATE OF CALIFORNIA
    SECOND APPELLATE DISTRICT
    DIVISION TWO
    NEGIN BEHAZIN,                                                B293805
    Plaintiff and Appellant,                             (Los Angeles County
    Super. Ct. No. NC060566)
    v.
    DIGNITY HEALTH, INC.,
    Defendant and Respondent.
    APPEAL from a judgment of the Superior Court of
    Los Angeles County. Ramona G. See, Judge. Affirmed.
    Bohm Law Group and Lawrence A. Bohm, Bradley J.
    Mancuso, and Lindsay L. Bowden; Esner, Chang & Boyer and
    Stuart B. Esner for Plaintiff and Appellant.
    Ballard Rosenberg Golper & Savitt, Linda Miller Savitt,
    Eric C. Schwettmann, and John J. Manier for Defendant and
    Respondent.
    Negin Behazin (appellant) appeals from a final judgment
    entered after the trial court granted summary judgment in favor
    of Dignity Health, Inc. (respondent) on appellant’s claims against
    respondent. At issue in appellant’s first amended complaint
    (FAC) against respondent were only two causes of action: (1)
    violation of Labor Code sections 98.6 and 1102.5; and (2) adverse
    action in violation of public policy. The trial court granted
    summary judgment on these two causes of action on the grounds
    that appellant did not engage in any activity protected by Labor
    Code sections 98.6 or 1102.5; and there is no tort cause of action
    for nonrenewal of a fixed term employment contract such as
    appellant’s. We find no error and affirm the judgment.
    FACTUAL BACKGROUND1
    Appellant’s educational background
    Appellant received her medical education at Islamic Azad
    University in Tehran, Iran, and thereafter practiced medicine in
    Iran for five years. In March 2003, she obtained an entry visa
    into the United States and entered a Ph.D. program in
    pharmacology at Northeastern University. She left that program
    after receiving her master’s degree in 2005. She was then
    ____________________________________________________________
    1      Because this matter comes to us after summary judgment
    proceedings, only uncontested facts are relevant. We note that
    the parties disagree as to the interpretation of many of the facts
    concerning appellant’s background. Appellant objects that
    respondent’s characterization of appellant as an individual
    lacking in both medical and social skills is overly one-sided.
    Respondents, on the other hand, argue appellant made untrue
    statements on her application for admission and encountered
    problems with her performance and her interpersonal skills while
    employed with respondent. Due to the conflicting depictions of
    appellant’s character and skills, we limit our explanation of
    appellant’s background.
    2
    engaged in medical research at two Boston hospitals for four
    years.
    Appellant entered a preliminary year residency program at
    St. Mary’s Health Center in St. Louis, Missouri (SMHC) for the
    2010-2011 academic year. Appellant received an overall
    satisfactory evaluation for her post-graduate year at SMHC, but
    she received several marginal evaluations for certain rotations.
    On July 1, 2011, appellant began an advanced residency in
    anesthesiology at the University of Missouri in Columbia,
    Missouri, where she experienced difficulties, and received
    unsatisfactory ratings for both her first and second six month
    reviews. She received no academic credit for the year due to her
    unsatisfactory rating.
    Appellant’s position with respondent’s organization
    St. Mary Medical Center in Long Beach, California
    (SMMC), offered appellant a postgraduate year one position in
    internal medicine. Appellant accepted, and signed a resident
    employment agreement that offered a fixed one-year term from
    June 18, 2013 to June 22, 2014, with no guarantee of renewal.
    The contract provided, in part, that it “applies only to the stated
    term hereof and does not imply any guarantee of a training
    position or employment of any kind in subsequent years.” The
    agreement also explained that if the resident’s agreement was
    not going to be renewed, SMMC would “use its best efforts to
    provide Resident with a written notice of intent not to renew no
    later than four (4) months prior to the expiration of this
    Agreement,” but, should the reasons for nonrenewal occur within
    the last four months preceding the contract’s expiration,
    “Hospital shall provide as much advance notice to Resident as is
    reasonable under the circumstances.”
    3
    Internal medicine residents such as appellant who have
    graduated from an international medical school must obtain a
    California medical license by the end of their third year of
    training, regardless of whether they received academic credit for
    each year. Residents are required to begin the process of
    obtaining a California medical license six months before the
    applicable cut off date, so that any problems can be resolved in a
    timely manner. In a letter dated January 17, 2014, the Medical
    Board of California notified appellant that she needed to submit
    several additional items to support her medical licensure
    application, including a “signed and dated personal explanation”
    of why she did not disclose her SMMC training for 2013-2014 on
    her application summary.
    There were various issues with appellant’s performance
    and progress throughout her residency year at SMMC. In
    February 2014, appellant’s faculty advisor, Sarah Strube, D.O.,
    provided Dr. Chester Choi, the program director, with a list of 16
    separate problems and ongoing issues she observed with
    appellant’s performance. On March 18, 2014, in a meeting with
    Dr. Strube, appellant faced criticism for her performance on her
    February medical floor rotation. Dr. Strube gave appellant
    marginal evaluations for the month of February. On March 29,
    2014, Bettina Kehrle, M.D., met with appellant to discuss her
    performance. The next day, Dr. Kehrle provided other
    supervising doctors with a list of concerns she had about
    appellant’s performance, as she did not believe appellant was
    meeting the program’s standards as compared to her peers.
    March 10, 2014 email
    On March 10, 2014, appellant wrote an email to seven
    individuals affiliated with the residency program including
    4
    Dr. Strube, five other doctors, and Maureen Lucey, the nursing
    director of the ICU. The email was captioned “Questions on
    transfusion strategies in GI bleed,” and included: “The reason I
    am bringing this case to your attention is that in my opinion it is
    related to patient safety, and I’ve noticed that there is no
    consensus even among the House Staff and the attending
    physicians at St. Mary on the management of GI bleeds.” The
    email was viewed as a complaint about the ICU nurses, one of
    whom pressed the code button out of concern that appellant was
    not giving appropriate orders. Appellant specifically questioned
    the judgment of a third-year resident in the email, which was
    considered inappropriate outside of the peer review process.
    The next day, Dr. Bahman Chavoshan, one of the email
    recipients, sent a reply to appellant:
    “I read your e-mail with a significant amount of
    concern.
    “While we encourage our house staff to be
    involved in quality improvement projects, patient
    safety assurance, there are proper venues for these
    activities. An e-mail to a group of people with
    various levels of responsibility is not one of those
    avenues.
    “The issues of physician practices, et cetera, fall
    under various committees, including the medical staff
    association. Openly discussing other physician
    practices by name outside of a peer review process is
    never appropriate.
    “I know that Dr. Strube and you are planning
    to meet next week to go over your most recent
    evaluations. Dr. Choi and/or I will meet with you
    afterwards.
    5
    “Let me also be frankly blunt and clear: the
    issues of performance (including advancement and
    disciplining), leave and other privileged information
    about other house staff members cannot and shall not
    be discussed.”2
    Appellant’s response to Dr. Chavoshan was as follows:
    “This is not about questioning another
    physician’s performance. It is about being pressured
    by ICU staff to give certain orders and be discredited,
    if not doing so. I have learned from experience that if
    I refuse to give a certain order, I will be bypassed to
    the next level and the case is presented to the next
    person in a way that the order is obtained. I am not
    questioning [anyone] here. I am questioning the ICU
    staff’s level of comfort with watchful waiting and
    threshold based transfusion in GI bleed and I wanted
    to start the discussion with the intensivists here (I
    wish I could have included all the intensitists [sic] on
    the email) to come up with a [framework] for ICU
    staff for manageme[nt] of GI bleed.
    “As for leave of absence, I am totally surprised
    that an intern is on leave of absence fighting for his
    life and is being ignored to this level by the
    department. When I worked at Harvard, it was a
    [routine] practice to let the colleagues know if
    [someone] was on leave for any family emergency.
    ____________________________________________________________
    2      The reference in Dr. Chavoshan’s e-mail to “leave and other
    privileged information” pertained to appellant’s oral request for
    the home address of an intern who was being treated for a life-
    threatening illness, so that appellant and others could send the
    intern a card and flower arrangement.
    6
    Department would send them flower arrangements
    and an e-mail would inform staff that a card is
    available to write or sign for that person in such and
    such room and on such days, so people would go and
    drop a note of sympathy for their counterpart. The
    card would then go to that person with flowers via
    the department. This is NOT a HIPPA [sic] violation
    or invasion to anybody’s privacy. I think in this
    department we are going way extreme in terms of
    respecting privacy and we’re confusing respecting
    privacy with ignoring. I am very sorry that you have
    such ill impressions of my intentions in [everything] I
    do and say.
    “Negin
    “LET ME BE BLUNTLY FRANK: WE WANT TO
    SEND FLOWERS AND CARDS TO . . . . . IF THIS
    STUPID DEPARTMENT CAN NOT [sic] ARRANGE
    FOR IT TO HAPPEN, GIVE US HIS HOME
    ADDRESS TO TAKE CARE OF IT BY
    OURSELVES!”
    One minute later, appellant sent a second reply to Dr.
    Chavoshan, which stated in full:
    “I AM NOT INTERESTED IN MEETING
    WITH U [sic] BY THE WAY. SEND ME YOUR
    ADVICE/QUESTIONS VIA EMAIL. [¶] NEGIN”
    Three days after this e-mail exchange, appellant was called
    to a mandatory meeting with SMMC’s chief medical officer,
    Andrew Burg, M.D., and its human resources director, Robert
    Bokern, to discuss appellant’s behavior in sending the emails. At
    this meeting, appellant was informed that SMMC had decided
    not to renew her contract. Dr. Burg also discussed the rules
    7
    under HIPAA, and there was a brief discussion of the incident
    involving transfusions, which was reviewed with the nursing
    committee. Contrary to appellant’s assertions, the committee
    determined that the nurses had acted properly.
    Appellant completes her one-year contract with a
    satisfactory rating
    In a March 2014 communication, Kevin Schunke at the
    Medical Board, indicated to Dr. Chavoshan that the SMMC
    program should expect an opening in the residency program in
    July 2014. This exchange led Dr. Chavoshan to believe that
    appellant would not receive her medical license before the start of
    the next academic year.
    Appellant was formally notified of SMMC’s decision not to
    renew her employment after completion of her postgraduate year
    one program by letter from Dr. Burg dated April 1, 2014.
    Appellant was permitted however, to finish her year one contract
    term and present a corrective action plan to the committee, to
    potentially enable her to attain a final rating of satisfactory and
    receive academic credit for the year. Appellant and Dr. Strube
    developed a corrective plan for the remainder of appellant’s
    contract term.
    Appellant repeatedly asked Dr. Burg and Dr. Choi to
    reconsider the decision not to renew her contract. June 22, 2014,
    was appellant’s last day of work at SMMC. One day after her
    residency officially ended, appellant met with Dr. Strube and an
    administrative assistant to discuss the program’s decision not to
    offer appellant another contract. On June 24, 2014, the manager
    of academic affairs showed appellant the form filled out by
    programs to communicate completion of a year of training to the
    Medical Board of California. The form was completed and signed
    8
    by Dr. Choi with an attached letter of explanation to the Medical
    Board. The letter advised that appellant had finished the year
    with competencies but that she would not be moving on to a
    second year, as it was anticipated that she would not have her
    unrestricted California practice license by July 1, 2014, in time
    for the start of the new clinical year.
    On July 1, 2014, appellant forwarded Dr. Burg, Dr. Choi,
    and Dr. Chavoshan an email indicating that she had received her
    California medical license. Appellant pursued a grievance with
    SMMC’s human resources office, which was denied on October 8,
    2014.
    PROCEDURAL HISTORY
    Appellant filed a verified complaint for damages on April 1,
    2016, which contained causes of action for (1) violation of Health
    and Safety Code section 1278.5;3 (2) violation of Labor Code
    ____________________________________________________________
    3     Health and Safety Code section 1278.5 “declares that it is
    the public policy of the State of California to encourage patients,
    nurses, members of the medical staff, and other health care
    workers to notify government entities of suspected unsafe patient
    care and conditions.” (Health & Saf. Code, § 1278.5, subd. (a).)
    The statute further mandates that “[a] health facility shall not
    discriminate or retaliate, in any manner, against a patient,
    employee, member of the medical staff, or other health care
    worker of the health facility” on the grounds that the employee
    “[p]resented a grievance, complaint, or report to the facility” (§
    1278.5, subd. (b)(1)(A)) or “[h]as initiated, participated, or
    cooperated in an investigation . . . related to the quality of care,
    services, or conditions at the facility” among other things.
    (§ 1278.5, subd. (b)(1)(B).) Pursuant to subdivision (g), “[a]n
    employee who has been discriminated against in employment
    pursuant to this section shall be entitled to reinstatement,
    reimbursement for lost wages and work benefits caused by the
    9
    sections 98.6 and 1102.5; (3) violation of Business and Professions
    Code section 2056; (4) intentional interference with prospective
    economic relations; and (5) adverse action in violation of public
    policy. Respondent was named in all causes of action except the
    fourth, while Drs. Burg, Choi, Strube, and Kehrle (individual
    defendants) were named on the first, third, and fourth causes of
    action. The trial court sustained the individual defendants’
    demurrers to the first, third, and fourth causes of action without
    leave to amend, dismissing them from the action.
    The parties then filed a stipulation allowing appellant to
    amend her complaint and file the FAC. The stipulation
    confirmed that appellant agreed to amend her complaint based
    on recent decisions in Shaw v. Superior Court (2017) 
    2 Cal. 5th 983
    (Shaw) [holding there is no statutory right to a jury trial
    under Health and Safety Code section 1278.5, subdivision (g)]
    and Melamed v. Cedars-Sinai Medical Center (2017) 
    8 Cal. App. 5th 1271
    [suggesting that a one-year statute of
    limitations may be appropriate for a claim under Health and
    Safety Code section 1278.5], review granted and transferred for
    reconsideration on other grounds (Sept. 25, 2019, S245420).
    Appellant agreed to dismiss her causes of action under Health
    and Safety Code section 1278.5 and Business and Professions
    Code section 2056, as well as her cause of action for intentional
    interference with prospective economic relations.
    The trial court approved the parties’ stipulation on August
    23, 2017, and the FAC was deemed filed. In the FAC, appellant
    acts of the employer, and the legal costs associated with pursuing
    the case, or to any remedy deemed warranted by the court
    pursuant to this chapter or any other applicable provision of
    statutory or common law.”
    10
    alleged: (1) violation of Labor Code sections 98.6 and 1102.5; and
    (2) adverse action in violation of public policy.
    Respondent filed a motion for summary judgment or, in the
    alternative, summary adjudication on September 8, 2017 (MSJ).
    In its supporting memorandum, respondent argued that
    appellant did not engage in any activity protected by Labor Code
    sections 98.6 or 1102.5; that California law does not recognize a
    common law cause of action based on nonrenewal of a fixed term
    contract; that appellant had no evidence that respondent acted
    with retaliatory animus, and that she could not overcome the
    great deference that should be accorded to the residency
    program’s academic and medical judgment. Respondent further
    argued that appellant lacked clear and convincing evidence of the
    requisite conduct to support her request for punitive damages.
    Appellant filed her opposition papers nearly a year later, on
    August 15, 2018. Appellant asserted that she was retaliated
    against for her March 10, 2014 email set forth above. Appellant’s
    opposition did not address respondent’s argument that California
    law does not recognize a tort for wrongful nonrenewal of a fixed
    term employment contract. Respondent filed a reply on August
    24, 2018.
    The motion was heard on August 29, 2018. On August 31,
    2018, the trial court issued a minute order granting the motion.
    The trial court ruled that appellant did not engage in any activity
    protected by Labor Code sections 98.6 or 1102.5 because she did
    not file a complaint or institute any proceeding, and failed to
    identify any rule or regulation allegedly violated by respondent.
    The trial court concluded there was no tort cause of action for
    nonrenewal of a fixed term employment contract. The court held
    11
    that appellant’s request for punitive damages was moot for the
    same reasons.
    Respondent filed a notice of entry of judgment on
    September 25, 2018. Appellant filed a notice of appeal on
    November 9, 2018.
    DISCUSSION
    I. Applicable law and standard of review
    The purpose of the summary judgment procedure is to
    reveal whether “there is no triable issue as to any material fact.”
    (Code Civ. Proc., § 437c, subd. (c).) An issue of material fact is
    one which “‘warrants the time and cost of fact finding by trial.’”
    (Sangster v. Paetkau (1998) 
    68 Cal. App. 4th 151
    , 162.) The trial
    court’s role is to determine whether such issues of fact exist, not
    to decide the merits of any such issues. (California Traditions,
    Inc. v. Claremont Liability Ins. Co. (2011) 
    197 Cal. App. 4th 410
    ,
    416.) A triable issue of material fact exists if the evidence would
    allow a reasonable trier of fact to find the underlying fact in favor
    of the party opposing the motion in accordance with the
    applicable standard of proof. (Aguilar v. Atlantic Richfield Co.
    (2001) 
    25 Cal. 4th 826
    , 850 (Aguilar).)
    A defendant moving for summary judgment bears the
    burden of persuasion that there is no triable issue of material fact
    and he is entitled to judgment as a matter of law. 
    (Aguilar, supra
    , 25 Cal.4th at p. 850.) The defendant must show that one
    or more elements of the cause of action cannot be established, or
    that there is a complete defense to that cause of action. (Code
    Civ. Proc., § 437c, subd. (p)(2).) A defendant may meet this
    burden by showing that the claim cannot be established due to a
    lack of evidence on an essential element of the claim. (Union
    Bank v. Superior Court (1995) 
    31 Cal. App. 4th 573
    , 590.)
    12
    Once the defendant meets this burden, the burden shifts to
    the plaintiff to show that a triable issue of fact exists as to that
    cause of action or defense. If the plaintiff is unable to show the
    existence of a triable issue of material fact, summary judgment in
    favor of the defendant is proper. (Union Bank v. Superior 
    Court, supra
    , 31 Cal.App.4th at p. 590.)
    We review the trial court’s decision to grant the summary
    judgment motion de novo, applying the same legal standard as
    the trial court. (Nardizzi v. Harbor Chrysler Plymouth Sales, Inc.
    (2006) 
    136 Cal. App. 4th 1409
    , 1414, citing Paz v. State of
    California (2000) 
    22 Cal. 4th 550
    , 557.)
    II. Labor Code sections 98.6 and 1102.5 (first cause of
    action)
    A. Appellant has abandoned any argument under
    Labor Code section 98.6
    Labor Code section 98.6, subdivision (a) provides, in
    relevant part, that an employer “shall not discharge an employee
    or in any manner discriminate, retaliate, or take adverse action
    against” that employee based on any conduct delineated in this
    chapter or if the employee has “filed a bona fide complaint or
    claim or instituted or caused to be instituted any proceeding
    under or relating to his or her rights that are under the
    jurisdiction of the Labor Commissioner, made a written or oral
    complaint that he or she is owed unpaid wages, or because the
    employee has initiated any action or notice pursuant to Section
    2699, or has testified or is about to testify in a proceeding
    pursuant to that section, or because of the exercise by the
    employee or applicant for employment on behalf of himself,
    herself, or others of any rights afforded him or her.”
    13
    In its motion, respondent argued that appellant had not
    engaged in any activity protected under Labor Code section 98.6.
    Appellant’s opposition did not assert any arguments under
    section 98.6. Neither her opening brief to this court, nor her
    reply brief, contain any such argument either. Under these
    circumstances, appellant has abandoned this cause of action, and
    we do not further review the trial court decision on this claim.
    (Schmidt v. Bank of America, N.A. (2014) 
    223 Cal. App. 4th 1489
    ,
    1513.)
    B. Summary judgment was properly granted as to
    appellant’s claim under Labor Code section 1102.5
    Labor Code section 1102.5, subdivision (b), provides:
    “An employer, or any person acting on behalf of
    the employer, shall not retaliate against an employee
    for disclosing information, or because the employer
    believes that the employee disclosed or may disclose
    information, to a government or law enforcement
    agency, to a person with authority over the employee
    or another employee who has the authority to
    investigate, discover, or correct the violation or
    noncompliance, or for providing information to, or
    testifying before, any public body conducting an
    investigation, hearing, or inquiry, if the employee has
    reasonable cause to believe that the information
    discloses a violation of a state or federal statute, or a
    violation of or noncompliance with a local, state, or
    federal rule or regulation, regardless of whether
    disclosing the information is part of the employee’s
    job duties.”
    Labor Code section 1102.5, subdivision (c) prohibits
    retaliation “against an employee for refusing to participate in an
    activity that would result in a violation of a state or federal
    14
    statute, or a violation of or noncompliance with a local, state, or
    federal rule or regulation.”
    The FAC quoted both subdivision (b) and subdivision (c) of
    Labor Code section 1102.5. Under subdivision (c), the employee
    must specifically identify the activity in which she refused to
    engage, and the specific statute, rule, or regulation that
    purportedly would have been violated. (Nejadian v. County of
    Los Angeles (2019) 
    40 Cal. App. 5th 703
    , 719 [cause of action under
    Labor Code section 1102.5, subdivision (c) requires employee to
    “identify what specific activity he or she refused to participate in
    and what specific statute, rule, or regulation would be violated by
    that activity”].) Although subdivision (b) requires only
    “reasonable cause to believe” that there has been a violation of a
    local, state, or federal rule or regulation, the employee is subject
    to the same requirement to identify the specific law that the
    employee believes has been violated. (Id. at pp. 718-719).
    Appellant did not identify any law, rule, or regulation
    which she thought had been violated or that she had been asked
    to violate. Instead, she made vague assertions that her
    complaints concerned patient safety. Under the circumstances,
    the trial court properly granted summary judgment.
    For the first time on appeal, appellant raises some statutes
    she claims supported a reasonable belief on the part of appellant
    that respondent was violating the law. Appellant cites title 42
    United States Code section 1320c-5, concerning Medicare, which
    mandates health care providers assure that medical care be
    provided “economically, and only when . . . medically necessary,”
    be of “a quality which meets professionally recognized standards
    of health care,” and be “supported by evidence of medical
    15
    necessity.”4 Appellant concedes that none of the statutes or
    regulations raised here were raised in the trial court, but
    suggests that we consider them as they concern a pure issue of
    law. (Ryan v. Real Estate of the Pacific, Inc. (2019) 
    32 Cal. App. 5th 637
    , 644 [permitting new question of law presented
    on appeal based on undisputed facts]; see also Nippon Credit
    Bank v. 1333 North Cal. Boulevard (2001) 
    86 Cal. App. 4th 486
    ,
    500.)
    Appellant presents no authority that she was not required
    to specify at the trial court level a law that she reasonably
    believed to have been broken, as to a claim under Labor Code
    section 1102.5. Ross v. County of Riverside (2019) 
    36 Cal. App. 5th 580
    (Ross) is distinguishable. In Ross, a former assistant district
    attorney (DA) brought a claim for violation of Labor Code section
    1102.5, among other claims, against the county. During his
    employment, the assistant DA had disclosed to his superiors that
    the district attorney’s office would not be able to prove a
    particular case beyond a reasonable doubt; lacked probable cause
    because the defendant’s confession was coerced; and that DNA
    evidence exculpated the defendant. (Ross, at p. 592.) The
    assistant DA recommended dismissing the case based on his
    belief that prosecuting it would be a violation of the defendant’s
    due process rights as well as a prosecutor’s ethical obligations
    under state law. (Ibid.) Although he did not expressly state in
    his disclosures to his superiors that he believed they would be
    ____________________________________________________________
    4     Appellant also cites, for the first time in her opening brief,
    other federal and state laws she claims are in accord, such as
    Welfare and Institutions Code section 14059.5; California Code of
    Regulations, title 22, section 41452 and title 2, section 60323,
    subdivision (a).
    16
    violating these laws, his reasonable belief of such violations was
    sufficient. (Ibid.) Ross does not suggest that a plaintiff asserting
    a claim under Labor Code section 1102.5 need not assert the
    reasonable belief of a specific violation at some point during the
    trial court proceedings. Green v. Ralee Engineering Co. (1998) 
    19 Cal. 4th 66
    (Green), similarly does not advance appellant’s
    position. Green rejected a defendant’s claim that the plaintiff
    failed to produce specific statutes at the trial court level where
    “plaintiff had adequately identified several relevant FAA
    regulations as part of his opposition to summary judgment.” (Id.
    at p. 74.) In contrast, appellant has failed to identify any such
    statutes during the summary judgment proceedings. Thus, her
    present arguments must be deemed forfeited on appeal out of
    fairness to respondent. (Ochoa v. Pacific Gas & Electric Co.
    (1998) 
    61 Cal. App. 4th 1480
    , 1488, fn. 3 (Ochoa) [point not raised
    in appellant’s opposition papers or during argument on summary
    judgment motion below, and thus not considered below, is
    “waived and will not be considered for the first time on appeal”].)
    We note that even if we considered these provisions, cited
    for the first time on appeal, appellant has failed to provide a
    citation to the record suggesting that appellant reasonably
    believed that respondent may have acted in a way that violated
    any of these laws. Appellant does not suggest that she set forth
    any facts below establishing a belief on her part that respondent
    was violating these laws in any respect.
    The trial court properly granted summary judgment as to
    appellant’s first cause of action for violation of Labor Code
    sections 98.6 and 1102.5.
    17
    III. Adverse action in violation of public policy (second
    cause of action)
    A. Summary judgment was properly granted
    Appellant’s second cause of action is a tort claim based on
    Tameny v. Atlantic Richfield Co. (1980) 
    27 Cal. 3d 167
    (Tameny).
    In Tameny, the Supreme Court held that when an employee’s
    discharge violates fundamental principles of public policy, the
    discharged employee may maintain a tort action against his or
    her former employer and recover damages. (Id. at pp. 178-179.)5
    In its motion, respondent argued that summary judgment
    should be granted as to this cause of action because California
    does not recognize a tort claim based on failure to renew a fixed-
    term employment contract. California courts of appeal have
    uniformly declined to recognize such a tort. (Touchstone
    Television Productions v. Superior Court (2012) 
    208 Cal. App. 4th 676
    , 678 (Touchstone); Motevalli v. Los Angeles Unified School
    Dist. (2004) 
    122 Cal. App. 4th 97
    , 102 (Motevalli); Daly v. Exxon
    Corp. (1997) 
    55 Cal. App. 4th 39
    ; 43 (Daly).) Appellant provided
    no contrary argument in her opposition to the motion below.
    Respondent accurately set forth the law, and appellant
    forfeited any arguments not presented to the trial court. 
    (Ochoa, supra
    , 61 Cal.App.4th at p. 1488, fn. 3.) Thus, summary
    judgment of this cause of action was properly granted.
    ____________________________________________________________
    5      A Tameny cause of action is not strictly limited to wrongful
    termination. The tort has been expanded to include lesser forms
    of discipline, including wrongful demotion of existing employees.
    (Garcia v. Rockwell Internat. Corp. (1986) 
    187 Cal. App. 3d 1556
    ,
    abrogated on other grounds in Gantt v. Sentry Insurance (1992) 
    1 Cal. 4th 1083
    , 1093; Scott v. Pacific Gas & Electric Co. (1995) 
    11 Cal. 4th 454
    , 473-474.)
    18
    B. The basis of the purported public policy violation
    is not determinative
    Because California courts have declined to recognize a tort
    for failure to renew a fixed-term contract, the trial court properly
    granted summary judgment on this cause of action, regardless of
    the specific public policy violation allegedly underlying the claim.
    Appellant forfeited any arguments to the contrary by failing to
    raise them in the trial court. 
    (Ochoa, supra
    , 61 Cal.App.4th at p.
    1488, fn. 3.)
    Nevertheless, appellant argues at length in her opening
    brief that triable issues of fact remain as to whether respondent’s
    act of declining to renew her employment contract violated
    Health & Safety Code section 1278.5. We note that appellant’s
    FAC did not allege a direct violation of section 1278.5. Instead, it
    alleged a tort cause of action under Tameny. As a matter of law,
    there is no tort cause of action for an employee based on the act of
    declining to renew a fixed term employment contract.
    
    (Touchstone, supra
    , 208 Cal.App.4th at p. 678; 
    Motevalli supra
    ,
    122 Cal.App.4th at p. 102; 
    Daly, supra
    , 55 Cal.App.4th at p. 43.)
    Respondent, in moving for summary judgment, was required to
    address only the issues raised in the FAC. (Soria v. Univision
    Radio Los Angeles, Inc. (2016) 
    5 Cal. App. 5th 570
    , 585.) Because
    appellant did not allege an actionable adverse action, the court
    properly granted summary judgment on this tort cause of action.6
    ____________________________________________________________
    6      Both parties address Williams v. Sacramento River Cats
    Baseball Club, LLC (2019) 
    40 Cal. App. 5th 280
    , which was
    published after appellant filed her opening brief in this appeal.
    Williams involved a plaintiff’s accusation that an organization
    failed to hire him based on his race. The Williams court
    determined that the plaintiff could not maintain a Tameny tort
    action against the organization due to the fact that he was a job
    19
    
    Shaw, supra
    , 
    2 Cal. 5th 983
    , does not suggest otherwise.
    Shaw involved an underlying claim of wrongful termination. (Id.
    at p. 988.) The plaintiff brought two causes of action, one based
    on violation of Health and Safety Code section 1278.5,
    subdivision (g), and a second cause of action for wrongful
    termination in violation of public policy under Tameny. (Shaw,
    at p. 988.) The Shaw court held that section 1278.5 “is not
    reasonably understood, as a matter of statutory interpretation, to
    afford a right to a jury trial.” (Shaw, at p. 999.) However, the
    high court confirmed that “in an employee’s suit for retaliatory
    termination, any conduct of the health care facility that would
    support a cause of action under section 1278.5(g) would also
    provide a basis for a tort action under Tameny. [Citations.]”
    (Shaw, at p. 1004.) Shaw does not authorize a tort action for
    failure to renew a fixed term employment contract.
    Appellant’s attempt to distinguish Touchstone is
    unconvincing. Appellant asserts that because Shaw was decided
    after Touchstone, Shaw opened the door to a potential cause of
    action for nonrenewal of a fixed-term contract because it
    confirmed that although there is no right to a jury trial directly
    under Health and Safety Code section 1278.5, a plaintiff can
    applicant instead of an employee. The Williams court concluded:
    “Because plaintiff was not an employee, defendant did not owe
    him a duty; thus, plaintiff’s Tameny claim must fail.” (Williams,
    at p. 288.) While the plaintiff was not without recourse because
    he could proceed under various statutory and constitutional
    theories, he could not maintain a tort action against the
    organization. Williams supports the line of cases holding that
    the wrongful failure to renew a fixed-term employment contract
    does not support a tort action as the employer has not breached
    any duty to the fixed-term employee. (Id. at pp. 287-288).
    20
    preserve such jury trial rights by framing the cause of action as a
    Tameny cause of action. Appellant highlights the following
    footnote in Shaw:
    “In this case, plaintiff seeks recovery for
    retaliatory termination and thus clearly may
    maintain an action and obtain a jury trial under
    Tameny. Because the issue is not before us, we have
    no occasion to consider under what circumstances a
    plaintiff in a section 1278.5(g) action who alleges
    discriminatory treatment other than retaliatory
    termination has a right to bring a Tameny action or
    is otherwise entitled to a jury trial.”
    (
    Shaw, supra
    , 2 Cal.5th at p. 1006, fn. 20.)
    The footnote goes on to cite Daly, Motevalli, and Touchstone
    for the well-settled proposition that a Tameny action cannot be
    based on the failure to renew a fixed term employment contract.
    (
    Shaw, supra
    , 2 Cal.5th at p. 1006, fn. 20.)
    We find no authority in Shaw to expand the scope of
    existing law regarding Tameny tort actions. Failure to renew a
    fixed term employment contract is not actionable. Appellant has
    not convinced this court that an exception to this settled law
    should be carved out for purported violations of Health and
    Safety Code section 1278.5.
    C. The hybrid employee-student relationship at issue
    does not change the result
    Appellant argues that even if Touchstone, and the cases in
    agreement with Touchstone, preclude a cause of action for failure
    to renew an employment contract in violation of public policy, the
    holding of these cases should not apply to the hybrid employee-
    student relationship that existed between appellant and
    21
    respondent. While appellant has forfeited this argument by
    declining to raise it below, we address it briefly. 
    (Ochoa, supra
    ,
    61 Cal.App.4th at p. 1488, fn. 3.)
    Appellant cites Ezekial v. Winkley (1977) 
    20 Cal. 3d 267
    ,
    which holds that a medical resident is entitled to fair procedure
    prior to his dismissal from a residency program. She also cites
    Stretten v. Wadsworth Veterans Hospital (9th Cir. 1976) 
    537 F.2d 361
    , 368, which emphasizes a medical resident’s property
    interests, which are “to maintain his income, to complete the
    residency phase of his medical education, and to protect his
    professional reputation.” Neither case cited by appellant
    involved a Tameny action. In fact, both cases pre-date Tameny.
    Thus, neither case suggests that a medical resident has any
    greater interest in renewal of a fixed-term contract than other
    types of employees.
    Appellant points to testimony in the record from her expert
    witness, suggesting that the procedures implemented to carry out
    the nonrenewal of appellant’s employment contract fell below the
    standard operating procedures of reputable programs and that
    the residency was a three-year program. However, the language
    of the contract that appellant signed was unequivocal, and
    appellant cites no law suggesting that we should interpret the
    fixed-term contract in any other way. Appellant’s expert’s
    opinion does not create a legal issue as to the length of the
    contract term. We are not inclined to characterize the
    nonrenewal as a termination, in the absence of legal authority
    that it should be characterized as such.
    Further, as respondent points out, appellant’s status as a
    hybrid employee-student also arguably requires us to give
    respondent’s nonrenewal decision more deference due to
    22
    respondent’s authority to evaluate appellant academically. (See,
    e.g., Paulsen v. Golden Gate Univ. (1979) 
    25 Cal. 3d 803
    , 808
    [recognizing a “widely accepted rule of judicial nonintervention
    into the academic affairs of schools. [Citations.]”; Banks v.
    Dominican College (1995) 
    35 Cal. App. 4th 1545
    , 1551 [academic
    decisions of a private university must be upheld unless they
    represent “‘substantial departure from accepted academic
    norms”’].) Courts have recognized that in cases involving
    academic dismissals, under this “highly deferential standard of
    review, cases challenging academic dismissals often will
    appropriately be resolved as a matter of law on summary
    judgment.” (Ibid.) We need not decide whether respondent
    abused its discretion in this matter. We merely note that while
    appellant argues that respondent’s nonrenewal decision should
    be scrutinized more in her case, there are alternative arguments
    as to why it should be scrutinized less.
    Appellant finished her one-year employment contract with
    a satisfactory rating. No tort claim lies for the nonrenewal of this
    contract. Appellant has not convinced us that any exceptions
    apply in this case. Summary judgment was properly granted.
    IV. Request for leave to amend
    Appellant argues that we should reverse the trial court’s
    grant of summary judgment and allow her to pursue a direct
    cause of action under Health and Safety Code section 1278.5,
    notwithstanding her previous decision to abandon that claim.7 In
    ____________________________________________________________
    7     As set forth above, appellant’s initial complaint included a
    cause of action under Health and Safety Code section 1278.5.
    However, following demurrers and a stipulation between the
    parties, appellant agreed to amend her complaint to allege the
    23
    support of this argument, appellant cites several cases, all of
    which are distinguishable.
    First, appellant cites a line of cases suggesting that the
    label used to describe a cause of action should not be
    determinative. However, none of these cases suggests that an
    appellate court should permit a plaintiff to amend her complaint
    to re-allege a previously dismissed cause of action after summary
    judgment has been granted.8
    Appellant argues that both Touchstone and Daly permitted
    a plaintiff to proceed with a statutory claim even when the courts
    concluded that the plaintiff could not proceed with a Tameny tort
    claim. However, the two cases involved different procedural
    backgrounds. In Daly, the plaintiff appealed after the trial court
    sustained the defendants’ demurrer without leave to amend.
    two causes of action discussed here. Thus, she voluntarily
    dismissed the section 1278.5 cause of action.
    8     Appellant cites the following cases: Bird, Marella, Boxer &
    Wolpert v. Superior Court (2003) 
    106 Cal. App. 4th 419
    [involving
    a demurrer]; Atlantic Mutual Ins. Co. v. J. Lamb, Inc. (2002) 
    100 Cal. App. 4th 1017
    , 1034 [reversing summary judgment in favor of
    insurer where scope of an insurer’s duty does not depend on the
    labels given to the causes of action in the third party complaint
    but on the facts alleged]; Ananda Church of Self-Realization v.
    Mass. Bay Ins. Co. (2002) 
    95 Cal. App. 4th 1273
    , 1281-1282
    [holding trial court properly sustained demurrer without leave to
    amend in favor of insurer where insured were accused of stealing
    documents that were in fact trash]; Bay Cities Paving & Grading
    v. Lawyers’ Mutual Ins. Co. (1993) 
    5 Cal. 4th 854
    , 857-858
    [holding legal malpractice claim based on two omissions
    constituted a single claim under policy]; Big Boy Drilling Corp. v.
    Rankin (1931) 
    213 Cal. 646
    , 648-649 [holding trial court properly
    allowed plaintiff to amend its complaint to conform to proof].)
    24
    While the Daly court confirmed that the plaintiff had no Tameny
    claim because her contract was for a one-year term (
    Daly, supra
    ,
    55 Cal.App.4th at p. 45), the matter was remanded because the
    trial court did not properly consider the plaintiff’s claim for
    statutory damages under Labor Code section 6310. (Daly, at p.
    43.) The case before us does not involve a demurrer, thus the
    issue of leave to amend was not a key consideration in the
    proceedings.
    Touchstone was a writ proceeding following denial of the
    defendant’s motion for directed verdict. 
    (Touchstone, supra
    , 208
    Cal.App.4th at p. 680.) The Court of Appeal issued a writ
    ordering the trial court to enter a directed verdict in the
    defendant’s favor on the plaintiff’s Tameny claim because “‘[t]he
    employment contract was for a fixed term and . . . [u]nder a fixed-
    term contract, the “employment is terminated by . . . [¶]
    . . . [e]xpiration of its appointed term.” [Citation.]’ [Citations.]”
    (Touchstone, at p. 681.) However, the plaintiff was permitted to
    amend her complaint to allege a cause of action under Labor
    Code section 6310. (Touchstone, at p. 684.) The matter was not
    on appeal from an order of summary judgment, and the
    defendant did not oppose giving the plaintiff an opportunity to
    file an amended complaint. (Id. at p. 682, fn. 6.) Touchstone does
    not suggest that a plaintiff should be permitted to amend a
    complaint where, as here, the plaintiff voluntarily dismissed the
    requested cause of action and did not raise it again throughout
    summary judgment proceedings in which the defendant
    prevailed.
    25
    Appellant has not convinced this court that she should be
    permitted to amend her complaint at this stage of the litigation.
    Summary judgment was properly granted.9
    DISPOSITION
    The judgment is affirmed. Respondent is awarded its costs
    of appeal.
    NOT TO BE PUBLISHED IN THE OFFICIAL REPORTS.
    ____________________________, J.
    CHAVEZ
    We concur:
    __________________________, Acting P. J.
    ASHMANN-GERST
    __________________________, J.
    HOFFSTADT
    ____________________________________________________________
    9     Because we affirm the trial court’s ruling on the merits, we
    need not address the order disposing of appellant’s claim for
    punitive damages.
    26