Sean Kelly v. The University of Vermont Medical Center ( 2022 )


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  • NOTICE: This opinion is subject to motions for reargument under V.R.A.P. 40 as well as formal
    revision before publication in the Vermont Reports. Readers are requested to notify the Reporter
    of Decisions by email at: JUD.Reporter@vermont.gov or by mail at: Vermont Supreme Court, 109
    State Street, Montpelier, Vermont 05609-0801, of any errors in order that corrections may be made
    before this opinion goes to press.
    
    2022 VT 26
    No. 21-AP-264
    Sean Kelly                                                    Supreme Court
    On Appeal from
    v.                                                         Superior Court, Chittenden Unit,
    Civil Division
    The University of Vermont Medical Center                      March Term, 2022
    Helen M. Toor, J.
    William Pettersen of Pettersen Law PLLC, Colchester, for Plaintiff-Appellant.
    F. David Harlow of Downs Rachlin Martin PLLC, Brattleboro, for Defendant-Appellee.
    PRESENT: Reiber, C.J., Eaton, Carroll and Cohen, JJ., and Waples, Supr. J.,
    Specially Assigned
    ¶ 1.   CARROLL, J. Plaintiff Sean Kelly appeals an order granting summary judgment
    to the University of Vermont Medical Center (UVMMC) on employment discrimination and
    breach-of-contract claims arising from UVMMC’s decision not to extend his one-year medical
    fellowship. We affirm.
    ¶ 2.   The following material facts are undisputed.     Each year the Sleep Medicine
    Program at UVMMC offers one fellowship to a physician who has completed a medical residency.
    Each year, the fellowship begins on July 1 and ends on June 30. UVMMC has never trained more
    than two fellows at once. UVMMC selected plaintiff for the 2017-18 fellowship. UVMMC was
    aware that plaintiff suffered from an adrenal deficiency that had delayed the completion of his
    residency. Prior to beginning the fellowship, plaintiff signed a contract with UVMMC called
    “University of Vermont Medical Center Conditions of Appointment and Training for GME
    Residents/Fellows, 2017-2018,” outlining many aspects of his training, including describing his
    position as an “educational experience and training program.” The contract provided that the
    fellowship would run from July 1, 2017, through June 30, 2018, and his annual base salary would
    be $65,981. Plaintiff’s benefits included three weeks of paid time off, five sick or personal days,
    and five days off for employment interviews. The contract contained provisions for family medical
    leave and unpaid absences of up to six months for fellows with more than one year of service. The
    contract also contained the following clause: “[e]xtended leave of absences [sic] may require the
    resident/fellow to extend their training program to satisfy their program’s certifying Board and
    Accreditation Council for Graduate Medical Education Requirements.” Finally, the contract
    explained that plaintiff would be awarded a certificate of completion if he completed all
    requirements for sleep-medicine board eligibility “and as determined by the program director.”
    However, the contract did not guarantee a certificate of completion.
    ¶ 3.    In the first five months of the fellowship, plaintiff missed nineteen full days and
    parts of nine more days for various reasons, including job interviews, medical appointments, sick
    days, a dog-walking injury, and car trouble. By February 2018, after missing several more days
    and expressing that he felt “frustrated with [his] absences” and “overall inadequate as a fellow,”
    program personnel became concerned that plaintiff was falling behind in his training. In a March
    30 meeting set to discuss plaintiff’s options, the program director told plaintiff that his performance
    had “deficiencies and these need[ed] to be addressed.” At some point during this period, the
    director also told plaintiff that he “should plan on extending [his] fellowship due to [his] time out
    and some minor deficits through August.” Plaintiff sent an email to other program personnel
    expressing frustration at the prospect of staying through August to complete his training. The
    director gave plaintiff a written plan for improvement on April 3.
    2
    ¶ 4.    On April 14, 2018, plaintiff suffered a stroke, and on April 19th he attempted
    suicide. He was hospitalized from April 14 through May 3 and was not cleared to return to work
    until June 1, 2018. In all, plaintiff missed approximately six more weeks of the fellowship. On or
    about May 31, the director called plaintiff and told him that while UVMMC had determined he
    needed six more months of training to finish the fellowship, it could not accommodate additional
    training for that length of time. UVMMC paid plaintiff his remaining salary.
    ¶ 5.    Plaintiff filed a grievance under the Graduate Medical Education rules. At a June
    2018 hearing, the grievance committee affirmed UVMMC’s decision. Plaintiff thereafter filed a
    complaint in the civil division in December 2018 alleging multiple causes of action. After plaintiff
    amended his complaint, UVMMC moved for summary judgment on each of plaintiff’s claims,
    which included discrimination and failure-to-accommodate violations of the Vermont Fair
    Employment Practices Act (FEPA), breach of contract, promissory estoppel, and defamation.1
    UVMMC’s overarching argument regarding plaintiff’s two FEPA claims was that they involved
    academic decisions made by UVMMC, not employment decisions, and that courts accord
    academic decisions deference. UVMMC maintained that once it fulfilled its obligations to plaintiff
    with respect to any employment aspects of the fellowship, including providing him with his
    remaining salary, the decision not to extend his fellowship was an academic decision because the
    sole purpose of extending the fellowship was the opportunity to obtain an academic benefit—a
    certificate of completion. UVMMC argued that plaintiff could not establish a prima facie case for
    discrimination because one of the required elements was whether plaintiff suffered an “adverse
    employment action.” Because the decision not to extend his fellowship was an academic decision,
    there was no employment action and consequently no adverse employment action. UVMMC
    1
    The trial court granted summary judgment to UVMMC on promissory estoppel and
    defamation because plaintiff did not respond to UVMMC’s summary judgment arguments on
    those claims.
    3
    contended that plaintiff’s accommodation claim failed because there was no reasonable
    accommodation that would have allowed him to finish his fellowship. Finally, UVMMC argued
    that it did not breach the contract when it declined to extend the fellowship, and plaintiff could not
    establish any damages arising from a purported breach. It pointed out that, although plaintiff could
    not take the Sleep Medicine Board Exam without a certificate of completion from a sleep-medicine
    fellowship program, he had twice failed the Internal Medicine Board Exam, another prerequisite
    for the Sleep Medicine Board Exam.
    ¶ 6.    Plaintiff countered that he suffered an adverse employment action because
    UVMMC denied extending the fellowship and terminated him after he took medical leave in April
    and May 2018. He maintained that prior to his stroke and suicide attempt, the program director
    had offered to extend his fellowship through August. He relied heavily on certain terms in the
    contract that “required” UVMMC to extend the fellowship due to extended medical leave, and that
    even if there was no requirement, the mere possibility of an extension was enough to survive
    summary judgment.
    ¶ 7.    Plaintiff argued that a six-month extension was a reasonable accommodation so
    that he could perform the essential functions of his fellowship. He contended that the fellowship
    contract contemplated at least a six-month extension,2 that a fellowship itself is a non-essential
    position at the hospital, and that UVMMC had granted “dozens” of extensions in the past.
    ¶ 8.    Plaintiff pointed to several provisions in the fellowship contract which UVMMC
    had allegedly breached. He maintained that the “ACGME Sleep Medicine Requirements,” a set
    of national standards for programs like the one at UVMMC, and which the fellowship contract
    incorporated required fellows to suffer no “negative consequences” resulting from extended
    medical leaves. He interpreted the ACGME as requiring UVMMC to alert its fellows “with
    2
    When asked during a September 2020 deposition whether he thought the employment
    contract provided for an indefinite extension, plaintiff responded, “yes.”
    4
    accurate information regarding the impact of an extended leave of absence upon the criteria for
    satisfactory completion of the program.” He characterized the contract’s provision regarding
    extensions as “affirmatively guarantee[ing]” an extension if needed after medical leave. Plaintiff
    suggested that the word “may” in the “may be required to extend their training Program” clause
    pertaining to extended medical leave does not carry its ordinary meaning. Instead, “may” in this
    context means that a fellow may not need to extend a fellowship due to a medical leave “if they
    are far enough ahead in their proficiency that they are able to complete on time despite the medical
    leave.”
    ¶ 9.    Plaintiff argued he had provided sufficient evidence of contract damages when he
    offered an expert opinion showing that sleep-medicine physicians make approximately $20,000
    more than plaintiff was currently making as a hospitalist, and that he would have passed the
    Internal Medicine Board Exams if he had not been so frequently hospitalized, among other reasons,
    during the periods leading up to previous test attempts.
    ¶ 10.   The civil division granted UVMMC’s motion on all counts. It first agreed that it
    must accord UVMMC deference because the decision to not extend the fellowship was an
    academic decision. However, it concluded that academic deference “does not completely insulate
    [UVMMC] from liability” because deference to academic decision-making cannot be “blind” to
    discriminatory decisions made by an academic institution.
    ¶ 11.   The court next considered UVMMC’s contention that a six-month extension was
    not a “reasonable accommodation” of plaintiff’s disability under the FEPA. It weighed evidence
    regarding UVMMC’s limited resources to train multiple fellows simultaneously and that only one
    fellow gets trained a year, against plaintiff’s evidence showing UVMMC had given extensions in
    the past and plaintiff had initially been offered an extension through August before his stroke and
    suicide attempt. The court concluded that the evidence was “capable of multiple interpretations.”
    5
    ¶ 12.   Next addressing plaintiff’s discrimination claim, the court reasoned that the
    fellowship was a hybrid position that included both employment and academic aspects. It cited
    federal case law for the proposition that the correct analysis was to focus on the “context of the
    cause of action to determine whether the resident is to be treated as an employee or a student in a
    given case.” Knapik v. Mary Hitchcock Mem’l Hosp., 
    90 F. Supp. 3d 292
    , 300 (D. Vt. 2015). It
    reasoned that an “adverse employment action” under the FEPA must ultimately “be tied to the
    employment relationship.” The civil division concluded that because plaintiff had received all the
    economic benefits owed to him under the contract, and the only remaining benefit plaintiff did not
    receive was the opportunity for additional academic training toward obtaining the certificate of
    completion, there was no adverse employment action. Accordingly, the FEPA did not apply to
    UVMMC’s decision not to extend the fellowship.
    ¶ 13.   Turning to plaintiff’s contract claims, the civil division found that the breach-of-
    contract claim failed for two reasons. First, while the contract required UVMMC to impose no
    “negative consequences” for taking medical leave and required UVMMC to alert plaintiff in
    advance what the impact of such an absence would be, these provisions did not necessarily extend
    to a situation in which a fellow missed months of a one-year fellowship and fell six months behind
    in his training. Second, plaintiff’s argument that the provision reciting that a fellowship “may” be
    extended “[did] not mean [UVMMC] has to offer that option.” Plaintiff’s damages claim failed,
    the court concluded, because the damages were “pure speculation,” and involved a lengthy causal
    chain of uncertain future events.
    ¶ 14.   On appeal, plaintiff renews his arguments that, by not extending the fellowship,
    UVMMC (1) unlawfully discriminated against him, (2) failed to accommodate his disabilities, and
    (3) breached the employment contract.
    6
    I. Standard of Review
    ¶ 15.   “On appeal, we review summary judgment de novo and use the same standard as
    the trial court.” Gallipo v. City of Rutland, 
    2005 VT 83
    , ¶ 13, 
    178 Vt. 244
    , 
    882 A.2d 1177
    . We
    will affirm if the moving party demonstrates that “there is no genuine dispute as to any material
    fact and [it] is entitled to judgment as a matter of law.” V.R.C.P. 56(a); see State v. G.S. Blodgett
    Co., 
    163 Vt. 175
    , 180, 
    656 A.2d 984
    , 988 (1995). We resolve all reasonable doubts and inferences
    concerning the existence of a material fact in favor of the nonmoving party. Gallipo, 
    2005 VT 83
    ,
    ¶ 13. “The nonmoving party may survive the motion if it responds with specific facts raising a
    triable issue, and it is able to demonstrate sufficient evidence to support a prima facie case.” G.S.
    Blodgett Co., 163 Vt. at 180, 
    656 A.2d at 988
     (citation omitted).
    II. Discrimination
    ¶ 16.   We first address plaintiff’s discrimination claim under the FEPA, 21 V.S.A.
    §§ 495-496a. Plaintiff asserts he suffered an adverse employment action because of UVMMC’s
    “denial of [his fellowship] extension and termination of his fellowship.” He maintains that
    UVMMC had already communicated an offer to extend his fellowship for two months, but after
    his stroke and suicide attempt, reversed course and terminated him.
    ¶ 17.    “Under [the] FEPA, the standard and burdens of proof are identical to those under
    Title VII [of the United States Code].” Gallipo, 
    2005 VT 83
    , ¶ 15. In general, to make out a prima
    facie case of employment discrimination, the plaintiff has the burden of establishing four elements.
    Robertson v. Mylan Lab’ys, Inc., 
    2004 VT 15
    , ¶ 25, 
    176 Vt. 356
    , 
    848 A.2d 310
    . He “must
    demonstrate that: (1) []he was a member of a protected group; (2) []he was qualified for the
    position; (3) []he has suffered an adverse employment action; and (4) the circumstances
    surrounding this adverse employment action permit an inference of discrimination.” 
    Id.
     (citing
    McDonnell Douglas Corp. v. Green, 
    411 U.S. 792
    , 802 (1973)). “Plaintiff’s burden at this stage
    is relatively light.” Gallipo, 
    2005 VT 83
    , ¶ 15.
    7
    ¶ 18.   The Second Circuit has explained that an adverse employment action is “a
    materially adverse change in the terms and conditions of employment.” Galabya v. N.Y.C. Bd. of
    Educ., 
    202 F.3d 636
    , 640 (2d Cir. 2000) (quotation omitted), abrogated on other grounds by
    Burlington N. & Santa Fe Ry. Co. v. White, 
    548 U.S. 53
     (2006). A material change is “more
    disruptive than a mere inconvenience or an alteration of job responsibilities.” 
    Id.
     (quoting Crady
    v. Liberty Nat’l Bank & Tr. Co. of Ind., 
    993 F.2d 132
    , 136 (7th Cir. 1993). Such changes can
    include “termination of employment, a demotion evidenced by a decrease in wage or salary, a less
    distinguished title, a material loss of benefits, significantly diminished material responsibilities, or
    other indices . . . unique to a particular situation.” 
    Id.
     (quotation omitted).
    ¶ 19.   Medical fellowships constitute “both an employment relationship and an
    educational relationship.” See Knapik, 90 F. Supp. 3d at 300; see also Shaboon v. Duncan, 
    252 F.3d 722
    , 729 (5th Cir. 2001) (“[I]t is well-known that the primary purpose of a residency program
    is not employment or a stipend, but the academic training and academic certification for successful
    completion of the program.” (quotation omitted)). Whether the plaintiff is to be treated as an
    employee or a student is determined on a case-by-case basis by “examin[ing] the context of the
    cause of action.” Knapik, 90 F. Supp. 3d at 300. We accord deference to academic institutions
    when they make nondiscriminatory decisions “about the ethical and academic standards applicable
    to [their] students.” Bhatt v. Univ. of Vt., 
    2008 VT 76
    , ¶ 15, 
    184 Vt. 195
    , 
    958 A.2d 637
    .
    ¶ 20.   As an initial matter, UVMMC did not terminate plaintiff, as his counsel conceded
    at oral argument. Instead, UVMMC did not extend his fellowship. Therefore, the question before
    us is whether the non-extension of his fellowship constituted an adverse employment action. For
    the following reasons, we hold it did not.
    ¶ 21.   Plaintiff first argues that the non-extension of his fellowship is like the non-renewal
    of an employment contract, and contract non-renewal can be an adverse employment action. He
    primarily relies on Leibowitz v. Cornell Univ., 
    584 F.3d 487
     (2d Cir. 2009), for this proposition.
    8
    Leibowitz was an instructor at Cornell University and was appointed to a five-year term, which
    was renewable on a continuing basis. Although her contract was renewed once, it was not renewed
    a second time. The Second Circuit held that the non-renewal of an employment contract could be
    an adverse employment action where the employee seeks contract renewal. Leibowitz, 
    584 F.3d at 500
    . However, Leibowitz is readily distinguishable because Leibowitz was subject to an express
    renewal process for future five-year term appointments, which she had argued was similar to a
    tenure-track position. Moreover, while Leibowitz and the school had an academic relationship,
    the purpose of her continued employment at the school was not personal academic training
    culminating in a degree or certificate. On the other hand, plaintiff concedes that UVMMC
    provided him all the remuneration promised in the contract and that his contract period expired on
    June 30, 2018, albeit “with the opportunity for extension” under certain circumstances. He further
    concedes that he needed the certificate of completion to take the Sleep Medicine Board Exam, the
    culmination of the advanced training to become a sleep-medicine physician.
    ¶ 22.   Plaintiff next cites two cases, Wilkerson v. New Media Tech. Charter Sch. Inc., 
    522 F.3d 315
     (3d Cir. 2008) and Flaherty v. Massapequa Pub. Schs., 
    752 F. Supp. 2d 286
     (E.D.N.Y.
    2010), for the proposition that “a renewal or an extension need not be guaranteed in order for the
    denial to qualify as an adverse employment action.” However, Wilkerson and Flaherty, like
    Leibowitz, are not cases concerning employment and academic relationships; instead, they concern
    whether a non-renewal of an employment contract could constitute an adverse employment
    action.3   That question is inapplicable here because this matter concerns a non-guaranteed
    3
    Flaherty nominally concerns a school district’s refusal to “extend” a superintendent’s
    three-year contract. 
    752 F. Supp. 2d at 288, 296
    . However, the extension in Flaherty was
    essentially a contract-renewal option, unlike the limited extension involved here. See, e.g., 
    id. at 289
     (“[T]he School Board informed Flaherty that her contract would not be renewed.”); 
    id. at 298
    (allegedly discriminatory statement “not made until two months after Flaherty was told that her
    contract would not be renewed”); 
    id. at 300
     (“[T]he [c]ourt assumes that Flaherty would have
    received another 4% raise at the end of the third year of work had her contract been renewed.”).
    9
    extension to a one-year fellowship for which the plaintiff had been fully remunerated under the
    contract terms and the following year’s position had already been filled. In fact, plaintiff does not
    cite a case holding that the refusal to extend a fellowship for the sole purpose of obtaining an
    academic credential is an adverse employment action.
    ¶ 23.   Plaintiff argues that the trial court’s reliance on Herrera v. Union No. 39 Sch. Dist.,
    
    2006 VT 83
    , 
    181 Vt. 198
    , 
    917 A.2d 923
    , was error because he “lost the economic benefits of his
    fellowship contract and employment,” including potential benefits associated with an extension,
    when UVMMC did not extend the fellowship. In Herrera, a school board placed a high-school
    principal on paid administrative leave before the end of his two-year employment contract. The
    board decided not to renew the contract. Challenging these decisions, the principal claimed, under
    
    42 U.S.C. § 1983
    , that the board deprived him of a constitutionally protected property interest in
    his employment. This Court reasoned that “his [property] interest extends only as far as the
    economic benefits that flow from his employment.” Id. ¶ 26. Consequently, because the principal
    had been paid in full under the terms of the contract, we held that he was not deprived of a protected
    property interest. Id.
    ¶ 24.   The civil division, analogizing the deprivation-of-property-interest issue in Herrera,
    concluded that because plaintiff had received all the economic benefits promised under the
    fellowship contract, the contract contained no right to an extension, and because the one-year
    fellowship had already been filled by another fellow, plaintiff “was not denied any employment
    position because such a position did not exist.” Accordingly, the civil division continued, the non-
    extension of the fellowship was not an employment action. We agree.
    ¶ 25.   UVMMC’s decision not to extend plaintiff’s fellowship can in no way be construed
    as a “ ‘materially adverse change’ in the terms and conditions of [plaintiff’s] employment.”
    Galabya, 
    202 F.3d at 640
    . He was not terminated, he was not demoted, his salary was not
    decreased, he did not receive a less distinguished title, he did not lose any benefits, and he did not
    10
    suffer any diminished material employment responsibilities because he had none guaranteed after
    June 30, 2018. In fact, plaintiff concedes his fellowship was ultimately “a non-essential position
    for the hospital.” The only material responsibilities he may have had after June 30 would have
    been maintaining the “ethical and academic standards applicable” to UVMMC fellows while he
    attempted to finish the fellowship. Bhatt, 
    2008 VT 76
    , ¶ 15.
    ¶ 26.   We are further persuaded that UVMMC’s decision was not an adverse employment
    action because although “employment” is not defined in the FEPA, its ordinary meaning denotes
    “the condition of having a paying job,” or “[w]ork for which one has been hired and is being paid
    by an employer.” Employment, Black’s Law Dictionary (11th ed. 2020); see Brisson Stone, LLC
    v. Town of Monkton, 
    2016 VT 15
    , ¶ 19, 
    201 Vt. 286
    , 
    143 A.3d 550
     (“Words not defined with a
    statute are given their plain and ordinary meaning, which may be obtained by consulting dictionary
    definitions.”). There is nothing in the record indicating that UVMMC considered a possible
    extension to ensure that plaintiff had “a paying job,” nor does plaintiff allege he was interested in
    extending the fellowship for that purpose. Indeed, plaintiff expressed frustration at the prospect
    of remaining at UVMMC beyond June 30 due to financial concerns.
    ¶ 27.   In sum, UVMMC’s decision not to extend plaintiff’s fellowship was not an adverse
    employment action because it was an academic decision. See Regents of Univ. of Mich. v. Ewing,
    
    474 U.S. 214
    , 225 n.11 (1985) (“University faculties must have the widest range of discretion in
    making judgments as to the academic performance of students and their entitlement to promotion
    or graduation.” (quotation omitted)). While plaintiff is correct in arguing that academic institutions
    may not make discriminatory academic decisions, UVMMC made no such decision here. Patel v.
    Univ. of Vt. & State Agric. Coll., 
    526 F. Supp. 3d 3
    , 10 (D. Vt. 2021) (noting that “academic
    institutions are not entitled to deference for discriminatory decisions”). Plaintiff concedes he
    missed significant periods of a one-year fellowship and had fallen behind in his training as early
    as February 2018. After his stroke and suicide attempt, he fell even further behind. That UVMMC
    11
    ultimately concluded plaintiff needed six months of additional training and decided it could not
    offer that to him given its limited resources, program description, and accreditation considerations,
    is not discriminatory. Cf. Connors v. Dartmouth Hitchcock Med. Ctr., Nos. 2:10-cv-94, 2:12-cv-
    51, 
    2013 WL 3560946
    , at *6 (D. Vt. July 11, 2013) (concluding hospital was not entitled to
    deference for dismissing psychiatry resident for reasons not involving “ethical lapses or academic
    deficiencies”). Requiring UVMMC to make a different decision on these undisputed facts would
    improperly substitute the Court’s own preferences for UVMMC’s decisions regarding how best to
    administer the fellowship, which is precisely why we accord academic institutions deference for
    such decisions.
    III. Failure to Accommodate
    ¶ 28.   We next address plaintiff’s failure-to-accommodate claim under the FEPA. 21
    V.S.A. § 495d(6) (defining protected class of qualified individuals with disabilities as persons
    “capable of performing the essential functions of the job or jobs for which the individual is being
    considered with reasonable accommodation to the disability”). In his principal brief, plaintiff
    allocates two paragraphs to this claim. He argues that a prima facie failure-to-accommodate claim
    under the FEPA does not require a showing of an “adverse employment action,” and recites the
    elements he argues are required. He then makes the assertion that his claim should survive
    summary judgment because he can satisfy all the elements, referring the Court to his summary
    judgment papers for containing “the reasons” why.
    ¶ 29.   An appellant’s principal brief must contain “the issues presented, how they were
    preserved, and appellant’s contentions and reasons for them—with citations to the authorities,
    statutes, and parts of the record on which the appellant relies.” V.R.A.P. 28(a)(4)(A); see Johnson
    v. Johnson, 
    158 Vt. 160
    , 164 n.*, 
    605 A.2d 857
    , 859 n.* (1992). “It is the burden of the appellant
    to demonstrate how the lower court erred warranting reversal. We will not comb the record
    searching for error.” In re S.B.L., 
    150 Vt. 294
    , 297, 
    553 A.2d 1078
    , 1081 (1988).
    12
    ¶ 30.   Plaintiff’s briefing on this issue falls short of the standards for adequate briefing
    under Vermont Rule of Appellate Procedure 28(a). His only citation is to a nonbinding case
    potentially standing for the proposition that no “adverse employment action” is required to make
    out a prima facie accommodation claim under the FEPA. He does not describe how the issue was
    preserved or how the trial court erred on the issue, nor does he direct us to the parts of the record
    he is relying on—other than his summary-judgment opposition memorandum. In effect, plaintiff
    tells us to comb through the memorandum and the rest of the record to locate his arguments and
    divine how the civil division erred as a result. This, we will not do. See Khan v. Alpine Haven
    Prop. Owners’ Ass’n, Inc., 
    2020 VT 90
    , ¶ 29, __ Vt. __, 
    245 A.3d 1234
     (concluding brief was
    inadequate because it failed to discuss required elements of claim).
    IV. Breach of Contract
    ¶ 31.   Finally, plaintiff argues that UVMMC breached the employment contract by not
    extending his fellowship. As a result, he is unable to make a sleep-medicine-physician salary,
    which, he argues, is more than he currently makes as a hospitalist. We address plaintiff’s damages
    claim first.
    ¶ 32.   “The rule is clearly established in Vermont that breach-of-contract damages must
    be proved with reasonable certainty.” Madowitz v. Woods at Killington Owners’ Ass’n, Inc., 
    2014 VT 21
    , ¶ 14, 
    196 Vt. 47
    , 
    93 A.3d 571
     (quotation omitted). “Such damages therefore cannot be
    based on mere speculation and conjecture.” 
    Id.
     (quotation omitted). “An injury based on
    speculation about uncertain future events is no injury at all.” See Hedges v. Durrance, 
    2003 VT 63
    , ¶ 12, 
    175 Vt. 588
    , 
    834 A.2d 1
     (2003) (mem.).
    ¶ 33.   Plaintiff maintains that he could make significantly more than his current $230,000
    per year salary as a hospitalist if UVMMC had extended his fellowship. He submitted a report
    prepared by an expert, which included a salary analysis comparing hospitalists with sleep-medicine
    physicians. Plaintiff argues that, assuming UVMMC had extended his fellowship, the following
    13
    scenario is enough to survive summary judgment: (1) he would have finished the fellowship and
    received the certificate of completion; (2) he would have passed the prerequisite Internal Medicine
    Board Exam; (3) he would have subsequently passed the Sleep Medicine Board Exam; and (4) he
    would have obtained employment as a sleep-medicine physician. AAB 13. See Est. of Alden v.
    Dee, 
    2011 VT 64
    , ¶ 16, 
    190 Vt. 401
    , 
    35 A.3d 950
     (“[T]he facts alleged must be sufficient for a
    reasonable jury to find in favor of the nonmoving party.”). We are not persuaded.
    ¶ 34.   Plaintiff’s argument is certainly “mere speculation” that the above series of events
    would have occurred if UVMMC had extended his fellowship for at least six months, and possibly
    indefinitely. Madowitz, 
    2014 VT 21
    , ¶ 19 (concluding that calculation of lost profits flowing from
    frustrated plan to construct forty condominiums after Act 250 construction permit deadline had
    passed was “entirely speculation”). Even assuming for the sake of argument that plaintiff could
    have finished the fellowship and obtained his certificate of completion, which is hard to imagine
    given the uncontested facts, he still needed to pass an exam he had twice failed before he sat for
    the Sleep Medicine Board Exam. He counters that he knew he had eight more chances to pass the
    Internal Medicine Board Exam, and in any case he “did not study as hard as he could have . . . due
    to a variety of reasons, including hospitalization.”4
    ¶ 35.   Moreover, he argues that he would have subsequently passed the Sleep Medicine
    Board Exam and secured employment in the field because he was enthusiastic about the field
    generally, and he was drawn to work environments involving “less contact with contagious
    4
    Plaintiff cites Artunduaga v. Univ. of Chi. Med. Ctr., No. 12 C 8733, 
    2016 WL 7384432
    ,
    at *6 (N.D. Ill. Dec. 21, 2016), as evidence that other courts have not considered such damages
    claims too speculative in this context. However, the district court in that case found that the
    plaintiff had “an extensive, successful academic history,” and “[b]ased on her academic success
    and work experience, there is a factual record supporting the assumption that [the] [p]laintiff would
    have passed her licensing examinations.” Id. at *6. We are presented with the opposite situation
    here; plaintiff has twice failed the prerequisite licensing exam, concedes that he did so in part
    because he did not study hard enough, and concedes that he struggled with the academic
    requirements of the fellowship throughout his tenure.
    14
    patients, thereby protecting his immunocompromised state.” We do not doubt the sincerity of
    plaintiff’s assertions, but we cannot agree that they would have been “reasonabl[y] certain[]” to
    occur if UVMMC had extended his fellowship. Id. ¶ 14; see also Hedges, 
    2003 VT 63
    , ¶ 12.
    ¶ 36.   Because plaintiff cannot prove damages, he cannot prove UVMMC breached the
    fellowship contract. Smith v. Country Vill. Int’l, Inc., 
    2007 VT 132
    , ¶ 10, 
    183 Vt. 535
    , 
    944 A.2d 240
     (mem.) (“Failure to prove damages is fatal to a claim for breach of contract.”). Accordingly,
    we need not, and do not, proceed to a discussion of the contract terms plaintiff argues UVMMC
    breached.
    Affirmed.
    FOR THE COURT:
    Associate Justice
    15