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            Title Nathanson v. Medical College of Pennsylvania

 

            Date 1991

            By

            Subject Other\Concurring & Dissenting

                

 Contents

 

 

Page 1





62 of 64 DOCUMENTS


JAYNE G. NATHANSON, Appellant v. THE MEDICAL COLLEGE OF PENNSYLVANIA


No. 90-1311


UNITED STATES COURT OF APPEALS FOR THE THIRD CIRCUIT



926 F.2d 1368; 1991 U.S. App. LEXIS 3349


November 5, 1990, Argued

March 4, 1991, Filed


PRIOR  HISTORY:              **1        On  Appeal  from  the United  States  District  Court  for  the  Eastern  District  of Pennsylvania; D.C. Civil Action No. 88-07914.


CASE SUMMARY:



PROCEDURAL    POSTURE:            Appellant               applicant sought review of an order of the United States District Court for the Eastern District of Pennsylvania granting appellee  medical  school  summary  judgment  in  appel- lant's  action  for  handicapped  discrimination,  under  the Rehabilitation  Act,  29  U.S.C.S.  §  794(a),  and  tortious interference.


OVERVIEW: Appellant applicant sued appellee medi- cal school,  under the Rehabilitation Act,  29 U.S.C.S. §

794(a),  claiming  a  failure  to  accommodate  her  disabil- ity. Appellant also claimed that appellee engaged in tor- tious interference of contract by advising another school that appellant had been accepted at their school. The dis- trict court granted appellee summary judgment. The court affirmed the district court's decision,  in part. The court ruled that summary dismissal of the § 794(a) claim was improper because there were genuine issues of material fact, including whether appellee knew that appellant was a handicapped individual based on appellant's letters to appellee's dean indicating that a medical condition made it difficult for her to attend classes. The court also found a  disputed  fact  as  to  whether  appellant's  letters,  which requested that the dean speak further with appellant about her medical situation made a specific request for accom- modations, under § 794(a). The court ruled that the district court did not err in dismissing appellant's tort action, find- ing that appellee was entitled to protect its own contractual interest in appellant's attendance at its school.


OUTCOME: The court reversed the district court's or- der granting appellee medical school summary judgment on  appellant  applicant's  disability  discrimination  claim


because  there  were  genuine  issues  of  material  fact  re- garding that claim. The court affirmed the district court's order granting appellee summary judgment on appellant's tortious interference claim because appellee's action was justifiably taken to protect its own contractual interest.


LexisNexis(R) Headnotes


Civil Procedure > Appeals > Standards of Review > De

Novo Review

HN1  An appellate court's standard of review of the dis- trict court's entry of summary judgment is plenary.


Civil  Procedure  >  Summary  Judgment  >  Summary

Judgment Standard

HN2  Summary judgment may be granted only if there exists no genuine issue of material fact and the moving party is entitled to judgment as a matter of law. Fed. R. Civ.  P.  56(c).  Summary  judgment  may  not  be  granted, however, if there is a disagreement over what inferences can be reasonably drawn from the facts even if the facts are undisputed.


Labor & Employment Law > Discrimination > Disability

Discrimination > Other Laws

HN3  See 29 U.S.C.S. § 794(a).


Labor & Employment Law > Discrimination > Disability

Discrimination > Other Laws

HN4    In   order   to   establish   a   violation   of   the Rehabilitation Act, 29 U.S.C.S. § 794(a), a plaintiff must meet four requirements:  1) she is a "handicapped indi- vidual," 2) she is "otherwise qualified" for participation in the program, 3) the program receives "federal financial assistance,"  and  4)  she  was  "denied  the  benefits  of"  or

"subject to discrimination" under the program.


Labor & Employment Law > Discrimination > Disability

Discrimination > Other Laws

HN5  An individual who is "otherwise qualified," under the Rehabilitation Act, 29 U.S.C.S. § 794(a), is one who


926 F.2d 1368, *; 1991 U.S. App. LEXIS 3349, **1

Page 2



is able to meet all of a program's requirements in spite of his handicap.


Labor & Employment Law > Discrimination > Disability

Discrimination > Other Laws

HN6  Under the Rehabilitation Act, a handicapped in- dividual  is  any  person  who  (i)  has  a  physical  or  men- tal impairment which substantially limits one or more of such  person's  major  life  activities,  (ii)  has  a  record  of such an impairment,  or (iii) is regarded as having such an impairment. 29 U.S.C.S. § 706(8)(B). The regulations define "major life activities" as functions such as caring for one's self, performing manual tasks, walking, seeing, hearing, speaking, breathing, learning, and working. 45

C.F.R. § 84.3(j)(2)(ii) (1990).


Labor & Employment Law > Discrimination > Disability

Discrimination > Other Laws

HN7  A person with a record of impairment can still qual- ify as a handicapped individual, under the Rehabilitation Act, 29 U.S.C.S. § 794(a), even if that individual's impair- ment does not presently limit one or more of that person's major life activities.


Labor & Employment Law > Discrimination > Disability

Discrimination > Other Laws

HN8  See 45 C.F.R. § 84.12(a) (1980).


Administrative  Law  >  Agency  Rulemaking  >  Rule

Application & Interpretation

HN9  The  administrative regulations  implementing  29

U.S.C.S. § 794(a) are entitled to judicial deference if they correspond to the clear meaning of the statute, as revealed by its language, purpose, and history.


Labor & Employment Law > Discrimination > Disability

Discrimination > Other Laws

HN10  29 U.S.C.S. § 794(a) requires that an otherwise qualified handicapped individual must be given meaning- ful access to the benefits of a federally funded program. Moreover, a recipient's refusal to modify a program may be unreasonable,  and therefore a violation of § 794(a), if the modification would not entail an undue financial or administrative burden. However, § 794(a) does not im- pose an "affirmative action" obligation on all recipients of federal funds if the required changes would be considered too burdensome.


Labor & Employment Law > Discrimination > Disability

Discrimination > Other Laws

HN11  29 U.S.C.S. § 794(a) does not require a school to provide services to a handicapped individual for a pro- gram for which the individual's handicap precludes him from ever realizing the principal benefits of the training. Labor & Employment Law > Discrimination > Disability Discrimination > Other Laws



HN12  A plaintiff need not establish that there has been an  intent  to  discriminate  in  order  to  prevail  under  29

U.S.C.S. § 794(a).


Labor & Employment Law > Discrimination > Disability

Discrimination > Other Laws

HN13  The regulations require that a recipient make rea- sonable accommodation to the "known physical or mental limitations" of otherwise qualified individuals unless the recipient can show that the accommodation would impose undue hardship on the operation of its program. 45 C.F.R.

§ 84.12(a) (1990).


Labor & Employment Law > Discrimination > Disability

Discrimination > Other Laws

HN14   While  a  grantee  need  not  be  required  to  make

"fundamental" or "substantial" modifications to accom- modate  the  handicapped,  it  may  be  required  to  make

"reasonable ones." What is considered to be a "reason- able accommodation" must be decided on a case-by--case basis.


Labor & Employment Law > Discrimination > Disability

Discrimination > Other Laws

HN15  45 C.F.R. § 84.42(b)(4) (1990) provides that a recipient of federal funds may make inquiries from hand- icapped individuals on a confidential basis as to handicaps that may require accommodation.


Labor & Employment Law > Discrimination > Disability

Discrimination > Other Laws

HN16  See 45 C.F.R. 84.44(d) (1990).


Labor & Employment Law > Discrimination > Disability

Discrimination > Other Laws

HN17   Under  29  U.S.C.S.  §  794(a),  accommodations that are "reasonable" must not unduly strain financial re- sources.  Furthermore,  a  recipient  must  be  allotted  suf- ficient  time  and  opportunity  to  investigate  and  acquire accommodations if appropriate.


Torts  >  Business  &  Employment  Torts  >  Interference

With a Contract

HN18  One who intentionally and improperly interferes with the performance of a contract, except a contract to marry, between another and a third person by inducing or otherwise causing the third person not to perform the con- tract, is subject to liability to the other for the pecuniary loss resulting to the other from the third person's failure to perform the contract.


Torts  >  Business  &  Employment  Torts  >  Interference

With a Contract

HN19   Enforcing  or  complying  with  one's  own  valid contract does not constitute unjustifiable interference with another's contract. An action to protect one's contractual right is also ordinarily justification for interference with


926 F.2d 1368, *; 1991 U.S. App. LEXIS 3349, **1

Page 3




another's contract.


Torts  >  Business  &  Employment  Torts  >  Interference

With a Contract

HN20  In determining whether or not an actor's conduct has been "proper," the Pennsylvania courts are guided by the following factors:  (a) the nature of the actor's con- duct, (b) the actor's motive, (c) the interests of the other with which the actor's conduct interferes, (d) the interests sought to be advanced by the actor, (e) the social inter- ests in protecting the freedom of action of the actor and the contractual interests of the other, (f) the proximity or remoteness of the actor's conduct to the interference and

(g) the relations between the parties.


Torts  >  Business  &  Employment  Torts  >  Interference

With Prospective Advantage

HN21  A claim for intentional tortious interference with prospective contractual relationships requires that a plain- tiff establish the following four elements:  (1) a prospec- tive contractual relation; (2) the purpose or intent to harm the  plaintiff  by  preventing  the  relation  from  occurring;

(3) the absence of privilege or justification on the part of the defendant; and (4) the occasioning of actual damage resulting from the defendant's conduct.


COUNSEL:


Martha   Sperling,                 Esq.   (Argued),     Elizabeth   O. Tomlinson,     Esq.,        Silver   &   Sperling,                               Doylestown, Pennsylvania, Attorneys, for Appellant.


Francis   J.   Connell,   III,   Esq.   (Argued),   Drinker, Biddle  &  Reath,  Philadelphia,  Pennsylvania,  Attorney, for Appellee.


JUDGES:


Dolores K. Sloviter, Chief Judge, * Scirica and Alito, Circuit Judges.  Alito, Circuit Judge, concurring and dis- senting.


* The Honorable Dolores K. Sloviter became Chief   Judge   of   the   Third   Judicial   Circuit   on February 1, 1991.


OPINIONBY:


SCIRICA




OPINION:

*1370   OPINION OF THE COURT SCIRICA, Circuit Judge.


Jayne  G.  Nathanson  brought  this  suit  against  the Medical College of Pennsylvania (MCP) for alleged vio- lations  of  §  504  of  the  Rehabilitation  Act  of  1973,  29

U.S.C.  §  794(a)  (1988),  and  for  tortious  interference with  her  present  and  future  contracts  with  other  medi- cal schools. The district court granted MCP's motion for summary judgment on all counts. Nathanson v. Medical College  of  Pa.,  No.  88-7914,  slip  op.  at  1,  1990  U.S. Dist. LEXIS 3055 (E.D. Pa. Mar. 19, 1990). We will af- firm the summary judgment on the tortious interference with contract claims.   **2   However, we will reverse the grant of summary judgment on § 504 of the Rehabilitation Act  because  the  district  court's  decision  was  based  on an  error  of  law  and  because  we  find  outstanding  two material issues of fact:  1) whether MCP had reason to know that Nathanson's condition was a handicap, and 2) whether MCP provided reasonable accommodations for Nathanson's handicap.


I.  FACTS AND BACKGROUND


With noted exceptions, the following facts are undis- puted. In 1981,  Nathanson was involved in an automo- bile accident that resulted in continuing back and neck injuries.  During  the  next  several  years  she  engaged  in physical therapy to recover from her injuries. In 1982, she decided that she wanted to go to medical school and began taking medical-related courses at Temple University and the University of Pennsylvania. In November, 1984, she applied for admission to MCP's 1985 entering class for the M.D. degree. On August 26, 1985, she was accepted for admission to MCP.


During her interviews with two MCP faculty members in July, 1985, and in the narrative section of her applica- tion,  Nathanson informed MCP about her accident and injuries. She also told the MCP interviewers that she had not **3   been able to sit in the seats provided for exam- inees for the Medical College Admissions Test (MCAT) because of her disability. Instead, she had been allowed to take the examination at an ordinary table. She stated, however, that


926 F.2d 1368, *1371; 1991 U.S. App. LEXIS 3349, **3

Page 4



*1371   she believed at that time that she would not re- quire special accommodations at MCP because she had

"never had a problem" with her seating arrangements dur- ing her prior course work at Temple and Penn. App. 132-

36.


At  issue  in  this  case  is  what  took  place  between Nathanson  and  MCP  administrators  from  the  time  that Nathanson  first  attended  MCP  to  the  point  of  her  fi- nal departure approximately one year later. Nathanson's transactions with MCP are important because they clarify when and whether MCP was ever aware that Nathanson had a handicap and had requested accommodations, and whether her requests were sufficiently specific for MCP to respond.


A.   September 10, 12, 1985:  Nathanson's Meetings with Appel and Beasley


Nathanson  enrolled  in  MCP,  completed  a  one-day orientation  on  Tuesday,  September  3,  1985,  and  began classes on September 4, which she attended until Monday, September 9, 1985. According to Nathanson, her prob- lems at MCP started "from the first day **4   of class" when she encountered difficulty with the school's park- ing arrangements. She stated that although she spoke to someone about her parking problems, she could not re- member the person's name or the title. However, she did remember that "he tried to be helpful and he referred me to, he referred me on to somebody Freeman after that, but I had left MCP  before I got to speak to Mr. Freeman." App. 143-45.


On September 10, Nathanson met with Dr. Marilyn Appel, MCP's Assistant Dean for Medical Education, to inform  her  that  she  was concerned  about  her  ability  to continue to attend classes because she was unexpectedly having "severe" muscle spasms in her back and shoulders due to MCP's classroom seats.


A I remember going up to Appel's  office, telling her the difficulty I was encountering, that it was unexpected, that I felt that the mus- cle spasms in my back and shoulders were very severe and I was very concerned about being able to continue.


. . .




Q What else do you recall?

A I was crying and she put her arms around me.

Q Do you recall anything else?

A.  Yes. She told me to think about this and I told her I couldn't continue to sit in class in that circumstance any longer. She said, **5  okay, but just think about this a day or so and then go to see Dr. Beasley.


. . .

Q In your meeting with Dr. Appel, did you ask Dr. Appel to have MCP obtain a desk or a chair that you could tolerate?

A Not in my meeting with Dr. Appel. I told her I didn't know what to do. I know I needed some  help.  I  didn't  ask  her  for  anything  in particular.


App. 145-48 (Deposition of Jayne G. Nathanson). According to Nathanson, Appel made no further sug-

gestions or comments. App. 147. On or about September

12, Nathanson followed Appel's suggestion and met with Dr. Andrew Beasley, MCP's Associate Dean for Student Affairs.  Nathanson's  depiction  of  the  specificity  of  her request for seating at this time varies at different points in her deposition depending upon whether she is only de- scribing her meeting on September 12, 1985, or whether she is comparing that meeting with her last meeting with Beasley on September 3, 1986. When she is comparing her first and last meetings with Beasley, she states that her request was very specific.


Q  What  happened  in  that  meeting?              on

September 12, 1985

A Well, I described to him the difficulty I was encountering with the seating, and as a result the  physical   **6    problems  I  was  having with  my  neck  and  shoulders  as  a  result  of that, that I was surprised, I was disappointed. I asked him if there was anything that could be  done  to  help.  He  listened  to  me  and  he didn't respond. He just, looked at me sympa- thetically when I talked to him about the pain I was in


926 F.2d 1368, *1372; 1991 U.S. App. LEXIS 3349, **6

Page 5



*1372   and the medication I was taking. He did not offer to do anything in terms of the seating in response to my request for help. At  the  end  of  the  conversation  I  told  him that I would very much like to defer begin- ning these classes until the next year,  until the next September, the next academic year. I remember him looking at me and shaking his head.


. . .

Q To indicate?

A As if he understood what I was requesting.


. . .

A I recall him saying something about a con- cern about filling a spot, but that shouldn't be my problem. I thought that was strange and I said, no, I understood because I knew how long I waited all summer long to hear, that the sooner the school knows, if they have a vacancy and someone else can fill it, that I was very sympathetic with that. . . .


. . .

Q In that meeting did you discuss with Dr. Beasley in any way the seating arrangements that you had encountered  at the University

**7   of Pennsylvania or at Temple?

A  I  remember  telling  him  I  was  surprised that I was having difficulty with the seating arrangements at MCP because I hadn't had difficulty elsewhere.

Q And did you describe for him in that meet- ing  in  any  way  the  difference  between  the seating arrangements at these other schools and at MCP?

A I remember we talked about it, but I don't remember the words I used.

Q  Did  you  ask  Dr.  Beasley  if  it  would  be possible for MCP to get for you the kind of seating arrangement you had had at Temple or at Penn?

A I didn't use the words that you're using. I asked him for his help with the seating, as I said to you, so that I could be able to continue to sit for class.



App. 149-52.


Q Why didn't you simply ask Dr. Beasley to get you a chair like the chairs at Penn when



you  met  with  him  during  the  week  of  .  .  . September 9, 1985?

A That was the gist of what our conversation was as I related it to you.

Q  But  why  didn't  you  say  to  Dr.  Beasley, look,  can't you just get me a chair like the one I had at Penn?  You didn't say that, did you?

A No. I asked him to help me with the seating the best he could.



App. 158.


Q Well, what did you have in mind, if any- thing,  that  MCP   **8    could  have  helped you put together that you could use?

A  What  I  had  described  to  Beasley  before way back in September  '85, and again when I  spoke  to  him  on  the  3rd   September  3,

1986 , that I just needed, and I described it to you, I needed a chair that was supportive with a continuous back with a high enough writing arm or some type of writing ability to write on a surface that was high, compared to where I was sitting, so that I would not have to lean all the way over.

Q Well, as of September 3rd, 1986, were you aware of the existence anywhere of any such arrangement that would have been available to MCP as of that date?

A I'm not referring to a specifically designed unique  object;  it  could  be  any  chair  table height  that  had  a  supportive  back,  that  the writing surface was high compared to where I was sitting and I'm sure something could have been put together. . . .

Q Are you telling me that all you needed was a chair with a straight supported back and a table that was of sufficient height so that you would not have to lean over to write; is that what you're saying?

A Yes. It was really very simple.

Q  Did  you  ever  make  that  clear  to  Dr. Beasley?

A  Yes.  And  the  first  time  I  made   **9    it clear was when I spoke to him in September of '85. And I demonstrated, my normal way is to demonstrate physically, as well as saying it verbally.


926 F.2d 1368, *1373; 1991 U.S. App. LEXIS 3349, **9

Page 6



*1373   App.   192-93   (Deposition   of   Jayne   G. Nathanson).


According to Nathanson, because Beasley did not re- spond to her request for help, she informed him that she would like to defer beginning classes until the next year. Beasley asked that she put her request in writing. Apart from one brief contact, Nathanson had no further conver- sations with anyone at MCP until May 27, 1986.


Beasley  depicted  his  September  12,  1985  meeting with  Nathanson  somewhat  differently.  He  claimed  that throughout their conversation, Nathanson requested only a  one  year  deferral,   and  nothing  more,   from  MCP. Moreover, "at no time then or at any time since has Ms. Nathanson asked me for any specific accommodative de- vices." App. 210. He did state, however, that Nathanson explained to him that her physical difficulties would pre- clude her from attending classes at MCP in the next aca- demic year. App. 209.


Specifically, Ms. Nathanson referred to mus- cle  spasms  in  her  neck  and  back  and  re-



luctantly  concluded  that,  due  to  her  pain, she would be unable to continue with class.

**10    .  .  .  In  this  regard,  she  stated  that during the one year period she hoped to suf- ficiently  recover  in  strength  and  endurance to  successfully  attend  classes.  She  also  in- dicated that during that time she would con- sider modifications of her physical surround- ings to reduce the strain on her neck and back.


App. 209-10 (Affidavit of Andrew B. Beasley). B.  September 13, 1985 to April 1, 1986


In response to Beasley's request, Nathanson wrote a letter dated September 13, 1985, addressed to Beasley, in which she requested permission to defer beginning classes at MCP for one year. n1 Beasley responded in a letter that same day and "granted her request for a year long leave of absence." n2 The differences in terminology used in these two letters became a primary issue in Nathanson's later arguments that she never matriculated at MCP. n3

According to Nathanson, if MCP


926 F.2d 1368, *1374; 1991 U.S. App. LEXIS 3349, **10

Page 7



*1374   had granted her a deferral, it apparently would not have considered her as being a matriculated student.


n1 Nathanson's letter reads, in part:


I would like to request permission to defer beginning Freshman classes at the Medical College of Pennsylvania for one year. My reason for asking is the  increased  pain  and  spasm  I  have been  experiencing  in  my  neck  and shoulders,  since  trying  to  attend  and take notes in class for 6-7 hours per day.


I had  been in a car accident sev- eral years ago, injuring my neck, back, and  shoulders  and  have  made  major strides in terms of recovery each year. Based upon my performance under a full-time load last spring,  I truly be- lieved that I was physically prepared to handle the burden of a medical cur- riculum.  Sadly  this  has  not  been  so, each day the situation has worsened in terms of my pain and fatigue and I do not  believe  my  physical  condition  is good enough to proceed successfully. I do have reason to hope (based on each year's progress) that by this time next year I will recover sufficiently in strength  and  endurance.  In  addition, before starting next fall I would have the opportunity to consider modifica- tions  of  my  surroundings  in  order  to reduce  the  strain  on  my  neck  during classes. I would, as you suggested, ei- ther  formally  or  informally  continue course  work  during  the  year  to  keep my knowledge current and my study

skills sharp.



App. 217. Letter from Jayne G. Nathanson to Dr. Andrew Beasley (Sept. 13, 1985).

**11




n2 Beasley's letter reads, in part:


This is an official response to your letter of today in which you have re- quested a leave of absence from your studies for the 1985-86 academic year. Your request is granted with con-




ditions as follows:


1) You are expected to resume your studies with the first year class of med- ical students in September 1986.


2) Keep us informed of your situa- tion and let us know in writing by June

1,  1986 of your intent to matriculate for the 1986-87 academic session.


Any  extension  of  the  one-year leave-of--absence  must  be  evaluated by the Promotions Committee.



App. 218. Letter from Andrew B. Beasley to Jayne

Nathanson (Sept. 13, 1985).



n3 Nathanson's letter requested that her atten- dance be deferred for one year. Beasley's letter in response referred to Nathanson's request as a "leave of absence from your studies for the 1985-86 aca- demic year." When Nathanson received Beasley's letter,  she  called  him  and  asked  him  why  he  re- ferred to a "leave of absence." He explained that a deferral and a leave of absence essentially accom- plished  the  same  thing,  but  that  the  latter  would allow Nathanson to resume classes the next year. App. 155-57. When Nathanson was later asked in her deposition about why she was concerned that the  term  of  reference  be  a  deferral  rather  than  a leave of absence, she explained, "I don't know that I was particularly concerned, it's just not what I re- quested in the letter." App. 157. She also stated that when she received Beasley's letter she had no in- tention of applying to other medical schools. App.

157.


**12


Nathanson's letter explained that she was withdraw- ing  because  of  physical  problems  and  that  "she  would try to consider modifications of her surroundings in or- der to reduce the strain on her neck during classes." App.

217. Beasley's letter in response requested that Nathanson inform the school by June 1, 1986 of her intention to re- turn to MCP in September, 1986. App. 218. During the ensuing  year,  Nathanson  "enrolled  in  and  successfully completed medicine-related courses at Penn in order to maintain her  study habits." App. 107.


In October, 1985, without informing MCP, Nathanson applied to six medical schools for the 1986-87 academic year  using  the  American  Medical  College  Application Service (AMCAS). n4 Nathanson did not indicate on the


926 F.2d 1368, *1374; 1991 U.S. App. LEXIS 3349, **12

Page 8



AMCAS form that she had attended, or matriculated at, MCP.  For  example,  the  1986-87  AMCAS  application requests  that  applicants  list  "all  colleges,  graduate  and professional schools attended" and to "include previous medical school s ." Nathanson did not list MCP. App. 220

(Question 8). The application also asks, "Have you ever matriculated  in  or  attended  any  medical  school   **13  as a candidate for the M.D. degree?" Nathanson checked

"no." App. 224 (Question 16). Nathanson stated that she made  these  applications  because  of  MCP's  "unrespon- siveness to her  physical needs." Moreover, she decided that her "ability to attend medical school would be better encouraged at a different institution" because she had not experienced any physical problems while she was taking courses at Penn. App. 107.


n4 AMCAS, a centralized application service operated by the Association of Medical Colleges, coordinates the annual application process for most American medical schools. AMCAS also maintains the policies that govern the conduct of applicants and medical schools in addition to any irregularities in the application process. App. 273-79.



In  February  or  March,  1986,  Nathanson  met  with Ms.   Karen   Pfordresher,   Director,   Student   Services and  Admissions  at  Georgetown  University  School  of Medicine. According to Pfordresher's letter of December

5, 1988, addressed to Milton Corn, Dean of Georgetown's

Medical School,   **14   Nathanson visited Pfordresher





at least once in February or March of 86 and described  her  needs  relating  to  her  injury. She did say that the facilities at MCP were not acceptable, but did not say that she was on  leave  of  absence  or  was  awarded  a  de- ferred  accept  from  that  institution.  During her interview she stated that she would come to Georgetown unless she were accepted at a Philadelphia medical school. (Date March

12,  1986.  Ms.  Nathanson  according  to  her admission believed herself to be accepted at a Philadelphia medical school on March 12,

1986 --  a  deferred  accept --  and  therefore may have mislead the interviewer.)



App. 206. Letter from Karen Pfordresher to Milton Corn, M.D. (Dec. 5, 1988).


On   April   1,   1986,   Nathanson   was   accepted   at Georgetown for the 1986-87 academic year. In mid-to-- late April, she visited Georgetown to pay the deposit and to tour the facilities, which, she concluded at that time, were suitable for her back problem. App. 176.


C.   May  27,  1986:   Nathanson's  Conversation  and

Correspondence with Beasley


Nathanson stated that because issues concerning her request for financial aid at Georgetown had not yet been resolved, she delayed her decision to matriculate **15  there in the fall. n5 Therefore, during the spring of


926 F.2d 1368, *1375; 1991 U.S. App. LEXIS 3349, **15

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*1375   1986  she  continued  to  stay  in  contact  with MCP about the suitability of her physical accommoda- tions should she return to MCP in the fall.


n5  In  order  to  determine  Nathanson's  finan- cial  aid  status,   Georgetown  requested  that  she provide  documentation  of  her  parents'  finances. Nathanson stated that she thought that such doc- umentation was unnecessary because she was mar- ried  and  nearly  40.  App.  110.  As  of  August

4,  when  Georgetown's  committee  met  to  review Nathanson's case, Nathanson's financial aid pack- age was, to their knowledge, still incomplete. App.

236-37. Classes began at Georgetown on August

14. App. 252.



On  or  about  May  27,  1986,  Nathanson  telephoned Beasley requesting an extension of the June 1, 1986 dead- line to give MCP notice of her intent to resume her course work in the fall. She did not tell Beasley that she had been accepted by Georgetown. She did tell him that she thought that MCP's facilities were inadequate for her physical con- dition and that she would **16   investigate whether she could find "some type of chair similar to the one she  sat in at the University of Pennsylvania." According to Nathanson, Beasley made no offer to help her with find- ing seating arrangements. App. 168. See also Letter from Jayne  G.  Nathanson  to  Dr.  Andrew  Beasley  (June  23,

1986) (referring to their conversation on May 27, 1986). Beasley confirmed that Nathanson made this request, and stated that Nathanson told him that she was "exploring possible companies that could provide her with a chair that would satisfy her needs." App. 79. Beasley denied Nathanson's request for an extension but encouraged her to send a letter to hold her place because she could change her mind later on. App. 168-69.


In  a  letter  of  May  27,  1986,  Nathanson  notified Beasley that she would attend MCP in September, 1986. She also indicated that she was concerned about, and was investigating alternatives for, her "physical arrangements" and that she wished to speak with him further about the situation. n6 Beasley did not respond to this letter, explain- ing that it was his understanding that Nathanson would contact him. App. 85-87.


n6 Nathanson's letter of May 27, 1986 included the following:


In order to attend classes it will be nec- essary for me to procure a special chair



for  lectures  and  conference.  I  am  in the  process  of  investigating,  whether lecture  hall  chairs  that  I  have  previ- ously used elsewhere could be modi- fied  for  use  at  MCP.  I  am  especially concerned about the physical arrange- ments  for  conference  and  laboratory. In order to have a better idea of what type  of  installation  would  be  appro- priate, I would like to speak with you further.



App. 226. Letter from Jayne G. Nathanson to Dr. Andrew Beasley (May 27, 1986).


**17


Nathanson stated that she indicated to Beasley in her letter  that  she  was  assuming  "the  burden  of  the  initial search  and  investigation   of  the  chair   simply  because they   MCP   were  not  taking  it  on  and  I  at  that  point felt that there was no other choice." App. 170. However, because of this, she also stated that she thought it was rea- sonable for Beasley to assume that she was "investigating the special chair and that she  would come in and look at the facilities there and would be in touch with him." App. 171. Moreover, she thought that it was reasonable for Beasley to assume that she did not expect MCP to do anything about a chair until MCP had heard further from her. App. 171.


D.            June,  1986:          Nathanson's  Visit  to  MCP  and

Conversation with Beasley


In  June,  1986,  Nathanson  and  her  husband  visited MCP to examine the facilities. According to Nathanson, she  asked  for  Beasley's  "help  and  cooperation"  in  in- stalling a special chair in the lecture hall but she could not  recall  Beasley's  response.  App.  172-73.  Nathanson stated that she also saw Appel in the cafeteria afterwards and explained that she was trying to sit in the seats again and determine "how something could fit in." Appel **18  responded that "she didn't think the chairs were very com- fortable to a person with my type of back. She understood why I was having a problem." App. 172-73.


With  regard  to  the  June,  1986  encounter,  Beasley stated that Nathanson had not made an appointment with him but simply approached him while he was in the hall during a break between a class that he was teaching. He stated  that  Nathanson  asked  to  see  where  her  classes would be held in September and he directed her to the appropriate


926 F.2d 1368, *1376; 1991 U.S. App. LEXIS 3349, **18

Page 10



*1376   classrooms. "During our brief conversation, Ms. Nathanson did not discuss any particular seating arrange- ment  with  me  and  she  did  not  ask  for  MCP's  help  in devising one." App. 211.


E.  July 17, 1986 to August 20, 1986


On  July  17,  1986,  Beasley  learned  of  Nathanson's acceptance  by  Georgetown  through  his  secretary,  who had been reviewing an AMCAS computer printout (the National Multiple Acceptance Listing). Upon further in- quiry, he also learned that Nathanson had not indicated on her application that she had matriculated at MCP. App.

88.


In  a  letter  of  that  same  date,   Beasley  wrote  to Nathanson requesting that he be informed of the "circum- stances of her action." n7 App. 227. Also on that same day, Beasley **19   informed Pfordresher about the situation by letter and a phone call. According to Beasley, he then sent, to Pfordresher and to Richard Randlett, Director of the Association of American Medical Colleges, copies of four letters:  Nathanson's letters of September 13, 1985

(requesting that she defer classes for one year) and May

27, 1986 (notifying Beasley of her intent to begin classes at MCP in September) and Beasley's letters of September

13, 1985 (granting Nathanson a leave of absence) and July

17, 1986 (requesting that she explain the "circumstances of her action"). App. 92-93, 212. Beasley also sent a copy of his July 17, 1986 letter to Nathanson to Dr. Mary Ellen Hartman, another MCP administrator. App. 227.


n7 Beasley's letter reads, in part:


I am writing this letter to indicate my concern about the fact that you are holding a place in the first year med- ical  school  class  at  the  Georgetown University School of Medicine for the class of 1986.


Our records indicate that you ma- triculated at our school on September

3, 1985 as a first year medical student, that  you  requested  and  were  granted a leave-of--absence on September 13,

1985  and  that  on  May  27,  1986  you wrote   to   me   to   indicate   that   you would resume your studies with us in September 1986.


Today, we contacted AMCAS and were informed that you had resubmit- ted an application on Oct. 15, 1985 for classes to start in September 1986 and



you indicated on that application that you had not previously attended med- ical school.


It  would  be  appreciated  if  you let me know more about the circum- stances of your action.



App. 227. Letter from Andrew B. Beasley to Jayne

G. Nathanson (July 17, 1986).


**20


Beasley explained that he contacted Georgetown be- fore  he  contacted  Nathanson  because  it  was  a  "unique circumstance" to have a student on leave of absence who was holding a place at another medical school for the fall. App. 90, 94. Moreover, it was "quite routine" after June

1 in any admissions cycle to telephone among medical schools if a student was holding an acceptance at more than one medical school. App. 94.


Nathanson explained her ensuing behavior: From  that  time   July  17,  1986   until  the Promotions Committee at MCP  acted for- mally to terminate my opportunity of study- ing at MCP, I was informed by MCP officials that my opportunity to study at MCP would be in grave doubt. I remained steady to order special seating if necessitated by (a) a refusal by Georgetown to honor its acceptance or to extend adequate financial aid, (b) MCP's ul- timately allowing me to study at that insti- tution in the fall, and (c) a continued refusal by  MCP  to  take  any  steps  itself  to  accom- modate my injury. But given the threats and pessimistic  indications  given  me  by  MCP, I did not order any special chairs;  to do so would have cost me well over a thousand dol- lars that I could not afford to invest in lecture

**21   hall seats that I would likely never be able to use.



App. 111-12 (Affidavit of Jayne G. Nathanson).


In letters of July 23 and 24, 1986, Nathanson informed Beasley, Randlett, and Pfordresher that she was unaware that she had matriculated at MCP and described the situa- tion as a "misunderstanding." App. 285-86; 289-90. She contended specifically in her letter of July 23 to Beasley that


926 F.2d 1368, *1377; 1991 U.S. App. LEXIS 3349, **21

Page 11



*1377   she did not think that she had matriculated be- cause she had never paid MCP tuition or fees, had taken no exams, and had only attended classes for four days. Moreover, she wrote that in her conversation with Beasley on  May  27,  she  had  indicated  that  she  might  be  better suited at another school where the physical accommoda- tions were more compatible with her needs because she had had no physical problems that year when she took courses at the University of Pennsylvania and was pro- gressing well academically. n8 Nathanson made similar contentions in her letter of June 23 to Randlett and in her letter of June 24 to Pfordresher.


n8 Nathanson's letter reads, in part:


With  reference  to  our  phone  conver- sation  about  your  letter  of  July  17, I  wanted  to  let  you  and  the  commit- tee  know  that  I  did  not  understand that  I  was  actually  considered  to  be a matriculated student at M.C.P., and I  therefore  did  not  knowingly  misin- form A.M.C.A.S. or any other medi- cal  school  about  my  status.  I  was  at M.C.P. only 4 days before expressing my concern that the physical situation

(lecture  and  conference  hall  seating) was  severely  aggravating  an  injury  I had received in a car accident. I then stopped going to class, spoke with you and Dr. Appel, and requested a defer- ral of my acceptance so that I could try to  modify  the  physical  situation  and reconsider my alternatives. You gave me a leave which contained no restric- tions as to what I could or could not do during the year. . . .


As  you  suggested  in  September, I resumed my studies immediately at the University of Pennsylvania, taking medical school and arts and sciences courses (three in the Fall) and found, as before, that I had no difficulty there with the seating, etc. When we spoke on May 27th,  I expressed some con- cern that I might be more successful at another school where the physical ap- purtenances and my particular physi- cal situation would be more compati- ble, but I hoped to attend M.C.P. and try and see if I could modify the seating arrangements (which I am continuing to pursue).




. . .


With regard to my reapplying: late in  September,  after  seeing  how  well physically and academically I was pro- gressing at Penn,  and thinking about my  alternatives,  I  decided  to  apply again. I was not under the impression, nor  was  it  indicated  in  your  letter  to me, that I was not permitted to do this. I sincerely did not believe that being at M.C.P. for 4 days, having taken no exams,  having  paid  no  tuition,  con- stituted  formal  attendance  or  matric- ulation  at  a  Medical  School.  .  .  .  I wish I had been given the opportunity to  explain  before  you  wrote  the  let- ter to A.M.C.A.S.,  etc. I would have informed  Georgetown  and  the  other schools of the misunderstanding my- self. I had no wish to deceive or mis- inform anyone, least of all yourself.



App. 285-86. Letter from Jayne G. Nathanson to

Dr. Andrew Beasley (June 23, 1986).


**22


In a letter of August 4, 1986, Georgetown formally withdrew its offer of admission to Nathanson stating that it was Georgetown's policy, "in accordance with guide- lines established by the AMCAS, that acceptances are not to be offered to matriculated students." App. 251. In a let- ter of August 12, 1986, and in a telephone conversation the  next  day,  Beasley  informed  Georgetown  that  MCP had no objection if Georgetown accepted Nathanson for its 1986-87 entering class. App. 253. Georgetown never- theless chose not to accept Nathanson.


On  August  11,  1986,  MCP  convened  its  Student Promotions Committee to review Nathanson's case. On August  19,  after  reviewing  the  AMCAS  Application and  Designation  Form,  and  Nathanson's  responses,  the Promotions Committee voted to dismiss Nathanson from MCP.  According  to  MCP,  the  vote  was  a  result  of Nathanson's  "misrepresentations  and  her  failure  to  dis- close to MCP that she had been accepted by and had sub- mitted a deposit to Georgetown while encouraging MCP to hold her seat for the 1986 entering class." App. 292. On August 20, Nathanson was advised of the Promotions Committee's vote and of her right to appeal the decision. F.   August 21,  1986:  Nathanson's Meeting   **23

with Beasley and Hartman


On  Thursday,   August  21,   1986,   Nathanson  met


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Page 12



with  Beasley  and  Hartman  for  an  explanation  of  the Promotions Committee's appeal procedure. At this meet- ing,  Nathanson stated that she required special parking privileges and seating accommodations in order to study at MCP. App. 181-82. In response, Beasley said that MCP



"would do the best it could do to help her." App. 213. However,  Hartman  became  "extremely  angry.  .  .  .  She gritted her teeth, her face became red and just at my sug- gestion


926 F.2d 1368, *1378; 1991 U.S. App. LEXIS 3349, **23

Page 13



*1378   that  I  would  require  something  like   that ." App. 180. According to Beasley, "this was the first time

Nathanson   had  indicated  in  any  way  that  she  wanted MCP to do anything for her by way of  seating arrange- ments." App. 213.


Beasley  stated  that  although  he  was  aware  that Nathanson  had  a  problem  before  this  time,  he  did  not consider taking any action to assist her in dealing with it

"because it related to medical issues and Mrs. Nathanson stated  on  multiple  occasions  that  she  was  pursuing  a course of action to deal with these issues,  and I would not interfere with what she was doing." App. 71. He also stated that he would decline to assist a student in "any personal issue that **24   I would feel that it might be an invasion of their privacy, any issue relating to their emo- tional or mental status or physical status where I would not be qualified to deal with the issue." App. 72. He con- sidered Nathanson's difficulty with seating at MCP to be a personal problem that might involve an invasion of pri- vacy. App. 72.


In addition,  Beasley contended that because he felt unqualified to deal with the medical issues that students presented to him, he responded only to requests for assis- tance "and this request had not been made of me." App.

70.  Moreover,  he  required  that  a  physician must  docu- ment a student's medical need in order for him to take any action. App. 73. However, Beasley's requirement for medical documentation was not a policy of MCP's and he did not know if it was a policy that others at MCP shared. App. 73-74. He also stated that he thought that Nathanson had a medical problem. App. 74.


On  September  2,  1986,  at  Nathanson's  request,  the Promotions  Committee  reconsidered  its  decision  at  an appeal hearing and reinstated her. n9 On that same day, Beasley called Nathanson at home and left her a message that the Committee had reinstated her. App. 214.


n9 MCP originally scheduled the appeal hear- ing   for   Monday,   August   25,   1986.   However, Nathanson's attorney requested a postponement of

"several days" because Nathanson had just hired her and she needed some time to review the case. MCP then scheduled the meeting for Tuesday, September



2. These dates become important on the issue of tor- tious interference because Nathanson argued that MCP  delayed  the  appeal  procedure  until  the  day before registration.


**25


G.   September  3,  1986:   Nathanson's  Meeting  with

Beasley


On September 3, Beasley called Nathanson again to inform her that she had been reinstated and that she was to register and begin classes that same day. During their conversation Nathanson told him that she was once again concerned about the facilities, and that now that she knew that MCP's decision was definite, she would have to call the chair company to see how quickly a chair could be ordered. She asked Beasley if there were some way that she could delay registering for 24 hours to assess the chair situation because she did not want to register at MCP un- less  she  was  certain  that  she  could  attend.  She  wanted to  avoid  going  before  the  Promotions  Committee  once again. Beasley denied Nathanson's request for a 24-hour extension and indicated that if Nathanson did not register by the end of the day, she would have to go before the Promotions Committee again. App. 184-85.


Allegedly  in  light  of  Beasley's  denial,  Nathanson did  register  at  MCP  on  September  3.  Later  that  day, Nathanson visited Beasley about her concerns with seat- ing arrangements. He suggested that she examine the fa- cilities to determine if anything were available   **26   to suit her. App. 190.


A At the meeting with Beasley  I asked him specifically with his help could he help me get some chairs and tables, whatever, so that I could sit and write in the lecture hall, that I would need some again in the conference room. I told him that . . . I had tried to get in touch with the chair  company, I was wait- ing for a call back from the company to see if there was a sample or whatever immediately available,  that  I  wasn't  going  to  be  able  to attend class until I had the proper chairs. I remember saying to him that I


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Page 14



*1379   didn't want the same thing to hap- pen as last year, and he looked at me and his response to me was, well, you can go look over  the  conference  room,  and  he  pointed over there, in the direction of the conference room he was sending me. He said you can look around and see what you could find. I took his suggestion.


. . .

A I went back to Dr. Beasley and I told him that I went to the lecture hall  and I looked in  the  conference  room  and  that  I  couldn't use any of those chairs, that the lecture chair was far superior than anything in the confer- ence room because they were the same type of chair that I described to you that you char- acterized as a   **27   student desk. Some of them were taller, or shorter, all metal, with- out padding, with a continuous back, that I couldn't have sat in or written in with a low arm, and I recall saying to him that I hadn't found anything.

Q And how did he respond?

A Just shrugged his shoulders, like this (in- dicating).

Q What happened next in that meeting? A I left.


. . .

Q As far as you knew at that time, were there any  satisfactory  alternatives  other  than  ob- taining a chair from that company?

A Not unless, you know, MCP was going to help me out to put together something that I could use.


App. 188-91 (Deposition of Jayne G. Nathanson). Nathanson then specifically indicated to Beasley that

it would take about a month for her to get a chair made by special order unless the company could also provide her with a sample of some sort while she was waiting.


H.  September 5, 1986 to October, 1988


In a letter of September 5, 1986, Nathanson informed MCP that she would not be able to attend classes there because it would be impossible to accommodate her seat- ing requirements within a reasonable period of time. n10

App. 255. Nathanson did not attend classes at MCP in

1986.


n10 Nathanson's letter reads, in part:



I am writing to inform you that I will not be able to attend M.C.P. The events  of  the  last  months  have  pre- cluded  my  being  able  to  modify  the facilities  necessary  for  me  to  attend classes  within  any  reasonable  period of time.


I  feel  that  my  particular  physi- cal situation and the physical arrange- ments at M.C.P. are truly incompatible, and  by  attending  I  would  be  making what is normally a very rigorous first two  years  even  more  strenuous  than would be reasonable.


This  decision  does  not  reflect  on my sincere desire to become a physi- cian,  but  only  reflects  my  belief  that I would ultimately be more successful in my studies at another institution.


It  is  with  great  reluctance  and disappointment that I must withdraw. Further correspondence will follow.



App. 255. Letter from Jayne G. Nathanson to Dr. Andrew Beasley (Sept. 5, 1986).


**28


Nathanson applied to other medical schools for the

1987-88 and 1989-90 academic years. Because MCP had informed AMCAS that Nathanson had matriculated there, she was required by AMCAS to indicate her matriculation status on her subsequent applications to medical schools. As  a  result,  five  medical  schools  to  which  Nathanson applied  in  1987  required  that  she  acquire  a  statement from  MCP  confirming  that  she  had  matriculated  there and had left in good standing. MCP provided this state- ment. Nathanson was not accepted for admission by any medical school for the entering classes of 1987 and 1989. In October, 1988, Nathanson filed her complaint al- leging that MCP violated § 504 of the Rehabilitation Act by failing to "reasonably accommodate" her handicap in

1985 and 1986 (counts I and II). She further alleged that MCP  interfered  with  her  acceptance  at  Georgetown  by advising Georgetown of her previous matriculation and attendance at MCP (count III). She also claimed that MCP tortiously interfered with her contractual relationship with Georgetown in 1986 (count IV) and with her prospective relationship with other


926 F.2d 1368, *1380; 1991 U.S. App. LEXIS 3349, **28

Page 15



*1380   medical schools in subsequent years (count V). Nathanson sought over $1,000,000 **29    in damages and declaratory and permanent injunctive relief. As we have noted, the district court granted summary judgment in favor of MCP on all counts.


II.  STANDARD FOR SUMMARY JUDGMENT


HN1  Our standard of review of the district court's en- try of summary judgment is plenary.  Turner v. Schering- Plough Corp., 901 F.2d 335, 340 (3d Cir. 1990). HN2  Summary judgment may be granted only if there exists

"no genuine issue of material fact and the moving party is entitled to judgment as a matter of law." Fed. R. Civ. P. 56(c); see also Bushman v. Halm, 798 F.2d 651, 656

(3d Cir. 1986). Summary judgment may not be granted, however, if there is a disagreement over what inferences can be reasonably drawn from the facts even if the facts are undisputed. See, e.g., Gans v. Mundy, 762 F.2d 338,

340 (3d Cir.), cert. denied, 474 U.S. 1010, 88 L. Ed. 2d

467, 106 S. Ct. 537 (1985).


For  purposes  of  its  motion  for  summary  judgment, MCP admitted Nathanson's version of the objective facts, including her allegation that she was handicapped under

§ 504 of the Act. Moreover, for purposes of deciding this case, the district court assumed that Nathanson was hand- icapped and that this case could therefore be resolved as a matter of **30   law. Nathanson, slip op. at 2. Therefore, whether or not Nathanson was handicapped is not before us.


III.           SECTION  504  OF  THE  REHABILITATION ACT


HN3  Section 504 of the Act provides, in part, that:



No otherwise qualified individual with hand- icaps in the United States, as defined in sec- tion 706(8) of this title, shall, solely by reason of her or his handicap, be excluded from the participation in, be denied the benefits of, or be subjected to discrimination under any pro- gram or activity receiving Federal financial assistance.





29  U.S.C.  §  794(a)  (1988).   HN4   In  order  to  estab- lish a violation of the Rehabilitation Act, a plaintiff must meet four requirements:  1) she is a "handicapped indi- vidual," 2) she is "otherwise qualified" for participation in the program, 3) the program receives "federal financial assistance,"  and  4)  she  was  "denied  the  benefits  of"  or

"subject to discrimination" under the program.   Strathie v.  Department  of  Transp.,  716  F.2d  227,  230  (3d  Cir.

1983).


As we have noted, MCP admitted for the purposes of summary judgment that Nathanson was a "handicapped individual" and that it receives federal financial assistance. Moreover, it is apparent that Nathanson was "otherwise

**31    qualified"  to  participate  in  MCP's  program  be- cause  MCP  permitted  Nathanson  to  matriculate  twice without  indicating  at  any  time  that  Nathanson's  phys- ical  problems  would  interfere  with  her  ability  to  be  a qualified medical student or physician. See Southeastern Community College v. Davis,  442 U.S. 397,  406,  60 L. Ed.  2d  980,  99  S.  Ct.  2361  (1979)  (defining   HN5   an individual  who  is  "otherwise  qualified"  as  "one  who  is able to meet all of a program's requirements in spite of his handicap").


At issue here, then, is the district court's conclusion about  the  fourth  requirement  relating  to  discrimination and denial of the program's benefits. As the district court said, "although Nathanson  discussed her physical dis- comfort in prior correspondence with defendant, no rea- son existed for defendant to consider plaintiff's condition to be a handicap as contemplated by the statute . . . or  that  plaintiff  did  not  have  meaningful  access  to  defen- dant's program." Nathanson, slip op. at 3.


For  the  reasons  provided  below,  we  cannot  agree with this assessment. The district court's construction of MCP's  responsibility  vis-a--vis  persons  with  the  handi- cap  Nathanson  claimed  was  too  limited.  Moreover,  we find  relevant  two  issues  of  material   **32    fact  as  to whether MCP met its legal obligations under the Act:  1) Did MCP have reason to know that Nathanson's condi- tion was a handicap, and 2) did MCP provide reasonable accommodations for Nathanson's


926 F.2d 1368, *1381; 1991 U.S. App. LEXIS 3349, **32

Page 16



*1381   handicap. Therefore, summary judgment was in- appropriate on whether Nathanson was "denied benefits" or "subject to discrimination."


A. Did MCP Have Reason to Know That Nathanson's

Condition Was A Handicap?


In  order  to  be  liable  under  the  Rehabilitation  Act, MCP must know or be reasonably expected to know of Nathanson's handicap. Neither the Rehabilitation Act nor the regulations specifies what notification is necessary to adequately inform a recipient of a person's handicap or what constitutes awareness of a handicap.


We begin with the statute. In 1974, Congress amended the definition of the term "individual with handicaps" in order to ensure that § 504 would be broadly interpreted. See Cook, The Scope of the Right to Meaningful Access and the Defense of Undue Burdens under Disability Civil Rights Laws, 20 Loy. L.A.L. Rev. 1471, 1479 (1987) (dis- cussing the legislative history and broadening of § 504's coverage).   HN6   Under  the  Act,  a  "handicapped  indi- vidual" is "any person who **33   (i) has a physical or mental impairment which substantially limits one or more of such person's major life activities, (ii) has a record of such an impairment,  or (iii) is regarded as having such an impairment." 29 U.S.C. § 706(8)(B) (1988). The reg- ulations define "major life activities" as "functions such as caring for one's self, performing manual tasks, walk- ing,  seeing,  hearing,  speaking,  breathing,  learning,  and working." 45 C.F.R. § 84.3(j)(2)(ii) (1990).


In  this  case,  Nathanson's  handicap  was  not  visibly obvious.  The district court found  that Nathanson  never sufficiently demonstrated to MCP that one of her "ma- jor life activities" was impaired. Therefore, MCP had no reason  to  know  that  she  was  handicapped.  The  district court also found that Nathanson never made a sufficiently direct  and  specific  request  for  special  accommodations



that would have put MCP on notice of her handicap. Of course, this would be relevant only if MCP neither knew nor had reason to know that Nathanson was handicapped. We believe there is sufficient evidence to create a ma- terial issue of fact whether MCP knew or had reason to know that Nathanson met the standards of a "handicapped individual" under § 706(8)(B)(i)   **34   and (ii). With re- gard to § 706(8)(B)(i), Nathanson's meeting with Beasley on September 12, 1985, their depictions of this meeting, and her letter to him the next day, raised a factual issue whether Nathanson's "physical impairment," her neck and back injuries,  "substantially limited" one of her "major life activities," which was "learning." Beasley's affidavit stated that Nathanson's physical difficulties precluded her from attending classes at MCP for the next academic year. Moreover, Nathanson's letter of September 13, 1985, re- questing permission to defer classes for one year "because of the increased pain and spasm" that she had been expe- riencing, documented that she believed that her handicap was interfering with her learning. Letter from Jayne G.

Nathanson to Dr. Andrew Beasley (Sept. 13, 1985).


With regard to § 706(8)(B)(ii),  n11 there was suffi- cient evidence to create a material issue of fact whether Nathanson  had  a  "record  of  impairment."  Nathanson wrote Beasley that:


I had been in a car accident several years ago, injuring my neck,  back,  and shoulders and have made major strides in terms of recov- ery each year. Based upon my performance under a full-time load last spring **35   at Penn , I truly believed that I was physically prepared to handle the burden of a medical curriculum. Sadly this has not been so, each day the situation has worsened in terms


926 F.2d 1368, *1382; 1991 U.S. App. LEXIS 3349, **35

Page 17



*1382    of  my  pain  and  fatigue  and  I  do not  believe  my  physical  condition  is  good enough  to  proceed   in  attending  classes  at MCP  successfully.



Letter from Jayne G. Nathanson to Dr. Andrew Beasley

(Sept. 13, 1985).


n11 Whether an individual "is regarded as hav- ing  such  an  impairment"  under  §  706(8)(B)(iii)

(1988),  is  not  applicable  to  this  case.  This  stan- dard  applies  to  an  individual  who  does  not  have a physical or mental impairment that substantially limits  one  or  more  major  life  activities  and  also does not have a record of such an impairment, but is nonetheless an individual with handicaps because he is regarded by others as having such an impair- ment. 45 C.F.R. § 84.3(j)(2)(iv) (1990).



HN7  A person with a record of impairment can still qualify as a handicapped individual even if that individ- ual's  impairment  does  not  presently  limit  one  or  more of  that   **36    person's  major  life  activities.  Thus,  for example, a person who has recovered from a history of mental or emotional illness, heart disease, or cancer may always be a handicapped individual under the statute. 45

C.F.R.,  pt. 84,  App. A. (1990). Nathanson described to MCP that she had expanded her course load at Penn and at Temple over the years since her injury in part to test and prepare for the endurance needed to handle a full- time course load in medical school. Thus, her statements created an issue of fact concerning whether she notified MCP that she had a record of impairment that "substan- tially limited" one of her "major life activities," learning.

45 C.F.R. § 84.3(j)(2)(ii) (1990). See also Doe v. New York Univ., 666 F.2d 761, 777-78 (2d Cir. 1981) (noting that a long history of mental impairments, regardless of several years of stable behavior and a commendable work record, indicated that former medical student was a handicapped individual).


MCP  contends  that  it  could  not  have  reasonably known about Nathanson's record of impairment because she  indicated  at  her  preadmission  interviews  that  she would not require special accommodations at MCP be- cause she had "never had a problem" **37  with her seat- ing arrangements during her prior course work at Temple and Penn. Moreover, the regulations specifically prohibit



schools that receive federal funds from asking if an ap- plicant  is  handicapped  although  they  may  do  so  confi- dentially after an individual has been admitted for pur- poses of accommodation. 45 C.F.R. § 84.42(b)(4) (1990). However, as we have noted, there is sufficient evidence to create an issue of fact about whether Nathanson gave notice of her record of impairment after she was admitted to MCP.


Furthermore, it appears that there was a disputed fact whether Nathanson made a specific request for accommo- dations before August 21, 1986. There is some evidence that Nathanson did ask for direct help with her accommo- dations at least three times during the course of the year: in her September 12, 1985 meeting with Beasley (although the specificity of her request is in dispute), in her August

21, 1986 meeting with Beasley and Hartman, and in her September 3, 1986 meeting with Beasley. The evidence is less clear whether Nathanson asked for help in her en- counter  with  Beasley  in  June  1986  because  Nathanson and  Beasley  presented  conflicting  accounts  about  even the content   **38   of the conversation.


It  is  also  less  clear  that  Nathanson's  May  27,  1986 meeting or correspondence constituted direct requests for help because she indicated that she was assuming the bur- den  of  finding  accommodations.  Moreover,  Nathanson conceded in her deposition that she did not expect help and  that  she  had  given  the  impression  in  her  May  27 letter that she would contact Beasley. However, in both her  conversation  and  letter  of  May  27,  Nathanson  had reiterated her concern with the facilities at MCP and, in her letter, suggested that she and Beasley speak further. These communications, therefore, are sufficient to create an issue of fact about whether MCP was put on notice that Nathanson's handicap could still pose a substantial limitation on her ability to learn.


In  contrast,  Beasley  claimed  that  "at  no  time  then or at any time since" did Nathanson request specific ac- commodations. However, he did state that Nathanson had explained to him in their September 12,  1985,  meeting that her physical difficulties would preclude her from at- tending  MCP.  App.  209.  Moreover,  he  also  stated  that his meeting with Nathanson on August 21, 1986, was the

"first time" that Nathanson "had indicated in **39   any way that she wanted MCP to do anything for her by way of  seating arrangements." App. 213. In general, then, we find some evidence that Nathanson


926 F.2d 1368, *1383; 1991 U.S. App. LEXIS 3349, **39

Page 18



*1383  made known that she had difficulty in "learning," that her handicap prevented her from attending classes, and that she made direct requests for accommodations. Therefore,  we  believe  that  there  is  a  disputed  issue  of material  fact  whether  MCP  knew  or  reasonably  should have known that Nathanson met the standards for a hand- icapped individual under the Act.


B.   Did MCP Provide Reasonable Accommodations for Nathanson's Handicap?


For individuals in Nathanson's position,  the regula- tions implement the reasonable accommodation standard under § 504 as follows:


HN8   A  recipient   of  federal  funds   shall make   reasonable   accommodation   to   the known physical or mental limitations of an otherwise qualified handicapped applicant or employee  unless  the  recipient  can  demon- strate that the accommodation would impose an undue hardship on the operation of its pro- gram.



45 C.F.R. § 84.12(a) (1990).


The standard for reasonable accommodation was first set  forth  in  Southeastern  Community  College  v.  Davis,

442 U.S. 397, 60 L. Ed. 2d 980, 99 S. Ct. 2361 (1979), where the Court stated that HN9  the **40    adminis- trative regulations implementing § 504 are entitled to ju- dicial deference if they correspond to the "clear meaning of the  statute, as revealed by its language, purpose, and history." Id. at 411. In Southeastern, the plaintiff was de- nied admission to the defendant's nursing school program because her severe hearing disability "made it impossi- ble"  for  her  to  participate  safely  in  the  normal  clinical training program or to care adequately for patients. She contended that, under § 504, the nursing program should have to "undertake affirmative action that would dispense with the need for effective oral communication." Id. at

407.



In affirming the district court's grant of summary judg- ment for the defendant, the Court concluded that HN10

§ 504 requires that an "otherwise qualified handicapped individual" must be given meaningful access to the bene- fits of a federally funded program. Id. at 406. Moreover, a recipient's refusal to modify a program may be unreason- able, and therefore a violation of § 504, if the modification would not entail an undue financial or administrative bur- den.  Id. at 412-13. However, § 504 (unlike §§ 501(b) and

503(a)) of the Rehabilitation Act **41   does not impose an "affirmative action" obligation on all recipients of fed- eral funds if the required changes would be considered too burdensome.  Id. at 411. Therefore, the Court found that the defendant nursing program's requirement for certain physical qualifications was legitimate because to change it would fundamentally alter the curriculum. Because the plaintiff could not meet the program's requirements, then, she was not "otherwise qualified" under § 504 and the de- fendant's decision to exclude her was not discriminatory. Southeastern  did  not  make  clear  whether  an  ed- ucational  institution  has  a  duty  to  make  "reasonable efforts   to   explore   feasible   alternative   modifications" in  order  to  accommodate  a  handicapped  person.  See Note, Accommodating the Handicapped:  Rehabilitating Section 504 after Southeastern,  80 Colum. L. Rev. 171,

188 n.118 (1980). It appears that the Court stated only that HN11  § 504 "does not require a school to provide services  to  a  handicapped  individual  for  a  program  for which the individual's handicap precludes him from ever realizing the principal benefits of the training." Camenisch v. University of Texas, 616 F.2d 127, 133 (5th Cir. 1980),

**42  vacated and remanded on other grounds, 451 U.S.

390, 101 S. Ct. 1830, 68 L. Ed. 2d 175 (1981).


Alexander v. Choate, 469 U.S. 287, 83 L. Ed. 2d 661,

105 S. Ct. 712 (1985) extended and clarified Southeastern. In Alexander, handicapped citizens of Tennessee brought a  class  action  claiming  that  the  state's  reduction  in  the number  of  inpatient  hospital  days  funded  by  Medicaid would have a disparate impact on handicapped persons because they required relatively longer hospital stays.  Id. at 289-90. The Court held that the state's


926 F.2d 1368, *1384; 1991 U.S. App. LEXIS 3349, **42

Page 19



*1384   reduction did not exclude handicapped individ- uals from, or deny them meaningful access to, Medicaid's benefits. Moreover, the reduction was neutral on its face and did not rely on a discriminatory motive.  Id. at 309.


In  so  holding,  however,  the  Alexander  Court  also made clear two points. First, the Court emphasized that the  Rehabilitation  Act  was  directed  particularly  at  un- intentional conduct because "discrimination against the handicapped was perceived by Congress to be most often the product, not of invidious animus, but rather of thought- lessness and indifference - of benign neglect." Id. at 295. Thus, HN12  a plaintiff need not establish that there has been an intent to discriminate in order to prevail **43  under § 504.  Alexander, 469 U.S. at 295-97 (1985); see also NAACP v. Medical Center, Inc., 657 F.2d 1322, 1331-

32 (3d Cir. 1981) (noting that § 504 pertains to disparate- impact discrimination,  whether or not it is intentional). Second,  the  Court  noted  that  Southeastern's  use  of  the terms "affirmative action" refers to "those 'changes,' 'ad- justments,'  or  'modifications'  to  existing  programs  that would be 'substantial' . . . or that would constitute 'funda- mental alteration s  in the nature of a program' . . . rather than to those changes that would be reasonable accom- modations." Alexander, 469 U.S. at 301 n.20.


Thus, in both Southeastern and Alexander, the Court refused  to  mandate  alterations  only  because  they  were

"substantial." The two cases therefore "contemplate a con- tinuum in which some modest modifications may be nec- essary to avoid discrimination but other more substantial modifications are not required by section 504." Americans Disabled  for Accessible  Public Transp. v. Skinner,  881

F.2d 1184, 1192 (3d Cir. 1989) (holding that § 504 does not  mandate  mainstreaming  for  the  disabled  in  public transportation).


Much of the case law interpreting § 504 relates **44  to circumstances like those in Southeastern where a plain- tiff claims denial of admission into a program because of a handicap. Southeastern's holding was particularly strin- gent because the admission standards were designed to protect public health and safety, a concern that has been given considerable deference by the courts. See Wegner, The  Antidiscrimination  Model  Reconsidered:  Ensuring Equal Opportunity Without Respect to Handicap under Section 504 of the Rehabilitation Act of 1973, 69 Cornell L. Rev. 401, 476-78 (1984).


Nathanson does not typify those handicapped individ- uals to which the "reasonable accommodation" standard



in Southeastern was directed because that standard was designed to clarify whether an individual was "otherwise qualified" for a program. See, e.g., Doherty v. Southern College of Optometry, 862 F.2d 570, 575 (6th Cir. 1988), cert.  denied,  493  U.S.  810,  107  L.  Ed.  2d  22,  110  S. Ct. 53 (1989) ("An educational institution is not required to accommodate a handicapped individual by eliminat- ing a course requirement which is reasonably necessary to  proper  use  of  the  degree  conferred  at  the  end  of  a course of study."). This distinction is important because Nathanson's case **45   involves alleged discrimination or  denial  to  a  handicapped  individual  who  has  already been admitted to a program and deemed to be "otherwise qualified" but who requests individual accommodation in order to have access to or to continue benefitting from the program. See id. (noting the trial court's error in "treating the reasonable accommodation question as separate from the otherwise qualified analysis"). Moreover, Nathanson's request does not relate to concerns of public safety involv- ing others and does not require the kind of alteration found in Southeastern or Alexander. n12


n12 We also agree with the district court that Nathanson did not establish a prima facie case of discriminatory animus. Nathanson, slip op. at 4; see also P.C. v. McLaughlin, 913 F.2d 1033, 1041 (2d Cir. 1990) (emphasizing, in a § 504 case, the "com- plete absence of any factual support in the record to substantiate the bare allegation that a discrim- inatory animus prompted the treatment plaintiff  received").


The cases cited by Nathanson contending that MCP has a duty or burden to reasonably accommo- date her refer to § 501 of the Act, which concerns a  federal  agency's  duty  to  "submit  an  affirmative action program plan for hiring . . . individuals with handicaps."  29  U.S.C.  §  791(b).  These  cases  are not relevant here. In turn, MCP's references to the reasonable  accommodation  policies  for  religious needs under Title VII of the Civil Rights Act are also not directly on point. See, e.g., United States v. Board of Educ., 911 F.2d 882, 894 (3d Cir. 1990)

(rejecting a Title VII claim to allow a public school teacher to wear religious attire during her job).


**46


926 F.2d 1368, *1385; 1991 U.S. App. LEXIS 3349, **46

Page 20



*1385    As we have noted, HN13  the regulations re- quire  that  a  recipient  make  reasonable  accommodation to  the  "known  physical  or  mental  limitations"  of  oth- erwise  qualified  individuals  like  Nathanson  unless  the recipient can show that the accommodation "would im- pose undue hardship on the operation of its program." 45

C.F.R.  §  84.12(a)  (1990).  We  find  nothing  inconsistent between the regulations and the Supreme Court holdings that we have reviewed. The Alexander Court's interpre- tation  of  Southeastern  suggests  that,  indirectly,  such  a duty for reasonable accommodation under § 504 may ex- ist:   " HN14   While  a  grantee  need  not  be  required  to make  'fundamental'  or  'substantial'  modifications  to  ac- commodate the handicapped, it may be required to make

'reasonable ones.'" Alexander, 469 U.S. at 300.


What is considered to be a "reasonable accommoda- tion" of course must be decided on a case-by--case basis. The  limited  case  law  that  has  attempted  to  delineate  a

"reasonable  accommodation"  standard,  however,  is  in- structive. See, e.g., American Pub. Transit Ass'n v. Lewis,

211 U.S. App. D.C. 42, 655 F.2d 1272, 1278 (D.C. Cir.

1981) (asserting that a "refusal to take modest, affirma- tive  steps  to  accommodate  handicapped  persons  might

**47    well  violate  section  504");  Majors  v.  Housing

Auth. of DeKalb, 652 F.2d 454, 457-58 (5th Cir. 1981)

(stating that a tenant could experience the "full benefit" of federally subsidized housing given that there is some accommodation made for the tenant's disability); see also David  H.  v.  Spring  Branch  Indep.  School  Dist.,  569  F. Supp. 1324, 1336 (S.D. Texas 1983) ("After considering the legislative intent and the relation of Section 504 with constitutional law and with Title VI of the Civil Rights Act of 1964 ,  the Court concludes that defendants . . . had the affirmative duty to investigate child-plaintiff's  individual needs to determine what special or additional



services would be needed and then to set about to pro- vide those services."); Schuett Inv. Co. v. Anderson, 386

N.W.2d 249, 253 (Minn. Ct. App. 1986) (stating that § 504

"requires some affirmative steps to accommodate handi- capped persons").


Therefore, if MCP's failure to provide a suitable seat- ing arrangement makes its program effectively unavail- able  to  a  student  with  a  back  injury,  then  that  failure could constitute the type of "benign neglect" referred to in Alexander and a violation of the Rehabilitation Act.

**48   MCP would have to show that the required modi- fication entails a substantial alteration in order to avoid a violation of the Act.


Despite  Nathanson's  conflicting  messages  over  the course of the year and despite her change of expectations from MCP, we believe the following to be disputed issues of fact:  1) whether Nathanson left school before MCP had an opportunity to reasonably accommodate her;  2) whether Nathanson assumed the responsibility for finding her own accommodations after her meeting with Beasley on  September  12,  1985;  and  3)  whether  MCP  made  a reasonable effort to accommodate Nathanson even after August 21, 1986, the date that MCP claimed that it first became aware that Nathanson was handicapped.


The district court construed the statute to require that

MCP "need only make it possible for Nathanson  to have

'access' to the building, her classes and other facilities." Nathanson,  slip op. at 4. The court believed that MCP need not make Nathanson "comfortable," and commented that Nathanson "had access to the facilities and building." As is evident from the regulations, a defendant's obliga- tion goes further than making the building and physical facilities accessible.


926 F.2d 1368, *1386; 1991 U.S. App. LEXIS 3349, **48

Page 21



*1386    We   **49    note  that  MCP  would  not  have been in legal jeopardy for seeking more information from Nathanson because HN15  the regulations provide that a recipient "may make inquiries from handicapped indi- viduals  on a confidential basis as to handicaps that may require accommodation." 45 C.F.R. § 84.42(b)(4) (1990). Furthermore, the regulations state that recipients of fed- eral funds are obligated to provide the types of auxiliary aids that Nathanson requested, therefore enabling reason- able accommodation inside a building as well as access outside.


( HN16   d)  Auxiliary  aids.  (1)  A  recipient to which this subpart applies shall take such steps as are necessary to ensure that no hand- icapped student is denied the benefits of, ex- cluded  from  participation  in,  or  otherwise subjected to discrimination under the educa- tion program or activity operated by the re- cipient because of the absence of educational auxiliary aids for students with impaired sen- sory, manual, or speaking skills.


(2)  Auxiliary  aids  may  include  taped texts, interpreters or other effective methods of  making  orally  delivered  materials  avail- able  to  students  with  hearing  impairments, readers  in  libraries  for  visual  impairments, classroom equipment **50  adapted for use by  students  with  manual  impairments,  and other similar services and actions. Recipients need not provide attendants, individually pre- scribed devices, readers for personal use or study, or other devices or services of a per- sonal nature.


45 C.F.R. § 84.44(d) (1990) (emphasis added). Nathanson  requested  closer  parking  and  a  straight

back  chair  which,  she  emphasized,  did  not  need  to  be specifically  designed  for  her.  It  is  therefore  a  disputed issue  of  fact  whether  Nathanson  needed  "reasonable" accommodations that would not cause "undue financial or  administrative  burdens"  or  "impose  an  undue  hard- ship"  upon  the  functioning  of  the  recipient's  program. Alexander,  469  U.S.  at  287;  Southeastern,  442  U.S.  at

397; 45 C.F.R. § 84.12(a) (1990). A district court's esti-



mate of what is reasonable "rests in large part upon fac- tual determinations." United States v. Board of Trustees for Univ. of Ala., 908 F.2d 740, 750 (11th Cir. 1990). In turn, the regulations suggest the following "factors to be considered" in determining whether an accommodation would create an undue hardship:



(1)  The  overall  size  of  the  recipient's  pro- gram with respect to the number of employ- ees,   **51    number and type of facilities, and size of budget;

(2) The type of the recipient's operation, in- cluding the composition and structure of the recipient's workforce; and

(3) The nature and cost of the accommoda- tion needed.



45  C.F.R.  §  84.12(c)(1-3)  (1990);  see  also  Nelson  v. Thornburgh, 567 F. Supp. 369, 379-80 (E.D. Pa. 1983), cert.  denied,  469  U.S.  1188,  83  L.  Ed.  2d  962,  105  S. Ct. 955 (1985) (analyzing those factors to be considered in determining what would constitute an "undue burden" under § 504).


HN17  Accommodations that are "reasonable" must not unduly strain financial resources. Furthermore, a re- cipient must be allotted sufficient time and opportunity to investigate and acquire accommodations if appropri- ate. However, we believe there are disputed issues of fact whether  MCP  provided  Nathanson  with  reasonable  ac- commodations and whether MCP evidenced the type of

"benign neglect" referred to in Alexander. These matters must be resolved by the factfinder.


In summary, we find that the following disputed is- sues of fact remain: 1) whether MCP knew or had reason to know that Nathanson's condition was a handicap either because her condition "substantially limited" her ability to learn or because she had a "record **52   of impair- ment"; 2) whether Nathanson made a sufficiently direct and specific request for special accommodations in either of  her  three  meetings  with  Beasley  (on  September  12,

1985, August 21, 1986, or September 3, 1986) that would have put MCP on notice of Nathanson's handicap if MCP neither knew nor had reason to know that Nathanson was handicapped; 3) whether MCP's failure to provide


926 F.2d 1368, *1387; 1991 U.S. App. LEXIS 3349, **52

Page 22




*1387    Nathanson with "reasonable accommodations"

in the form of a suitable seating arrangement constituted

"benign  neglect"  and  effectively  made  its  program  un- available to her; 4) whether Nathanson gave MCP a fair opportunity to provide the necessary reasonable accom- modations;  and 5) whether MCP demonstrated that the modifications that Nathanson had requested imposed an

"undue hardship," a "financial or administrative burden," or a sufficiently "substantial alteration" to the functioning of MCP's program. n13


n13  We  believe  that  the  dissent  has  resolved several issues of disputed fact. For example, the dis- sent concluded that in September, 1985, Nathanson

"could not have used the chair" when she first re- quested it, that she "could not have continued" in the program had she had the chair, and that Nathanson's letter to Beasley on May 27, 1986, "unmistakably suggests that her request for a deferral was dictated by health problems that could not have been solved simply by providing a different chair." We believe, however, that few if any Rehabilitation Act cases would survive summary judgment if such an anal- ysis were applied to each handicapped individual's request  for  accommodations.  Under  the  dissent's approach, an institution could justify rejecting an

"otherwise qualified" applicant's reasonable request by rationalizing that even if such accommodations were provided, the applicant still might not be able to continue in a particular program and thus would eventually withdraw.


There is evidence in the record to suggest that Nathanson  successfully  attended  medical  school courses both immediately before and after her at- tendance at MCP. Therefore, Nathanson provided sufficient evidence to raise a genuine issue of ma- terial fact about whether her unproblematic atten- dance elsewhere, and her problems at MCP, were at- tributed to the differences in seating arrangements.


**53


IV.           TORTIOUS            INTERFERENCE   WITH EXISTING AND PROSPECTIVE CONTRACTS


Nathanson  made  three  allegations  with  regard  to



MCP's alleged tortious interference of her existing and prospective contracts:  1) MCP violated § 504 by inter- fering  with  Nathanson's  acceptance  at  Georgetown  by advising Georgetown of her previous matriculation and attendance at MCP; 2) MCP violated Pennsylvania law by interfering with Nathanson's contractual relationship with Georgetown in 1986; and 3) MCP violated Pennsylvania law by interfering with Nathanson's prospective relation- ship with other medical schools in subsequent years. For the  reasons  outlined  below,  we  will  affirm  the  district court's grant of summary judgment in favor of MCP on these three counts.


A.  MCP Did Not Violate Section 504 by Interfering

With Nathanson's Acceptance at Georgetown


According to Nathanson, MCP violated § 504 when it notified Georgetown that she had a position in MCP's en- tering class. This notification led Georgetown to withdraw its offer of acceptance and thereby foreclosed Nathanson's attempt  to  accommodate  her  disability  by  applying  to other medical schools with more comfortable chairs and closer parking facilities. Thus,   **54   Nathanson argued that MCP "intentionally attempted to prevent her  from receiving a medical degree by . . . blocking her efforts to gain admission to other medical schools." Nathanson, slip op. at 4.


The  district  court  correctly  held  that  Nathanson's claim is not recognized under the Rehabilitation Act: "No portion of the Act addresses a party's interference with a handicapped individual's participation in the program of a third party." Id. Moreover, Nathanson failed to provide any case law or facts to support her proposition.


In response, Nathanson argued that her claim is based upon  the  Program  Accessibility  requirements  under  45

C.F.R.  §  84.22(a)(b)  (1990).  As  MCP  correctly  points out, however, this regulation requires only that recipients of federal assistance adhere to methods for making their own programs accessible to handicapped persons.


B.             MCP  Did  Not  Violate  Pennsylvania  Law  by Interfering  With  Nathanson's  Contractual  Relationship with Georgetown in 1986


Nathanson's claim of tortious interference with an ex- isting contractual relationship was based upon her con- tention


926 F.2d 1368, *1388; 1991 U.S. App. LEXIS 3349, **54

Page 23



*1388    that MCP's communications with Georgetown were  "clearly  intended  to  interfere"  with  her  contract

**55    for admission to Georgetown in 1986 and sub- sequently  led  Georgetown  to  breach  its  contract  with Nathanson.  Nathanson's  claim  of  tortious  interference with prospective contractual relationships was based on MCP's alleged interference with her applications to other medical schools in 1987 and 1989 by its insistence that Nathanson matriculated at MCP in 1985.


The   Pennsylvania   Supreme   Court   has   explicitly adopted the standard of the Restatement (Second) of Torts

§ 766 (1979) for determining the elements for tortious in- terference with existing contractual relationships.  United States Healthcare, Inc. v. Blue Cross, 898 F.2d 914, 925

(3d Cir. 1990); Silver v. Mendel, 894 F.2d 598, 601 (3d

Cir.), cert. denied, 496 U.S. 926, 110 L. Ed. 2d 641, 110

S. Ct. 2620 (1990); Tose v. First Pa. Bank, N.A., 648 F.2d

879, 898 (3d Cir.), cert. denied, 454 U.S. 893, 70 L. Ed.

2d 208,  102 S. Ct. 390 (1981); Adler,  Barish,  Daniels, Levin and Creskoff v. Epstein, 482 Pa. 416, 429-31, 393

A.2d 1175, 1181-83 (1978), cert. denied, 442 U.S. 907,

99 S. Ct. 2817, 61 L. Ed. 2d 272 (1979). The Restatement

(Second) provides:



HN18  One who intentionally and improp- erly interferes with the performance of a con- tract  (except  a  contract  to  marry)  between another  and  a  third  person  by  inducing  or

**56    otherwise  causing  the  third  person not to perform the contract, is subject to lia- bility to the other for the pecuniary loss re- sulting  to  the  other  from  the  third  person's failure to perform the contract.




Adler, Barish, 482 Pa. at 431, 393 A.2d at 1183. n14


n14  The  Adler,  Barish  court  used  language from  the  Restatement  (Second)  of  Torts  §  766

(Tent. Draft No. 23, 1977). However, the "final re- statement is the same in substance." United States Healthcare, 898 F.2d at 925 n.12.



Thus, in order to prevail on her claim for intentional interference with a contract, Nathanson must show that

(1) she had a contract with Georgetown, (2) MCP's com- munications with Georgetown were intended to induce or cause Georgetown to break its contract with her, and (3)



MCP  acted  improperly.  Nathanson  bears  the  burden  of proving all three elements. See Buczek v. First Nat'l Bank of Mifflintown, 366 Pa. Super. 551, 557, 531 A.2d 1122,

1124 (1987).


For the purposes of its analysis, the district court as- sumed that Nathanson had   **57   a valid contract with Georgetown, Nathanson, slip op. at 5 n.1, and that MCP

"informed Georgetown that Nathanson  matriculated at MCP  in  order  to  prevent  Georgetown  from  confirming its  acceptance  of   Nathanson ."  Nathanson,  slip  op.  at

5.  However,  the  court  found  that  MCP's  disclosure  to Georgetown  of  Nathanson's  prior  matriculation  and  at- tendance at MCP was proper since MCP was simply pro- tecting its own contractual interest. As the district court noted,



" HN19  enforcing or complying with one's own valid contract does not constitute unjus- tifiable interference with another's contract. An action to protect one's contractual right is  also  ordinarily  justification  for  interfer- ence with another's contract." McCartney v. Dunn  &  Conner,  Inc.,  386  Pa.  Super.  563,

572, 563 A.2d 525, 530 (1989).  Therefore, if a contract existed between MCP and plain- tiff MCP was justified in its interference with plaintiff's contract with Georgetown.



Nathanson, slip op. at 5.


The district court concluded that a contract between Nathanson  and MCP existed because MCP would pro- vide  Nathanson  with  a  seat  in  its  1986  entering  class. Therefore, MCP was "justified in informing Georgetown of  its  interests"   **58    and  its  conduct  was  therefore proper. Id. at 6.


HN20  In determining whether or not an actor's con- duct has been "proper," the Pennsylvania courts are guided by  the  following  factors  derived  from  the  Restatement

(Second) of Torts § 767 (1979).


(a) the nature of the actor's conduct,


(b) the actor's motive,


(c) the interests of the other with which the actor's conduct interferes,


926 F.2d 1368, *1389; 1991 U.S. App. LEXIS 3349, **58

Page 24



*1389    (d)  the  interests  sought  to  be  ad- vanced by the actor,


(e) the social interests in protecting the freedom of action of the actor and the con- tractual interests of the other,


(f) the proximity or remoteness of the ac- tor's conduct to the interference and


(g) the relations between the parties.



Adler, Barish, 482 Pa. at 433, 393 A.2d at 1184; Yaindl v. Ingersoll-Rand Co., 281 Pa. Super. 560, 573-74, 422

A.2d 611, 618 (1980). The district court's grant of sum- mary  judgment  emphasized  the  fourth  factor  (d),  con- cerning  MCP's  own  contract  interest,  citing  as  support McCartney v. Dunn & Conner, Inc., 386 Pa. Super. 563,

572, 563 A.2d 525, 530 (1989). n15


n15  McCartney's  conclusion  was  based  upon an  application  of  Texas  law.  However,  MCP  ar- gues persuasively that it is likely that Pennsylvania courts  would  reach  a  similar  conclusion  because Texas has also adopted the Restatement's definition of the tort of intentional interference with contract. See, e.g., Sterner v. Marathon Oil Co., 767 S.W.2d

686, 689 (Tex. 1989); Maynard v. Caballero, 752

S.W.2d 719, 721 (Tex. App. 1988).


**59


In  response,  Nathanson  presented  three  arguments which she contended demonstrated that the district court's decision improperly resolved several disputed issues of fact.  We  find,  however,  that  each  of  Nathanson's  argu- ments  was  either  resolved  in  Nathanson's  favor  by  the court or was not material to the court's decision.


First,  Nathanson contended that there was a factual dispute concerning whether or not she had a valid contract with Georgetown. However, the district court resolved this issue in her favor.


Second,  Nathanson  argued  that  three  alleged  state- ments by MCP to Georgetown were not true and therefore are disputed factual issues: 1) whether she "matriculated" at  MCP  in  September  1985;  2)  whether  she  requested and was granted a leave of absence from MCP; and 3) whether she made "misrepresentations" on her AMCAS



application. Nathanson is correct in noting that the parties did dispute these issues because MCP contended that its statements to Georgetown were indeed truthful and that summary judgment would have been appropriate for this reason. However, the district court's decision was based not upon whether these statements were truthful but in- stead upon its conclusion that MCP's **60   communi- cations with Georgetown were proper because MCP was protecting its own contract interest. Nathanson, slip op. at 6. Regardless, even if the veracity of MCP's statements are considered to be material, Nathanson did not present sufficient evidence to create an issue of fact about whether they were false.


1.  Nathanson Matriculated at MCP


Nathanson  contended  that  there  is  a  dispute  about whether she matriculated at MCP in September 1985. The district court found that she did matriculate based upon the following undisputed facts: 1) Nathanson had applied and been accepted as a candidate for the M.D. degree,

2) she had attended orientation, 3) she registered for and attended classes for four days, and 4) she signed MCP's Honor Code that described how "students of the Medical College of Pennsylvania agree to hold themselves." Id. at

6. In addition, Nathanson had completed a personal data form and filed it with MCP's registrar, was given a locker and a mailbox (App. 209), and had her picture taken for her student ID card. Brief for Appellee at 37.


Moreover,  there is evidence to support Nathanson's matriculation  status  based  upon  her  own  selection  of  a definition of matriculation **61   provided by Webster's Third New International Dictionary:


Matriculate - 1. To admit to membership in a body, society, or institution especially a col- lege or university by entering the name in a register: ENROLL . . . 2. To become admitted to membership in a body, society, or institu- tion (as a college or university) and have one's name officially registered after having previ- ously  met  entrance  requirements  and  typi- cally after having successfully passed an en- trance examination.



Webster's  Third  New  International  Dictionary  1393  (P. Gove Ed. 1986). In line with this definition,  the undis- puted facts


926 F.2d 1368, *1390; 1991 U.S. App. LEXIS 3349, **61

Page 25



*1390   show that Nathanson was "admitted" to MCP as a degree candidate, she "officially registered after having previously met entrance requirements," and she attended an orientation session and classes in September 1985. Nathanson  argued  that  she  did  not  matriculate  be- cause:  1) she only attended four days of classes at MCP,

2) she had taken no exams and had completed no aca- demic work, and 3) she was never billed for nor paid any fees or tuition to MCP although MCP's Student Bulletin states that any matriculated student is obligated for full payment of all fees and tuition. The Bulletin **62   fur- ther states that students who matriculate but withdraw or are  granted  leaves-of--absences  are  obligated  to  pay  at least 25 percent of the tuition and fees.


However,   as   MCP   notes,   MCP's   Handbook   of Information for Students,  1985-86,  states in its section on "Matriculation Requirements" that there are two re- quirements for matriculation for new students:  submit- ting two photographs and official transcripts from prior institutions. Nathanson completed both of these require- ments. Brief for Appellee at 38. In turn,  MCP had not yet billed Nathanson for tuition because she was admitted unusually late into the program (ten days prior to orien- tation) and MCP was subsequently able to fill her seat in September 1985 with another student.


Thus,  this  one  exception  to  the  written  criteria  for matriculation  (no  tuition),  which  benefitted  Nathanson, is  not  sufficient  to  create  an  issue  of  fact.  As  the  dis- trict court concluded, in light of the other matriculation- related factors that Nathanson did not contest, "plaintiff and defendant had entered into a contract." Nathanson, slip  op.  at  6.  Nathanson's  matriculation  status,  then,  is well documented.


2. Nathanson was Granted a Leave of Absence **63  Although Nathanson originally requested a "deferral," she accepted the "leave of absence" that was granted to her  in  Beasley's  letter  after  having  questioned  Beasley about the distinction between the two terms. Moreover, Nathanson never contested her status or request that it be changed, either verbally or in writing, and gave no indi- cation in her deposition that she had any particular reason for why she would want a status of deferral over a leave




of absence.


As MCP explained, Nathanson's initial request for a deferral  was,  regardless,  an  inappropriate  use  of  terms because  Nathanson  had  already  started  taking  classes;

"leave of absence" was the proper term for a student in her position. This distinction between terms is commonly accepted and understood in the field of education. App.

210. Furthermore, Beasley sent to Georgetown copies of

Nathanson's  letter  of  September  13,  1985  requesting  a

"deferral" and his letter of the same date granting her a

"leave  of  absence."  In  this  way,  Beasley  had  not  mis- represented  the  situation  to  Georgetown.  Furthermore, Nathanson  informed  Georgetown  about  the  differences in terminology. App. 289.


Similarly, the district court saw the leave-of--absence

**64   issue as supporting MCP's attempt to protect its contract interest.


Defendant's grant of plaintiff's leave of ab- sence did not release plaintiff from her obli- gation  to  defendant.  She  could  have  in- formed  defendant  that  she  was  no  longer interested in attending MCP prior to accept- ing Georgetown's offer. Instead, she accepted Georgetown's offer while reaffirming her re- lationship with MCP. Plaintiff's leave of ab- sence suggests,  by definition,  that her rela- tionship with MCP was ongoing. This is ev- ident  because  plaintiff  did  not  have  to  ap- ply to MCP to gain admission in the enter- ing class of 1986. Whether plaintiff believed such behavior to be inappropriate is irrele- vant. Defendant acted in its contractual in- terests and, therefore, its conduct is not ac- tionable.



Nathanson, slip op. at 6.


3.             Whether  or             Not          Nathanson             Made Misrepresentations  On  Her  1986  AMCAS  Form  Is  Not Material


Nathanson is correct in stating that the parties dispute whether she made misrepresentations


926 F.2d 1368, *1391; 1991 U.S. App. LEXIS 3349, **64

Page 26



*1391  on her AMCAS form because she had designated that she had not matriculated at nor attended any medical school. She concedes, however, that this issue is only rel- evant to determine whether MCP's communications with

**65    Georgetown were truthful and therefore proper. Brief  for  Appellant  at  37.  However,  as  we  have  noted, the district court's decision was based not upon whether these statements were truthful (although MCP contends that they were) but upon its conclusion that MCP's com- munications with Georgetown were proper because MCP was protecting its own contract interest. Again, even if the truthfulness of MCP's statements were considered to be material, Nathanson did not present sufficient evidence to create an issue of fact about whether they were false. Nathanson  also  failed  to  present  adequate  evidence that MCP tortiously interfered with her contractual rela- tionship with Georgetown. It appears that MCP was sim- ply complying with the standard "traffic rules" followed by medical  schools  for their  application  procedures.  In this regard, the Medical School Admission Requirements

provide:


Subsequent to June 1, a medical school seek- ing to admit an applicant already known to be  accepted  by  another  school  for  that  en- tering class should advise that school of its intent.  Because  of  the  administrative  prob- lems involved in filling a place vacated just prior to the commencement of the academic year,  schools   **66    should  communicate fully with each other with respect to antic- ipated  late  roster  changes  in  order  to  keep misunderstandings at a minimum.



Association  of  American  Medical  Colleges,   Medical

School Admission Requirements para. 8 (1986-87). Moreover, when Beasley learned of Nathanson's ac-

ceptance by Georgetown from his secretary's review of the AMCAS computer printout, he was not obligated to have contacted  Nathanson  before  he  contacted  Georgetown. Beasley  explained  that  it  was  a  "unique  circumstance"



to have a student on leave of absence who was holding a place at another medical school for the fall. App. 90,

94. Moreover, he referred to the procedure quoted above in his further explanation that it was "quite routine" after June 1 in any admissions cycle for "immediate" telephone communications to exist among medical schools if a stu- dent was holding an acceptance at more than one school. App. 94.


There  is  also  no  evidence  to  suggest  that  Beasley tortiously   interfered   with   Nathanson's   contract   with Georgetown when he informed Georgetown on August

12, just two days before classes were to begin there, that MCP had no objection if Georgetown accepted Nathanson for its 1986-87 entering **67   class. Beasley contacted Georgetown  one  day  after  MCP  convened  its  Student Promotions Committee to review Nathanson's case so that his call corresponded with his knowledge of Nathanson's status  at  MCP  at  that  time.  Moreover,  it  appears  that Nathanson had not yet provided Georgetown with the fi- nancial aid information that it needed in order to prepare for her matriculation. It cannot be properly inferred that meetings and telephone conversations were purposefully delayed.


Similarly, Beasley's call to Nathanson on September

2,  1986,  informing  her  that  she  had  been  reinstated  at MCP and that classes were to begin there the next day oc- curred directly after the Promotions Committee had met to discuss Nathanson's case. Nathanson herself had sug- gested the original delay of that meeting (that had initially been scheduled for August 25) so that her attorney could review her case. There is also no evidence to suggest that MCP attempted to interfere with Nathanson's start of her classes there.


C.             MCP  Did  Not  Violate  Pennsylvania  Law  by Interfering  With  Nathanson's  Prospective  Relationship With Other Medical Schools


According to Nathanson, MCP interfered with her ad- mission to medical schools **68   to which she applied in  1987  and  1989  by  insisting  that  she  matriculated  at MCP  in  1985.  She  contends  that  the  disclosure  of  her matriculation hindered her


926 F.2d 1368, *1392; 1991 U.S. App. LEXIS 3349, **68

Page 27



*1392   chances of gaining admission to those schools. The district court properly noted that HN21  a claim for intentional tortious interference with prospective con- tractual relationships requires that a plaintiff establish the

following four elements:


(1) a prospective contractual relation;


(2)  the  purpose  or  intent  to  harm  the plaintiff by preventing the relation from oc- curring;


(3) the absence of privilege or justifica- tion on the part of the defendant; and


(4) the occasioning of actual damage re- sulting from the defendant's conduct.




Thompson Coal Co. v. Pike Coal Co., 488 Pa. 198, 208,

412 A.2d 466, 471 (1979).


Relying on Thompson Coal, the district court defined a  "prospective  contractual  relationship"  as  "something less than a right and something more than hope." Id. at

209, 412 A.2d at 471. In order to prove the existence of a  prospective  contractual  relationship,  Nathanson  must show that there was a "reasonable probability" that she would  have  entered  into  a  contract  with  another  medi- cal school absent MCP's interference.   **69    General Sound  Tel.  Co.  v.  AT&T  Communications,  Inc.,  654  F. Supp.  1562,  1565  (E.D.  Pa.  1987).  The  district  court concluded  that  although  Nathanson  had  a  "satisfactory academic record and background," she had "not demon- strated  more  than  mere  hope  in  securing  a  prospective relationship with a medical school." Nathanson, slip op. at 6. Moreover, Nathanson had "not offered any facts to show that she had a reasonable probability of admission to  a  particular  medical  school  but  for  the  fact  that  she matriculated at MCP." Id. at 7.


The  district  court  conceded  that  it  was  difficult  to determine whether or not Nathanson would have been ac- cepted by a medical school. In 1985, she applied to ten medical schools and was accepted only by MCP. In 1986, she applied to six medical schools and was accepted only by Georgetown which had rejected her when she had ap- plied  there  the  year  before.  Based  upon  this  history,  it is too speculative to conclude that she would have been accepted by any medical school in 1987 or 1989.


Admissions policies vary considerably from school-



to-school  and  from  year-to--year.  Other  information is  simply  not  known.  Regardless,  the  burden  is  upon Nathanson to demonstrate **70   that her matriculation status did have an impact upon her rejections from med- ical schools. She did not provide sufficient evidence to create a disputed issue of material fact.


Furthermore, as the district court pointed out, "MCP cannot be held liable for AMCAS' requirement that stu- dents list matriculation  information in applying to med- ical schools. MCP  does not require that plaintiff provide this information. The fact is she did matriculate at MCP and MCP cannot be held liable for her obligation to rep- resent that she did so." Id.


Contrary to Nathanson's assertions, the district court did not improperly resolve disputed issues of fact. The issues  that  we  have  reviewed  were  either  resolved  in Nathanson's favor, were not material to the district court's decision, or lacked sufficient evidence to create a disputed issue of material fact.


V.  CONCLUSION


We will affirm the district court's grant of summary judgment on the tortious interference of contract claims. However,  we  will  reverse  the  grant  of  summary  judg- ment on § 504 of the Rehabilitation Act and remand for proceedings consistent with this opinion.


CONCURBY:


ALITO (In Part)


DISSENTBY:


ALITO (In Part)


DISSENT:


Alito, Circuit Judge, concurring **71   and dissent- ing.


I concur in the affirmance of summary judgment in favor of the Medical College of Pennsylvania (MCP) on Nathanson's state tort claims, but I dissent from the rever- sal of summary judgment for MCP on Nathanson's claims under Section 504 of the Rehabilitation Act, 29 U.S.C. §

794.


I.


As the majority notes (Typescript at 25-26), a plaintiff asserting a claim under Section


926 F.2d 1368, *1393; 1991 U.S. App. LEXIS 3349, **71

Page 28



*1393     504  must  prove  (1)  that  he  or  she  is  handi- capped,  (2)  that  he  or  she  is  "otherwise  qualified"  for participation in the program at issue, (3) that the program receives federal financial assistance, and (4) that he or she was "excluded from participation in," "denied the benefits of," or "subjected to discrimination" under that program. I agree with the majority that the first three elements were satisfied for present purposes,  but I do not believe that Nathanson made an adequate showing with respect to the final element, which represents the heart of Section 504. The  final  element  of  Section  504  may  be  satisfied by establishing that the defendant literally excluded the plaintiff  from  participation  in  its  program,  denied  the plaintiff  the  benefits  of  its  program,  or  subjected  the plaintiff  to  discrimination   **72           under  its  program. Alternatively, the final element may be satisfied by show- ing  that  the  defendant  unreasonably  refused  to  accom- modate the plaintiff's handicap. Southeastern Community College  v.  Davis,  442  U.S.  397,  412-13,  60  L.  Ed.  2d

980, 99 S. Ct. 2361 (1979). A grantee's duty to provide

"reasonable accommodation" may necessitate some spe- cial steps to meet the needs of handicapped persons, but it does not require modifications that would impose "undue financial and administrative burdens" or have a "substan- tial" effect on standards. Id. See also, e.g., School Board of Nassau County v. Arline, 480 U.S. 273, 287-88, 94 L. Ed. 2d 307, 107 S. Ct. 1123 (1987); Alexander v. Choate,

469  U.S.  287,  299-302,  83  L.  Ed.  2d  661,  105  S.  Ct.

712  (1985);  Americans  Disabled  for  Accessible  Public Transportation v. Skinner,  881 F.2d 1184,  1191-92 (3d Cir. 1990); Strathie v. Department of Transportation, 716

F.2d  227,  230-31  (3d  Cir.  1983).  In  the  present  case, Nathanson's complaint rests entirely upon the theory that MCP unreasonably refused to accommodate her needs by failing to provide a suitable chair for use during classes, but the summary judgment record establishes that MCP acted reasonably at every stage of this unusual case.


II.


When  MCP  moved  for  summary  judgment  after

**73    adequate  time  for  discovery,  the  district  court



was obligated to grant that motion unless Nathanson had made a showing sufficient to establish every critical ele- ment of her Section 504 claims.  Celetox Corp. v. Catrett,

477  U.S.  317,  322,  91  L.  Ed.  2d  265,  106  S.  Ct.  2548

(1986). In my view,  Nathanson failed to meet this bur- den with respect to either of her Section 504 claims -- which were based, respectively, upon her first voluntary withdrawal in the fall of 1985 and her second voluntary withdrawal in the fall of 1986.


A.    Events  Leading  to  Nathanson's  Withdrawal  in the  Fall  of  1985.  Nathanson  began  classes  at  MCP  on September 4,  1985,  but stopped after September 9. On September 12, she met with Dr. Andrew Beasley, MCP's Associate Dean of Student Affairs, and orally requested a one-year deferral; she repeated this request, which MCP granted,  in a letter to Dr. Beasley dated September 13. The parties strenuously contest whether Nathanson asked Dr.  Beasley  to  provide  a  different  kind  of  chair  during their meeting on September 12. But even assuming that the record is sufficient to establish that Nathanson made this request, I believe that Nathanson nevertheless failed to establish that MCP acted unreasonably because **74  she did not show that she could have continued attend- ing classes if a suitable chair had been provided. On the contrary,  her own words reveal that she could not have continued. I cannot believe that MCP's duty to provide reasonable accommodation required the school to obtain and install a special chair for a student who could not have used the chair at the time and might never have returned. n1


n1   Indeed,            if   Nathanson's   acceptance   at Georgetown University School of Medicine had not been withdrawn for reasons having nothing to do with her handicap, it is likely that she never would have returned to MCP.



Nathanson's reasons for seeking a one-year deferral were fully and unambiguously set out in her letter to Dr. Beasley,


926 F.2d 1368, *1394; 1991 U.S. App. LEXIS 3349, **74

Page 29



*1394    which  read  as  follows  ((App.  217)  (emphasis added)):


Dear Dr. Beasley:

I would like to request permission to defer beginning Freshman classes at the Medical College  of  Pennsylvania  for  one  year.  My reason for asking is the increased pain and spasm I have been experiencing in my neck and shoulders, since **75   trying to attend and take notes in class for 6-7 hours per day. I had been in a car accident several years ago, injuring my neck,  back,  and shoulders and have made major strides in terms of recovery each year. Based on my performance under a full-time load last spring, I truly believed that I was physically prepared to handle the burden of a medical curriculum. Sadly this has not been so, each day the situation has worsened  in  terms  of  my  pain  and  fatigue and I do not believe my physical condition is good enough to proceed successfully.

I  do  have  reason  to  hope  (based  on  each year's progress) that by this time next year I  will  recover  sufficiently  in  strength  and endurance. In addition, before starting next fall I would have the opportunity to consider modification of my surroundings in order to reduce the strain on my neck during classes. I would, as you suggested, either formally or informally continue course work during the year to keep my knowledge current and my study skills sharp.

Thank you for your consideration. Sincerely,


/s/ Jayne G. Nathanson



This letter fails to show that MCP's refusal to provide alternative  seating  necessitated  Nathanson's  request  for

**76    a deferral. On the contrary, the letter unmistak- ably suggests that her request for a deferral was dictated by health problems that could not have been solved simply by providing a different chair. Nathanson unequivocally wrote:  "I do not believe my physical condition is good enough to proceed successfully." She stated:  "I truly be- lieved that I was physically prepared to handle the burden




of a medical curriculum. Sadly this has not been so. . .

." She added:  "I do have reason to hope . . . that by this time next year I will recover sufficiently in strength and endurance." These are Nathanson's own words, written at the time in question, and they plainly do not show that she could have continued attending classes in the fall of

1985 even if MCP had provided her with a suitable chair. Nor  is  there  anything  in  Nathanson's  deposition  or  the remainder of the summary judgment record that is suffi- cient to establish that she could have continued attending classes but for the lack of a suitable chair. Thus, I believe that summary judgment for MCP on her 1985 claim was required.


B.  Events Leading to Nathanson's Withdrawal in the

Fall  of  1986.  Nathanson's  showing  with  respect  to  her

1986   **77    claim, in my view, is also deficient. The events relating to this claim may be divided into three pe- riods:  first, the period from Nathanson's acceptance of a position in the 1986 entering class until her dismissal for ethical reasons;  second, the period from dismissal until reinstatement;  and  third,  the period  from  reinstatement until her second voluntary withdrawal.


1.  Acceptance to Dismissal. During this period MCP acted reasonably, in my view, because Nathanson by her own admission had assumed full responsibility for finding and obtaining a suitable chair.


On May 27,  1986,  Nathanson wrote to Dr. Beasley and informed him that she would attend MCP that fall. In this letter she stated (App. 226) (emphasis added):


In  order  to  attend  classes  it  will  be  neces- sary  for  me  to  procure  a  special  chair  for lectures and conference. I am in the process of investigating, whether lecture hall chairs that I have previously used elsewhere could be modified for use at MCP. I am especially concerned about the physical arrangements for  conference  and  laboratory.  In  order  to have a better idea of what type of installation would be appropriate, I would like to speak with you further.



Because **78  of this passage, Nathanson stated dur- ing her deposition that it was reasonable for Dr. Beasley to assume that she did


926 F.2d 1368, *1395; 1991 U.S. App. LEXIS 3349, **78

Page 30



*1395   not expect MCP to do anything about a special chair until the school heard further from her. App. 170-

71. In light of this testimony,  MCP's failure to attempt to obtain a special chair during this period was clearly reasonable and did not violate Section 504. n2


n2  Nathanson's  May  27  letter  stated  that  she wanted to speak further with Dr. Beasley regard- ing "installation" of the "special chair" she was at- tempting to procure. Consistent with this statement, Nathanson stated in her deposition that she spoke with Dr. Beasley in June and asked for MCP's "help and cooperation" in installing the chair. Ap. 172-

73. This testimony does not suggest that it was un- reasonable for MCP to continue to rely on her to obtain the chair.



2.  Dismissal to Reinstatement. During this period, I believe that MCP had no obligation to look for, obtain, or install a special chair because Nathanson had been ex- pelled for ethical **79   reasons. During the summer of

1986, MCP learned that Nathanson had accepted a student spot at the Georgetown University School of Medicine, as well as at MCP. The MCP Student Promotions Committee consequently  voted  to  dismiss  her  for  misrepresenta- tions and wrongful failure to disclose her acceptance of Georgetown's offer. On August 21, Nathanson met with Dr. Beasley and another member of the faculty regard- ing the procedure for appealing her dismissal. During this meeting, Nathanson stated that she would require special parking privileges and seating accommodations in order to attend MCP, and Dr. Beasley stated that MCP "would do the best it could do to help her." App. 213.


At this time, however, Nathanson had been dismissed for ethical reasons. As long as she remained in that sta- tus, MCP could reasonably regard her as not "otherwise qualified" to be a medical student n3 and could reason- ably decline to take steps to accommodate her handicap. In my view, Section 504 plainly did not require MCP to take steps to accommodate a student it had just expelled on ethical grounds.


n3 "An otherwise qualified person is one who is



able to meet all of a program's requirements in spite of his handicap." Southeastern Community College v. Davis, 442 U.S. at 406.


**80


3.  Reinstatement to Voluntary Withdrawal. I believe that Nathanson failed to show that MCP acted unreason- ably during this final period because she failed to establish that MCP could have reasonably accommodated her needs within the time available.


The appeal hearing, which was postponed at the re- quest of Nathanson's attorney, took place on September 2, the day before classes were scheduled to begin. After the hearing, the Committee decided to reinstate Nathanson, and  Dr.  Beasley  left  a  message  at  her  home  inform- ing her of the decision that afternoon. On September 3, Nathanson registered at MCP. According to Nathanson's deposition, she had spoken with a chair company about ordering  a  special  chair  but  had  learned  that  her  order could  not  be  filled  in  less  than  about  one  month.  App.

184, 186. Consequently, after registering, she approached Dr. Beasley at about 5:00 P.M. (App. 187) and, accord- ing  to  her  deposition,  the  following  occurred.  She  told Dr. Beasley that she was waiting for a return call from the chair company so that she could find out whether the company had a sample that she could get immediately. App. 188. She asked Dr. Beasley whether he could help her "get some chairs **81   and tables, whatever," for the lecture hall and conference room. Id. Confronted with this request for an immediate solution, Dr. Beasley told her to look around the MCP facilities and "see what she  could find." Id. In her deposition,  Nathanson said she looked around,  found  nothing  suitable,  and  informed  Beasley, who  shrugged  his  shoulders.  App.  189-90.  Nathanson then went home and wrote to MCP on September 5 with- drawing from the entering class. App. 193-94, 255.


In  light  of  these  facts,  I  simply  do  not  understand what MCP was supposed to have done between the time of Nathanson's reinstatement on September 2 and her con- versation with Dr. Beasley on September 3 or her with- drawal  on  September  5.  Nathanson  had  communicated with a chair company about ordering an acceptable


926 F.2d 1368, *1396; 1991 U.S. App. LEXIS 3349, **81

Page 31



*1396  chair but had learned that none could be obtained in less than about a month. She presented no evidence that MCP could have obtained this chair from the company any sooner. She presented no evidence that MCP could have quickly obtained a suitable chair from any other source, and any such suggestion is belied by her own apparent inability  to  find  any  readier  source  of  supply,  although she  had  assumed  the  responsibility   **82    for  procur- ing such a chair as early as May. She likewise presented no evidence that MCP could have quickly arranged for the construction of a special chair to meet her needs. In short,  the  record  is  devoid  of  any  evidence  that  MCP could have reasonably accommodated Nathanson's needs between September 2 and September 5 -- or at any time prior to the date on which her special order from the chair company would have arrived. n4


n4  Nathanson  herself  acknowledged  in  her complaint that there was nothing that MCP could have done at this point to accommodate her needs. Her complaint states (Amended Complaint, para- graph 26) (emphasis added):



By letter dated September 5, 1986, plaintiff advised MCP that she could not pursue her studies there because it would not be possible to modify in a timely fashion the facilities necessary for her to attend classes.





In my judgment,  Nathanson failed to provide suffi- cient evidence that MCP acted unreasonably during any of the three periods leading up to her second voluntary withdrawal   **83   on September 5, 1986, and therefore the district court properly granted summary judgment in favor of MCP on Nathanson's Section 504 claim relating to her 1986 withdrawal.


III.


I would affirm the judgment of the district court in all respects. MCP should not be compelled to bear the expense and risk of further litigation in this case.


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