FILED: KINGS COUNTY CLERK 10/30/2019 07:42 PM
`NYSCEF DOC. NO. 31
`
`INDEX NO. 516861/2019
`
`RECEIVED NYSCEF: 10/30/2019
`
`Exhibit
`
`C
`
`

`

`FILED: KINGS COUNTY CLERK 10/30/2019 07:42 PM
`NYSCEF DOC. NO. 31
`
`EMATCH~
`
`INDEX NO. 516861/2019
`
`RECEIVED NYSCEF: 10/30/2019
`
`NATIONAL RESIDENT MATCHING PROGRAM®
`
`2121 K Street NW, Suite 1000, Washington, DC 20037 www.nrmp.org Email:
`support@nrmp.org
`Toll Free: (866) 653-NRMP Phone: (202) 400-2233
`
`NRMP Program
`
`Waiver
`
`Request
`
`Form
`
`or accept
`
`NRMP policy
`start
`to
`if a match
`an appr!n'-rt
`to offer
`paiticipants
`Program
`requires
`occurs,
`Matching
`specified
`in the
`appointment
`on
`the
`date
`the
`intent
`to
`compiete
`the
`(e.g.
`with
`in good
`faith
`program)
`training
`the NRMP
`grant
`a waiver
`for a minimum
`of 45 days.
`In limited
`and to remain
`circumstances,
`contract,
`may
`training
`each
`other
`from
`their
`and
`programs
`are
`not
`authorized
`to
`release
`Applicants
`a Match
`co--"=ant.
`binding
`accepted
`the Match Week
`has matched
`a party
`or
`a position
`has
`been
`offered
`and
`mmmitmant.
`Once
`during
`Program®
`mmmitmant
`M.US.[...be
`obtained
`a waiver
`of
`the
`Supplemental
`Offer
`and
`Acceptance
`(SOAP®),
`biñdiñg
`from the NRMP before
`programs
`can
`or
`offer
`a position
`to another
`applicant.
`The
`decision
`intsrvisw
`for,
`NRMP and
`is at
`sole
`of
`the
`is not
`subject
`to arbitration.
`The
`Policies
`grant
`the waiver
`or deny
`the
`Procedures
`for Waiver
`Requests
`('Waiver
`govems
`the NRMP's
`waiver
`process.
`
`discuss,
`discretion
`
`Policy")
`
`of
`
`to
`and
`
`compiete
`a waiver
`To initiate
`review,
`will
`information
`requested
`the
`it takes
`on how long
`
`depending
`
`to policy@ñrmp.org.
`and submit
`form in its entirety
`this
`Waiver
`reviews
`of your
`request.
`the
`processing
`delay
`all parties
`to respond
`to requests
`for
`information.
`
`Failure
`can
`take
`
`provide
`to
`several
`
`weeks,
`
`all
`
`Upon
`fields.
`
`the Form,
`opening
`contact
`You may
`
`on the
`click
`the NRMP at 1-202-400-2235
`
`"Download"
`
`icon
`with
`
`in the upper
`questions.
`
`right
`
`comer
`
`of
`
`the screen
`
`to enter
`
`data
`
`in the
`
`Date Submitted:
`
`April
`
`19, 2019
`
`NRMP PROGRAM CODE:
`
`1429320CO
`
`Program
`
`Name:
`
`Pediatrics
`
`Program
`
`Director-
`
`Narula
`
`M.D.
`
`Institution:
`
`NewYork-Presbyterian
`Hospital
`Methodist
`
`Brooklyn
`
`Pramod
`
`Name
`
`of Match
`
`(Main
`
`or Fellowship):
`
`Main Match
`
`Year:
`
`2019
`
`Matched
`
`Applicant(s):
`
`Walid
`
`Khass
`
`AAMC/NRMP
`
`ID:
`
`13620754
`
`/ N0561974
`
`AAMC/NRMP
`
`AAMC/NRMP
`
`ID:
`
`ID:
`
`REASON
`
`FOR WAIVER
`
`REQUEST
`
`(choose
`
`9.Rjy..one):
`
`Unanticipated
`
`Serious
`
`and Extreme
`
`Hardship
`
`Closure/Loss
`
`of Accreditation
`
`XXX
`
`Applicant
`
`Ine!!gibi"y
`
`(e.g.,
`
`delayed
`
`gradiiat:Ga,
`
`credentie!ing
`
`or visa
`
`issues,
`
`no PGY-1
`
`appointment)
`
`Visa
`
`(Is this
`
`related
`
`to inability
`
`to obtain
`
`a statement
`
`of need?)
`
`Y
`
`N
`
`

`

`FILED: KINGS COUNTY CLERK 10/30/2019 07:42 PM
`NYSCEF DOC. NO. 31
`
`INDEX NO. 516861/2019
`
`RECEIVED NYSCEF: 10/30/2019
`
`Home
`
`Country
`
`or Country
`
`of Citizenship:
`
`Deferral*A
`
`deferral
`be agreed
`
`it
`is not a waiver;
`to by both
`parties
`
`is a one year
`start
`deferred/delayed
`of
`prior
`to submission
`the request.
`
`of
`
`training.
`
`A deferral
`
`must
`
`state
`
`where
`timelines
`include
`and
`provided.
`Additional
`space
`
`the
`
`request.
`your
`for
`reason
`as possible
`Be as detailed
`the
`Please
`font minimum.
`applicable.
`of
`exceed
`parameters
`Do not
`10 point
`via email
`information
`be submitted
`to p_olicy_@nrmp_.org_
`may
`that between
`to begin
`for
`on 7/1/19
`2012-2017
`we learned
`is ineligible
`two reasons.
`Walid
`Khass
`First,
`(WK)
`training
`WK made a significant
`some of which
`social media
`number
`of anti-Semitic,
`and/or
`insensitive
`posts,
`anti-gay,
`racially
`p. 93).1 His views
`basic tenets of medical
`with universal,
`and/or encouraged
`condoned
`violence
`are incompatible
`(see,e.g.,
`WK does not
`various Hospital-
`professionalism
`inconsistent
`with
`and program-level
`policies.
`and entirely
`Accordingly,
`poor
`for employment/appointment
`In addition
`meet
`as a trainee.
`to demonstrating
`the Hospital's
`standards
`shockingly
`our ability
`with
`the public manifestation
`of
`to, and interferes
`these views
`compromises
`WK's
`to,
`judgment,
`ability
`population
`a large orthodox
`Jewish
`population
`(i) serve a patient
`that
`a respectful,
`inclusive
`includes
`facilitate
`and (ii)
`work
`for our employees
`and medical
`from publicly
`environment
`court documents
`staff. Moreover,
`we learned
`available
`placed WK on a leave
`that WK's
`graduation
`will
`be delayed well beyond
`7/1. On 2/4/19, St. George's
`University
`("SGU")
`suspending WK for 3 months
`from that day
`of absence (p. 26). On 4/8/19,
`SGU's
`Board
`recommended
`Faculty
`Judiciary
`(p. 95). WK is
`to return
`at the end of
`the suspension
`on meeting
`certain
`and conditioning
`his ability
`period
`requirements
`(p. 62). WK concedes
`of coursework
`(p. 7); as such, his graduation
`that he has 7 weeks
`suspended
`to complete
`currently
`until well
`after 7/1,
`him ineligible
`to join
`our program.
`a waiver
`from this
`we request
`is delayed
`Accordingly,
`rendering
`with
`we can seek another
`a waiver,
`candidate.
`match; moreover,
`request?
`your matched
`of your
`waiver
`Have
`you
`notified
`applicant(s)
`A copy
`of
`through
`his counsel.
`this
`request
`sent
`is being
`to the applicant
`
`XXX
`
`Y
`
`N
`
`program
`(The
`in the request.)
`been
`Have
`you
`
`must
`
`submit
`
`the request
`
`to the NRMP with a copy
`
`to each
`
`applicant
`
`whose
`
`position
`
`is included
`
`in contact
`
`with
`
`other
`
`applicants?
`
`Y
`
`XXX
`
`N
`
`If Yes, please
`Applicant:
`(note:
`contacting
`
`list
`
`the name
`N/A
`an applicant(s)
`
`of
`
`the applicants(s)
`
`with whom you
`
`spoke.
`
`absent
`
`a waiver
`
`from the NRMP
`
`is a potential
`
`Match
`
`violation)
`
`Closure/Loss
`For
`requests
`employed
`
`of Accreditation:
`on program
`based
`each
`to assist
`applicant
`
`or
`closure
`in securing
`
`loss of accreditation,
`another
`training
`
`please
`position.
`
`describe
`
`the method
`
`that will be
`
`1 Page numbers
`correlate
`"Document
`of
`the attached
`WK against SGU.
`
`to the numbers we have inserted
`1." Document
`1 is a collection
`
`of each page
`corner
`in the bottom right-hand
`for ease of reference
`court documents
`in a proceeding
`of publicly
`commenced
`filed
`by
`
`

`

`INDEX NO. 516861/2019
`
`RECEIVED NYSCEF: 10/30/2019
`request.
`Please
`submit
`to
`visa
`and
`documentation,
`
`claim.
`
`FILED: KINGS COUNTY CLERK 10/30/2019 07:42 PM
`NYSCEF DOC. NO. 31
`information
`additional
`to your
`Please
`provide
`you
`believe
`is pertinent
`any
`documentation
`policy@nrmp.ora
`ERAS
`(e.g.,
`applications,
`any
`supporting
`institutional
`your
`that
`substantiates
`policies)
`1 - 12:
`Please see attached Documents
`by WK against SGU
`- Document
`brought
`from a proceeding
`court documents
`1: Selected
`of WK Social Media Posts
`- Document
`2: Canary Mission
`Aggregation
`- Document
`3: Hospital
`on Anti-Harassment
`Policy
`- Document
`4: GMEC Harassment
`policy
`- Document
`from the House Staff Manual)
`5: Social Networking
`(excerpted
`Guidelines
`- Document
`for
`the Selection
`of Residents
`on Governing
`6: Policy
`Practices
`- Document
`7: NewYork-Presbyterian
`Code of Conduct
`Credo
`(including
`- Document
`Professional
`8: Resident
`Conduct
`- Document
`9: ACGME Milestones
`Document
`(includes
`Professionalism)
`- Document
`10: AMA Code of Medical
`1 (see Sections
`Ethics, Chapter
`- Document
`Oath and Declaration
`of Geneva
`11: Hippocratic
`- Document
`on Medical
`12: Charter
`Professionalism
`
`of Respect)
`
`1.1.1-1.1.3
`
`in particular)
`
`save
`Please
`attachment
`
`computer
`the form your
`to policy@nrmp.org.
`
`with
`
`a different
`
`filename,
`
`convert
`
`to a PDF,
`
`and send
`
`the PDF as an
`
`