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                                            FILED
                               United States Court of Appeals
                                        Tenth Circuit
      
                                         AUG 21 2002
      
                                       PATRICK FISHER
                                            Clerk                                      PUBLISH
             
                               UNITED STATES COURT OF APPEALS
             
                                       TENTH CIRCUIT
             
             
             
                                              
             VERONICA WILSON; PETE  TERRELL   
             WILSON,                                          
                                               Nos. 00-5131, 00-5137, 00-5138
                   Plaintiffs - Appellees/Cross- Appellants,                
             v.                                               
                                                              
             KENNETH MUCKALA, M.D.;  COLUMBIA 
             DOCTORS HOSPITAL  OF TULSA, INC.,
             doing business as  Columbia Doctors
             Hospital,                        
                                              
             Defendants - Appellants/Cross- Appellees.    
                                              
             
                        APPEAL FROM THE UNITED STATES DISTRICT COURT
                           FOR THE NORTHERN DISTRICT OF OKLAHOMA
                                   (D.C. No. 97-CV-910-E)
             
             
             
             Submitted on the Briefs:(1)
             
             Bill V. Wilkinson, Wilkinson Law Firm, Tulsa, Oklahoma, for Plaintiffs -
             Appellants.
             
              Stephen L. Andrew and D. Kevin Ikenberry, Stephen L. Andrew & Associates, 
             Tulsa, Oklahoma, for Defendant - Appellee Kenneth Muckala.
             
             Stephen J. Rodolf, Karen L. Callahan and Leslie C. Weeks, Rodolf & Todd, 
             Tulsa, Oklahoma, for Appellant Hospital.
             
             
             
             Before KELLY, PORFILIO, and ANDERSON, Circuit Judges.
             
             
             
             KELLY, Circuit Judge.
             
             
             
                  Plaintiffs sought to recover on several claims stemming from alleged 
             incidents of sexual harassment against an individual doctor, the hospital where 
             Plaintiff and doctor worked, hospital board members, and former owners.  The 
             district court granted summary judgment in favor of several Defendants, and the 
             jury ultimately found for the remaining Defendants on all counts except negligent 
             infliction of emotional distress.  The jury awarded compensatory damages in the 
             amount of $25,000 against Dr. Muckala, and $15,000 against the Hospital.  In 
             cross-appeals, Plaintiffs contest numerous evidentiary and procedural rulings and 
             Defendants challenge their liability for negligent infliction of emotional distress.
             
                                         Background
             (1)      After examining the briefs and appellate record, this panel has determined 
             unanimously that oral argument would not materially assist the determination of 
             this appeal.  See Fed. R. App. P. 34(a); 10th Cir. R. 34.1 (G).  The cause therefore 
             is ordered submitted without oral argument.
              
                  In 1997, Plaintiffs Veronica Wilson and her husband Pete Wilson filed suit 
             based on Ms. Wilson's alleged sexual harassment by Dr. Kenneth Muckala who 
             was Vice-Chief and Chief of Staff of Columbia Doctors Hospital of Tulsa, Inc. 
    	 ("Hospital") during Ms. Wilson's employment there as a psychiatric nurse.  Ms. 
             Wilson claimed that Dr. Muckala sexually harassed her from September 1996 
             through March 1997, leading to her resignation from the Hospital in May 1997.  
                  Plaintiffs' amended complaint alleged (1) state law claims for sexual 
             assault and battery, tortious interference with contract, and invasion of privacy 
             against Dr. Muckala; (2) Title VII claims against the Hospital, Columbia/HCA 
             Healthcare ("Columbia"), and Healthtrust, Inc. ("HTI"); and (3) negligence 
             against the Hospital, Columbia, HTI, and the individual board members.  Mr. 
             Wilson claims loss of consortium against all Defendants.      
                  The district court granted summary judgment in favor of Columbia, HTI, 
             and the board members.  The doctor and the Hospital went to trial where a jury 
             found in favor of Ms. Wilson and against both Defendants on the negligent 
             infliction of emotional distress claim, and for the Defendants on all other claims.   
               
                                         Discussion
             A.   Negligent Infliction of Emotional Distress Against the Hospital
                  Both Dr. Muckala and the Hospital challenge their liability for negligent 
             infliction of emotional distress.  Prior to and following the jury verdict, both 
             Defendants moved for judgment as a matter of law, but the district court denied 
             their motions.  Defendants now appeal.  
     
                  The Hospital argues that Oklahoma does not recognize a cause of action for 
             negligent infliction of emotional distress.  This plain statement is not quite 
             accurate.  Rather, Oklahoma courts say that negligent infliction of emotional 
             distress is not an independent tort, but is in effect the tort of negligence. 
             Kraszewski v. Baptist Med. Ctr of Okla., Inc., 916 P.2d 241, 243 n.1 (Okla. 
             1996); Lockhart v. Loosen, 943 P.2d 1074, 1081 (Okla. 1997); Mason v. State ex 
             rel. Bd. of Regents of Univ. of Oklahoma, 23 P.2d 964, 969 (Okla Ct. App. 
             2000).  A Plaintiff therefore cannot proceed on a negligent infliction of emotional 
             distress theory of liability separate from negligence,  Lockhart, 943 P.2d at 1081, 
             and the traditional elements of duty, breach of duty, causation, and damages 
             apply.  Kraszewski, 916 P.2d at 245.  The question in this case is simply whether 
             the Defendants were justly found liable for negligence.
                  In looking to the merits of Ms. Wilson's claim sounding in negligence, the 
             Hospital contends that the lack of evidence of physical injury provides a basis for 
             reversal.  In Oklahoma, damages for mental anguish are recoverable only if they 
             are "produced by, connected with or the result of physical suffering or injury to 
             the person enduring the mental anguish."  Ellington v. Coca Cola Bottling Co. of 
             Tulsa, 717 P.2d 109, 111 (Okla. 1986).  This means that "[u]pon proper proof, the 
             Plaintiff may recover for mental anguish where it is caused by physical suffering 
             and may also recover for mental anguish which inflicts physical suffering."  Id.;
              
             see also Slaton v. Vansickle, 872 P.2d 929, 931 (Okla. 1994) ("Oklahoma does 
             acknowledge a claim for physical injury where it is accompanied by mental stress 
             or mental stress is accompanied by physical injury").  Oklahoma law obligated 
             Ms. Wilson to provide proof of some physical injury, whether incurred 
             contemporaneously with her emotional injury, or whether as a direct consequence 
             of her emotional injury. 
                  The Hospital's claim that there is no evidence that Ms. Wilson suffered any 
             physical harm is not quite true.  Some evidence came from her treating 
             psychiatrist, who testified that following Ms. Wilson's resignation from the 
             Hospital, 
                   she described increasing feelings of humiliation, 
                   intimidation, very, very strong subjective unpleasant feelings, 
                   as well as...increasing depression.  She had difficulty 
                   sleeping, crying, sad, gained weight, lost interest in working, 
                   felt not safe working as a nurse, at least at Doctors.
                   
             IV Wilson App. at 999.
                  The Hospital requested that the jury instructions on negligent infliction of 
             emotional distress mention the required finding of physical injury consequent to 
             the emotional distressa request denied by the district court.(1)  We review de novo
             
    
    
    
             (1)     The Court gave the Plaintiffs' requested jury instruction as follows: 
             "Plaintiffs, Veronica Wilson and Pete Wilson, allege claims of negligent 
             infliction of emotional distress against the Defendants.  The elements of a claim 
             for negligent infliction of emotional distress are that (1) Dr. Muckala and/or 
             Columbia Doctors' Hospital engaged in negligent conduct; 2) Veronica Wilsonand Pete 
    	 Wilson suffered serious emotional distress; and (3) Dr. Muckala and/or 
             Columbia Doctors' Hospital's negligent conduct was a cause of the serious 
             emotional distress."  II Hospital App. at 311.
              
             a timely challenge to a jury instruction to determine whether, considering the 
             instructions as a whole, the jury was misled.  United States v. Guidry, 199 F.3d 
             1150, 1156 (10th Cir. 1999) (internal citations omitted).  We reverse only when 
             we "have substantial doubt that the jury was fairly guided."  Id.  
                  In light of the clear requirement that physical damages accompany an award 
             for mental distress or anguish, and the evidence of physical harm presented at 
             trial, we find that the jury instructions on negligent infliction of emotional 
             distress delivered by the district court were infirm and constitute reversible error. 
                  We need not reach the Hospital's contention that, as a matter of law, the 
             Hospital had no common law duty to protect their employee, Ms. Wilson, from 
             sexual harassment by Dr. Muckala.
             B.   Negligent Infliction of Emotional Distress Against Doctor Muckala
                  Dr. Muckala challenges the verdict on Ms. Wilson's claim for negligent 
             infliction of emotional distress because, though alleged in the original complaint, 
             it does not appear in the amended complaint, and was not clearly alleged in the 
             pretrial order.  The doctor argues that, throughout the trial, he was unaware that 
             the claim for negligent infliction of emotional distress remained alive, until after 
             the close of the evidence, when Plaintiffs' counsel sought a jury instruction on the
              
             claim against him as well as the Hospital.  Dr. Muckala then objected.  
                  The district court wrestled with the status of the negligent infliction claim, 
             and whether it had been sufficiently alleged.  First, the court allowed it "[i]n 
             consideration of fairness to the plaintiff."  Muckala App. at 193.  However, 
             Defendants pointed out that the claim clearly had been dropped in the amended 
             complaint.  In light of that argument, the court disallowed the claim, ruling that 
             the clause in the pretrial order saying that, "the defendants, are sued at common 
             law," was insufficient to resurrect a claim previously dropped from the case. 
             Muckala App. at 195.  The court speculated that the phrase, "the defendants", was 
             mistakenly carried over from the original pretrial order and included the board 
             members who were no longer parties in the case.  Muckala App. at 197.  Finally, 
             though, the court allowed the claim and instructed the jury accordingly "because 
             of the conflict on that issue," but it reserved ruling on Dr. Muckala's objection 
             until after the verdict.  The jury found for the Plaintiff solely on the claim for 
             negligent infliction of emotional distress.  After the verdict, the court overruled 
             the doctor's objection, concluding that, despite the wording of the amended 
             complaint and the pretrial order, Dr. Muckala had not been unfairly surprised by 
             the instruction to the jury.  Muckala App. at 122-23.  Dr. Muckala appeals the 
             district court's ruling.  
                  The original complaint clearly alleged the claim of negligent infliction of
              
             emotional distress against Dr. Muckala, and the amended complaint just as clearly 
             dropped the claim.  The amended complaint alleged negligence only against "the 
             Defendants identified in paragraphs 3 and 4."  Muckala App. at 30.  The Hospital 
             and the board members were named in paragraphs three and four, while Dr. 
             Muckala was named in only the second paragraph.  Muckala App. at 24-25.  The 
             amended complaint describes the negligence cause of action, but the heading of 
             that section lists only the Hospital and the board members, and the descriptive 
             language in that section cannot be construed to include a claim against the doctor. 
             Muckala App. at 30-32.  Predictably, the doctor's answer to the amended 
             complaint addressed only the remaining claimssexual assault and battery, 
             tortious interference with contract, and invasion of privacy and did not respond in 
             any way to negligent infliction of emotional distress.  Muckala App. at 132 (docs. 
             23-24). 
                  Ms. Wilson argues she reasserted negligent infliction of emotional distress 
             in the pretrial order.  However, the pertinent parts of that document are 
             ambiguous.  In the statement of the case, the pretrial order states that Dr. Muckala 
             is "a Defendant under two separate legal theories: sexual assault and battery, and 
             invasion of privacy."(2)  Muckala App. at 37. 
    
    
    
             (2)     The court later allowed the Plaintiffs to add the tortious interference with 
             contract claim.  
              
                  The following paragraph, however, indicates generally that "Defendants" 
             are sued under common law negligence and negligent infliction of emotional 
             distress.  Plaintiffs argue that, though the order nowhere indicates that any claims 
             have been added or amended, this paragraph alone suffices to renew a previously 
             dropped claim.  The doctor's actions belie Plaintiffs' suggestion that he was 
             apprised of the claimhis statement of issues in the pretrial order was limited to 
             the sexual assault and invasion of privacy claims, reflecting a belief that the 
             negligent infliction of emotional distress claim was no longer part of the case 
             against him.  Upon Dr. Muckala's motion for judgment as a matter of law at the 
             close of Plaintiffs' evidence, neither side mentioned the negligent infliction of 
             emotional distress claim, instead focusing on the three claims still clearly in play. 
             Muckala App. at 167-176.
                  "When an issue is set forth in the pretrial order, it is not necessary to 
             amend previously filed pleadings" because "the pretrial order is the controlling 
             document for trial."  Expertise Inc., v. Aetna Fin. Co., 810 F.2d 968, 973 (10th 
             Cir. 1987); Fed. R. Civ. P. 16(e).  As such, claims, issues, defenses, or theories of 
             damages not included in the pretrial order are waived even if they appeared in the 
             complaint and, conversely, the inclusion of a claim in the pretrial order is deemed 
             to amend any previous pleadings which did not include that claim. 
                  The preparation of a pretrial order requires careful attention and review by
              
             the parties and their attorneys.  While we recognize that "the pretrial order is 
             treated as superceding the pleadings and establishing the issues to be considered 
             at trial," Wright, Miller & Kane, Federal Practice and Procedure: Civil 2d   1522, 
             we do not normally expect to see claims or defenses not contained in the 
             pleadings appearing for the first time in the pretrial order, especially in such 
             cursory form.  Such a practice deprives one's adversary of fair notice, possibly 
             discovery, and the opportunity for motion practice, and is subject to abuse by 
             those who employ a sporting theory of justice.  The laudable purpose of Fed. R. 
             Civ. P. 16 to avoid surprise, not foment it.  See Clark v. Pennsylvania R.R. Co., 
             328 F.2d 591, 594 (2d Cir. 1964) (the purpose of Rule 16 is to replace "the old 
             sporting theory of justice" with a policy of "putting the cards on the table").
             Should a new claim or defense appear for the first time in the pretrial order, it is 
             incumbent upon opposing counsel to meticulously examine the order, taking 
             exception, if necessary, to the additions, and recording their objection in the 
             pretrial order.  Meanwhile, the party seeking to add a claim or defense should do 
             so with specificity and clarity so as to minimize the ill effects of that practice. 
             Specificity and clarity provide the trial court with a fair opportunity to consider 
             whether to approve or deny what is obviously an attempt to amend the pleadings 
             at a rather late date.  Fed. R. Civ. Pro. 15(a).
                  Plaintiffs had ample opportunity to sculpt and refine the pretrial order to
              
             include every allegation against Dr. Muckala.  Their duty to do so was especially 
             important if they intended to include, as they contend they did, a claim previously 
             dropped in the amended complaint.  Unfortunately, the pretrial order does not 
             clearly convey their purported intent to re-allege any claim.  
                  In dealing with an ambiguous pretrial order such as this, we must evaluate 
             the order contextually to determine whether the claim was contained therein.  In 
             this case, the clear language of the amended complaint, coupled with the 
             ambiguous language of the pretrial order, lead us to conclude that there was 
             insufficient documentary support for the allegation of a claim of negligent 
             infliction of emotional distress against Dr. Muckala.  Our conclusion is reinforced 
             by the absence of any mention of this claim in the doctor's answer to the amended 
             complaint, or in the pretrial order statement of the case, and the lack of any 
             mention of the claim by Plaintiffs or Defendant at the hearing on Defendant's 
             Rule 50 motion at the close of Plaintiffs' case, though all other claims were 
             discussed.  In light of these facts, we find that the cause of action for negligent 
             infliction of emotional distress did not run against Dr. Muckala and we reverse 
             the verdict of liability on that claim. 
             C.   Evidentiary Rulings
                  Plaintiffs appeal several of the district court's decisions to exclude 
             evidence, which we review for an abuse of discretion.  United States v. Becker,
              
             230 F.3d 1224, 1232 (10th Cir. 2000).  They argue first that the district court 
             erred in prohibiting testimonial evidence of Dr. Muckala's alleged extra-marital 
             affairs.  Plaintiffs sought to introduce the evidence for the purpose of impeaching 
             the doctor's deposition statement that he never solicited or had an adulterous 
             relationship while employed at the Hospital.
                  Plaintiffs do not address the application of Fed. R. Evid. 608(b), which 
             provides in pertinent part that "[s]pecific instances of the conduct of a witness, 
             for the purpose of attacking or supporting the witness' credibility,...may not be 
             proved by extrinsic evidence."  Instead, Plaintiffs cites two cases, the first, United 
             States v. Barrett, 8 F.3d 1296 (8th Cir. 1993), is inapposite as it solely relates to 
             the admissibility of hearsay.  The court in the second case, Livergood v. S.J. 
             Graves & Sons Co., 254 F.Supp. 879 (W.D. Pa. 1965), admitted evidence of 
             errant driving that took place only moments before the accident which was the 
             subject of the case.  The court found the evidence not "wholly collateral," and 
             therefore applied the test for relevancy.  Livergood, 254 F.Supp. at 880. 
             Testimony about Dr. Muckala's sexual history is, on the contrary, "wholly 
             collateral," and nevertheless exceedingly less relevant than the evidence at issue 
             in Livergood.  We find no abuse of discretion as the Plaintiffs have not cited, nor 
             do we see, any relevant legal basis for departing from Rule 608(b)'s command 
             that extrinsic evidence not be used to impeach a witness.     
     
                  Plaintiffs also sought to introduce testimony regarding alleged instances of 
             past sexual harassment by the doctor in order to prove his "discriminatory intent" 
             and "motive."  Evidence of other crimes, wrongs, or acts is inadmissible to prove 
             the character of a person in order to show action in conformity therewith.  Fed. R. 
             Evid. 404(b).  However, evidence of prior bad acts is admissible for purposes 
             other than to show action in conformity with character.  Id.  Such purposes 
             include, but are not limited to, proof of motive, opportunity, intent, preparation, 
             plan, knowledge, identity, or absence of mistake or accident.  Id.  If offered for a 
             proper purpose under Rule 404(b), the evidence of prior bad acts is admissible 
             only if (1) it is relevant under Fed. R. Evid. 401; (2) the probative value of the 
             evidence is not substantially outweighed by its potential for unfair prejudice 
             under Fed. R. Evid. 403; and (3) the district court, upon request, instructs the jury 
             to consider the evidence only for the purpose for which it was admitted.  Becker, 
             230 F.3d at 1232.    
                  Evidence of a defendant's past sexual harassment admitted to prove 
             discriminatory intent in cases of race and gender discrimination is admitted for a 
             proper purpose under Rule 404(b).  Spulak v. K-Mart Corp., 894 F.2d 1150, 1156 
             (10th Cir. 1990); Heyne v. Caruso, 69 F.3d 1475, 1479-80 (9th Cir. 1995).  But as 
             noted in Heyne, alleged previous harassment cannot be used to show that a 
             defendant harassed a plaintiff on a specific subsequent occasion.  Heyne, 69 F.2d
              
             at 1480.  As the district court noted in its ruling in this case, the Plaintiff 
             conceded that the Hospital had no notice of the alleged prior incidents, so the 
             testimony could not have been sought to prove the Hospital's discriminatory 
             intent.  Further, there is no discriminatory intent element in the claims brought 
             against Dr. Muckala.  And because these alleged prior incidents of sexual 
             harassment occurred in places outside the Hospital, they were not relevant to 
             establish a hostile work environment claim.  See Hicks v. Gates Rubber Co., 833 
             F.2d 1406, 1415 (10th Cir. 1987).  Plaintiffs seek to admit this evidence, not to 
             show discriminatory intent, but instead to prove the fact of the harassment 
             itselfexactly the purpose prohibited by Plaintiffs' cited cases and by Rule 404(b). 
             The district court did not abuse its discretion in excluding evidence of alleged 
             prior bad acts.  
                  Ms. Wilson challenges the district court rulings to (1) exclude the 
             testimony of Amber Flint, a former employee of the Hospital allegedly fired for 
             reporting charges of sexual harassment; (2) prohibit Plaintiffs from mentioning 
             Ms. Flint in the presentation of their case; and, (3) deny Plaintiffs' request for 
             supplemental discovery of the Hospital's internal files on the sexual harassment 
             charges brought by Ms. Flint.  
                  Ms. Wilson's appellate brief describes at great length the circumstances of 
             Ms. Flint's termination and its relevance to Plaintiffs' case.  Plaintiffs wanted to
              
             show that the firing of Ms. Flint after she reported sexual harassment to the 
             Hospital made Ms. Wilson hesitant to report her own alleged harassment, thus 
             explaining her delay.  Unfortunately, Plaintiffs' discussion omits numerous 
             important details that formed the basis of the district court decision to deem the 
             evidence irrelevantdetails such as Ms. Wilson's own deposition testimony that 
             she did not know Amber Flint, that she only heard a rumor that Ms. Flint filed a 
             sexual harassment claim, and that she did not know the outcome of Ms. Flint's 
             claim.  III Hospital App. at 604-05.  Furthermore, the defense presented evidence 
             that Ms. Flint was still an employee during the time that Ms. Wilson claimed to be 
             afraid to report her harassment.  I Hospital Supp. App. at 270.  Finally, there was 
             evidence that Ms. Flint was not fired at all, but instead, terminated under hospital 
             policy for per diem workers who do not complete a shift within three consecutive 
             months.  I Hospital Supp. App. 268-69.  After reviewing the record, we are 
             convinced that the district court did not abuse its discretion when it disallowed 
             evidence regarding Amber Flint.  
                  At trial, Ms. Wilson sought to introduce expert testimony from her treating 
             psychiatrist that she was telling the truth when she said she was a victim of sexual 
             harassment.  The district court limited the testimony, ruling that the witness 
             would not be "entitled to opine on the veracity of [Ms. Wilson's] 
             complaint,...whether [the psychiatrist] believes she is telling the truth," or
              
             "whether he believes that she was sexually harassed."  III Wilson App. at 826. 
             The court did permit the witness to testify about Ms. Wilson's psychological 
             condition and his treatment of that condition.  Id.  
                  Trial courts have broad discretion to determine the admissibility of expert 
             testimony and we review such decisions for abuse of discretion.  Taylor v. Cooper 
             Tire & Rubber Co., 130 F.3d 1395, 1397 (10th Cir. 1997).  Expert testimony on 
             the psychological and emotional traits of abuse victims is typically admissible, so 
             long as the witness makes no comment on the alleged victim's credibility, or 
             identify the alleged victim as a victim of abuse.  United States v. Charley, 189 
             F.3d 1251, 1265 (10th Cir. 1999).  The credibility of witness testimony is a matter 
             left to the jury and generally is not an appropriate subject for expert testimony. 
             United States v. Adams, 271 F.3d 1236, 1245 (10th Cir. 2001) (internal citation 
             omitted).  The trial court did accurately and precisely lay out the parameters of 
             what the treating psychiatrist could testify to.  Plaintiffs cite no law, apart from 
             Fed. R. Evid. 702 and 704, to support their claim that the testimony should not 
             have been excluded "simply because it embraces an ultimate issue to be decided 
             by the jurywhether Veronica Wilson's complaints and symptoms are credible." 
             Wilson Br. at 55.   We find no error in the district court's ruling that the expert 
             could testify to Ms. Wilson's condition, but not give his opinion on her 
             credibility.
     
                  Similarly, the district court prohibited testimony from a human resources 
             expert regarding the Hospital's response plan in cases of sexual harassment, and 
             the reasonableness of the Hospital's response to Ms. Wilson's claim.  The court 
             found this expert testimony relevant, but excluded it because the facts were "not 
             so complicated as to require the testimony of an expert witness on either the 
             adequacy of the plan or policy or the investigation" that followed.  III Hospital 
             App. at 781.  In reviewing a trial court's exclusion of evidence, "we will reverse 
             only if the exclusion is an abuse of discretion that results in `manifest injustice to 
             the parties.'"  Thompson v. State Farm Fire & Casualty Co., 34 F.3d 932, 939 
             (10th Cir. 1994) (citations omitted).  
                  The `touchstone' of admissibility of expert testimony is its helpfulness to 
             the trier of fact.  Werth v. Makita Elec. Works, Ltd., 950 F.2d 643, 648 (10th Cir. 
             1991).  "When the normal experiences and qualifications of laymen jurors are 
             sufficient for them to draw a proper conclusion from given facts and 
             circumstances, an expert witness is not necessary and is improper."  Frase v. 
             Henry, 444 F.2d 1228, 1231 (10th Cir. 1971).  After reviewing the record, we 
             agree with the district court that the issues to which Ms. Wilson's expert would 
             have testified were not so impenetrable as to require expert testimony.  The 
             district court did not abuse its discretion in excluding the testimony of the human 
             resources expert.    
     
             D.   Dismissal of Hospital Board Members and Corporate Entities   
                  Plaintiffs challenge the district court's grant of summary judgment to 
             Defendants Columbia/HCA Healthcare ("Columbia"), Healthtrust, Inc. ("HTI), 
             and the Hospital Board Members.  "We review the grant or denial of summary 
             judgment de novo, applying the same legal standard used by the district court..." 
             Kaul v. Stephan, 83 F.3d 1208, 1212 (10th Cir. 1996) (citation omitted). 
             Summary judgment is appropriate "if the pleadings, depositions, answers to 
             interrogatories, and admissions on file, together with the affidavits, if any, show 
             that there is no genuine issue as to any material fact and that the moving party is 
             entitled to a judgment as a matter of law."  Fed. R. Civ. P. 56(c).
                  Inexplicably, Plaintiffs' counsel agreed to the dismissal of HTI in a joint 
             stipulation, filed on February 11, 1999.  II Hospital App. at 173-74.  Regardless, 
             HTI and Columbia provided uncontroverted documentary evidence, including a 
             bill of sale, showing that they did not own the Hospital at the time of the alleged 
             sexual harassment.  I Hospital Supp. App. at 210-211, 317.  As countervailing 
             evidence, Plaintiffs offer only the Defendants' failure to specifically deny 
             ownership in their answer to the original complaint, and the dubious assertion that 
             the "names by which the Hospital has been known" suggest ownership by HTI and 
             Columbia.  We review the record in the light most favorable to the nonmoving 
             party, Thournir v. Meyer, 909 F.2d 408, 409 (10th Cir. 1990), but this generous
              
             standard cannot compensate for the Plaintiffs' complete lack of "specific facts 
             showing there is a genuine issue for trial."  Fed. R. Civ. P. 56(e).  We find no 
             error in the dismissal of Columbia and HTI.    
                  Plaintiffs claimed only negligence against the Hospital board members. 
             Upon finding no statutory or common law duty to protect another personMs. 
             Wilson in this case from sexual harassment, the district court granted summary 
             judgment for the board members.  Plaintiffs appeal that decision.  The jury found 
             against Dr. Muckala only on the negligent infliction of emotional distress claim, 
             which we reverse on appeal as insufficiently alleged.  Consequently, we find that, 
             even if it was error to grant summary judgment for the board members, any error 
             was harmless.  Plaintiffs could not have sustained a cause of action in negligence 
             against these individuals when the alleged perpetrator himself was exonerated of 
             negligence.   
                  The district court ruled on summary judgment that Dr. Muckala was not a 
             hospital employeea ruling Plaintiffs challenge on appeal.  Under the state law 
             standards set forth in Sawin v. Nease, 97 P.2d 27, 29-32 (Okla. 1939), the 
             touchstone of an employment relationship is the right to control the means and 
             manner of the worker's performance.  See also Zinn v. McKune, 143 F.3d 1353, 
             1357 (10th Cir. 1998).  In determining whether one is an "employee" under Title 
             VII, we have considered the following factors: 
     
                  (1) the kind of occupation at issue, with reference to whether the work 
                  usually is done under the direction of a supervisor or is done by a 
                  specialist without supervision; (2) the skill required in the particular 
                  occupation; (3) whether the employer or the employee furnishes the 
                  equipment used and the place of work; (4) the length of time the 
                  individual has worked; (5) the method of payment, whether by time or 
                  by job; (6) the manner in which the work relationship is terminated; (7) 
                  whether annual leave is afforded; (8) whether the work is an integral 
                  part of the business of the employer; (9) whether the worker 
                  accumulates retirement benefits; (10) whether the employer pays social 
                  security taxes; and (11) the intention of the parties.
             
             Id.
                  Plaintiffs provide little evidence pertaining to these factors, but point 
             exclusively to the doctor's role as Chief of Staff.  However, the Hospital 
             introduced significant evidence that the doctor was an independent contractor, not 
             a salaried employee, and that his service as Chief of Staff was a collateral duty to 
             which he was elected by his peers and paid $1000 per month from staff dues.  In 
             light of this explanation, the doctor's role as Chief of Staff and the associated 
             monthly check do not even approach an adequate showing that the Hospital 
             controlled the means and manner of Dr. Muckala's performance.  The district 
             court did not err in granting summary judgment on this issue.  
                  Plaintiffs also find error in the district court's rejection of the apparent 
             authority or aided-by-the-agency theory of liability for sexual harassment.  An 
             employer might be vicariously or directly liable for a hostile work environment 
             created by its employees.  Harrison v. Eddy Potash, Inc., 158 F.3d 1371, 1376
              
             (10th Cir. 1998).  In the usual case, vicarious liability stems from a supervisor's 
             misuse of actual authority.  Id. at 1377.  In addition, an employer may be 
             vicariously liable when the harassing employee has apparent authoritygives "the 
             false impression that the actor was a supervisor, when he in fact was not, [and] 
             the victim's mistaken conclusion [was] a reasonable one."  Burlington Indus. Inc. 
             v. Ellerth, 524 U.S. 742, 759 (1998).  This is the unusual case.  Id.  We must look 
             for evidence that "the [harassing employee] purported to act or speak on behalf of 
             the [employer] and there was reliance upon apparent authority, or the [harassing 
             employee] was aided in accomplishing the tort by the existence of the agency 
             relation."  Burlington Indus. Inc., 524 U.S. at 758 (quoting Restatement (2d) of 
             Agency   219(1)).  
                  The district court found on summary judgment that there was no support for 
             an apparent authority theory of vicarious liability.  Ms. Wilson cites her own 
             affidavit testimony that she felt Dr. Muckala, as Chief of Staff, had power and 
             authority over her job, and that he told her he had such power because of his 
             position as well as his friendship with the Hospital CEO.  However, Ms. Wilson 
             received assurances from her immediate supervisors that Dr. Muckala exercised 
             no authority over her position, and in describing her chain of command, identified 
             her supervisors and the administration, but did not imply that Dr. Muckala had a 
             place in it.  We agree with the district court that there was insufficient evidence
              
             put forward to demonstrate that Dr. Muckala, who had no actual authority over 
             Ms. Wilson, exercised apparent authority over her.
                  Furthermore, under Oklahoma law, apparent authority "results from a 
             manifestation by the principal to a third person that another is his agent." 
             Stephens v. Yamaha Motor Co., 627 P.2d 439, 441 (Okla. 1981).  "Agency cannot 
             be proven by the reputed declarations of the reputed agent."  Home Owners Loan 
             Corp. v. Thornburg, 106 P.2d 511, 514 (Okla. 1940).  A third party asserting 
             apparent authority to bind an alleged principal to a contract must also demonstrate 
             its reliance on the principal's manifestation and its change of position as result 
             thereof.  Southwestern Bell Media, Inc. v. Arnold, 819 P.2d 293, 294 (Okla. Ct. 
             App. 1991).  There was no evidence of a manifestation or holding out by the 
             Hospital to Ms. Wilson that Dr. Muckala was the Hospital's agent.  Dr. Muckala's 
             alleged declarations alone cannot serve to bind the Hospital under a theory of 
             apparent authority.       
                  Plaintiffs argue that the district court abused its discretion when it refused 
             to add a claim for quid pro quo sexual harassment to the pretrial order in light of 
             the recently decided Collier v. Insignia Financial Group, 981 P.2d 321 (Okla. 
             1999).  "The order following a final pretrial conference shall be modified only to 
             prevent manifest injustice."  Fed. R. Civ. P. 16(e).  As discussed above, Dr. 
             Muckala did not have either actual or apparent supervisory authority over Ms.
              
             Wilson.  Absent the possibility that job benefits were conditioned "on an 
             employee's submission to conduct of a sexual nature" and that "adverse job 
             consequences result from the employee's refusal to submit to the conduct," there 
             can be no legitimate claim of quid pro quo sexual harassment.  Hicks, 833 F.2d at 
             1414.    
                  Plaintiffs argue that the district court ruled inconsistently on Plaintiffs' 
             claim for tortious interference with business relations against Dr. Muckala and 
             that, consequently, Plaintiffs' counsel failed to present evidence on that claim 
             because he thought it "not viable."  However, Plaintiffs do not direct this court to 
             their objection at trial (if there was one), cite no law supporting reversal, and do 
             not proffer any evidence that they would have submitted at trial to support the 
             tortious interference claim but for their erroneous belief that the claim was no 
             longer alive.  
                  Finally, Plaintiffs appeal a lengthy list of jury instructions requested and 
             denied by the district court.  Merely listing the rejected instructions does not 
             satisfy the briefing requirements of this court and we therefore deem all waived 
             except the instruction pertaining to circumstantial evidence which was briefed in 
             some detail.  Adler v. Wal-Mart Stores, Inc., 144 F.3d 664, 679 (10th Cir. 1998). 
             However, that instruction was given as part of a general instruction on the 
             evidence, IV Wilson App. at 916, as agreed to by Plaintiffs' counsel.  III Hospital
              
             Supp. App. at 813.  We find no error.  
                  Plaintiffs' motion to supplement their appendix is granted.     
                  AFFIRMED in part, REVERSED in part, and REMANDED for further 
             proceedings.     
                                           
             
             
    
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