Anversa v. Partners Healthcare System, Inc. , 835 F.3d 167 ( 2016 )


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  •           United States Court of Appeals
    For the First Circuit
    No. 15-1897
    PIERO ANVERSA and ANNAROSA LERI,
    Plaintiffs, Appellants,
    v.
    PARTNERS HEALTHCARE SYSTEM, INC., ET AL.,
    Defendants, Appellees.
    APPEAL FROM THE UNITED STATES DISTRICT COURT
    FOR THE DISTRICT OF MASSACHUSETTS
    [Hon. Denise J. Casper, U.S. District Judge]
    Before
    Thompson, Selya and Kayatta,
    Circuit Judges.
    Tracy A. Miner, with whom Megan A. Siddall and Demeo LLP were
    on brief, for appellants.
    Roberto M. Braceras, with whom Jennifer L. Chunias and Goodwin
    Procter LLP were on brief, for appellees Harvard Medical School
    and Gretchen Brodnicki.
    Geoffrey M. Raux, with whom Michael J. Tuteur and Foley &
    Lardner LLP were on brief, for remaining appellees.
    August 30, 2016
    SELYA, Circuit Judge.           There is a time for every action,
    cf. Ecclesiastes 3:1 ("To every thing there is a season, and a
    time to every purpose . . . ."), including the bringing of suit.
    This case breathes life into that axiom.
    The context is the high-stakes world of academic medical
    research.       The   questions    before       us     have    their   genesis     in
    allegations that the plaintiffs (prominent medical researchers)
    used manipulated research data in articles reporting on studies
    supported by government funds.              Responding to those allegations,
    the institutional defendants (including a medical school and a
    teaching    hospital)    triggered      a    unique     federal    statutory      and
    regulatory scheme.         Things did not go smoothly and, after some
    time elapsed, the plaintiffs repaired to the federal courts in
    search     of   relief     (without     awaiting        the     outcome    of     the
    administrative proceedings).
    Concluding     that   the   suit     was    premature      because    the
    plaintiffs had not exhausted their administrative remedies, the
    district court dismissed the action.                  See Anversa v. Partners
    Healthcare Sys., Inc., 
    116 F. Supp. 3d 22
    , 34-35 (D. Mass. 2015).
    The plaintiffs appeal.       Their appeal raises novel questions at the
    federal appellate level concerning the interrelationship between
    the statutory and regulatory scheme and state-law causes of action
    touching upon its implementation.              Answering those questions, we
    affirm   the    district    court's     application       of    the    doctrine    of
    - 2 -
    administrative exhaustion but modify the judgment to ensure that
    the suit receives a full airing at the appropriate time.
    I.   STATUTORY AND REGULATORY FRAMEWORK
    We begin with a description of the unique and highly
    detailed   statutory        and    regulatory   scheme   that   underlies       this
    appeal.    The federal government provides substantial funding for
    path breaking medical research.           Fearful that these funds could be
    misused by researchers who might fabricate, falsify, or otherwise
    doctor research outcomes, Congress envisioned a need to establish
    procedures to address complaints of research misconduct.                   To this
    end, Congress created the Office of Research Integrity (ORI) within
    the Department of Health and Human Services (HHS), see 42 U.S.C.
    § 289b(a)(1), and tasked ORI with responsibility for carrying out
    regulations      to    be   promulgated    by   the   Secretary     of    HHS   (the
    Secretary)       for    the       investigation   of     research        misconduct
    allegations, see 
    id. § 289b(a)(2),
    (b)-(e).
    Among other things, the statute obligates the Secretary
    to promulgate regulations that define "research misconduct," 
    id. § 289b(a)(3)(A);
    to ensure that institutions receiving funds have
    a compliant "administrative process to review reports of research
    misconduct," 
    id. § 289b(b)(1);
    and to create a process for ORI
    itself    to    receive     allegations   of    and   reports   about      research
    misconduct, to carry out its own investigations as needed, and to
    take necessary remedial action, see 
    id. § 289b(c).
                          Relatedly,
    - 3 -
    Congress tasked the Secretary with fashioning regulations that
    would facilitate ORI's oversight of institutional compliance with
    the research misconduct regulations.         See 
    id. § 289b(d).
      Congress
    also authorized the Secretary to appoint ORI's director, who must
    "be experienced and specially trained in the conduct of research,
    and have experience in the conduct of investigations of research
    misconduct."   
    Id. § 289b(a)(2).
    The Secretary has responded to this statutory mandate by
    promulgating an elaborate regulatory mosaic.            In that mosaic,
    "research misconduct" is defined as "fabrication, falsification,
    or plagiarism in proposing, performing, or reviewing research, or
    in reporting research results."    42 C.F.R. § 93.103.      Establishing
    research misconduct requires a showing, by a preponderance of the
    evidence, of "a significant departure from accepted practices of
    the relevant research community" that is "committed intentionally,
    knowingly, or recklessly."     
    Id. § 93.104.
    These   standards    inform    a   protocol   which,    mirroring
    congressional intent, creates a two-level process for review of
    research misconduct allegations.        The first level occurs at the
    funded institution. An inquiry "is warranted" when the institution
    is made aware of "sufficiently credible and specific" allegations
    of research misconduct.       
    Id. § 93.307(a)(3).
           Such an inquiry
    comprises "an initial review of the evidence to determine whether
    to conduct an investigation."      
    Id. § 93.307(c).
         The institution
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    generally "must complete the inquiry within 60 calendar days of
    its    initiation   unless    circumstances      clearly     warrant   a   longer
    period," and it must document the reasons for any delays in
    completing the inquiry.       
    Id. § 93.307(g).
          The inquiry culminates
    in a written report — a report on which the target of the inquiry
    (the    respondent)   has    the    opportunity     to     comment.     See   
    id. § 93.307(e)-(f).
    If the inquiry finds a "reasonable basis for concluding"
    that some research misconduct involving federal funds has taken
    place, 
    id. § 93.307(d)(1),
    and that particularized allegations of
    research misconduct "may have substance," 
    id. § 93.307(d)(2),
    the
    institution must notify ORI of the inquiry results within 30 days,
    sending along a copy of the inquiry report, see 
    id. § 93.309(a).
    It must also give the respondent notice of the allegations that
    the investigation will explore.            See 
    id. § 93.310(c).
    From that point forward, the institution is obliged to
    conduct a "thorough and sufficiently documented" investigation,
    which "includes examination of all research records and evidence
    relevant to reaching a decision on the merits of the allegations."
    
    Id. § 93.310(e).
         The institution is expected to interview all
    relevant    witnesses,      see    
    id. § 93.310(g),
       and   to   "[p]ursue
    diligently all significant issues and leads discovered that are
    determined relevant to the investigation . . . and continue the
    investigation to completion," 
    id. § 93.310(h).
    As with the earlier
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    inquiry, the investigation culminates in a written report, on which
    the   respondent      has    the     opportunity        to    comment.        See   
    id. §§ 93.312(a),
    93.313(g).            This phase of the regulatory framework
    has its own temporal limitation: it provides that "[a]n institution
    must complete all aspects of an investigation within 120 days,"
    
    id. § 93.311(a),
    unless it requests and receives an extension from
    ORI, see 
    id. § 93.311(b).
              Regardless of whether the investigation
    concludes    that    research      misconduct       occurred,       the   report,   its
    findings and conclusions, all the relevant evidence, and any
    information about actions taken or pending by the institution must
    be forwarded to ORI.         See 
    id. § 93.315.
    Once    ORI     receives      the   investigation        report   and   the
    related     materials,      it     conducts       its   own    assessment     of    the
    allegations.       ORI has the authority to obtain additional input
    from virtually any source, supplement the evidence, and develop
    its own analysis.         See 
    id. § 93.403(d)-(e).
                    Moreover, ORI may
    make independent findings as to whether research misconduct was
    committed and if so, by whom.              See 
    id. § 93.403(f).
              It also may
    recommend appropriate administrative action, which can range from
    the relatively mild (say, a letter of reprimand) to the relatively
    severe    (say,     debarment      from    eligibility        to    receive    federal
    research funding).        See 
    id. § 93.407(a).
    Even beyond the notice requirements, opportunities for
    comment, and time limits described above, the regulatory framework
    - 6 -
    contains protections for researchers facing investigation.                   For
    example, the regulations offer assurances of confidentiality,
    limiting disclosure of information about an ongoing proceeding "to
    the extent possible, to those who need to know."           
    Id. § 93.108(a).
    So,   too,    the     regulations      require   institutions   to     "[t]ake
    reasonable steps to ensure an impartial and unbiased investigation
    to the maximum extent practicable."              
    Id. § 93.310(f).
        In this
    regard, institutions must ensure that those participating in the
    investigation have the "appropriate scientific expertise" and are
    not affected by "personal, professional, or financial conflicts of
    interest."     
    Id. Should ORI
    find research misconduct, a respondent has
    access to an additional safety valve: a right to appeal that
    finding      and     any   resulting     administrative    action      to     an
    administrative law judge (ALJ).           See 
    id. § 93.500(b).
          The ALJ's
    review of both ORI's finding and its proposed administrative action
    is de novo.    See 
    id. § 93.517(b).
          Withal, the ALJ "does not review
    the institution's procedures or misconduct findings."                
    Id. When issued,
    the ALJ's decision serves as a recommendation to the
    Assistant Secretary for Health in HHS, who may affirm, modify, or
    reject it entirely.          See 
    id. § 93.523(b).
            In making those
    determinations, the Assistant Secretary uses familiar standards of
    review, such as whether particular findings are clearly erroneous
    or whether the decision (or any part of it) is arbitrary or
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    capricious.            See    
    id. The Assistant
        Secretary's       decision
    constitutes final agency action for most purposes,1 subject to
    review in the federal courts under the Administrative Procedure
    Act (APA).       See 5 U.S.C. § 701-706.
    Three other features of this statutory/regulatory scheme
    deserve mention.             First, although ORI examines the institution's
    handiwork       in     determining        whether     to   carry      out    its     own
    investigation, see 42 C.F.R. § 93.403(c), there is no formal
    process for a respondent to prefer charges that an institution has
    violated the regulations in the course of either the inquiry or
    the       first-tier    investigation.         The    regulations      do,    however,
    provide a process by which ORI may, on its own initiative, probe
    an    institution's          compliance     with     the   regulations       and   take
    appropriate enforcement action.               See 
    id. §§ 93.412-.413.
    Second, it is manifest that neither the statute nor the
    regulations contemplate enforcement by private parties.                       Instead,
    enforcement is left to the Secretary, acting through ORI and the
    Assistant Secretary for Health.
    Finally,       the   statute    itself      contains    no     explicit
    exhaustion       requirement.         While    the    district     court     found   an
    1
    We say "for most purposes" because a recommendation for
    debarment or suspension from receiving federal research funds only
    becomes final after ratification by a different official. See 42
    C.F.R. § 93.523(c).
    - 8 -
    exhaustion requirement to be implicit in the statutory scheme, see
    
    Anversa, 116 F. Supp. 3d at 31-32
    , it is unnecessary (for reasons
    to which we shortly shall return) for us to pass upon this aspect
    of the district court's decision — and we do not do so.             Instead,
    we resolve this appeal on the basis of the district court's
    alternate holding (its administrative exhaustion ruling).
    II.       FACTUAL OVERVIEW
    The    raw   facts,    outlined   in    the   complaint,    are
    essentially undisputed for present purposes.             The plaintiffs are
    two high-profile medical researchers, Dr. Piero Anversa and Dr.
    Annarosa Leri.        At the time of the underlying events, both of them
    held faculty appointments at Harvard Medical School (Harvard).2
    In    addition       to   their   teaching   roles,   both   plaintiffs   were
    intimately involved with a cardiac stem cell research laboratory
    at Brigham and Women's Hospital (the Brigham): Dr. Anversa led the
    lab, and Dr. Leri toiled as a principal investigator there.               The
    Brigham, it should be noted, is not only a Harvard teaching
    hospital but also a founding member of the Partners HealthCare
    System (Partners).
    In 2012, questions arose about the authenticity of data
    that appeared in an article co-authored by the plaintiffs and other
    2
    At oral argument in this court, plaintiffs' counsel reported
    that both of her clients have left Harvard and are now working in
    Switzerland.
    - 9 -
    scientists, including a researcher at Lawrence Livermore National
    Laboratory (LLNL).      Shortly after the publication of this paper in
    the journal "Circulation," the LLNL researcher reported to the
    plaintiffs that discrepancies existed between the data LLNL had
    provided and the data presented in the paper.               Dr. Anversa asserts
    that he repeatedly asked the Brigham lab member who received the
    LLNL data if the presentation in the paper was accurate and
    received assurances that everything was in order.                         But LLNL
    persisted; it reported the discrepancies to Gretchen Brodnicki,
    Harvard's Dean for Faculty and Research Integrity.
    On     January     10,    2013,    Dean    Brodnicki     informed      the
    plaintiffs that Harvard and the Brigham were going to begin a joint
    inquiry    into     allegations       of     research    misconduct.            These
    allegations related not only to the "Circulation" paper but also
    to an article co-authored by the plaintiffs and other collaborators
    that had appeared in another journal, "The Lancet," in 2011.
    The inquiry took substantially longer than the 60 days
    allotted   in   the   regulations.           One   reason   was    that   (as   Dean
    Brodnicki told the plaintiffs in March of 2013) the inquiry was
    expanded   to     encompass    yet   another       allegation     relating   to    an
    unpublished manuscript submitted in 2013 to "The Lancet" and the
    journal "Science." The inquiry panel did not submit a draft report
    to the plaintiffs for their comments until January 8, 2014.                       The
    final panel inquiry report was issued on February 28, 2014.                       The
    - 10 -
    plaintiffs allege that the report recommended retraction of the
    2011 "Lancet" and 2012 "Circulation" papers, that the lab be
    evaluated for its appropriateness as a training ground for budding
    researchers,    and   that    the   inquiry     proceed     to    a    full-blown
    investigation.    The plaintiffs further allege that "[t]he inquiry
    panel found no evidence that [the plaintiffs] ever participated in
    falsifying or fabricating research data or results, or that they
    even knew of any research misconduct at the time it occurred," but
    nonetheless recommended proceeding to an investigation "on the
    theory that Dr. Anversa should be held responsible for arguably
    negligent failure to investigate" research misconduct.
    Simultaneous     with   their    receipt   of   the       final   panel
    inquiry report, the plaintiffs were notified that Harvard and the
    Brigham    intended   to   commence     an    investigation.           The    three
    scientists who composed the inquiry panel were appointed to serve
    on the investigation panel, and a fourth member was added a few
    weeks later.    On three separate occasions — twice in 2014 and once
    in 2015 (after suit had been commenced) — the investigation was
    expanded   to   include    additional       research   papers     beyond      those
    identified in the panel inquiry report.           Betimes, Harvard and the
    Brigham have sought — and ORI has granted — multiple extensions to
    the 120-day investigatory period.3
    3 At oral argument in this court, counsel for Harvard reported
    that the deadline for completing the investigation authorized by
    - 11 -
    III.   TRAVEL OF THE CASE
    In December of 2014 — while the investigation was still
    in progress — the plaintiffs sued Partners, the Brigham, Harvard,
    Dean Brodnicki, and Dr. Elizabeth Nabel (the Brigham's president).
    Their complaint limned claims under Massachusetts law for tortious
    interference with business relations, invasion of privacy, and
    unfair and deceptive business practices.               The complaint also
    charged Partners, the Brigham, and Harvard with breach of contract
    based on a claim that the ORI regulations are incorporated into
    their employment contracts with those institutions.
    The plaintiffs alleged that both the completed inquiry
    and the ongoing investigation failed to comply with pertinent
    regulations.     Specifically, they alleged that the inquiry panel
    applied the wrong standard in recommending an investigation and
    that   its   report     was   riddled   with   other      errors.    See   
    id. § 93.104(b).
         They also ascribed a host of failings to the
    investigation panel, claiming (for example) that some of its
    members lacked the requisite scientific expertise and that some
    were either biased due to their participation in the flawed inquiry
    or labored under conflicts of interest.         See 
    id. § 93.310(f).
          The
    plaintiffs    further    lamented    that    both   the    inquiry   and   the
    the most recent ORI extension is November 1, 2016.           The
    investigation panel, we were told, is in the process of drafting
    its report.
    - 12 -
    investigation        have   been     subject    to   egregious    and     unwarranted
    delays.    See 
    id. §§ 93.307(g),
    .311(b).                Finally, the plaintiffs
    alleged that Dr. Steven Gygi (a member of both the inquiry and
    investigation panels), Dean Brodnicki, and Dr. Nabel separately
    transgressed         confidentiality         obligations        imposed     by      the
    regulations.4        See 
    id. § 93.108.
    The   plaintiffs      seek    money    damages     and     unspecified
    declaratory relief.           With respect to damages, they say that the
    manifold       failures     that   occurred     during    the    inquiry     and    the
    investigation caused them harm.                They claim, for instance, that
    they missed out on a number of promising employment and other
    professional opportunities, and lost a lucrative offer for the
    purchase of Dr. Anversa's company. They also claim that Dr. Leri's
    promotion to a full professorship at Harvard was delayed and that
    they have suffered reputational injury.
    The defendants moved to dismiss.               See Fed. R. Civ. P.
    12(b)(1), (6).         They contended, inter alia, that the plaintiffs
    should    be    required     to    exhaust     administrative     remedies       before
    bringing suit.            The district court agreed and dismissed the
    complaint without prejudice.            See 
    Anversa, 116 F. Supp. 3d at 35
    .
    The   court     held   that    the    statutory      scheme    governing    research
    4The plaintiffs allege that Dr. Gygi resigned from the
    investigation panel in September of 2014, acknowledging that he
    had discussed the investigation with a colleague.
    - 13 -
    misconduct investigations mandated exhaustion.                           See 
    id. at 32.
    Alternatively,       the     court     held    that     common-law         principles     of
    administrative exhaustion militated in favor of dismissal.                                See
    
    id. at 34.
        This timely appeal followed.
    IV.   ANALYSIS
    Given the structure of the district court's disposition,
    an issue of jurisdictional priority looms.                              Even though the
    doctrines of statutory and administrative exhaustion have a common
    objective     —    delaying        a    plaintiff's          day      in     court    while
    administrative proceedings run their course — the two doctrines
    rest on different foundations.                The question whether a statutory
    scheme   requires          the     channeling         of        claims      through       the
    administrative process implicates the jurisdiction of the district
    court.      See,     e.g.,    Free     Enter.    Fund      v.    Pub.      Co.   Accounting
    Oversight Bd., 
    561 U.S. 477
    , 489-91 (2010); Thunder Basin Coal Co.
    v. Reich, 
    510 U.S. 200
    , 207-09 (1994). By contrast, administrative
    exhaustion    applies        "where     Congress      has       not   clearly      required
    exhaustion," and cedes discretion to a district court to decline
    the   exercise       of    jurisdiction        and      await      the     conclusion      of
    administrative proceedings.              See McCarthy v. Madigan, 
    503 U.S. 140
    , 144 (1992).
    Here,    the     district        court's      ruling     consists       of   two
    alternative holdings.            Taken together, these holdings amount to a
    double-barreled conclusion that the statutory structure forbade
    - 14 -
    the district court's exercise of jurisdiction over the action and
    — even if it had jurisdiction — it would decline to exercise that
    jurisdiction for prudential reasons.
    In the ordinary course, questions about the existence of
    subject matter jurisdiction take precedence in our analysis of a
    case.5      See Acosta-Ramírez v. Banco Popular de P.R., 
    712 F.3d 14
    ,
    18 (1st Cir. 2013).              This approach is consistent with the Supreme
    Court's admonition that a court "may not rule on the merits of a
    case without first determining that it has jurisdiction over the
    category of claim in suit."              Sinochem Int'l Co. v. Malaysia Int'l
    Shipping         Corp.,    
    549 U.S. 422
    ,   430-31   (2007).     But   the   two
    exhaustion doctrines at issue here do not implicate this principle:
    they       are    simply    alternative     "threshold     grounds   for   denying
    5
    The parties have not contested the existence of Article III
    jurisdiction, and the district court did not consider that
    question. Nevertheless, we have an obligation to assure ourselves
    of our own jurisdiction. See Watchtower Bible & Tract Soc'y of
    N.Y., Inc. v. Colombani, 
    712 F.3d 6
    , 10 (1st Cir. 2013).         In
    keeping with that obligation, we note that Article III jurisdiction
    exists in this case notwithstanding that the controversy is between
    non-diverse parties and asserts exclusively state-law claims.
    Federal question jurisdiction under 28 U.S.C. § 1331 encompasses
    a narrow swath of cases in which "a state-law claim necessarily
    raise[s]   a   stated   federal  issue,   actually   disputed   and
    substantial, which a federal forum may entertain without
    disturbing any congressionally approved balance of federal and
    state judicial responsibilities."     Grable & Sons Metal Prods.,
    Inc. v. Darue Eng'g & Mfg., 
    545 U.S. 308
    , 314 (2005). Given that
    all of the plaintiffs' claims turn on the interpretation of the
    federal regulations governing research misconduct investigations
    and the importance of those regulations to the Congressional
    scheme, this case plainly falls within the narrow swath of cases
    described in Grable.
    - 15 -
    audience to a case on the merits."             Ruhrgas AG v. Marathon Oil
    Co., 
    526 U.S. 574
    , 585 (1999).             In comparable situations, the
    Supreme Court has made pellucid that a nonjurisdictional threshold
    reason for pretermitting a merits determination — such as a
    decision   not   to    exercise   pendent     jurisdiction    over   state-law
    claims, dismissal on the basis of forum non conveniens, or Younger
    abstention — may be applied without first resolving a difficult
    jurisdictional question.        See Sinochem 
    Int'l, 549 U.S. at 431-32
    .
    Such an approach — bypassing the jurisdictional inquiry
    — is preferable here. The statutory exhaustion analysis is complex
    and uncertain, and its outcome would have no bearing on the
    ultimate result: as we explain below, the district court acted
    well   within    its   discretion    in    insisting   upon   administrative
    exhaustion.      Thus, we proceed directly to the merits of the
    district court's administrative exhaustion ruling.
    Administrative exhaustion is governed by "sound judicial
    discretion."      
    McCarthy, 503 U.S. at 144
    .             Consequently, the
    customary practice among the circuits has been to review a district
    court's    decision    to   compel   the    exhaustion   of   administrative
    remedies, in the absence of a statute directing exhaustion, for
    abuse of discretion.        See, e.g., Koch v. White, 
    744 F.3d 162
    , 164-
    65 (D.C. Cir. 2014); Thermal Sci., Inc. v. U.S. Nuclear Regulatory
    Comm'n, 
    184 F.3d 803
    , 805 n.3 (8th Cir. 1999) (per curiam).
    Although we have never explicitly stated the standard in this
    - 16 -
    manner, we have recognized that application of the administrative
    exhaustion doctrine is a matter of discretion, guided by the
    factors identified in McCarthy.      See Portela-Gonzalez v. Sec'y of
    the Navy, 
    109 F.3d 74
    , 77 (1st Cir. 1997).         We hold, therefore,
    that appellate review of a district court's decision to require
    administrative exhaustion should be for abuse of discretion.
    Generally, aggrieved parties are required to exhaust
    available federal administrative remedies before bringing suit in
    federal court.      See Myers v. Bethlehem Shipbuilding Corp., 
    303 U.S. 41
    , 50-51, 51 n.9 (1938); 
    Portela-Gonzalez, 109 F.3d at 77
    .
    This principle rests on solid foundations: exhaustion normally
    "serves the twin purposes of protecting administrative agency
    authority and promoting judicial efficiency."          
    McCarthy, 503 U.S. at 145
    .      Preserving agency authority is particularly important
    insofar as "the action under review involves exercise of the
    agency's discretionary power or when the agency proceedings in
    question allow the agency to apply its special expertise."            
    Id. Insisting upon
    exhaustion not only gives an agency the first
    opportunity to apply that expertise and correct possible errors,
    but   also    respects   congressional   prerogative    by   "prevent[ing]
    litigants from bypassing Congress' carefully crafted remedial
    scheme."      Irizarry v. United States, 
    427 F.3d 76
    , 79 (1st Cir.
    2005).       So, too, insisting upon exhaustion promotes judicial
    efficiency both by obviating the need for review in cases in which
    - 17 -
    the agency provides appropriate redress, see 
    Portela-Gonzalez, 109 F.3d at 79
    , and by creating "a useful record for subsequent
    judicial   consideration,           especially   in    a   complex   or   technical
    factual context," 
    McCarthy, 503 U.S. at 145
    .
    Where, as here, Congress has not mandated exhaustion,
    federal courts have some leeway to relax this requirement.                      See
    Swirsky v. Nat'l Ass'n of Sec. Dealers, 
    124 F.3d 59
    , 63 (1st Cir.
    1997).     That leeway is built into the common-law doctrine of
    administrative exhaustion.            In considering whether to exercise it,
    "courts must balance the interest of the individual in retaining
    prompt access to a federal judicial forum against countervailing
    institutional interests favoring exhaustion."                 
    McCarthy, 503 U.S. at 146
    . This analysis is "'intensely practical,' because attention
    is directed to both the nature of the claim presented and the
    characteristics        of     the    particular       administrative      procedure
    provided."     
    Id. (internal citations
    omitted) (quoting Bowen v.
    City of New York, 
    476 U.S. 467
    , 484 (1986)).
    In discussing how to construct this balance, the Supreme
    Court described three "sets of circumstances in which the interests
    of the individual weigh heavily against requiring administrative
    exhaustion."     
    Id. These situations
    arise when "requiring resort
    to the administrative remedy may occasion undue prejudice to
    subsequent assertion of a court action," 
    id. at 146-47;
    when an
    administrative remedy may be insufficient because the agency is
    - 18 -
    powerless to grant effective relief or incompetent to adjudicate
    the claims at issue, see 
    id. at 147-48;
    or when the administrative
    body is clearly biased, see 
    id. at 148-49.
    The plaintiffs asseverate that their case falls within
    two of these categories. In their view, the administrative process
    cannot grant them appropriate relief and, moreover, they face an
    indefinite        (and,     therefore,     unreasonable)         timeline.        These
    drawbacks, they say, more than outweigh whatever may be gained by
    exhaustion because — in this instance — exhaustion will neither
    preserve agency authority nor promote judicial economy.
    We     start     our    inquiry      into    the     district   court's
    application of administrative exhaustion with the plaintiffs'
    suggestion that completion of the administrative process in this
    case will not advance the interests that exhaustion exists to
    protect.      We do not agree.             To begin, the plaintiffs vastly
    understate    the     ongoing       importance    of     ORI's   expertise   to    the
    administrative proceedings.            They similarly understate the degree
    to which ORI's expertise already has played a valuable role in the
    institutional investigation.             The issues raised by the plaintiffs'
    suit are in many respects the very kind of issues that call for
    the exercise of ORI's special insights.                  We explain briefly.
    The enabling statute requires that ORI be led by a
    professional experienced in research misconduct investigations,
    and   the    regulations        envision     that      ORI's     oversight   of     the
    - 19 -
    institutional investigation process will allow it to apply that
    expertise.       This know-how is reflected, for example, in ORI's
    ability to grant extensions to an institution to complete an
    investigation       and       to   conduct     a   review   of    the   institution's
    investigation before issuing findings of research misconduct.
    What is more, ORI — in the course of its review — may well comment
    on   the   interpretation           of   key    components      of    the   regulations
    undergirding       the    plaintiffs'         claims,    such    as   the   appropriate
    standard     for     initiating          an     investigation,        the      scope   of
    confidentiality obligations, and the qualifications needed for
    panel members.
    Permitting the agency to apply its expertise in the first
    instance    is     especially        important      because      it   protects     ORI's
    authority    even        if   the   plaintiffs'         state-law     claims    are    not
    themselves adjudicated in the agency-supervised proceeding.                            The
    statutory structure contemplates that the first tier of review in
    research misconduct cases will take place at the institutional
    level with ORI oversight.            Respect for Congress's judgment in this
    area counsels in favor of allowing the agency to exercise that
    oversight authority before a federal court intervenes.                             ORI's
    authority would be severely undermined if, for example, we were to
    permit a jury to decide whether an ongoing investigation, with
    extension requests reviewed and approved by ORI, had dragged on so
    - 20 -
    long as to amount to a breach of contract based on the very rules
    that ORI is tasked with administering.
    The plaintiffs' countervailing interests in immediate
    review do not outweigh these substantial advantages to exhaustion.
    Arguing to the contrary, they assert that the administrative
    process cannot provide them with appropriate relief.                 In support,
    they note that ORI lacks any mechanism to review state-law claims
    and has no authority to award money damages (the primary form of
    relief demanded in their suit).           Although they acknowledge ORI's
    oversight role, they observe that they will not be parties to any
    enforcement     action    taken   by     ORI    against    the    institutions.
    Furthermore, even if they were to challenge a hypothetical future
    finding of research misconduct before an ALJ, the ALJ would not
    have the authority to consider the institution's conduct of either
    the inquiry or the investigation.          There is some truth in what the
    plaintiffs say — but we conclude that neither the unavailability
    of a monetary remedy in agency proceedings nor the agency's lack
    of   capacity   to   adjudicate    the    state-law      claims   at   issue    is
    dispositive.
    With respect to the unavailability of money damages, the
    plaintiffs    rely   on   the   McCarthy       Court's   statement     that   "the
    uncertainty of the administrative agency's authority to award
    [monetary] relief counsels against requiring exhaustion."                 
    Id. at 155.
      But the McCarthy Court mentioned the unavailability of a
    - 21 -
    specific form of relief merely as one factor in the exhaustion
    calculus.        Other circumstances (such as the agency's lack of
    interest in exhaustion, the fact that the claim at issue did not
    call for the application of agency expertise, and the fact that
    record development before the agency would provide only minimal
    assistance to future judicial review) combined to make exhaustion
    unnecessary.       See 
    id. at 155-56.
          Because no comparable mix of
    factors is present here, the unavailability of monetary relief
    through ORI does not relieve us of the duty to carry out the
    intensely practical analysis required by McCarthy.               See Munsell v.
    Dep't of Agric., 
    509 F.3d 572
    , 592 (D.C. Cir. 2007) ("The rationale
    for requiring exhaustion does not depend on the existence of money
    damages as a remedy.      So long as the administrative process offers
    the possibility of some redress . . . the administrative process
    can serve its proper function.").
    We     add,   moreover,     that    there      are     significant
    institutional       advantages     in   compelling        exhaustion        here.
    Addressing a similar claim in an analogous context, we recognized
    that   "[e]xhaustion      is   beneficial    regardless    of     whether    the
    administrative process offers the specific form of remediation
    sought by a particular plaintiff" because "the administrative
    process facilitates the compilation of a fully developed record,"
    which "is an invaluable resource for a state or federal court
    required to adjudicate a subsequent civil action covering the same
    - 22 -
    terrain."       Frazier v. Fairhaven Sch. Comm., 
    276 F.3d 52
    , 61 (1st
    Cir. 2002).
    So it is here.        Although ORI will not adjudicate the
    plaintiffs'       state-law       claims   as    such,    the    district   court's
    eventual disposition of those claims would benefit greatly from
    any legal interpretations or factual findings made by ORI in the
    course of its review.6        Indeed, the shape of the plaintiffs' claims
    may    well    change     based    on   the     outcome   of    the   institutional
    investigation.       The regulations specifically require institutions
    to make "[a]ll reasonable and practical efforts, if requested and
    as appropriate, to protect or restore the reputation of persons
    alleged to have engaged in research misconduct but against whom no
    finding of research misconduct is made."                  42 C.F.R. § 93.304(k).
    Insofar as the complaint seeks to remedy "[l]ong-term injury to
    [the       plaintiffs']   professional        reputations       and   careers,"   the
    outcome of the institutional investigation and any subsequent
    action under this provision may reconfigure the contours of the
    6
    It is worth noting that this is not a case in which self-
    sufficient state-law claims merely run parallel to administrative
    regulations. Rather, the plaintiffs invoke the federal court's
    subject matter jurisdiction only by advancing claims that turn on
    the answers to embedded federal questions concerning the meaning
    and application of the very federal regulations that ORI exists to
    enforce. To allow the case to proceed to judgment and run the
    risk of having ORI's ongoing oversight thereafter arrive at
    conclusions that conflict with that judgment makes little
    practical sense.
    - 23 -
    controversy         by    the    time     it     is   ripe   for   district     court
    consideration.
    Our review of the record persuades us that the district
    court made the "intensely practical" assessment that the McCarthy
    Court required.          We think that the totality of the circumstances
    —    particularly        the    unique   characteristics      of   this    two-tiered
    investigatory system, Congress's manifest desire to ensure that
    ORI is able to use its expertise to guide and evaluate an initial
    round    of    investigation        at    the    institutional     level,    and   the
    significant advantages that exhaustion could bring — warrants a
    finding that the district court did not abuse its discretion in
    applying      the    doctrine      of    administrative      exhaustion.      In   the
    circumstances at hand, neither the unavailability of a monetary
    remedy in the administrative proceeding nor the agency's inability
    to adjudicate state-law claims demands a different result.
    The plaintiffs have a fallback position.                They press the
    notion that forcing them to delay their suit will cause undue
    prejudice to its subsequent prosecution because they face an
    indefinite timeframe for administrative action.                       They emphasize
    the length of the inquiry to date and the several extensions to
    the investigation (which has entered its third year). This problem
    is   exacerbated,        they    say,    by     the   institutions'    lackadaisical
    approach to the matter and by the repeated widening of the scope
    of the investigation.            In their view, these developments show that
    - 24 -
    the time limits in the regulations are effectively meaningless and
    that ORI has abdicated its responsibility to superintend the
    investigation.
    Although we understand the plaintiffs' frustration with
    the pace of the proceedings, we do not believe that matters have
    reached   the   tipping   point.     The     duration   of   administrative
    proceedings, without more, cannot suffice to demonstrate that an
    agency's actions are unreasonable.          Rather, determining whether a
    timeframe for agency action is unreasonable involves more than a
    matter of simple arithmetic.         Cf. Telecomms. Research & Action
    Ctr. v. FCC, 
    750 F.2d 70
    , 80 (D.C. Cir. 1984) (limning range of
    factors for evaluating the reasonableness of agency delay).             An
    inquiring court must pay close attention to the specific regulatory
    framework and its relationship to the claims presented.                 See
    
    McCarthy, 503 U.S. at 146
    .
    Here, the district court fulfilled that responsibility.
    The features of the ongoing process are every bit as consistent
    with a conclusion that the investigation is proceeding apace
    through a complex area of medical research as with an inference of
    indefiniteness.    Virtually by definition, research misconduct is
    a complicated area; and the regulations specifically envision that
    research misconduct inquiries and investigations may take longer
    than the time limits spelled out in the regulations.              Both the
    inquiry process and (with ORI's consent) the investigatory process
    - 25 -
    can   be   extended    when   circumstances   warrant.          See    42    C.F.R.
    §§ 93.307(g), 93.311(b).        Such flexibility is crucial, given the
    regulatory imperative that institutions must "[p]ursue diligently
    all significant issues and leads discovered that are determined
    relevant to the investigation."       
    Id. § 93.310(h).
    In the case at hand, all indications are that the
    investigation     is   being    actively    pursued,      and    the    repeated
    expansions of its scope suggest compliance with the mandate to
    explore "any evidence of additional instances of possible research
    misconduct" that comes to light during the investigation.                       
    Id. Against this
    backdrop, we discern no principled basis for viewing
    this timeframe, at present, as unreasonable.
    The   plaintiffs     advance    one   other     strain      of     this
    argument.    They submit that the duration of the investigation and
    subsequent ORI review could cause the statute of limitations to
    expire on some or all of their state-law claims.            See, e.g., Mass.
    Gen. Laws ch. 260, § 2A (establishing three-year statute of
    limitations for tort claims).        This is a legitimate concern: the
    running of the statute of limitations could well "occasion undue
    prejudice to subsequent assertion" of the plaintiffs' claims.
    
    McCarthy, 503 U.S. at 146
    . At least some of the plaintiffs' claims
    already may have accrued, and the district court's order of
    dismissal without prejudice will be of little consolation should
    those claims become time-barred.
    - 26 -
    This concern, however, does not demand the solution that
    the   plaintiffs     urge.      In   light    of   the   strong      interests   in
    exhaustion that are extant here, permitting this action to go
    forward in parallel to the administrative proceedings is not the
    most salutary way to guard against a potential limitations problem.
    In the context of state habeas proceedings (which present similar
    temporal snares), federal appellate courts have acknowledged that
    district courts may stay a petition filed within the statute of
    limitations until state remedies have been exhausted.                  See, e.g.,
    Pace v. DiGuglielmo, 
    544 U.S. 408
    , 416 (2005); Rhines v. Weber,
    
    544 U.S. 269
    , 274-78 (2005); Neverson v. Bissonnette, 
    261 F.3d 120
    , 126 n.3 (1st Cir. 2001); see also Dolis v. Chambers, 
    454 F.3d 721
    , 725 (7th Cir. 2006) (collecting cases).                 Such a prophylactic
    approach is well-suited to administrative exhaustion cases because
    it protects agency authority while administrative proceedings are
    ongoing yet ensures that limitations concerns will not bar the
    ultimate consideration of the plaintiffs' claims.
    For these reasons, we hold that, as a matter of practice,
    a district court ordinarily should stay, rather than dismiss, an
    action when it finds that principles of administrative exhaustion
    require it to act.           We apply that prescription here: though
    upholding the district court's determination that administrative
    exhaustion is warranted, we think it appropriate to direct that
    its   order    of   dismissal   be   converted      to   a    stay   of   judicial
    - 27 -
    proceedings pending the timely resolution of the administrative
    proceedings.
    V.   CONCLUSION
    The    defendants   have   raised   a   gallimaufry   of   other
    grounds for dismissing this action, but we need go no further.
    Thus, we take no view of these other grounds.          Suffice it to say
    that we affirm the district court's decision, based on the common-
    law doctrine of administrative exhaustion, and the plaintiffs must
    exhaust their administrative remedies before proceeding with their
    suit.   However, we direct that the district court, on remand,
    convert its order of dismissal to an order staying the case pending
    the timely resolution of administrative proceedings.
    Affirmed as modified.     All parties shall bear their own costs.
    - 28 -