**UN PUBLISHED** 
UNITED STATES COURT OF APPEALS FOR THE FOURTH CIRCUIT

**No. 10**  **- 1721** 

CHARLES H. DISE , Plaintiff

– Appellant ,
v. EXPRESS MARINE, INCORPORATED , Defendant

- Appellee , and
UNIVERSITY OF SOUTH ALABAMA MEDICAL CENTER; JUVONDAS SHU NTA HODGE, M.D.; AMIN FRONTAN, M.D.; J. DOE # 1; J. DOE # 2; J. DOE # 3; J. DOE # 4; J. DOE # 5 , Defendants
.

Appeal from the United States District Court for the District of Maryland , at Baltimore
. Catherine C. Blake , District Judge. ( 1:07

- cv - 01 893

- CCB )
Argued : September 21, 2011 Decided: November 17, 2011

Before WILKINSON, MOTZ, and DAVIS , Circuit Judges.

Affirmed by un published opinion
. Judge Davis wrote the opinion, in which Judge Wilkinson and Judge Motz joined.

**ARGUED :**  David W. Skeen, WRIGHT, CONSTABLE & SKEEN, LLP, Baltimore, Maryland, for Appellant. JoAnne Zawitoski, SEMMES, BOWEN & SEMMES, Baltimore, Maryland, for Appellee. **ON BRIEF:**2 Meighan Griffin Burton, WRIGHT, CONSTABLE & SKEEN, LLP, Baltimore, Maryland; Lawr ence A. Melfa, BUTLER, MELFA & TAYLOR, PA, Towson, Maryland, for Appellant. Alexander M. Giles, SEMMES, BOWEN & SEMMES, Baltimore, Maryland, for Appellee.
Unpublished opinions are not binding precedent in this circuit.3 DAVIS, Circuit Judge : Appellan t Charles H. Dise (“Dise”) filed this maritime action to recover for injuries he sustained when a skiff piloted by him and owned by his employer, Appellee Express Marine, Inc. (“EMI”) , allided with a bridge piling, and as a result of allegedly negligent me dical treatment he received at the University of South Alabama Medical Center (“USA Me dical”) in the wake of the allision. Dise asserted claims for negligence and vicarious liability under the Jones Act, 46 U.S.C. app. § 688(a) (recodified at 46 U .S.C. § 3 0104 ) , and unseaworthiness under the general maritime law. EMI counterclaim ed to recover for property damage to its skiff. The district court grant ed summary judgment in favor of EMI on Dise’s Jones Act and unseaworthiness claims , and on EMI’s property dam age counterclaim
. We affirm.

I.
A.
A t the time of the relevant events , Dise was a Maryland resident employed by EMI as an assistan t engineer on the Tug
BALTIMORE. EMI is a New Jersey corporation engaged in the business of towing barges and commodities fr om various East and Gulf Coast locations. Dise began w orking for EMI in October 2003. In April 2005, EMI assigned Dise to work on the Tug4 BALT IMORE as an assistant engineer. His duties included standing watch in the engine room during specified shifts. During July 2005, the Tug BALTIMORE was assisting with the loading of a barge near Mobile, Alabama. Around the time of Dise’s assignment to the Tug BALTIMORE, EMI purchased a 14

- foot Boston Whaler (“the skiff”) for the purpose of taking draft readings on t he barge ass ociated with the Tug BALTIMORE. 1

On the evening of July 19, 2005, the Tug BALTIMORE and the associated barge were docked at a terminal on Three Mile Creek in Mobile, Alabama
. In addition to Dise, the crew members onboard the Tug BALTIMORE included Capt ain Michael Daniels, First Mate Covil, Chief Engineer Sammy Edwards, Bargeman Jerry Harper, Assistant Bargeman George Gre ggs, and the cook, Otis
Foster. Just before midnight, Daniels asked Greggs to take draft According to First Mate Doug las Covil, prior to the date of the accident, July 19, 2005, the skiff had been used only for taking draft readings. After the accident , the skiff w as also used to transport groceries and supplies to and from the tug.

1 “D raft ” is “the depth of water required to float a vessel,” and “draft marks” are “the Arabic numerals on both sides of the bow and stern of a vessel to show the ship’s draft.” Thompson Lenf estey & Tom Lenfestey, The Sailor’s Illustrated Dictionary 142

- 43 (Globe Pequot ed., 2001). In the context of this case, taking “draft readings” consists of recording the draft marks at the waterline on the barge being towed by the Tug BALTIMORE. See J.A. 128

- 30.5 readings from the a djoining barge using the sk iff. Daniels also instructed Gregg s to deliver a radio to Harper on the barge
. Although Greggs had never operated the skiff prior to that night, both Daniels and Covil had used the skiff to take dra f t readings on numerous occasions. In his deposition, Dani els
t estified that he had taken the skiff out earlier that very evening to measure the drafts. Neither party testified to experiencing any problems with the skiff. Dise was present when Daniels ordered Gre ggs to take the draft reading s . Dise asked Daniels for permission to drive the skiff while Greggs took the draft readings. According to the testimony of Daniels, which was corroborated by Covil, Daniels replied to Dise with something along the lines of, “it d[oes]n’t
t ake two people to read drafts.” J.A. 55, 71. After Daniels left the galley, however, Dise informed Covil that he was planning to accompany Greggs, and Covil did not explicitly tell him not to follow through on that plan. Dise and Greggs met on the deck a few minutes later, boarded the skif f, and proceeded to the ba rge to take the draft readings. Dise operated the skiff, while Greggs sat toward its bow. Once they had acquired the initial draft readings , Dise and Greggs decided to pilot the boat down Three Mile Creek. Dise testified that it w as Gregg s’s idea to take the skiff down river to see a ship moored nearby, while Greggs testified that Dise6 wanted “to run the boat to see how it operated, ” J.A. 174. It is undisputed that Dise was at the helm of the skiff during the entire incident. Dise steered the skiff downriver toward the moored ship, passing under a railroad bridge along the way. Shortly after passing under the bridge, a call came in to the skiff to take a second set of draft readings because, according to Greggs, Harper had noticed a “discrepancy” and so want ed a new set of readings taken. J.A. 175. Dise testified that he heard the word “emergency” over the call, immediately turned the boat upriver , and accelerated on a course toward the barge. J.A. 325. I n his deposition testimony, D ise claimed the fastest he drove the boat was 17 or 18 knots, short of full throttle
. H owever, in his diary entry made after that night, he described the speed of t he skiff as “full speed ahead.” See J.A. 151

- 53. Greggs also testified that, when Dise turne d the boat around, “he opened up the boat full throttle,” which Greggs ascertained because he could see that the t h rottle was all the way forward. J.A. 602. Dise claims that when he turned the skiff around, he was blinded by lights on the ship ahead of hi m and could not clearly see the bridge, so he asked Greggs to shine the skiff’s spotlight, which he had been using to take the draft readings, on the bridge. When Greggs did not respond, however, Dise did not slow down or await Greggs’s compliance; indeed , Dise recalls7 “spe[eding] up a little bit more” at that point. J.A. 328. Shortly thereafter, the skiff crashed into one of the bridge’s bulkheads , and Dise and Greggs were thrown into the water, suffering injuries to their extremities. According to Dise, h e could not make out the contours of the bridge without the spotlight illuminating it. Greggs testified that it was a clear night, he could clearly see the bridge and its bulkheads up until the moment of impact, and he yelled to Dise to slow down just befo re the crash. After the a llision, Dise and Greggs managed to hold onto the skiff and get to the shore of Three Mile Creek. Once ashore, Dise located a watchman on the railroad bridge who called 911. An ambulance responded to the scene and took Dise and G reggs to USA Medica l in Mobile, Alabama. Upon learning of the accident,
EMI dispatched Keith Kirkeide , a company representative , to Mobile to oversee Dise’s medical care. EMI paid all of the medical expenses that Dise incurred while at USA Medical, which i ncluded treatment of a major injury to his left leg. USA Medical discharged Dise on July 23, 2005, at which point he boarded a flig ht to travel to Baltimore. During the course of the flight , Dise became severely ill. An ambulance was called and transpor ted Dise to St. Agnes Hospital immediately upon his arrival in Baltimore. Doctors at St. Agnes Hospital discovered that Dise’s leg wound had a severe bacterial8 infection requiring an immediate ope ration and extensive
treatment. As a result, St. Agnes Hospi tal transferred Dise to the University of Maryland Shock Trauma Center the nex t day for additional treatment. Over the next two years, Dise underwent multiple surgeries in an attempt to restore function to his leg. He reached maximum medical improvement o n January 31, 2008, though he has permanent injuries to his leg. Dise did not return to work for EMI after the accident.
B. Dise filed suit in the district court on July 17, 2007 , seeking damages under the Jones Act , 46 U.S.C. app. § 688(a), and va rious m aritime doctrines. The c omplaint alleged five counts: (1) negligence under the Jones Act; (2) unseaworthiness under the general maritime law; (3) vicarious liability under the Jones Act for negligent provision of medical care; (4) maintenance and cure ; and (5) unpaid wages. EMI denied all liability and counterclaimed for recoupment of maintenance and cure payments made to Dise, indemnification for payments made to Greggs, and reimbursement for repairs to EMI’s skiff following the accident. After the close of discovery, the parties filed cross

moti ons for summary judgment. EMI moved for summary judgment or partial summary jud gment as to all claims in the complaint on the basis that each of Dise ’s causes of action lacked merit. In9 the alternative, EMI sought summary judgment on its affirmative defense tha t it wa s entitled to exoneration or limitation of liability to the value of the skif f at the time of the accident. Dise moved for summary judgment on his vicarious liability claim , the entirety of EMI’s count erclaim, and EMI’s affirmative defenses. The district court granted summary judgment in favor of EMI as to all five counts in Dise’s c omplaint, and denied Dise’s

cross - motion for summary judgment on his vicarious liability claim. Dise v. Express Marine, Inc. , 651 F. Supp. 2d 457, 471 (D. Md
. 2009). The district court granted summary judgment in favor of Dise on EMI’s counterclaims seeking recoupment of maintenance and cure and indemnificatio n for payments made to Greggs. Id. R ather than ruling on EMI’s mo tion for summary judgment on its counterclaim for damage to the skiff, the district court instructed EMI to advise the court within ten days if it still wished to pursue the counterclaim in light of the court’s other summary judgment rulings. Id. In respon se, EMI timely moved for summary judgment to re solve its sole remaining claim
. Dise opposed the motion. On June 2, 2010, the district court granted summary judgment in favor of EMI on its claim for damages to the skiff. Dise v. Express Marine, Inc. , 714 F. Supp. 2d 558, 562 (D. Md. 2010). Dise timely filed the instant appeal.10 II. Dise appeals the district court’s grant of summary judgment in favor of EMI on his claims for negligence under the Jones
Act , unseaworthiness under the general maritime law , and vicarious liability under the Jones Act for negligent provision of medical care , as well a s EMI’s counterclaim for damage to the skiff. We review the district court’s grant of summary judgment de novo
. See Wash. Metro. Area Transit Auth. v. Potomac Inv.
P rops., Inc. , 476 F.3d 231, 234 (4th Cir. 2007)
. A. The Jones Act provides a cause of action in negligence for “any seaman who shall suffer personal injury in the course of his employment,” 46 U.S.C. app. § 688(a), and incorporates by reference the judici ally

- developed doctrine of liability under the Federal Employer’s Liability Act (“FELA”), 45 U.S.C. § 51 et
seq. , thereby according seamen rights parallel to those of railway employees. Kernan v. American Dredging Co. , 355 U.S. 426, 439 (1958); Hernandez v . Trawler Miss Vertie Mae , 187 F.3d 423, 436 (4th Cir. 1999) ; see also 46 U.S.C. app. § 688(a) (providing that “all statutes of the United States modifying or extending the common

- law right or remedy in cases of personal injury to railway employees shall a pply” to a seaman’s Jones Act action)
. FELA provides in relevant part that railway employees enjoy a right of recovery for injury or death resulting in whole11 or in part from the negligence of their employer or their employers’ officers, agents, or employee s. 45 U.S.C. § 51. Accordingly, to prevail on a negligence claim under the Jones Act, a seaman must show: “(1) personal injury in the course of his employment; (2) negligence by his employer or an officer, agent, or employee of his employer; and (3) causat ion to the extent that his employer’s negligence was the cause ‘in who le or in part’ of his injury.” Hernandez , 187 F.3d at 436.
T o f urther the humanitarian purpose of FELA, Congress eliminated several common

- law tort defenses that had traditionally rest rict ed recovery by injured workers. Consol. Rail Corp. v. Gottshall , 512 U.S. 532, 542 (1994). Specifically,
FELA abolishes the common law fellow

- servant rule and the assumption of risk defense, rejects the doctrine of contributory negligence in favor of c omparative negligence, and prohibits employers from contractually exempting themselve s from FELA. Id. at 542

- 43; see also 45 U.S.C. §§ 51, 53

- 55. Th e Supreme Court liberally construes FELA, but “ has cautioned that
. . . FELA, and derivat iv ely the Jones Act , is not to be interpreted as a workers’ compensation statute and that unmodified negligence principles are to be applied as informed by the common law.” Hernandez , 187 F.3d at 436

- 37 (citing Gottshall , 512 U.S. at 543

- 44))
. In sum , “in establishing a Jone s Act claim based on negligence, the elements of duty, breach, and injury draw on12 common law principles; the element of causation is relaxed; and common law defen ses are modified or abolished.” Id. at 437 (citations omitted). In order to establish neglig ence, a seaman - plaintiff in a Jones Act action must prove by a preponderance of the evidence that his employer breached a duty to protect him agai nst a foreseeable risk of harm. Martin v. Harris , 560 F.3d 210, 216 (4th Cir. 2009) (citing Hernandez , 187 F.3 d at 436)
. A shipowner

- employer’s duty under the Jones Act is to provide a

seaman - employee with a reasonably safe place to wo rk. Id. at 216 (internal citations and quotation marks omitted)
. This duty extends from the vessel to the shore, provided the seama n is acting in the c ourse o f his employment
. 2

2 The district court, having determi ned that EMI was not negligent, “assumed without deciding” that Dise was acting in the course of employme nt at the time of the accident. Dise , 651 F. Supp. 2d at 465. W e note that the parties disagree a s to the scope of this standard , but we likewise find that Dise has failed to establish a genuine dispute of material fact as to EMI’s negligence, and that EMI is therefore entitled to judgment as a matter of law. Accordingly, like the district court, we d o not reach the issue of whether Dise was acting “in the course of employment” at the time of the accident. Id. (citing O’Donnell v. Great Lakes Dredge & Dock Co. , 318 U.S. 36, 39 (1943))
. Turning to the sufficiency of the evidence in this case , the question is whether the evidence before the district court on EMI’s motion for summary judgment , when viewed in the light most favorable to Dise, rose above the level of mere speculation and conjecture,13 to the point where a factfinder could reasonably find that the risk of harm posed was reasonably foreseeable. Dise argu es on appeal that the evidence establishes genuine disputes of material fact with respect to several theories of negligence, including : (1) EMI’s poor training and instruction of Greggs; (2) the absence of written or verbal guidelines for use of the skiff; (3) Greggs’s failure to shine the spotlight; and (4) d efective steering of the skiff. In addition, Dise argues that the district court, in finding that Dise’s own negligence was the “sole proximate cause” of the accident, applied an erroneous causation st andard. The district court addressed each of Dise’s theories of negligence in turn and, finding no genuine disputes of material fact, concl uded that EMI was entitled to judgment as a matter of law. Having h ad the benefit of oral argument and having careful ly reviewed the briefs, record, and controlling legal authorities, we reach the same conclusion. Accordingly, as to Dise ’s Jones Act negligence claim , we affirm on the basis of the district court’s well reasoned opinion. 3 See Dise , 651 F. Supp. 2d 457
.

3 Given that Dise bears the burden of proof on all elements of his Jones Act negligence claim, the absence of evidence that EMI breached a duty to D ise is dispositive, irrespective of the Jones Act causation standard applied by the district court. Consequently, we do not reach Dise’s causation argument.14 B. Dise’s unseaworthiness claim is separate and distinct from his negligence claim
. See Usner v. Luckenbach Overseas Corp. , 400 U.S. 494, 498 (1971)
. General maritime law imposes a duty upon shipowners to provide seaworthy vessels, that is, vessels

reasona b ly fit for their intended use. Mitchell v. Trawler Racer, Inc. , 362 U.S. 539, 550 (1960). This duty extends to the vessel itsel f, its equipment, and its crew. It is an absolute duty requiring no knowledge on the part of the shipowner and exists independent ly of the duty to exercise reasonable care under the Jones Act, 46 U.S.C. a pp. § 688(a). Id. at 548

- 49. In order to prevail on a claim for unseaworthiness, a plaintiff must demonstrate that “the unseaworthy condition of the vessel was the proximate or dire ct and substantial caus e of the seaman’s injuries.” Hernandez , 187 F.3d at 439 (citing Gosnell
v. Sea

- Land Serv
. , Inc. , 782 F.2d 464, 467 (4th Cir. 1986)). Thus, the “causation burden is more demanding than the one the plaintiff u ndertakes under the Jones Act.” Id. (internal quotation marks and citation s omitted). Dise argues that “the defective steering of the skiff as well as a poorly trained and instructed fellow crewman, Greggs, with regard to use of the skiff, are unseaworthy condi tions.” Appellan t ’s Br. 16. As set forth supra , however, Dise has failed to present sufficient evidence to establish a material dispute15 of fact as to whether Greggs was qualified to operate the skiff

or whether the steering was defective. Regardless, it is undisputed that the intended use of the skiff , which was new when delivered to the Tug BALTIMORE only a few months prior to the accident, was to take draft readings from the b arge. Defective steering at high speed, even if proved, would not render the skiff unfit for thi s use as draft readings are not , and indeed cannot be, taken at high speed. In addition, e ven if Dise were able to show that deficiencies in the crew and the vessel created an unseaworthy condition, he still must identify admissible facts sufficient to dem onstrate that one of these conditions was the “proximate or direct and substantial cause” of his injury. We agree with the district co urt’s conclusion that neither was. Accordingly, we affirm the district court’s grant of summary judgment in favor of EMI o n Dise’s unseaworthiness claim
. C. The admiralty law doctrine of maintenance and cure imposes
upon a seaman’s employer a non

- waivable and non

- delegable duty to provide food, lodging, and medical treatment to a seaman injured in the course of e mployment
. 5 Robert Force & Martin J. Norris, Law of Seamen § 26

- 1 (5th ed. 2003); see also De Zon v. Am. Pres. Lines , 318 U.S. 660, 667 (1943)
. A sick or injured seaman has a cause of action under the Jones Act for his16 employer’s wrongful failure to pr ovide proper me dical attention.
De Zon , 318 U.S. at 667. B ecause t he Jones Act incorporates the principles of FELA, 45 U.S.C. § 51 et seq. , which renders an employer liable for injuries negligently inflicted by its “officers, agents, or employees,” a shipowner can violat e its duty to provide prompt and adequate medical care in two ways: “directly, such as when the shipowner fails to get a crewman to a doctor when it is reasonably necessary and the ship is reasonably able to do so; and vicariously, when the shipowner selec ts a doctor who acts negligently.” Olsen v. Am. Steamship
Co. , 176 F.3d 891, 896 (6th Cir. 1999). Dise raises only the latter type of claim , arguing that EMI is vicariously liable for the allegedly negligent provision of medical care by USA Medical provide rs Drs. Juvonda s Shunta Hodge and Amin Frontan following the accident
. The district court granted EMI’s motion for summary judgment and denied Dise’s motion for summary j udgment on his claim alleging vicarious liability under the Jones Act
. Dise , 651 F. Supp. 2d at 469. As a preliminary matter, the district
court determined that “in order to be vicariously liable for the medical malpractice of a treating physician, the shipowner must take some affirmative act in select ing or engaging the physician. ” Id. at 468. Noting that the agency standard is relaxed under the Jones Act , the district court nevertheless17 concluded that Dise had failed to present evidence of an affirmative act on the part of EMI sufficient to give rise to an agency relationship with the USA Medical providers as a matter of law. Id. at 469. Dise argues on appeal that the district court’s agency analysis is inconsistent with the Supreme Court’s decisions in Sinkler v. Missouri Pacific Railroad Co. , 356 U.S. 326 (1958), and Hopson , e t al. v. Texaco, Inc. , 383 U.S. 262 (1966) , which he avers establish that agency should be interpreted broadly in the Jones Act context consistent with the employer’s non

d elegable duty to provide cure. In the alternative, Dise contends that even if an aff irmative act by EMI is a necessary predicate to an agency relationship with the USA Medical providers , the district court erred in finding that the evidence does not establish such a relationship
. EMI’s v icarious liability for the alleged negligence of t he USA Medical providers turns upon the scope of “agency” in the
Jones Act context. The case law is instructive with regard to these parameters. The Supreme Court has held that w hen a railroad employee’s injury is caused in whole or in part by the fault of others performing, under contract , operational activities of his employer, such others are “agents of the employer wit hin the meaning of . . . FELA.” Sinkler , 356 U.S. at 331

- 32. The same standard ap plies in the Jones Act context. See18 Fitzgerald v. A.L. B urbank & Co. , 451 F.2d 670, 680 (2d Cir. 1971) (applying Sinkler in a Jones Act case). Accordingly, for example, w here a ship carries a n onboard physician employed by the ship, vicarious liability attaches to the shipowner for the physician’s negligence. D e Zon , 318 U.S. at 668
. Courts have also consistently held that an agency relationship exists when a shipowner engages the services of an on

- shore ph ysician. See,
e.g. , Olsen , 176 F.3d at 895

- 96 (“[T]he shipowner is liable for the negligence of an on

- shore physician that i t hires to treat its crewman.”) (collecting cases); Cent. Gulf S.S. Corp. v. Sambula , 405 F.2d 291, 299 ( 5th Cir. 1968) (shipowner vicariously liable where its agent brought an injured seaman to physician who misdiagnosed and mistreated pl aintiff’s eye injury). Liability does not attach, however, when a seaman selects his own physician. See Joiner v. Diamond M Drilling Co. , 688 F.2d 256, 262 n.9 (5th Cir. 1982) (“[W]e can find no case holding a shipowner vicariously liable for the negligenc e of an onshore physician selected by the injured seaman himself.”). Similarly, the Seventh Circuit has held that when an employer merely refer s a seaman to a negligent medical provider , the provider is “neither [an] employee [] of the defendant nor acting on behalf of [ the defendant], thus eliminating any basis for vicarious liability
. ” Greenwell v. Aztar Indiana Gaming Corp. , 268 F.3d 486, 489 , 492

- 93 (7th Cir. 2011)
.19 Consistent with Dise’s argument, t he Supreme Court has advised that “an accommodating scope must be given to the word ‘agents’ to give vitality to the standard governing the liability of carriers to their workers injured on the job.” Sinkler , 356 U.S. at 330

- 31. Even given this relaxed agency standard, however, the district court properly d etermin ed that , based upon the case law, an agency relationship giving rise to vicarious liability under the Jones Act requires “some affirmative act [on the part of the shipowner] in selecting or engaging” an on

- shore medical provider. Dise , 651 F. Supp. 2d at 468. Relying primarily upon Sinkler and Hopson , Dise argues that a shipowner’s vicarious liability for negligent medical treatment arises from its non

- delegable duty to provide maintenance and cure, rather than from any affirmative act t aken in s electing the provider. Neither case sup ports his position, however. In Sinkler , the Supreme Court held that when an employee’s injury was caused by the fault of others performing, under contract , operational activities of the employer, such others were “ag ents” of the emplo yer within the meaning of FELA. 356 U.S. at 331

- 32. In Hopson , the Supreme Court applied Sinkler in a Jones Act case to find that a shipowner who had a duty to bring an incapacitated seaman before the U.S. Consul prior to discharge in a foreign port, and who selected a taxi service to20 transport the seaman , as it had done many times before, bore the responsibility for the neg ligence of the driver it chose. 383 U.S. at 264. Both cases support the principle that, because a seaman’s employe r is under an absolute duty to provide medical treatment to a sick or injured seaman, medical personnel selected by it to render that treatment are deemed to be engaged in the ship’s business as “agent s ” despite the fact that the practitioner may be an ind ependent contractor or complet ely unrelated to the ship. However, t hese cases do not establish that every provider of medical services to a sick or injured seaman is automatically deemed an agent of the shipowner by virtue of the shipowner’s duty to provid e maintenance and cure
. 4 In order to survive summary judgment, Dise must present evidence establish ing , at minimum, a genuine dispute of material fact with respect to whether EMI took some affirmative act to select or otherwise engage the USA Medical providers
. Dise does

4 The circuit and district court cases Dise cites as support are similarly inapposite. See De Cen teno v. Gulf Fleet Crews, Inc. , 798 F.2d 138 (5th Cir. 1986) (shipowner liable where vessel’s agent arranged for seaman to see local physician who negligently failed to recognize signs of diabetes and therefore failed to order blood test, where proper diag nosis could have avoided diabetic coma and death); Fitzgerald , 451 F.2d 670 (2d Cir. 1971) (shipowner liable for negligence of doctor it selects); Sambula , 405 F.2d 291 ( shipowner liable for negligently selecting general practitioner, rather than ophthalmo logist, who misdiagnosed and mistreated plaintiff’s eye).21 not dispute that th ere is no evidence in the record that EMI affirmatively engaged the USA Medical providers to treat him, but instead argues that EMI constructively selected the USA Medical providers by instituting a written emergenc y response policy that instructs employees to “call 911 first
. ” See J.A. 722. Although it is a close question, we conclude that the existence of the “call 911 first” policy alone is insufficient as a matter of law to demonstrate that EMI selected or otherw ise engaged USA Medical and its providers in particular. Instituting such a policy is essentially the equivalent of providing each employee with a list of every medical provider in the region. Such an act does not indicate that the employer selected or
eng aged any particular provider. Dise also contends that EMI acquiesc ed in USA Medical’s treatment of him by paying for his care and not moving him to a different facility, thereby establishing an agency relationship
. EMI was required to pay Dise’s medical e xpenses in order to satisfy its non - delegable duty to provide cure , and did not select or engage USA Medical in doing so
. EMI’s failure to move Dise to another hospital is also insufficient as a matter of law to establish that EMI selected or otherwise aff irmatively engaged USA Medical. Thus, we affirm the district court’s grant of summary judgment in favor of EMI on Dise’s claim for vicarious liability under the Jones Act
.22 D. We turn, finally, to the district court’s award of affirmative relief to EMI. Di se argues that EMI may not assert its property damage counterclaim because the Jones Act prohibits counterclaims by employer

- shipowners against employee

- seamen, as such actions are incompatible with the principles of maritime law. The district court acknow ledged that neither t he Supreme
Court nor this court has directly addressed this question, but reasoned that “the consistency with which these courts have applied FELA to Jones Act cases and permitted counterclaims under FELA weighs in favor of permitti ng EMI’s counterclaim.” Dise , 714 F. Supp. 2d at 560
. Consequently , the district court granted EMI’s motion for summary judgment on its counterclaim for damages to the skiff in the amount of $3,254.96, the undis puted cost of repairs. Id. at 562. In reaching this result, t he district court relied primarily up on this court’s decision in Cavanaugh v. W. Md. Ry.
Co. , 729 F.2d 289, 294 (4th Cir. ) , cert. denied , 469 U.S. 872 (1984) , which held that FELA does not prohibit employer counterclaim s against employees in the railroad context , and a subsequent Fifth Circuit decision which held, largely based upon Cavanaugh , that the Jones Act does not bar employer counterclaims in the maritime context , Withhart v. Otto Candies,
L.L.C. , 431 F.3d 840 (5th Cir. 2005). Id. at 5 60

- 61. Di se23 contends that Cavanaugh and Withhart were incorrectly decided, and argues in the alternative that even if we extend Cavanaugh to this context , considerations unique to the maritime context militate against extending our decision in that case to Jones
Act actions , as the Fifth Circuit did in Withhart
. Although we recognize that Cavanaugh did not squarely address the issue before us in the instant maritime case, we decline to so readily discount its relevance given that the Jones Act incorporates the judicially

- developed doctrine of liability under FELA
. In Cavanaugh , we held that FELA neither explicitly nor implicitly proscribes the filing of a counterclaim by a railroad in a FELA case to recover for property damages sustained by reason of the s ole negligence of a plaintiff

- employee. 729 F.2d at 294. We noted that if the railroad

- employer were denied the right to assert a property damage counterclaim during the employee’s FELA suit, the compulsory counterclaim requirement under Fed. R. Civ. P. 13 (a) would prohibit the employer from later bringing the claim, thereby unfairly affording the employee absolute immunity from any liability for his negligence. Id. at 291. Turning to the statute itself, w e rejected the contention that S ection s 5 and 10 of FELA , 45 U.S.C. §§ 55 & 60, implicitly bar employer counterclaims against employees
. Id.24 S ection 5 of FELA provides that “ a ny contract, rule, regulation, or device whatsoever, the purpose or intent of which shall be to enable any common carrier to exempt itself from an y liability created by this act , shall to that extent be void
. . .” 45 U.S.C. § 55. Section 10 similarly provides that “any contract, rule, regulation, or device whatsoever, the purpose, intent or effect of which shall be to prevent employe es of any common carrier from furnishing voluntary information to a person in interest as to the facts incident to the injury or death of any employee, shall be void . . .” 45 U.S.C. § 60. We reasoned that Section 5 clearly defines “device” as having the p urpose of exempting the common carr ier from liability, and a n e m ployer negligence counterclaim does not exempt the common carrier from liability; therefore, an employer negligence counterclaim is not a prohibited device under Section 5. Cavanaugh , 729 F.2d at 291

- 92. With respect to Section 10, we found that “there is no authority for the assumption that the possibility of a counterclaim being filed creates an unfair advantage in favor of the defendant or improperly coerces or intimidates the injured party from seeking redress for his injuries . . . The same argument could be advanced against the admissibility of a counterclaim in any tort action.” Id. at 293. 5

5 We note that our reasoning in Cavanaugh has not gone (Continued)25 T he First and Eighth Circuits have followed Cavanaugh , holding that employer property damage cou nterclaims are actionable under FELA. See Sprague v. Boston & Maine Corp. , 769 F.2d 26, 29 (1st Cir. 1985); Nordgren v. Burlington Northern
R.R. Co. , 101 F.3d 1246, 1253 (8th Cir. 1996). The Eighth Circuit held that employer property damage counterclaims a re not “devices ” under Section 5 and 10 of FELA because the suits do not absolve the employers of liability. Nordgren , 101 F.3d at 1251. Interpreting the phrase “any device whatsoever” in Sections 5 and 10, the Eighth Circuit looked to the terms preceding the phrase, namely “contract,” “rule,” and “regulation,” and determined that because they refer to legal instruments that railroads attempt to use to evade liability,

unquestioned. Dissenting from the divided panel’s majority opinion in Cavanaugh , Judge Hall argued that the majority construed Sections 5 and 1 0 too narrowly. 729 F.2d at 295. According to the dissent, the counterclaim at issue was “a ‘device’ calculated to intimidate and exert economic pressure on the employee, to curtail and chill his rights, and ultimately to exempt the railroads from liabilit y under the FELA.” Id. at 296. The dissent further found that the counterclaim violated Section 10 insofar as it “would prevent employees from voluntarily furnishing information regarding the extent of their negligence.” Id. In Stack v. Chi., Milwaukee, St . Paul and Pac. R.R. , 615 P.2d 457 (Wash. 1980), the Washington Supreme Court similarly found that employer negligence counterclaims violate Section 5 of FELA because such suits limit employer liability, as employees would then be reluctant to file FELA ac tions, id. at 459. I n Yoch v. Burlington N. R.R. , 6 08 F. Supp. 597, 598 (D. Colo. 1985), the Colorado federal district court adopted Stack ’ s rationale in holding that FELA prohibits employer negligence countersuits
.26 the term “devices” should be viewed in the same context. Id. at 1250

- 51. Therefore, accor ding to the Nordgren court, “any device whatsoever” is simply a catchall phrase “referring only to any other creative agreement or arrangements the railroad might come up with to exempt itself from liability,” and does not include employers’ negligence cou ntersuits. Id.
In W ithhart , the Fifth Circuit considered as a matter of first impression in the federal courts of appeals whether a shipowner

- employer in a Jones Act action may assert negligence and indemnity claim s against its seaman

- employee for propert y damage allegedly caused by the employee’s negligence. 431 F.3d at 840. Relying largely upon Cavanaugh , the court held that “no statutory authority in FELA, and consequently, in the Jones Act, prohibits a shipowner

- employer from pursuing a claim against i ts negligent seaman

- employee for property damage.” I d. at 845. The Withhart court noted that negligence was an actionable wrong under maritime law prior to enactment of the Jones Act, 431 F.3d at 842 ( internal citation omitted ), and reasoned that permittin g employer counterclaims would not exempt employers from liability or unfairly prejudice employees, i d. at 844. The Witthart court concluded that allowing an employer counterclaim would not narrow the remedies available to employees under the Jones Act. Id
. at 845.27 Consistent with the district court’s analysis, the extant authority weighs in favor of allow ing EMI’s counterclaim based upon the particular facts of this case. EMI’s counterclaim for damage to its skiff does not act as a liability

- exempting “device” of the sort prohibited by FELA, 45 U.S.C. §§ 55 and 60. EMI sought to limit its liability to $7,945.00 under the Limitation of Liability Act, 46 U.S.C. §§ 30501, et seq., which so far as bears on this case limits a shipowner’s liability to the val ue of the ship, 46 U.S.C. § 30505(a), but counterclaimed for the lesser amount of $3,254.96 , the undisputed cost of repairs . In addition, we have found that EMI was not negligent to any extent, so its property damage counterclaim does not serve as a set of f to liability. For these reasons, we affirm the district court’s grant of summary judgment in favor of EMI on its counterclaim for property damage to the skif f. We leave for another day , however, the question of whether property damage counterclaims by sh ipowner

- employers against negligent

seaman - employees are actionable in every Jones Act case . 6

6 Notably, in a decision postdating the district court’s order granting summary judgment in this case, the Seventh Circuit held that “combining a property

- damage counterclaim with a limitation of liability in order to wipe out a substantial personal injury claim under the Jones Act is a liabilit y exempting device forbidden by the Act.” Deering v. Nat’l Maint. & Repair, Inc. , 673 F.3d 1039, 1048 (7th Cir. 2010) (Posner, J.)
. We have no occasion in the case at hand to examine Deering
.28 III. For the reasons set forth, we are persuaded, as was the district court, that t he evidence in the record fails to establish a genuine dispute of material fac t as to EMI’s negligence or its vicarious liability for the alleged negligence of the USA Medical providers. In order to establish an agency relationship for the purposes of vicarious liability in a Jones Act action, the seaman

- employee must demonstrate so me affirmative act on the part of a shipowner

- employer in selecting or otherwise engaging the negligent medical provider. Thus, we affirm the district court’s grant of summary judgment in favor of EMI on Dise’s Jones Act claims. With respect to his

unseawo rthiness claim under the general maritime law, Dise failed to establish that either the skiff or the crew constitutes an unseaworthy condition
. Accordingly, we affirm the district court’s grant of summary judgment in favor of EMI on the unseaworthiness cla im. Finally, while neither this court nor the Supreme Court has decided whether employer property damage counterclaim s are actionable in Jones Act case s , we have no hesitation in concluding that EMI’s counterclaim does not serve as a liability

- exempting device under the particular facts of the instant case, and we apply the rule supported by the weight of authority favor ing allowance of EMI’s counterclaim
. Thus, we29 affirm the district court’s grant of summary judgment o n EMI ’s counterclaim for damage to t he skiff. W e acknowledge , however, that under circumstances not present in the case before us, some employer property damage counterclaims may be impermissible under the FELA, Jones Act, and general remedial principles of maritime law. See Deering v. Nat’l Maint. & Repair, Inc. , 673 F.3d 1039 (7th Cir. 2010)
. AFFIRMED