The Release of the External Investigation Report

On March 10, 2026, Columbia University publicly released a comprehensive 156-page external investigation report detailing how institutional shortcomings allowed former obstetrician-gynecologist Robert Hadden to sexually assault hundreds of patients over nearly 25 years. Commissioned in November 2023 following Hadden's federal conviction, the report by Joan Loughnane of Sidley Austin LLP reviewed over 120,000 documents and interviewed more than 120 witnesses, including over 60 survivors. The document paints a damning picture of a hierarchical culture at Columbia University Irving Medical Center (CUIMC) and its affiliate NewYork-Presbyterian Hospital (NYP) that prioritized physician prestige over patient safety, leading to repeated failures in addressing complaints.

Hadden's tenure began in the late 1980s as a resident, escalating to faculty in 1991. His modus operandi involved grooming vulnerable patients—often young, pregnant, or non-English speakers—with personal anecdotes before conducting unnecessarily invasive, ungloved pelvic and breast exams, sometimes involving inappropriate touching. Despite multiple red flags surfacing from 1994 onward, leadership dismissed or inadequately handled them, allowing the abuse to continue unchecked until his 2012 arrest.

Timeline of Abuse, Complaints, and Institutional Responses

The report outlines a chilling chronology of ignored warnings:

• 1987-1994: Early abuse reports, including a 1994 patient letter to department chair Dr. Harold Fox detailing prolonged exams and chaperone evasion. No follow-up action taken.
• 2000: IT staff discover pornography on Hadden's work computer; chair Dr. Rogerio Lobo notes it but accepts denial without investigation.
• 2008: Patient complains of inappropriate body comments; escalated to division chief Dr. John Evanko, who takes no action.
• June 29, 2012: Postpartum patient calls 911 after Hadden licks her vagina during an exam; arrested but released same day. Dr. Mary D'Alton, his supervisor, deems the patient 'crazy' and vouches for him.
• July 2012: Hadden returns to work under chaperone mandate but assaults over 20 more patients in five weeks while seeing 350+.
• 2016: State guilty plea to forcible touching; license revoked, no prison time.
• 2023: Federal conviction for interstate enticement; 20-year sentence. Columbia notifies ~6,500 patients.

This timeline underscores systemic lapses: no centralized complaint tracking, siloed operations between CUIMC and NYP, and a culture deterring staff from reporting due to fear of retaliation.

Key Institutional Failures Identified in the Report

The investigation pinpointed several critical breakdowns:

• Weak Chaperone Policies: Mandatory only post-2007 for sensitive exams, but understaffed, untrained on abuse detection, and easily evaded via off-hours scheduling or staff dismissal.
• Absent Reporting Mechanisms: No clear patient or staff channels at Columbia; ad hoc escalations to untrained personnel in a hierarchical environment fostering silence.
• Poor Recordkeeping and Risk Management: Complaints not filed per-physician or shared across institutions; biennial evaluations (OPPE) omitted issues.
• Cultural Deference: Physician prestige led to skepticism of patients (e.g., labeling complainants unstable) and reluctance to challenge seniors.

These failures enabled Hadden to exploit his role, with estimates of up to 154 victims testifying in his trial and over 900 in civil suits.Read the full report (PDF)

Resignations of Key Administrators

In direct response to the report, two senior leaders stepped down on March 10, 2026:

• Dr. Mary D'Alton, chair of OB/GYN at CUIMC and obstetrician-in-chief at NYP/Columbia, who supervised Hadden and advocated his 2012 return despite the arrest.
• Dr. Lee Goldman, former dean of Columbia's medical school and CEO of CUIMC, who approved Hadden's reinstatement.

Columbia Acting President Claire Shipman and CUIMC CEO Dr. Katrina Armstrong accepted the resignations, acknowledging the 'horrific abuse' and committing to accountability. Survivors and advocates, however, question if this suffices, demanding broader leadership scrutiny.

Survivor Perspectives and Advocacy

Survivors like Evelyn Yang (assaulted while pregnant) and Marissa Hoechstetter have been vocal, crediting their advocacy—including the Adult Survivors Act—for enabling civil suits leading to over $1 billion in settlements with 1,000+ claimants. They criticize the report's narrow scope (pre-2012 focus) and delayed release (2.5 years), alleging inadequate outreach—many survivors unaware until Senate pressure. University Senate students read testimonies in February 2026, amplifying calls for transparency.

Columbia launched a 24/7 RAINN helpline (English/Spanish) for trauma support and extended its $100 million Survivors' Settlement Fund to June 2026.Columbia's official statement

Columbia's Implemented Reforms and Commitments

Post-2012 and accelerated after 2023 ProPublica reporting, Columbia enacted sweeping changes:

• Mandatory chaperone training with trauma-informed scenarios.
• SafetyZone and KEEPSAFE centralized reporting with anti-retaliation policies.
• PARS/CORS early-warning systems benchmarking against peers.
• SMART team for rapid allegation probes.
• New Center for Patient Safety Science for national research.
• Board-level oversight of misconduct policies.

These align with recommendations for standardized investigations, patient education, and cultural shifts to empower reporting.

New York Attorney General's Ongoing Investigation

Announced March 3, 2026, NY AG Letitia James is probing Columbia's handling under the Adult Survivors Act, focusing on post-2012 cover-up allegations and failure to notify patients timely. Survivors welcome this, viewing it as essential for institutional accountability beyond internal reports.

Broader Implications for U.S. Higher Education

This scandal underscores vulnerabilities in university medical centers, where faculty physicians interact intimately with patients. It mirrors cases like Michigan State's Larry Nassar (gymnast abuse, $500M+ settlements) and USC's George Tyndall (similar OB/GYN abuses), highlighting common themes: deference to star doctors, siloed reporting, and delayed action.Explore career advice for safe academic environments

In higher education, Title IX mandates prompt response to sex discrimination, including faculty misconduct. The Clery Act requires crime reporting, yet gaps persist. Experts like RAINN advocate trauma-informed training and anonymous hotlines, while AAUP stresses due process alongside victim support.

Expert Opinions on Preventing Sexual Misconduct in Universities

Higher ed leaders emphasize proactive measures:

• Training Overhaul: Vanderbilt's PARS model for behavioral tracking, as adopted by Columbia.
• Cultural Shifts: Flatten hierarchies; incentivize reporting without fear, per Dr. Louise Perkins King (consulted in report).
• Tech Integration: AI-flagged patterns in evaluations; centralized EHR for complaints.
• Policy Standardization: Mandatory chaperones for all intimate exams, per AMA guidelines updated post-scandals.

A 2025 AAMC survey found 40% of med students witness unprofessionalism unreported, urging bystander intervention programs. For faculty, higher ed jobs now prioritize institutions with robust safety protocols.

Comparisons to Other University Scandals

Common thread: Elite institutions shielding abusers via reputation protection, prompting federal scrutiny and reforms.Rate My Professor reviews increasingly flag misconduct concerns.

Future Outlook and Actionable Insights for Higher Ed

Columbia's case signals a reckoning: Expect AG probes, lawsuits, and policy mandates. Universities should audit chaperone compliance (target 100%), implement CORS-like tools, and foster 'speak-up' cultures via annual training. For administrators, transparent reporting builds trust; explore higher ed admin jobs emphasizing ethics.

Stakeholders: Students verify faculty ratings; faculty report via anonymous channels; leaders prioritize safety metrics in tenure. With med school enrollment rising 15% (AAMC 2025), proactive reforms are vital to safeguard patients and reputations.

In conclusion, while Columbia advances reforms, the scandal reminds higher education of its duty to prioritize vulnerability over hierarchy. For career guidance in ethical environments, visit higher ed career advice, higher ed jobs, and Rate My Professor.

Photo by Syawish Rehman on Unsplash