Managing Your Practice

Terminating an employee


 

I’ve written more than once about the private practitioner’s least favorite task. Most physicians find it so objectionable that they will tolerate marginal employees rather than fire them. And that hurts the efficiency and morale of your good employees – and yours as well. Now, new federal worker protection laws are making terminations even more difficult, even when they’re justified; however, that’s still no excuse for keeping an employee that should be replaced.

Tero Vesalainen/iStock/Getty Images

Once you make the decision to replace an employee, be sure that you have legitimate grounds and assemble as much documentation as you can. Record all terminable transgressions in the employee’s permanent record and document all verbal and written warnings. This is essential; you must be prepared to prove that your reasons for termination were legal.

Former employees will sometimes charge that any of a number of their civil rights were violated. For example, federal law prohibits you from firing anyone because of race, gender, national origin, disability, religion, or age – if the employee is over 40. You cannot fire a woman because she is pregnant or recently gave birth. Other illegal reasons include assertion of antidiscrimination rights, refusing to take a lie detector test, and reporting Occupational Safety and Health Administration violations.

You also can’t terminate someone for refusing to commit an illegal act – such as filing false insurance claims – or for exercising a legal right – such as voting or participating in a political demonstration.

While you cannot fire an alcohol abuser unless he or she is caught drinking at work, many forms of illegal drug use are legitimate causes for termination. Other laws may apply, depending on where you live. When in doubt, contact your attorney, state labor department, or fair employment office.

If a fired employee alleges that he or she was fired for any of these illegal reasons and you do not have convincing documentation to counter the charge, you may find yourself defending your actions in court. If you anticipate such problems, you can ask the employee to sign a waiver of future litigation in exchange for a concession from you – such as extra severance pay or a promise not to contest an unemployment application. Also, consider adding employment practices liability insurance – which I covered in detail a few months ago – to your umbrella policy, since lawsuits are always a possibility, despite all efforts to prevent them.

Pages

Recommended Reading

GoFundMe CEO: ‘Gigantic gaps’ in health system showing up in crowdfunding
MDedge Surgery
Cyberbullied by anti-vaxxers: Monique Tello Part I
MDedge Surgery
Ezetimibe effective as primary prevention
MDedge Surgery
Gametes for back pain, Alice in Wonderland syndrome, and liver-saving beer
MDedge Surgery
Trump zeroes in on surprise medical bills in White House chat with patients, experts
MDedge Surgery
Drug-pricing policies find new momentum as ‘a 2020 thing’
MDedge Surgery
Winners and losers under bold Trump plan to slash drug rebate deals
MDedge Surgery
President Trump calls for end to HIV/AIDS, pediatric cancer
MDedge Surgery
Hearing drills into patient impact of ACA legal challenge
MDedge Surgery
Trump administration salutes parade of generic drug approvals, but hundreds aren’t for sale
MDedge Surgery