Lawsuits against employers are on the rise. And, unfortunately, these types of lawsuits can be difficult to defend—particularly if the dental practice being sued doesn’t have written rules, policies, and guidelines in place. An excellent way for employers to protect themselves against employee lawsuits is a well-crafted employment manual. Employment manuals are not required by law in most states, but they provide an excellent means of minimizing liability and providing employees with clear expectations and guidance regarding their job duties. Employment manuals assist employers in the consistent application of company rules and policies. In other words, they ensure that employers and employees are “on the same page” regarding the expectations of both parties. The compilation of a company’s policies in an employment manual can help dentists avoid lawsuits based on a number of common allegations, including:

• Discrimination;
• Favoritism;
• Unequal application of company policies;
• Wage and hour;
• Harassment;
• Wrongful employment termination

Given the importance of the employment manual as a method of lawsuit defense, it’s imperative that dentists understand the types of information that it should contain. In addition, given the fact that the laws, rules, and regulations affecting dental practices are always changing, it’s highly recommended that all dental professionals consult with an experienced dental attorney when drafting their employment manuals to ensure compliance with current laws. Below is an overview of some of the key areas that every dental practice’s employment manual should cover.

What Goes in an Employment Manual?

The employment manual of a dental practice should address both management and employee rights. There are a number of key areas that every organization’s employment manual should outline in order to avoid litigation, including:

1) Anti-discrimination and anti-harassment policies - Dental practices should clearly outline their anti-discrimination and anti-harassment policies, as discrimination and harassment allegations are common causes of employee lawsuits. All employment manuals should clearly outline the organization's procedure for reporting and addressing discrimination and harassment claims. In addition, the manual should prohibit retaliation against employees by employers for reporting claims of discrimination or harassment, and measures should be in place to ensure a reasonable amount of confidentiality to those employees who file complaints.

2) At-will employment statement – At-will employment means that an employee may be dismissed by an employer for any reason and at any time, and in turn, an employee can also choose to end their employment at any time for no reason at all. Therefore, it is advisable that dental employers include an at-will employment statement in their employment manuals. Ideally, employers should require all employees to sign the employment manual upon hiring, acknowledging their understanding and consent to the terms within. Requiring employees to sign off on a dental practice's employment manual provides evidence that the employee understood his or her employment status at the time of hiring. In addition, a signed acknowledgment by the employee acts as a blanket acceptance and understanding of all of the manual's contents, which can function as important evidence in an employee lawsuit.

3) Standards of employee conduct and performance – It's important that an organization's employment manual clearly details its employee standards of conduct and performance. Clear standards of conduct and performance ensure that all employees understand their job expectations. In addition, the organization's right to periodically review an employee’s overall job performance should be outlined, including the specific standards of review to be used.

5) Confidentiality – In the course of an employee’s work, he or she may have access to information regarding a dental practice, its suppliers, its patients, or other employees. Such information, which is generally of a proprietary or secret nature and not known to business competitors or the general public, should remain confidential. In other words, all employees in possession of such information should refrain from divulging it to those outside the practice. Given the importance of confidentiality, it is imperative that dental practices include organizational guidelines on this subject in their employment manuals. Inclusion of confidentiality policies in a dental practice’s employment manual will help ensure that all employees are aware of their responsibilities and duties regarding such information.

6) Additional provisions - In addition to those areas listed above, all dental employers should consider detailing organizational policies in their employment manuals, examples of which include:

• Insurance Eligibility
• State Specific Leaves of Absences
• State Specific Employee Accommodations
• References
• Employer Property
• Attendance & Punctuality
• Social Media & Electronics Usage
• Substance Abuse
• Benefits Overview
• Absenteeism (including employee abandonment) and Tardiness
• Workplace Violence
• Employee Education

Contact Dental & Medical Counsel

Having an employment manual in your practice will go a long way in ensuring your team members are aware of company policies and expectations. If you have employment law questions or in need of creating an employment manual for your practice, contact Ali Oromchian at Dental & Medical Counsel to schedule a free consultation.

Frequently Asked Questions

Q: Why is an employment manual important for a dental practice?
A: It helps minimize liability and provides clear expectations for employees, aiding in the consistent application of rules and policies.

Q: What issues can an employment manual help prevent?
A: Discrimination, favoritism, unequal application of policies, wage and hour disputes, harassment, and wrongful termination.

Q: What should an anti-discrimination policy include?
A: Procedures for reporting and addressing claims, prohibitions against retaliation, and measures for confidentiality.

Q: What is an at-will employment statement?
A: A statement indicating that an employee can be dismissed for any reason at any time, and employees can leave their job at any time without reason.

Q: Why is it important for employees to sign the employment manual?
A: It provides evidence that employees understand and accept the terms, which can be critical in defending against lawsuits.

Q: What should standards of employee conduct and performance include?
A: Clear job expectations and the organization’s right to periodically review job performance, including specific standards of review.

Q: Why are wage and hour guidelines important in an employment manual?
A: They ensure employees understand compensation policies and work hours, helping to comply with federal and state laws.

Q: What should a confidentiality policy cover?
A: Guidelines on handling proprietary or secret information related to the dental practice, its suppliers, patients, or other employees.

Q: What additional provisions should be included in an employment manual?
A: Insurance eligibility, state-specific leaves, employee accommodations, references, employer property, attendance, social media usage, substance abuse policies, benefits overview, absenteeism, workplace violence, and employee education.

Q: How can Dental & Medical Counsel assist with employment manuals?
A: They offer expertise in drafting compliant manuals and can provide legal advice to ensure all policies meet current laws. Contact Ali Oromchian for a free consultation.

About the Author

At Dental & Medical Counsel, we've been instrumental in realizing the practice goals of countless dentists. Whether you're looking to purchase, launch, or sell a dental practice, our expertise is your guide. Beyond the initial stages, we're committed to ensuring your dental practice remains legally compliant.

We provide comprehensive support, including employment law protections, dental contract reviews, and assistance with dental employment agreements. Additionally, we specialize in incorporating dental practices and securing trademarks. And for long-term planning, our services extend to helping dentists with succession and estate planning. Trust us to be your partner in every step of your dental practice journey.

About Ali Oromchian, Esq.

Your Dental Lawyer

Ali Oromchian, JD, LL.M. is the founding attorney of the Dental & Medical Counsel, PC law firm and is renowned for his expertise in legal matters

Ali Oromchian, JD, LL.M., is a leading legal authority in dental law and the founding attorney of Dental & Medical Counsel, PC, with over two decades of experience. His deep connection to dentistry comes from his wife's nearly two-decade-long career as a pediatric dentist.

This personal insight fuels his dedication to empowering dentists to navigate their legal challenges and achieve their practice goals. In doing so, Ali has helped thousands of doctors open their practices while maintaining legal compliance.

Ali is frequently quoted and contributes articles to dental publications, including the California Dental Society, Progressive Dentist, Progressive Orthodontists, Dentistry Today, Dentaltown, and The New Dentist magazines, further showcasing his commitment to the dental community.