Let'sGo1990

One more comment - complacency in this regard is exactly the sort of attitude which has led to the current problem in the United States regarding nurse practitioners and physician assistants. What sounded like a good idea in principle marred by politics and ultimately resulting in worse care for patients. It is not uncommon for people to refer to a specialist now, and to receive a consultation note back from a nurse practitioner, with little to no physician oversight in the United States. You are receiving (often poor) advice from somebody less qualified than you. Twisted.

Some of that is true though? Are you really going to argue that the level of knowledge is close? That the vigour, depth, and quality off training is comparable? That some aspects of medicine couldn't just be practiced by becoming a nurse given the current rules? Regarding payments - sure, maybe once our tuition, opportunity cost, schooling path, residency hour requirements, etc. match our European counterparts, along with a pension, benefits, fixed hour work week, etc. we can chat. Oh, and the government can cover overhead too, and spend 100k a year on a clinic manager responsible for finding clinic space, hiring staff, sorting out the EMR, internet, chairs, equipment, patient complaints, finding staff replacements when your nurse or secretary calls in sick or quit without notice, etc., ALL of which is an unpaid managerial headache assumed by Canadian physicians for "free" that the government would otherwise be paying for.

This is not true based on my experience. While there are ways to bill a lot, I suspect psychiatrists work fewer hours for equivalent, if not superior, pay, with superior lifestyles. Internists can make a killing reading echocardiograms, and the turnover on their inpatient services is faster than a neurology service. If geriatricians don't bill a certain amount (I think 300-400k), the government tops them up to that level.

I am glad this worked out for you. That sounded like a total nightmare and an insane amount of stress.

Can a practice be sold without selling the corporation? Silly question - Let's say someone invested 100k in their personal corp in stocks or an all equity ETF such as VEQT, and that grew to 107k the next year. That 7k would count as a capital gain, and only 3500 would be taxed at 50 percent? Versus putting all of that 100k in bonds would result in interest income that would all be taxed at 50 percent? Thanks!

I thought those doctors were selling their family health team spots. Not sure it works the same way for other doctors. Why would someone buy a psychiatry or rheumatology practice, for example?

My understanding is that other people are able to sell their small businesses at retirement and receive 700-800k of that money tax free. Physicians cannot take advantage of this. I have questions based on this: Because doctors usually cannot sell their practices, what do they do with the money stuck inside their corporation? If the corporation continues to exist during retirement so they can pay themselves annually from it, do you still have to pay costs associated with incorporating? Does the CRA raise eyebrows if your corporation with zero revenue is paying out dividends and salaries? Thanks. Feel free to correct any flaws in my understand. I was doing some rereading surrounding the changes to the small business tax rules.

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Interesting. Which hospitals have you seen this in, and on what services?

Source? Edit: I should clarify. While there is little doubt that this career path is more readily attainable through a radiology or neurosurgery residency, I don't see why your training would be any better or worse once you entered the fellowship, regardless of your background being neurology, radiology, or neurosurgery.

I thought it was a male doc. Were there 2?

As an update to this thread - there are 3 neurologists I am aware of who are practising interventional neurovascular medicine. As mentioned above, there is one in Hamilton in addition to one at Trillium in Toronto and another who was recently hired in Calgary. I think Ottawa had a neurologist on staff for intervention as well at one point, but I'm not sure what happened there. I think that was several years ago.

go to outline.com and paste the torontosun link to bypass the paywall.

The website is atrocious. Someone should correct me if I'm wrong, but I don't even think they describe HOW to make a payment anywhere on their site. Absolutely unacceptable for such a large, government run organization to have so many glaring deficiencies.