Embarking on a career as a locum tenens offers physicians a unique blend of flexibility, experience, and financial opportunity. Whether you’re seeking to balance family life, gain diverse experience, or simply earn while searching for your ideal job, understanding the financial intricacies of locum work is crucial. Here are key strategies to help you navigate these waters successfully: 

  1. Understand Your Payment Terms Clearly Locum contracts can vary significantly. Ensure your contract specifies your responsibilities and outlines the payment structure, which could include various models like fee-for-service, daily rates, or income from additional services. Utilize legal contract review services available through medical associations for added security.
  2. Maintain Your Independent Contractor Status To leverage tax deductions available to locums, it’s vital to be recognized as an independent contractor by the Canada Revenue Agency (CRA). This means issuing regular invoices, carrying your own liability insurance, and not partaking in employer-provided benefits or holiday pay.
  3. Diligently Track Work-Related Expenses Keep a detailed record of all work-related expenses, such as moving costs, home office expenditures, professional dues, and vehicle usage for work. This documentation is essential for claiming tax deductions. Modern mobile apps can simplify this tracking process.
  4. Prepare for Tax Obligations As a self-employed physician, remember to set aside funds for income tax, which you’ll need to pay directly to the CRA, including quarterly instalments. Be aware of GST/HST exemptions on health and medical services, and consult with an accountant for clarity.
  5. Consider the Benefits of Incorporation Incorporating your medical practice can offer significant tax advantages and allow for more effective growth of business earnings. However, this decision should be based on various factors, and consulting with an Advisor is recommended.
  6. Explore Before Establishing Your Practice Use your locum experiences to learn about different medical business models. This exposure can provide valuable insights and even lead to finding mentors in the field.
  7. Ensure Adequate Medical Liability Coverage Verify that you have the necessary insurance coverage for the specific procedures you’ll be performing during your locum tenure.
  8. Secure Your Financial Safety Net As a self-employed physician, it’s crucial to have disability and life insurance to protect your income and dependents. Starting early can also mean lower premiums.
  9. Actively Reduce Debts Use the opportunity presented by locum work to chip away at any student debt, taking advantage of loan forgiveness or Return of Service programs. Manage any lines of credit effectively, aiming to reduce balances steadily.
  10. Utilize Credit Lines Wisely A line of credit can help manage cash flow during periods of unsteady income. It’s a more cost-effective borrowing option compared to credit cards.
  11. Establish Sound Financial Practices The financial discipline required in locum work is a valuable foundation for future private practice. It encourages effective budgeting and goal setting for both personal and professional life.
  12. Pace Your Financial Commitments Early in your career, it’s understandable if contributions to savings or retirement plans are minimal. Focus on balancing work expenses, debt repayment, and income fluctuations.