1. When transitioning from a medical resident to a self-employed physician, there’s a significant expansion in the types of expenses that can be claimed. As a general rule, self-employed physicians can deduct all ordinary and necessary expenses related to their medical professional activities, provided they are reasonable and no exceptions apply. Here’s a breakdown of the most common types of expenses for self-employed physicians: 
    • Annual Membership Fees: Deductible fees include those paid to provincial and other professional associations, societies, and groups. Examples are the OMA/CMA, CPSO, Royal College, College of Family Physicians, and other Canadian and foreign associations’ annual membership dues. 

     

    • Salaries and Fees: Salaries or contract fees paid to family members or third parties for work related to your medical practice are deductible. This encompasses roles like secretarial, associates, nursing, assistants, bookkeeping, or billing agents. The nature of the duties varies based on the type of practice and the support provided by the clinic or hospital. 

     

    • Office Rent & Maintenance: Rent and related expenses for business premises are deductible. This includes property taxes, light, heat, insurance, repairs, capital cost allowance, and mortgage interest. If your office is in your home, you can deduct expenses related to the portion used for professional purposes. 

     

    • Automobile Expenses: If you use your car for professional purposes, you can claim related expenses. However, commuting to and from work isn’t included. If the car is used partly for professional activities, expenses are proportionally allocated for tax deductions. 

     

    • Education & Conventions: You can deduct expenses for attending up to two conventions related to your medical professional activities annually. Local continuing medical education (CME) courses are also deductible without the two-convention limit. 

     

    • Business Gifts & Meals/Entertainment: These expenses can be claimed if they serve a business purpose and are reasonable. Occasional meals with partners, staff, other physicians, and referral sources may be deductible if professional matters are discussed. 

     

    • Insurance Premiums: Premiums for malpractice insurance, property insurance, and overhead are deductible. 

     

    • Startup Costs: Costs related to obtaining a license to practice, medical licensing exams, prep courses, and acquiring an existing medical practice are deductible or treated as eligible capital expenditures. 

     

    • Medical Books: Costs of books held when starting practice and those acquired later can be deducted or treated as capital costs. 

     

    • Capital Items: Purchases like office furniture, computers, medical instruments, automobiles, office buildings, and leasehold improvements are subject to depreciation and are deductible over time. 

     

    • Miscellaneous Expenses: This category includes telephone/internet, postage, office expenses, medical supplies, journals, uniforms, legal fees, advertising, and travel.