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News & Updates2020-10-01T18:02:39+00:00

News & Updates

Rheum for Growth – Business 101: Opening a New Practice

So, you are about to open a new practice?

Here are a few things to think about.

Incorporating or not

This is a decision that needs to be decided before you open your practice, as you will probably be signing leases for office space, possibly leasing equipment, trying to obtain loans, and hiring staff.

Typical decision making on this is potential tax savings and legal separation from you and the practice.  You should have a discussion with your accountant and lawyer early on in your decision-making process.

Leasing space

As mentioned above, assuming you have incorporated, the lease would be negotiated and signed by the corporation to keep the liability within the corporation.

Consideration should be given to length of lease and space requirements for growth, based around your vision of the practice for the medium- to long-term.  Negotiations with the landlord will include such things as what the landlord is willing to pay for up front regarding improvements to the space, and a potential rent-free period.

Payroll for you and your staff

Opening a payroll account with (other) CRA.  Here is a link to opening a payroll account:

Remittances to CRA for payroll withholdings are due the 15th of the month after the deductions are taken and the employee is […]

ACR Master Award Recipient – Dr. Ciarán Duffy

It is our great pleasure to announce that CRA member, Dr. Ciarán Duffy, MB BCh MSc FRCPC FRCPI, is the 2020 recipient of an ACR Master Award.

The Master Award is one of the highest honours bestowed by the American College of Rheumatology (ACR) and honours outstanding scholarly contributions to the field of rheumatology through clinical care, education, research and leadership over the course of an entire career. In addition, the recipient must have made substantial contributions to the ACR, and/or other national and international bodies devoted to rheumatology.

Dr. Duffy, is a Professor of Pediatrics at the University of Ottawa and Chief of the Department of Pediatrics at the Children’s Hospital of Eastern Ontario, is the 2020 recipient of an ACR Master Award. Dr. Duffy exemplifies the contributions to the field of rheumatology that are being honoured by the ACR Master Designation throughout his career. He has made substantial contributions to clinical care, education and research in pediatric rheumatology and has helped to establish Canadian pediatric rheumatology as international leaders.

After a fellowship in Pediatric Rheumatology at The Hospital for Sick Children and University of Toronto and the completion of a Master of Science in Design, Measurement and Evaluation in the Department of Clinical Epidemiology […]

Rheum for Growth – Business 101: To Incorporate or Not to Incorporate?

This is a question that I am asked quite a bit, especially from higher income professionals (doctors, lawyers, etc.).

Unfortunately, my usual answer is:  It depends…

Assuming you are treated as a contractor, not an employee, you have the options of being self-employed or to create a professional corporation (assuming you live in a jurisdiction where your professional body allows you to incorporate).

The initial test to incorporate or not is to determine whether you require all the income you earn to pay for your lifestyle.  If the answer is yes, then, generally speaking, there is not a lot of tax savings in incorporating, as all the income going through your corporation flows out to you.  There may be some minor savings by splitting your income between salary and dividend, but the savings are not significant.

Typically, the expenses you can claim through a corporation are the same expenses you can claim as a self-employed professional (automobile, phone, office, salaries to other people, membership dues, etc.)

Where the majority of the tax savings are created, are when you do not require all the income earned by your corporation and you can leave some of the income in the corporation to be taxed at the small business tax rate […]

CRA Updated Statement on COVID-19 – March 17, 2020

Dear CRA Members,

The situation with COVID-19 is changing rapidly and there is still a paucity of evidence surrounding this emerging condition. The CRA, in addition to endorsing the ACR statement on this subject, would like to direct your attention to the EULAR and PReS statements (links below).

We have provided a few important points from these statements to help guide you through this uncertainty. We will continue to monitor the situation and provide updates as new evidence emerges or if expert consensus changes. It is also important that you continue to familiarize yourself with your own local and provincial recommendations.

Besides social distancing and hand hygiene recommendations:

  1. Patients with rheumatic diseases should continue their medications.
  2. Patients with rheumatic diseases in isolation or in quarantine (without infectious symptoms) should continue their medications.
  3. In patients with rheumatic diseases on corticosteroids, these should NOT be stopped and may require adjustment in the face of an infection.
  4. If the immunocompromised rheumatic disease patient should develop fever, cough, or shortness of breath, they should seek medical attention and advise them to mention that they are immunocompromised.It is understood that physicians have their own threshold for the interruption of therapy during an infection balancing the risk of disease flare and serious […]

CRA Updated Statement on COVID-19 – March 13, 2020

At this time, and given the paucity of evidence surrounding this emerging condition, the CRA is endorsing the ACR statement on this subject. We will continue to monitor the situation and provide updates as required. It is also important that you familiarize yourself with your own local and provincial recommendations.

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