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Breaking Bad Debt - Dr. Steph
Canada
เข้าร่วมเมื่อ 26 มี.ค. 2020
This is where I upload my lecture recordings for the University of Toronto Faculty of Medicine Financial Literacy Curriculum and other invited talks I am involved in at other academic institutions. All content is free and open-source, to be accessible to students, and any discussion around certain financial products is not an endorsement.
About Me: I am an Addiction Medicine physician and Assistant Professor at UofT. I lead the development of the Financial Literacy Curriculum and I'm on the Financial Aid Committee. My academic interests are in socioeconomic inequities in accessing education, student financial education & career planning, and mentorship of equity-seeking groups.
My channel endeavors to feature diverse representation in financial education.
I make complex financial concepts simple! For any questions please reach out at the links below
Thank you for stopping by,
Dr. Steph MD, MSc, CCFP
Twitter: @stephanieyzhou
Instagram: @breakingbaddebt
About Me: I am an Addiction Medicine physician and Assistant Professor at UofT. I lead the development of the Financial Literacy Curriculum and I'm on the Financial Aid Committee. My academic interests are in socioeconomic inequities in accessing education, student financial education & career planning, and mentorship of equity-seeking groups.
My channel endeavors to feature diverse representation in financial education.
I make complex financial concepts simple! For any questions please reach out at the links below
Thank you for stopping by,
Dr. Steph MD, MSc, CCFP
Twitter: @stephanieyzhou
Instagram: @breakingbaddebt
Starting a New Medical Practice & Owning a Small Business
In this interview, I speak with Dr. Amjed Kadhim-Saleh who started his medical clinic while still in his Family Medicine residency. We discuss his unconventional path to not locum and the costs and logistics of starting a medical business. If you are a Family Doctor or Specialist who want to open your own practice, this video is for you!
𝗧𝗼𝗽𝗶𝗰𝘀 𝗗𝗶𝘀𝗰𝘂𝘀𝘀𝗲𝗱:
0:00 - Intro
0:47 - The Why of Starting a Medical Practice
3:22 - Costs of Opening a Clinic
5:01 - Obtaining Financing & Getting a Commercial Mortgage
8:03 - Commercial Mortgage Interest Rates (Owner Occupied vs Not)
9:55 - Renting vs Buying Commercial Space
12:06 - Renovation & Construction
15:20 - Incorporation & Holding Company
16:42 - Using a Professional Line of Credit
17:07 - How to Make a Business Plan
21:41 - The Risks
23:03 - Surround yourself with the right Team
23:37 - Path to Profitability & Cash Flow
32:00 - Recruiting Doctors & Admin
39:23 - Weekly schedule as a Clinic Owner & Family Doctor
40:53 - Becoming a Startup Founder & Building an AI Scribe
48:36 - Getting Startup Funding
48:59 - Future Directions
50:27 - Rapid Fire Questions & Parting Advice
𝗕𝗶𝗼:
Dr. Amjed Kadhim-Saleh is a community family physician, clinic owner, and health technology entrepreneur in Toronto. Dr. Kadhim-Saleh graduated medical school from the University of Ottawa, and completed his family medicine residency at the University of Toronto. Serving a diverse population of over 1700 patients, Dr. Kadhim-Saleh is passionate about comprehensive family medicine, building an efficient practice, and improving health for all. Recently, he developed an AI-powered Physician Assistant called Pippen, which aims to alleviate administrative burden among physicians and encourage better doctor-patient interactions. Dr. Kadhim-Saleh is also a Clinical Lecturer at the University of Toronto.
1. LinkedIn: www.linkedin.com/in/aj-amjed-kadhim-saleh-6a929b110/
2. Other Career Advice Videos: th-cam.com/play/PLGdS4wa7pJWg62-NXEKH2ZwhYZeFBNSux.html&si=1gOFjteidBYmLJGX
𝗗𝗶𝘀𝗰𝗹𝗼𝘀𝘂𝗿𝗲𝘀:
Dr. Amjed Kadhim-Saleh is the founder of Pippen.ai, a medical scribe company which is a monthly subscription service and this company was discussed in this video. Dr. Stephanie Zhou is not affiliated with Pippen.ai and did not receive compensation from Pippen.ai for this interview. These slides are for education purposes only. Any information, views, and opinions expressed are solely those of the presenter and are not a substitute for advice specific to your personal situation.
#medicalclinic #smallbusinessowner #startupfounder
𝗧𝗼𝗽𝗶𝗰𝘀 𝗗𝗶𝘀𝗰𝘂𝘀𝘀𝗲𝗱:
0:00 - Intro
0:47 - The Why of Starting a Medical Practice
3:22 - Costs of Opening a Clinic
5:01 - Obtaining Financing & Getting a Commercial Mortgage
8:03 - Commercial Mortgage Interest Rates (Owner Occupied vs Not)
9:55 - Renting vs Buying Commercial Space
12:06 - Renovation & Construction
15:20 - Incorporation & Holding Company
16:42 - Using a Professional Line of Credit
17:07 - How to Make a Business Plan
21:41 - The Risks
23:03 - Surround yourself with the right Team
23:37 - Path to Profitability & Cash Flow
32:00 - Recruiting Doctors & Admin
39:23 - Weekly schedule as a Clinic Owner & Family Doctor
40:53 - Becoming a Startup Founder & Building an AI Scribe
48:36 - Getting Startup Funding
48:59 - Future Directions
50:27 - Rapid Fire Questions & Parting Advice
𝗕𝗶𝗼:
Dr. Amjed Kadhim-Saleh is a community family physician, clinic owner, and health technology entrepreneur in Toronto. Dr. Kadhim-Saleh graduated medical school from the University of Ottawa, and completed his family medicine residency at the University of Toronto. Serving a diverse population of over 1700 patients, Dr. Kadhim-Saleh is passionate about comprehensive family medicine, building an efficient practice, and improving health for all. Recently, he developed an AI-powered Physician Assistant called Pippen, which aims to alleviate administrative burden among physicians and encourage better doctor-patient interactions. Dr. Kadhim-Saleh is also a Clinical Lecturer at the University of Toronto.
1. LinkedIn: www.linkedin.com/in/aj-amjed-kadhim-saleh-6a929b110/
2. Other Career Advice Videos: th-cam.com/play/PLGdS4wa7pJWg62-NXEKH2ZwhYZeFBNSux.html&si=1gOFjteidBYmLJGX
𝗗𝗶𝘀𝗰𝗹𝗼𝘀𝘂𝗿𝗲𝘀:
Dr. Amjed Kadhim-Saleh is the founder of Pippen.ai, a medical scribe company which is a monthly subscription service and this company was discussed in this video. Dr. Stephanie Zhou is not affiliated with Pippen.ai and did not receive compensation from Pippen.ai for this interview. These slides are for education purposes only. Any information, views, and opinions expressed are solely those of the presenter and are not a substitute for advice specific to your personal situation.
#medicalclinic #smallbusinessowner #startupfounder
มุมมอง: 1 775
วีดีโอ
Emergency Medicine Billing for Ontario Doctors (Part 2)
มุมมอง 4075 หลายเดือนก่อน
This is part 2 of Billing for ER Doctors in Ontario (both CCFP-EM & FRCPC), made in collaboration with @drjemyjoseph . ER billing can be complex due to the variety of cases and billing combinations. Dr. Joseph has 8 years of experience working in the ER across rural and urban sites, sharing her knowledge with new doctors. If you have any questions - please leave us a comment! 𝗧𝗼𝗽𝗶𝗰𝘀 𝗶𝘀𝗰𝘂𝘀𝘀𝗲𝗱...
Emergency Medicine Billing for Ontario Doctors (Part 1)
มุมมอง 9946 หลายเดือนก่อน
This is part 1 of Billing for ER Doctors in Ontario (both CCFP-EM & FRCPC), made in collaboration with @drjemyjoseph. ER billing can be complex due to the variety of cases and billing combinations. Dr. Joseph has 8 years of experience working in the ER across rural and urban sites, sharing her knowledge with new doctors. If you have any questions - please leave us a comment! For PART 2: th-cam....
EP11:Divorce Lawyer Explains: Can Prenups Protect Future Income? What Invalidates a Prenup? (Part 2)
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In Part 2 of this video, divorce lawyer Noa Weingarten explains what a prenuptial agreement can protect (i.e. future income and investments) and what can't a prenup protect. We also discuss how 'ironclad' are prenups and what can cause a prenup to become invalid. 𝗧𝗼𝗽𝗶𝗰𝘀 𝗶𝘀𝗰𝘂𝘀𝘀𝗲𝗱: 0:00 - Intro 0:47 - What can be included in a prenup? 3:55 - Can a prenup protect future income? 5:53 - What happ...
Improving Practice Efficiency as a Family Doctor | Charting & Communication Tips
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Family doctors will spend almost 2 hours / day on finishing notes and administrative tasks after their clinic is closed - and they do not get paid for this time! In this webinar, Dr. Sarah Smith (The Charting Coach) and Dr. Stephanie Zhou give tips to residents and graduating family doctors on how to finish on time and run an efficient clinic. 𝗧𝗼𝗽𝗶𝗰𝘀 𝗶𝘀𝗰𝘂𝘀𝘀𝗲𝗱: 0:00 - Intro 7:09 - 4 Principle...
EP10: Getting a Prenup: Overview of Marriage Contracts & Cohabitation Agreements (Part 1)
มุมมอง 1.8K8 หลายเดือนก่อน
In this video, I interview lawyer Noa Weingarten to discuss the pros and cons of getting a prenuptial agreement and cohabitation agreement. We provide an overview of the terminology and discuss cases when it comes to prenups and cohabitation agreements, so that you can make an informed decision about whether getting a prenup is right for you. If you have any questions, please leave a comment! 𝗧...
The Canadian Physicians Financial Wellness Conference (ICAM 2024 Oral Presentation)
มุมมอง 5219 หลายเดือนก่อน
At the International Congress on Academic Medicine, George Kachkovski (McMaster), Thrmiga Sathiyamoorthy (University of Toronto), and Dr. Stephanie Zhou (UofT) delivered an oral presentation evaluating a national conference as a novel initiative to improve financial literacy for physicians across all career stages. 𝗧𝗼𝗽𝗶𝗰𝘀 𝗶𝘀𝗰𝘂𝘀𝘀𝗲𝗱: 0:00 - Intro 0:34 - Why the need for a national financial co...
A Prescription for Powerful Women | Keynote at Queen's University #InternationalWomensDay
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My keynote on International Women's Day for Queen's University alumni, taking place at the Smith School of Business in Toronto. I talk about my upbringing as an immigrant, helping my family navigate a new country and my early introduction to financial literacy. To watch the full panel discussion: th-cam.com/video/7Q2QFFKyAxA/w-d-xo.htmlsi=Lv4C_EO4wDZD31Tr To Donate to the Dean of Arts & Science...
EP9: DOCTORS EXPLAIN: Pregnancy, EI Benefits & Childcare in Canada🍼with Dr. Shirin Dason Pt 2
มุมมอง 1.9K11 หลายเดือนก่อน
Being a new mom while balancing a career is tough. In this video, Dr. Shirin Dason (OB/Gyn & Fertility Specialist) and Dr. Steph shares advice on applying for EI, balancing breastfeeding with work and getting coverage for breast pumps, waitlists for daycares vs getting a nanny, and relationship advice for new parents. 𝗧𝗼𝗽𝗶𝗰𝘀 𝗖𝗼𝘃𝗲𝗿𝗲𝗱: 0:00 - Intro 0:24 - You’re Pregnant! What’s next? 3:45 - When...
EP8: PLANNING FOR PREGNANCY in Canada: Medical & Financial Tips 🤰with Dr. Shirin Dason (Part 1)
มุมมอง 1.4K11 หลายเดือนก่อน
In this video, Dr. Steph speaks with Dr. Shirin Dason (OB/Gyn & Fertility Specialist) to talk about the medical and financial considerations of pregnancy, infertility and fertility preservation (embryo and egg freezing). Dr. Dason shares her personal experience with infertility and how she planned for the costs of IVF, and balancing pregnancy with her career. 𝗧𝗼𝗽𝗶𝗰𝘀 𝗖𝗼𝘃𝗲𝗿𝗲𝗱: 0:00 - Intro 1:04 -...
Intro to Family Medicine Billing in Ontario Part 1 (2024 Update)
มุมมอง 4.1K11 หลายเดือนก่อน
Lecture recording for the McMaster Family Medicine Residency program PGY-1 residents. This is a 2024 update that reflects the changes to billing for family doctors in Ontario. This is for the resident or new family doctor to familiarize themselves with the basic billing codes, billing efficiency and EMRs. 𝗧𝗼𝗽𝗶𝗰𝘀 𝗖𝗼𝘃𝗲𝗿𝗲𝗱: 0:00 - Intro 1:37 - Resident Survey: Comfort with asking preceptor about b...
Intro to Family Medicine Billing in Ontario Part 2 (2024 Update)
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TFSA EXPLAINED: The Complete Guide to the Tax Free Savings Account🍁
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Advice for Beginner Investors 📈Guest Lecture by Larry Bates (Beat the Bank)
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PENSION PLANS: An Overview for Self-Employed Business Owners in Canada (RRSP, IPP, MEPP)
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How to Spend Money with Purpose 💸 (with Dr. Yatin Chadha)
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Costs of CaRMS & Electives | How to Match to Medical Residency in Canada and Not Overpay💰
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Doctors are Burned Out. Is financial literacy a solution?
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Just an FYI she's located in Canada. US family law may vary from what was discussed
I’ve recently graduated with my undergraduate degree and inherited $17 million. Would you recommend starting my own company through self-education, or would it be better to pursue an MBA at Harvard? I’d love to hear your thoughts!
Hi there, thank you for explaining, what happens if you take money you earned from a hedge fund or day trading and place it in the TFSA?
I know this is quite old but is there a recording of the session Ben regeences that is coming up by Jacob M (I can't find him on google and not sure how to spell his last name but pronounced mel-aww-sick) on TFSA vs RRSP and investment account types? Id love to see that if its available.
I ❤ this. Ben's content is always great and he focuses on very fundamental concepts but even so, there's prerequisite knowledge. I found it super difficult early on in my journey to get the most basic concepts down. Everything I read or watched required a recursive exercise to understand the smaller pieces to get the larger point. I think this is an amazing primer for people to start with to get the most out of Ben's other content
This is so helpful. My boyfriend has a substantial bank account and is planning on purchasing property. So I know he's good to go since it is all pre-marital assets. I have very little right now, but I ABSOLUTELY will have more in the future. My goals include jewelry, gold, property, and my own business, but that will obviously become post-marital property. I was just looking on how to protect my future assets.
What happens to FHSA if my first home is investment property? I can’t use FHSA for investment property, can I continue contributing to FHSA since i bought my first house as investment but not primary residence?
Does this strategy also work in Quebec?
Can a parent pay for their kids' student's loan ?
Any updates with new rules?
Hi I am two month pregnant can I calculated past hours or just during the pregnancy we need 600 hours as I m part time so I don’t think I cannot do 600 hours during pregnancy plz reply thank you
Hello Dr. Steph , would you let me know about , For maximum of how many years the student can Carry Forward the Tuition Fee tax credits without loosing it ? Can it be accumulated right through Undergrad until say 10 years or so , without having to transfer to parents ?
I was running through the 6
So much good info!! Thank you.
1mln for clinic in Toronto is cheap! :) I thought that is a price of 1bdrm condo there. Great topic, interesting questions and informative guest. Thank you!
20 bucks for POCUS. incredible - canadian tire mechanic charges more for air filter replacement
Thank you very much for detailed review. Correct me if Im wrong, most hospitals are in AFA model for ED and pay per hour+call + shadow billing. These series are detailed review how to max out shadow billing in that case...
if Its AFA +% of shadow billing, then in that case, maximizing is less relevant since its usually a % of shadow billing i.e. 30%. But if its FFS, thats where billing appropriately is more important
Hi Dr. Stephani, What billing code to use for well baby exam below 2 years in FFS? What about in FHO modle? Any difference?
Thank you
I have $18k in unused tuition amounts right now and let's say I paid about $10k in income taxes this year. Can I claim the entire $10k as refund against my unused tuition credits when I file my return next year?
Excellent
wow, what an ugly topic, LOL!! I think if you are soo crazy about a prenup, don't get married.
Wow! You are so much appreciated. ❤
@18:00 who would sign up for this?
Asset allocation ETFs are a good option in an accumulation phase but not in a retirement when you have to sell every month for income, you’d be selling some stocks at a greater loss or a lower gain. In this situation it’s better to build a portfolio from ETFs replicating an asset allocation ETF and sell from a best performing ETF maximizing a total return that way.
I recently finished reading these books you recommended. Thank you so much! I learned a lot. ❤
I was actually under the impression the tax credit would be top down, but instead it uses the lowest possible bracket. I am kind of disappointed, not a very good incentive for someone working full time to also study at the same time.
Hey im new to investing and i've made the error this year of over contributing to my tfsa i deposit like 10k this year alone i started in march 2024 and im wondering what should i do know should i sold some of my stocks or should i stop investing in my tfsa account and wait to january to continue to invest in im kinda lost
446 Langworth Point
Is this 2.45% interest rate per year or per month? If you get 350 CAD debt in April 10 2024, how much will you owe in April 10 2025?
@22:29, Even if she signed the agreement the night before the wedding, it could still be invalidated in court due to claims of 'pressure and duress
I understand that Derek's mortgage-free condo is not the matrimonial home. However, if it were, it would be subject to a 50/50 division. My question is, if Derek purchased the condo with borrowed money from his father, who then placed a lien on the property before Derek got married or entered into a common-law relationship, would Derek still be obligated to repay his father in the event of a divorce? More generally, is a lien an effective tool for protecting property? thank you in advance!
Very helpful, thanks!
how do track your billing? Do you have to type it in the spread sheet after each patient ? any tips for effeciency on that aspect
Hi Nancy, yes I keep track on a spreadsheet since I work in several different clinics. However if you work at one place, you can keep track on your EMR (I bill using the EMR after each patient) or if your hospital doesn't have billing software, you can use a billing software like MD Billing.
Fhsa can be converted to RRSP if you don't use it. Fhsa plus first time home buyer plan. 45k plus 60k per spouse.
@BreakingBadDebt You're great, but I'm a bit slow and don't want to make a mistake. My TFSA is $85K. I maxed contributed the past few Jan firsts. In 2023 I withdrew almost 9K in dividends, distributions, etc...to pay bills. Jan 1 2024 I contributed 7K. Can I tomorrow (Aug 2024) replace the 9K that I withdrew in 2023? You're a terrific teacher, thanks!
If you withdrew 9K from your TFSA before December 31, 2023, then in Jan 1, 2024 that 9K of room gets added to the usual 7K of room. So yes you can add it on Aug 2024.
@@BreakingBadDebt Many, many thanks! I don't want to upset the CRA!
Excellent video simple and concise
Do you think it would be a good idea to save in both tfsa and fhsa?
For sure. If you have room available in both accounts and have extra cash, you should optimize the tax advantaged room in both!
Dr. Steph, you explained it so clear, better than my accounting prof 😂😂
Why do you lose contribution room if you sell at a loss?
If you can gain contribution room with appreciation of your assets in a TFSA, it should go the opposite way too if you have depreciating assets that you sell. Note that you don't lose the new contribution room that you get in Jan 1 each year.
Hi Dr Zhou, I am currently doing some addiction work and family medicine (FFS). I am planning on joining a FHO for general practice. Could you speak a little more about how you are able to continue billing FFS for your addiction practice? What happens if the patients you are seeing in your addiction clinic are rostered to you or another physician within your FHO? Thank you so much!
For the addiction practice, I bill out of basket codes A680, K680 so it doesn't negate other FHO doctors or eat into my FFS limit. Only in basket codes would do that. My addiction clinic patients are not rostered to me as they are in a separate practice altogether but even if they were, A680/K680 are out of basket anyways.
excellent resource. One questions; if we are doing FHO can we do walk in in rural area ( if I want to have that mix of urban and rural pt) . I guess I want to ask about can there be two localities that we can serve. Do we need to be part of two different FHO. or FHO and FFS( Walk-in)?
Thank you Dr Steph and Dr. Saleh. I am starting a FHO clinic in Toronto with my friends. We are looking for a lawyer. Could you please share your lawyer"s name?
Hi Roshana, the best way to reach Dr Saleh to find his lawyer’s info is through LinkedIn message - I have included his link in the video description.
How much are Canadian eligible dividend stocks in your small Canadian corporation investment account taxed? I am referring to the dividend income not the capital gains. Thanks for the informative video.
Hello, in your video it says that OSAP grants and school scholarships are usually exempt from tax for full time students. 1. So does this mean we don't enter OSAP grants/Scholarship amounts at all when filing taxes? Or we enter the info from the T4A for these along with the T2202, but it shouldn’t generate any taxes owed? 2. If the the combination of OSAP grant, entrance scholarships, and EAP funds taken from an RESP exceed the amount of what the tuition cost - would the OSAP grant/Scholarships still not be taxed and/or not factored in? 3. Would only the EAP portion be calculated for the purpose of determining if a student would pay any taxes? I'll be filing the taxes myself (no accountant) so a little clarity on this part would be very helpful! Thanks!
Thank you so much for this. The T1213 is a powerful tool for tuition tax credits that I and most people I know had no clue about.
Does anyone know how I can access my payment history?
Great to see physician entrepreneurs in Ontario encouraging others to build clinics and service patients.
Agreed! We hear many more stories of clinics closing than doctors opening new ones.
𝗧𝗼𝗽𝗶𝗰𝘀 𝗗𝗶𝘀𝗰𝘂𝘀𝘀𝗲𝗱: 0:00 - Intro 0:47 - The Why of Starting a Medical Practice 3:22 - Costs of Opening a Clinic 5:01 - Obtaining Financing & Getting a Commercial Mortgage 8:03 - Commercial Mortgage Interest Rates (Owner Occupied vs Not) 9:55 - Renting vs Buying Commercial Space 12:06 - Renovation & Construction 15:20 - Incorporation & Holding Company 16:42 - Using a Professional Line of Credit 17:07 - How to Make a Business Plan 21:41 - The Risks 23:03 - Surround yourself with the right Team 23:37 - Path to Profitability & Cash Flow 32:00 - Recruiting Doctors & Admin 39:23 - Weekly schedule as a Clinic Owner & Family Doctor 40:53 - Becoming a Startup Founder & Building an AI Scribe 48:36 - Getting Startup Funding 48:59 - Future Directions 50:27 - Rapid Fire Questions & Parting Advice