How To Earn Money In Ontario As A Family Physician?

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Family physicians in Ontario typically earn between $91, 299. 00/year and $468, 993. 00/year. They make money in residency about 55-60k/year, with around $200k in private loans plus provincial loans. The average income in Ontario after overhead is around 210k. Family doctors are paid through fee-for-service, under which a doctor gets $37. 95 for each patient. Family doctors in Canada as a whole earn between $158, 410 and $308, 000 according to the Canadian Institute for Health Information. The average family doctor salary in Ontario is $303, 000, before taxes, expenses, and overhead.

In Alberta, the average salary for a Family Medicine Physician is $271, 332 per year in Ontario. Incentives, premiums, bonuses, chronic disease management, and preventive care are paid for eligible services to enrolled patients. Additionally, physicians receive monthly payments. As of Nov 23, 2024, the average annual pay for a Family Medicine Physician in Ontario is $214, 924 a year.

As of Nov 23, 2024, the average gross clinical payments for a family doctor in Ontario is around $310, 000, with the average amount of gross clinical payments being around $300, 000 a year, which works out to $25, 000 a month. Doctors in Canada earn fees on a per patient basis, which are then billed to and reimbursed to the respective provincial government.

In summary, family physicians in Ontario and Alberta can expect to earn between $118, 393 and $275, 000 per year, depending on their location and specialty. They can increase their income by doing their own billing, practicing at the top of their license, doing preventive care, minor procedures, or working outside the clinic.

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Why Is There A Shortage Of Family Doctors In Ontario
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Why Is There A Shortage Of Family Doctors In Ontario?

A recent OMA survey indicates that 40% of physicians are contemplating retirement within the next five years, attributing the situation to "underfunding" in OHIP revenue, inflation, and rising operational costs that render family practices unsustainable. Currently, approximately 2. 3 million Ontarians lack a regular family physician, a figure that could surge to 4. 4 million by 2026, according to the Ontario College of Family Physicians. This crisis affects all regions of Ontario, with particular concern over the emergence of "doctor deserts" where communities are increasingly without access to family physicians.

Contributing factors include a wave of retirements and insufficient new graduates entering the field of family medicine. The shortage has been exacerbated by the loss of family doctors—over 170, 000 patients lost their physicians during the pandemic's first half.

The strain on the healthcare system is compounded by the administrative burdens faced by family doctors, many of whom are focusing on niche services rather than comprehensive care. Efforts to address the issue include increasing medical school capacity and reducing administrative tasks. However, financial remuneration disparities discourage medical students from pursuing family medicine. The situation demands urgent action from the provincial government to mitigate the looming crisis as the population grows and doctors retire. Without intervention, the primary care landscape in Ontario will face further deterioration, leaving millions without essential healthcare access.

Do Doctors Get Paid More In Canada Or USA
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Do Doctors Get Paid More In Canada Or USA?

In general, U. S. doctors earn higher salaries than their Canadian counterparts, averaging around $316, 000 per year. However, Canadian doctors benefit from a more favorable salary-to-debt ratio due to lower education costs, which can make Canada appealing for new practitioners seeking affordable work environments. Entry-level salary differences are small, with Canadian physicians earning between $206, 000 and $261, 000, while U. S. salaries range from $260, 000 to $324, 000.

The Medscape survey indicates that American doctors rank highly in compensation compared to those in other countries. Although Canadian physicians do earn less, they report a fair pay perception similar to their U. S. peers. The average physician's salary in Canada varies widely, from $83, 379 to $414, 389. The predominant remuneration method in Canada is fee-for-service, supplemented by other models like salaries. Recent comparisons in an International Compensation Report highlight the substantial earnings gap between U.

S. physicians and their Canadian counterparts, reinforcing that U. S. doctors generally have greater net worth. Despite these disparities, both U. S. and Canadian practitioners experience high gross earnings compared to their peers worldwide, with U. S. specialists earning significantly more.

How Much Does A Family Doctor Make In BC
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How Much Does A Family Doctor Make In BC?

In British Columbia (BC), a family doctor's salary ranges from $66, 056 to $306, 582, with a mid-range salary of $164, 939, lower than the national average of $216, 833. The average salary for a Family Medicine Physician in BC is reported to be $329, 945 per year, with full-time family physicians earning an average of $308, 399 in 2019-20. The provincial government plans to increase full-time family doctor salaries to about $385, 000, up from $250, 000, under the new Physician Master Agreement.

The common fee-for-service payment model means family doctors are paid per patient seen. As of now, the annual income for family physicians averages $331, 615, although gross income figures often do not account for overhead costs. BC's new Longitudinal Family Physician Payment Model aims to modernize physician compensation. Notably, doctors usually reported as earning over $400K are typically specialists, not family doctors. Historically, the national average salary for family physicians was $271, 000, with BC's doctors earning lower averages.

The new compensation model also introduces additional funding based on patient numbers, creating potential for improved earnings. The average income breakdown reflects variances across different provinces, impacting overall take-home pay.

How Much Does A Family Doctor Make In Ontario
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How Much Does A Family Doctor Make In Ontario?

In Ontario, the starting salary for a family doctor is approximately $70, 900, slightly less than the national entry-level average of $76, 760. In Toronto, a mid-range family doctor earns around $252, 000, exceeding provincial averages. Family physicians in Ontario typically earn between $91, 299 and $468, 993 annually, with many factors affecting these figures. The Ontario Medical Association highlights that the average gross income for family doctors is around $271, 332 per year.

Across Canada, the average doctor’s salary is about $216, 000, with family medicine being a common specialty, as half of physicians practice in this field. In Ontario, salaries for family physicians can vary greatly, with top earners reaching $264, 000 and the average being $214, 924 after tax and overhead. Total earnings can range from $85, 930 to $456, 151 annually. Ultimately, family doctors enjoy substantial incomes, often significantly higher than averages in other professions.

How To Make Money As A Family Doctor In Canada
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How To Make Money As A Family Doctor In Canada?

In Canada, the prevalent payment model for family medicine is fee-for-service, where family doctors earn approximately $30 per visit in British Columbia (B. C.). However, the true cost of patient care extends beyond these brief appointments. Salaries reported for doctors stem from gross clinical income, which can vary widely, with net income often being significantly lower. Approximately 50% of Canada's physicians practice family medicine, earning average annual salaries ranging from $88, 755 to $450, 137.

The overall average salary for a Family Medicine Physician in Canada is about $325, 819. According to CIHI data from 2020, the average gross payment per physician was $354, 000, with family doctors earning around $287, 000. The average salary currently sits at $290, 000 per year or $149 per hour, with entry-level positions starting at approximately $175, 000. The income of family physicians in Canada varies from $158, 410 to $308, 000, depending on various factors.

Additionally, family doctors can boost income through billing, and B. C. offers a New to Practice model facilitating new practitioners. Overall, family medicine plays a vital role in Canada's healthcare, with physicians navigating various payment structures for their services.

How Much Money Do Family Doctors Make In Ontario
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How Much Money Do Family Doctors Make In Ontario?

The average salary for a Family Medicine Physician in Ontario is approximately $271, 332 annually, equating to around $22, 000 monthly. Salaries can vary significantly, with top earners making $264, 000 per year and those in the 75th percentile earning $240, 500. The average gross clinical income, as per the Ontario Medical Association, is reported at $373, 646, but this figure excludes overhead costs such as staff salaries and rent. Net income varies widely among physicians based on these factors.

The clinical income for family doctors is around $310, 000, while the average annual gross clinical payment is cited as $272, 885. In Ontario, family doctors receive compensation for various services, including incentives and capitation payments for enrolled patients. Comparatively, the average physician salary across Ontario is about $232, 847 annually. Payment models differ, and around half of Canadian physicians practice family medicine.

Salary estimates indicate entry-level positions commence at $175, 125 yearly, while experienced physicians may earn considerably more, highlighting the financial landscape in the province’s healthcare system.

How Much Do Family Medicine Doctors Make In Canada Vs USA
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How Much Do Family Medicine Doctors Make In Canada Vs USA?

In comparing average doctor salaries between the US and Canada by specialty, US physicians earn significantly more, with salaries ranging from $260, 000 to $324, 000 annually, while Canadian counterparts earn between $206, 000 and $261, 000. For specific specialties, psychiatrists in the US average $281, 000 versus $233, 750 in Canada, while family medicine specialists earn $251, 000 in the US compared to $213, 750 in Canada. The salary gap has gradually narrowed over time.

In 2020, Canadian family medicine doctors grossed about $287, 000, with medical specialists earning $370, 000 and surgical specialists averaging $487, 000 (CAD). Approximately half of Canadian physicians work in family medicine, often as contractors, unlike the US where many are employees. The average annual income of family physicians in Canada varies by province and can be affected by patient load and remuneration models.

Overall, while US physicians enjoy higher average net worth and salaries, Canadian family doctors are generally well compensated despite the different economic structures. The average annual salary for family physicians in Canada reaches about $331, 615, with a typical overhead between 15-30%, compared to higher percentages cited in the US.

Are Family Doctors Paid Well In Canada
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Are Family Doctors Paid Well In Canada?

The average salary for family doctors in Canada is approximately $290, 000 annually, equating to about $149 per hour. Entry-level positions begin at $175, 000, while seasoned practitioners can earn up to $375, 000 yearly. In 2020, family physicians reported gross earnings of $287, 000, whereas medical and surgical specialists earned $370, 000 and $487, 000, respectively. The primary compensation structure is fee-for-service (FFS), where doctors receive payment for each patient encounter.

Other payment models, such as salary, capitation, and sessional payments, also exist but are less common. In Canada, half of all physicians work in family medicine, with average incomes varying by province. Family doctors report benefits beyond monetary compensation, including the ability to spend quality time with patients, contributing to reduced workplace stress and enhanced job satisfaction. As of January 2024, the median salary for General Practitioners is reported at $233, 726.

The average clinical payment for family physicians is around $279, 344, while specialists earn $399, 364. Compensation models can affect earnings significantly, with variations observed across provinces. Family physicians' salaries range broadly, indicating a diverse financial landscape within the profession. Overall, being a family doctor in Canada offers both financial rewards and non-monetary advantages.

How Do Doctors Get Paid In Canada
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How Do Doctors Get Paid In Canada?

In Canada, physicians earn fees on a per patient basis, billed to provincial governments, with compensation varying by specialization and medical issues. Most physicians are self-employed, operating on a fee-for-service (FFS) model, though some work under fixed salaries at academic institutions or community health centers. The annual salary for Canadian doctors is determined by total billings each year. Family doctors generally earn between $180K and $320K after expenses, while most specialists make between $240K and $500K.

Residency salaries are negotiated by associations and influenced by factors such as service delivery and location. The FFS model, where physicians receive payment for each service rendered, is predominant, though other payment methods exist. Expenses like rent and staff payroll are deducted from earnings, with taxes and contributions to the Canada Pension Plan (CPP) and Employment Insurance (EI) also considered. Overall, understanding physician compensation in Canada requires insight into various payment structures, including capitation and the impact of service volume on income.

What Type Of Doctor Gets Paid The Most In Ontario
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What Type Of Doctor Gets Paid The Most In Ontario?

Ophthalmology, with an average gross salary of $761, 000 per year, ranks among the highest-paying medical specialties and is highly competitive for residency positions. Investigative efforts have revealed the names of physicians with the highest OHIP billings, showcasing the importance of transparency in public healthcare spending. Notably, ophthalmologists, along with pain doctors, are dominant on the Top 10 list for billings. In Ontario, medical doctors typically earn between $91, 299 and $468, 993 annually.

For Canadian medical professionals seeking lucrative and rewarding careers, the top six highest-paid specialties, including ophthalmology, urology, neurosurgery, and gynecology, are valuable to consider. Family doctors primarily receive compensation through fee-for-service models, billing $37. 95 per patient encountered. Additionally, a summary of changes to physician payments over time provides insights into total payments and service utilization costs.

Other high-paying medical jobs include anesthesiology, obstetrics/gynecology, and dermatology. Geographic location also affects earnings, as surgical specialties tend to earn more than medical counterparts. This highlights that despite lower per capita healthcare expenditures, Canadian physicians maintain salaries comparable to their US counterparts, primarily due to the structure of healthcare remuneration in Canada.


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Freya Gardon

Hi, I’m Freya Gardon, a Collaborative Family Lawyer with nearly a decade of experience at the Brisbane Family Law Centre. Over the years, I’ve embraced diverse roles—from lawyer and content writer to automation bot builder and legal product developer—all while maintaining a fresh and empathetic approach to family law. Currently in my final year of Psychology at the University of Wollongong, I’m excited to blend these skills to assist clients in innovative ways. I’m passionate about working with a team that thinks differently, and I bring that same creativity and sincerity to my blog about family law.

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  • Hi everyone, thanks so much for tuning in to this week’s article 🙂 Please leave comments below if there’s anything that I can help with. Just a few things that I’d like to discuss at the onset though. 1) These tips / discussion points involve family medicine in Ontario. Things work differently in different parts of the country, but a lot of the underlying concepts are similar 🇨🇦 2) My bias is very clearly as a family doctor who has been looking at long term practice. There are many doctors in Ontario that have gone public by saying that they needed to close their practice because they didn’t make enough money to sustain the business. I’m not trying to put these people down at all. I am only trying to (hopefully) provide insight about why finance and medicine is a lot more closely integrated than I think most people imagine at first 📈 3) *For students*: I will very likely be slowing down on financial discussions here for the next few months. These talks are nuanced, highly political in nature and with a high barrier of entry. If anyone would like to learn more, many doctors and billing experts are happy to share what they know – especially with other students. Please ask questions as you go through your training and do not let a single jaded physician change your mind about a career choice. Focus on finding mentors that have made it work for them and learn from what they’ve found success in 💪

  • What exactly are your office hours and does your office have a website? The first time I tried to get an application form was my fault, I forgot that it was Wed afternoon; and even though I know you’re not in on Friday’s I figured someone would be there so I could just grab a form but it was closed then too. I’m gonna try again tomorrow (tuesday) afternoon, hopefully 3rd times the charm 😄

  • Great article! This is an excellent summary of the models. Don’t know why the information is so difficult to access here in Ontario. I’m a new attending just like you. I’ve been grinding at walk ins about 80 to 100 patients a day 7 days a week to pay off my student loans. While it is lucrative akin to neurosurg money, it’s not really sustainable long-term. I agree that the FHO seems like the ideal balance, but it comes with its own set of worries about being dinged by your patients using walk in clinics.

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