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Physicians in Quebec: Juggling a medical career with having a baby

Life being what it is, it’s never easy to figure out the “right” time to start a family. How will you plan a pregnancy or adoption, take time off with a newborn, and still keep up with your medical studies, finish your residency, or continue to care for your patients or your career?

Obviously, there is plenty to think about. This is not a decision to be made lightly, especially by those working in the medical field. You would be well advised to do your research, make preparations, and start planning your finances before the biological clock begins to tick. 

Figuring out the types of parental leaves and benefits available in Quebec

Students, residents, family physicians, specialists, salaried/non-salaried — there are as many unique situations as there are babies. Here’s an overview of the financial resources available to you.

FMOQ and FMSQ maternity and adoption leave allocation program

Fee-for-service, hourly, sessional or per diem general practitioners and specialists are eligible for the maternity and adoption leave allocation program (French-only link) under the Québec Health Insurance Plan if they have accumulated a minimum of 10 weeks of practice. Benefits are payable to eligible physicians for a period of 12 weeks according to the following conditions:

Québec Parental Insurance PlanFor more information, FMSQ members should visit the members-only section of the Federation’s website.

The Québec Parental Insurance Plan (QPIP) provides income replacement benefits to all eligible salaried and self-employed workers who have paid into the plan. Incorporated physicians must pay themselves a salary to be eligible for the plan.

Individuals can choose between the basic plan (50 weeks) and the special plan (40 weeks). The plan chosen by the first parent to apply for QPIP benefits also applies to the other parent for the entire benefit period. The parents’ situation should thus be given careful consideration.

Maternity leave

As the name suggests, maternity leave is exclusively for the woman who gives birth. A weekly benefit of 70% (basic plan) of the maximum eligible income is paid for a maximum of 18 weeks.

Paternity leave

Depending on the chosen plan, the parent named as the father on the birth certificate is eligible for three or five weeks of benefits. Weeks of leave may be taken during the first year following the child’s birth. Medical residents are also entitled to five days off with full pay from their employer.

Adoption leave

The QPIP offers a maximum of 37 weeks of adoption benefits shareable by both parents.

Parental leave

This leave extends maternity, paternity or adoption leave for a maximum of 32 weeks.

Maternity benefits are generally not payable for more than 18 weeks after the birth of a child. Think carefully when coordinating benefits from several plans, such as those of the FMOQ/FMSQ.

In 2019, the maximum insurable earnings amount for calculating benefits is $76,500.

Provincial government employer program

Salaried physicians employed by Quebec government institutions, as is the case for medical residents, are eligible for an indemnity for a period of 21 weeks that, combined with QPIP benefits, is equivalent to 93% of their pay.

Student loans/bursaries and financial assistance program

If you are a student, you probably haven’t paid into the QPIP yet and are not, therefore, eligible for QPIP benefits. If you are studying full time and are at least 20 weeks’ pregnant, you may be eligible for supplementary financial assistance. Moreover, if you decide to temporarily interrupt your studies after the 20th week of your pregnancy, you may be eligible for a deferral of your student debt payments for up to 12 months.

The information provided above about potential sources of income will help you in planning your leave. However, as the income of a practising physician is usually higher than the average income, benefits available to you will probably not be enough to allow you to maintain your lifestyle for several months.

Other financial resources available to you

There are several other financial resources you can turn to during your parental leave, so why not combine all of the options?

Your personal savings – Practising physicians, like other entrepreneurs, typically need to save money to self-fund time away from work and cover baby-related expenses. One great way to save in advance is to regularly set aside some money while you are still working, through automatic contributions. Instead of just saving in a regular bank account, you could consider a tax-free savings account.

Your corporation’s savings – If you are an incorporated physician, you could top up savings within your corporation to draw from later on. This can also help to smooth out your income between higher-earning and lower-earning years, including during a maternity or parental leave. In those lower-earning years, while you’re in a lower personal tax bracket, you can pay yourself from earnings that have been retained within your corporation.

A great adventure is best shared

Two parents can be more “resourceful” than one, and it may be a good idea to coordinate benefits and financial resources as a family. This is also a good time to update your financial planning.

Divvy up leave time – If your partner or spouse is eligible for QPIP benefits, or qualifies for more generous top-ups from an employer, consider how to divide parental leave between you for the greatest financial benefit. If you work in a clinic or hospital, there is a good chance that your employment contract sets out your available leave. Be sure to check this when planning your parental leave.

Lock down your insurance – This is a good time to review your insurance coverage, if one or both of you have life and health insurance through an employer or have bought the insurance privately. Find out what you are covered for, such as health and dental benefits, and be sure to add your child as a beneficiary.

Give your family security – Create or update a will and protection mandate for yourself and your partner. As parents, you can use a will to name a guardian to care for your child, if anything should happen to you.

Organize your return to work – It’s best to plan your child’s care arrangements well before your return-to-work date. You’ll have to take your atypical schedule, long working hours and on-call shifts into consideration. Will you be able to count on your family’s help? Will your schedule allow you to opt for childcare services? Will you need help at home?

Plan for the future – You will probably start planning for your child’s future as soon as he or she is born. Make opening a registered education savings plan (RESP) part of your to-do list. Set up automatic monthly contributions and let the RESP grow until your child is ready to start post-secondary studies!

Taking care of business

Whether you work solo or as part of a group, there are unique financial considerations if your practice will still need to serve patients and pay for operating costs such as salaries, benefits, rent and equipment costs.

Cover your practice – Take into account the cost of hiring a locum to fill in during your parental leave. Locum rates vary depending on the type of practice, location and level of responsibility. You could be eligible for subsidies to help cover your operating activities in certain circumstances. Some professional associations also offer premium holidays during this period.

Set your timeline – Will you be away and out of contact until a certain date, formally keep tabs on work the whole time or return gradually? Could part-time work be a possibility?

How MD can help

There’s more than one path to planning the details of a parental leave, and you don’t have to work out all the details on your own: at MD Financial Management, we’ve been helping physicians with financial planning since 1969. Your MD Advisor* can help you work out an income strategy and tax-optimized financial plan to prepare you and your family for that important period in your life.

Note: The figures in this article were current as of July 2019, and are subject to change.


* MD Advisor refers to an MD Management Limited Investment Advisor (in Quebec), or an MD Private Investment Counsel Portfolio Manager.