It may be difficult or impossible to build your own practice while you are employed for someone else. According to the Internal Revenue Service (IRS), "The general rule is that an individual is an independent contractor if the payer has the right to control or direct only the result of the work and not what will be done and how it will be done. The earnings of a person who is working as an independent contractor are subject to self-employment tax. You are not an independent contractor if you perform services that can be controlled by an employer (what will be done and how it will be done)." From a labor law and tax standpoint this is a little more difficult to pull off in our field than employment. To come into an established clinic and see patients as an independent contractor requires specific definitions and some extra effort on both parties. The independent contractor is not beholden to set hours, dress code, or styles of practice. They should not be dependent on the clinic in a way that looks like a typical employee/employer relationship, which usually mean they have contracts (work) at other places. The independent contractor must pay their own taxes, are responsible for their own health insurance, and generally provide their own supplies and equipment. If done properly this can be a good combination of independence and working with a team. The contractor gets to see patients at an established clinic as opposed to being completely solo, and the clinic gets extra help to treat their patients without having to worry about managing an employee or paying employment benefits and taxes. However, it may be difficult for a clinic owner to find a practitioner that is a good fit without needing any training or oversight.
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