Nearly half (46%) of Canada’s physicians are burned out, according to a report released by the Canadian Medical Association (CMA). While the number of burned-out doctors and medical professionals in Canada has dropped in the last five years — from 53% in 2021 — the percentage of burned-out healthcare workers is still well above pre-pandemic levels (approximately 30% burnout in 2017).
For some healthcare professions, this burnout is leading to a bit of napkin math and pre-retirement calculation in an effort to answer one question: can I retire earlier than planned?
In a 2025 Medscape Canada survey of more than 1,000 Canadian physicians, more than half (57%) of doctors under the age of 45 expected to retire in their 40s or 50s — with burnout and the desire for more personal time as the most commonly cited reasons.
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The decision to retire early — and leave the pool of qualified medical professionals — has real financial consequences. For instance, most incorporated physicians build their retirement strategy around a full career ending at age 65. This means maximizing your salary and dividend mix inside a Canadian-Controlled Private Corporation (CCPC), while accumulating Registered Retirement Savings Plan (RRSP) room and timing Canada Pension Plan (CPP) contributions for a standard-age payout. The idea of exiting 10 years early means recalculating all those assumptions — to determine if the plan is possible.
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What changes when you retire at 55 instead of 65
To be clear, like many professionals with the opportunity to incorporate, such as physicians, accountants or Realtors, will develop a financial infrastructure that is time-sensitive. Each stage and decision impacts the next stage and decision. For instance, using a CCPC an incorporated professional can accumulate passive investment income during years of high earnings. At the same time, their RRSP contribution room grows in step with their earned income — usually salary drawn from the corporation. CPP entitlement grows with contributions, with fewer contributing years resulting in a smaller benefit upon retirement. As a result, any early exit compresses all three and results in less retirement income.
To illustrate, let’s assume a physician stops drawing a salary at age 55. At this point, the doctor will immediately stop accumulating RRSP contribution room, and the passive income held inside the corporation will face a higher effective tax rate once the small business deduction phases out — a threshold that arrives faster when investment income builds without active income to offset it.
Then there is the CPP gap, which is particularly easy to underestimate. CPP benefits are calculated based on contributions over a working lifetime, with low-income years (including zero-income retirement years) pulling down the average. A physician who retires at 55 and waits until 65 to claim CPP will still receive a smaller benefit than one who contributed through 65, because the early retirement years count as zeros in the calculation. Taking CPP at 60 instead of waiting only deepens the loss since benefits are permanently reduced by 0.6% per month before age 65, a total cut of 36% at the earliest possible start date.
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The OAS eligibility gap you can’t bridge
Then there is Old Age Security (OAS), which is not available to collect until you are aged 65. That means a physician who retires at 55 faces a 10-year window with no OAS income and a CPP benefit that either hasn’t started or is being drawn down at a permanent discount.
For many physicians, the plan has been to use CCPC assets to bridge income in those years. That can work — but it requires deliberate drawdown sequencing. Because corporation investments are taxed less favourably in retirement than RRSP or Tax-Free Savings Account (TFSA) assets, drawing from the corporation first while letting registered accounts compound is often the more tax-efficient path. The TFSA, where withdrawals are tax-free, is typically the last account touched — preserving flexibility late in retirement.
The risk is running the corporate account lower than anticipated. If a physician retires at 55 and expects 10 years of corporate-funded income before CPP and OAS kick in at 65, the assets held inside the CCPC need to be large enough to cover the gap — and continue to support retirement starting at age 65 when government benefits kick in.
Disability insurance: The coverage most physicians haven’t re-examined
One practical and often overlooked question for physicians experiencing burnout is whether their disability insurance policy covers reduced clinical hours — not just total incapacity. Many standard policies are structured around an inability to work at all. A physician who reduces their hours to part-time as a response to burnout may fall outside the definition of total disability while still losing significant income.
Physicians who have had the same policy since early in their careers should confirm that the own-occupation definition in their contract covers reduced-hour scenarios, and that the benefit period extends to age 65 — or to their revised retirement target, if earlier.
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How to restructure your plan before the timeline shifts
For a physician — or any other incorporated professional — in their 40s who is considering an earlier exit, the most useful first step is to model a retirement scenario based on age 55 — not 65. That means running the numbers on what your CPP benefit would actually be with contributions stopping in 10 years, when your OAS eligibility begins relative to your projected exit, how many years your current CCPC assets would support your target income and whether your registered accounts are sized for the revised timeline.
The salary-versus-dividend mix inside a CCPC is another lever that may need adjustment. Salary drawn from the corporation generates RRSP contribution room and CPP contributions; dividends do not. An incorporated professional who has been taking primarily dividends for tax efficiency may need to rebalance toward salary in the years before an early exit, specifically to build CPP entitlement and create RRSP room while there is still time.
Individual Pension Plans (IPPs) and Retirement Compensation Arrangements (RCAs) are structures that some incorporated physicians use to formalize a pension-style retirement income funded through the corporation — both allow larger contributions than a standard RRSP for higher-income earners and can be particularly useful where an earlier drawdown timeline is expected. These tools require advanced setup and are best evaluated with a financial advisor who works specifically with incorporated professionals.
What to do now
- Model a retirement scenario at age 55 — not 65 — to understand the real income gap before CPP and OAS begin
- Ask your adviser whether your current salary/dividend mix will build sufficient CPP contributions by an earlier exit date
- Review your disability insurance policy: confirm it covers reduced clinical hours, not just total disability and that the benefit period aligns with your revised retirement target
- Confirm whether your CCPC holds enough passive assets to bridge 10 or more years of income before government benefits begin
- Ask about an Individual Pension Plan (IPP) or Retirement Compensation Arrangement (RCA) if a pension-style drawdown better suits an earlier exit
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Bottom line
Burnout does not always mean a permanent exit. Some physicians reduce clinical hours or take sabbaticals before returning to practice in a different capacity. Any financial restructuring should account for that possibility — a plan built only for a hard stop at 55 may create unnecessary tax consequences if circumstances change. What matters now is having the actual numbers in front of you, modelled against the timeline you are genuinely considering — not the one you assumed when you incorporated.
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Sandra MacGregor has been writing about finance and travel for nearly a decade. Her work has appeared in a variety of publications like the New York Times, the UK Telegraph, the Washington Post, Forbes.com and the Toronto Star.
Managing Money • Jul 09
