Thank you for your analysis. Definitely changes my thinking. I have been overestimating the tax advantages of being self-employed. Your scenario puts the $500k option at ~$90k better post-tax than the $350k scenario, which is significantly more than I assumed (I thought the difference would be closer to $50k: 50% marginal tax on $150k gross difference, then ~$25k of saved taxes via self-employed deductions).

Also very interesting that AMT has less of an effect as income goes up at the level.

I would like to find an excellent accountant who understands these issues (like yourself). I could start this year, even though I am not an attending physician yet. Also, I would like to know the advantage of having a local accountant (rather than the best accountant anywhere), especially relevant given that I will be moving in the next few years.

Thanks again for your help.