1979 U.S. Tax Ct. LEXIS 193">*193
71 T.C. 568">*568 Respondent determined a deficiency of $ 610.74 in petitioners' Federal income1979 U.S. Tax Ct. LEXIS 193">*194 tax for the year 1975.
Concessions having been made by the parties, the only issue presented for decision is whether petitioner Patricia K. Reisinger, a qualified licensed practical nurse, may deduct expenditures 71 T.C. 568">*569 for tuition, books, and transportation as business expenses under
FINDINGS OF FACT
Some of the facts have been stipulated and are so found. The stipulation of facts and exhibits attached thereto are incorporated herein by this reference.
Petitioners Mathew J. Reisinger and Patricia K. Reisinger, husband and wife, resided1979 U.S. Tax Ct. LEXIS 193">*195 in Churchville, Md., when they filed their petition in this case. They filed a joint Federal income tax return for 1975 with the Internal Revenue Service Center, Baltimore, Md.
Patricia K. Reisinger (hereinafter petitioner) began her employment experience as a dishwasher in a hospital. Thereafter, petitioner served in the military from 1961 through 1963. During that period she was trained and utilized by the military in a surgical specialist capacity. The civilian equivalent of surgical specialist is a licensed practical nurse (hereinafter LPN). After leaving the military in 1963, petitioner was employed as an LPN at Mercy Hospital in Wilkes-Barre, Pa., until 1969.
In 1972, petitioners moved from Pennsylvania to Churchville, Md. At that time, the petitioner attempted to secure employment as an LPN but was unable to do so since the only hospital in the immediate vicinity was fully staffed. Although employment opportunities were better in nearby Baltimore, petitioner did not wish to work there.
Petitioner enrolled in the Johns Hopkins University School of Health Services Health Associates Course and attended classes there from September 3, 1974, through the spring of 1976, when1979 U.S. Tax Ct. LEXIS 193">*196 she received a bachelor's degree.
During 1975, petitioner expended $ 4,025 in tuition and $ 47 for books and supplies. In addition, petitioner incurred transportation expenses in connection with her educational activities while traveling from her residence in Harford County to the Johns 71 T.C. 568">*570 Hopkins School of Health in Baltimore and between the school and the various clinics which she was required to visit for practical experience. Petitioner was not gainfully employed while attending Johns Hopkins. She did, however, work without compensation for Sadowsky Surgical Associates during the summer of 1975 for experience.
The Health Associates course is an accredited program which qualifies its graduates to take the primary care physician's assistant certifying examination of the National Commission on the Certification of Physician's Assistants (hereinafter NCCPA). Passing this examination permits an individual to be registered as a certified physician's assistant by the Maryland State Board of Medical Examiners.
The regulations for a licensed physician's delegation of duties to a physician's assistant promulgated by the Maryland State Board of Medical Examiners define a physician's1979 U.S. Tax Ct. LEXIS 193">*197 assistant as an individual other than a licensed physician who, after adequate training and registration by the Maryland State Board of Medical Examiners, may perform certain duties that would otherwise be performed by persons licensed to practice medicine.
The Maryland State Board of Medical Examiners provides for two types of physician's assistants: (1) National board certified applicants which are those persons who successfully complete the examination for physician's assistant and (2) noncertified applicants which are those persons who by reason of their prior training, skill, experience, or background may be qualified to perform certain delegated duties but who may not have taken or successfully completed the NCCPA examination for physician's assistant.
In August 1976, petitioner applied for physician's assistant registration as a board certified applicant. She was provisionally accredited pending successful completion of the NCCPA examination. At the same time, the petitioner took a position with Sadowsky Surgical Associates as a physician's assistant. While employed by Sadowsky Surgical Associates, petitioner was engaged both in the performance of services ordinarily performed1979 U.S. Tax Ct. LEXIS 193">*198 by a physician's nurse or other office assistants (for example, taking blood pressure and temperature, giving injections, changing dressings) and those ordinarily performed by a physician. Thus, petitioner conducted routine physical examinations and made preliminary diagnoses of patients, performed 71 T.C. 568">*571 minor surgical procedures, and assisted the surgeons in major surgery. Petitioner terminated her employment with Sadowsky Surgical Associates in August 1977 because she was not satisfied with the extent of her job responsibility. Petitioner has since been unemployed, although she expects to seek work as a physician's assistant as soon as she and her husband have completed their move back to Pennsylvania. Petitioner did not pass the NCCPA examination and has postponed registering to take the examination again until she determines if passage of the NCCPA examination will be necessary to qualify as a physician's assistant under Pennsylvania law.
OPINION
(a)
(1) Maintains or improves skills required by the individual in his employment or other trade or business, or
* * * *
(b)
* * * *
(3)
Petitioner contends that she is in the trade or business of practical nursing and that the program of study undertaken at the Johns Hopkins School of Health merely served to maintain or improve her skills in that field. Moreover, petitioner maintains that the program did not really qualify her for a new 71 T.C. 568">*572 trade or business since a physician's assistant performs duties no different from those previously handled by a licensed practical nurse. She also asserts that we should ignore the separate statutory classifications under Maryland law for the registration of physician's assistants and licensed practical nurses since she believes that they are not truly indicative of any job differentiation.
Respondent, on the other hand, contends that petitioner was not in the trade or business of practical nursing when she enrolled in the Health Associates program at Johns Hopkins in 1974 since she had been unemployed for the previous 5 years. Thus, respondent maintains, petitioner had no trade or business to support an ordinary and necessary business deduction. Alternatively, respondent asserts, if petitioner was in the trade or business of practical1979 U.S. Tax Ct. LEXIS 193">*201 nursing, the program qualified her for a new trade or business, physician's assistant, with job duties, functions, and responsibilities which are different from those found in a practical nurse's position.
We agree with each of respondent's contentions. First, petitioner was not in the trade or business of practical nursing when she entered Johns Hopkins Health Associates program in 1974. Whether activities carried on by an individual can be characterized as those of a trade or business under
71 T.C. 568">*573 In the present case, petitioner ceased working as a licensed practical nurse in 1969 for presumably personal reasons. For the next three years she did not actively seek employment as a licensed practical nurse. When petitioner and her husband moved to Maryland in 1972, she made an effort to obtain a practical nursing position but was unable to secure employment in the immediate vicinity of her residence. Petitioner did not seek employment in nearby Baltimore where opportunities were1979 U.S. Tax Ct. LEXIS 193">*203 apparently far greater. However, petitioner subsequently commuted to Baltimore to attend the Health Associates program. Consequently, we conclude that her period of unemployment was for personal reasons and constituted an abandonment of her previous trade or business.
In
In
Here the petitioner did not leave her nursing position in 1969 to either immediately or shortly thereafter attend a full-time program in her field. She merely stopped working. She remained unemployed up to and through the commencement of her course of study at Johns Hopkins in 1974. Moreover, unlike the 71 T.C. 568">*574 situation in
Even if we assumed that petitioner could be considered as being in the trade or business of practical nursing in 1975, we think the claimed deduction for educational expenses should still be disallowed. While it is not disputed that the program at Johns Hopkins would maintain or improve her skills in practical nursing, the critical inquiry is whether the educational expenditure qualified petitioner for a new trade or business. If so, the expense is clearly nondeductible.
In the present case, petitioner's educational program both qualified her to take the physician's assistant certifying 71 T.C. 568">*575 examination (NCCPA) and provided her with the necessary training to enter that field, even as an uncertified registrant. 471 T.C. 568">*576 Petitioner's argument that we should ignore the separate statutory classifications that Maryland has enacted for the positions of physician's assistant and practical nurse on the ground that both fields are the same in terms of job function and responsibility is without merit. A practical nurse, under Maryland law --
is a recognized member of the health professional team performing an integral part of nursing. "
(i) The administration of treatment and medication as prescribed.
(ii) Aiding in rehabilitation.
(iii) Promoting preventive measures in community health.
(iv) Giving counsel.
(v) Acting to safeguard life and health.
(vi) Teaching and supervising commensurate1979 U.S. Tax Ct. LEXIS 193">*208 with the nurse's education and demonstrated competencies.
(vii) The performance of additional acts authorized by the Board of Examiners of Nurses through its rules and regulations. [Md. Ann. Code art. 43, sec. 291 (Supp. 1978)]
1979 U.S. Tax Ct. LEXIS 193">*209 A physician's assistant as defined by the NCCPA:
[performs] an evaluative function; they are capable of eliciting a complete history and performing routine physical examinations on all types and ages of patients and across all body systems. Additionally, PA's can order non-life-threatening diagnostic and test procedures, and can interpret results and isolate abnormalities. They are also trained to carry out specific management regimens under physician direction and to take necessary, immediate action to preserve life in emergency situations. They often perform minor surgical services (e.g., removal of foreign objects from eyes, minor sutures, etc.). It is important to emphasize that PA's are
In addition, a physician's assistant is defined in the regulations promulgated pursuant to Md. Ann Code art. 43, sec. 122(b)(6) (Supp. 1978) as follows:
"Physician's Assistant" means an individual other than a licensed physician who, after adequate training and registration1979 U.S. Tax Ct. LEXIS 193">*210 by the Maryland State Board of Medical Examiners, may perform certain duties that would otherwise be performed by persons licensed to practice medicine.
71 T.C. 568">*577 Physician's assistants must comply with a number of registration and certification requirements under the auspices of the Maryland State Board of Medical Examiners. They are in no way subject to the jurisdiction or control of the Maryland Board of Nursing Examiners. Md. Ann. Code art. 43, sec. 122(b)(6) and (d) (Supp. 1978).
Perhaps the most telling evidence that the two fields are not the same was the testimony of petitioner's husband concerning the duties petitioner engaged in as a physician's assistant upon her graduation from Johns Hopkins. Petitioner, we were told, performed minor surgery, made preliminary diagnoses and performed physical examinations for Sadowsky Surgical Associates. These duties, we think, go beyond the normal realm of practical nursing duties.
Accordingly, we conclude that petitioner's educational expenditures qualified her for the new trade or business of physician's assistant, even if she were still in the practical nursing profession. Moreover, since we have determined that petitioner in 1979 U.S. Tax Ct. LEXIS 193">*211 fact was not in any trade or business while attending Johns Hopkins, her transportation expenses are not deductible. See
To reflect concessions made by both parties,
1. Unless otherwise indicated all statutory references are to the Internal Revenue Code of 1954, as amended and in effect for the year in issue.↩
2. The parties were directed to file briefs by Nov. 13, 1978. Respondent filed his brief on Nov. 6, 1978. Petitioners have not filed a brief, although the Court has considered their oral arguments made at the trial.↩
3. Petitioner's reliance on this case is misplaced. In
4. The regulations issued pursuant to Md. Ann. Code art. 43, sec. 122(b)(6)(Supp. 1978) provide, inter alia, that:
10.27.04 Delegation of Duties by a Licensed Physician
Pursuant to the Provisions of Article 43, Section 122(b)(6), Annotated Code of Maryland, an individual other than a licensed physician may perform certain duties which might be construed to be the practice of medicine or surgery in the State of Maryland provided these duties are delegated to him by a licensed physician and that the delegation is in accordance with the regulations of the Maryland State Board of Medical Examiners. It is the desire of the Board of Medical Examiners that the legislative purpose of the statute be implemented in such manner as to provide the maximum in medical services for the benefit of the public consistent with the obligation of the Board to protect the interest of the public and to assure that medical services rendered to the public be of the highest possible quality.
.01 DEFINITIONS
* * * *
B. "Applicant" means the trained non-physician who applies to the Maryland State Board of Medical Examiners for approval to be a physician's assistant.
C. "Board" means the Maryland State Board of Medical Examiners.
D. "Supervision" means assignment, direction, regulation, and management of the work of the physician's assistant by the physician, consistent with the highest standard and quality of medical care.
E. "National Board Certified Applicant" means any person who successfully completes the examination for Physician's Assistant given by the National Board of Medical Examiners or any other national certifying board recognized by the Board and who applies to the Board for registration as a Physician's Assistant.
F. "Non-Certified Applicant" means any person who, by reason of his or her training, skill, experience, or background may be qualified to perform certain delegated duties but who may not have taken or successfully completed the examination for Physician's Assistant given by the National Board of Medical Examiners, or such other national certifying board recognized by the Board, and who shall apply to the Board for registration as a Physician's Assistant.
* * * *
.02 PROHIBITED DELEGATION
The delegation by a licensed physician of a duty which constitutes the practice of medicine or surgery is forbidden, except in accordance with these regulations.
.03 CERTIFICATION
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(1) All applicants shall be at least 18 years of age.
(2) All applicants shall have sound character and reputation.B. Requirements for National Board Certified Applicants
(1) National Board Certified applicants shall make application for registration on a form provided by the Board. The application shall contain information relating to the applicant's personal history, education, and experience as the Board may require.
(2) The application shall be accompanied by the applicant's certificate (or certified true copy) of successful completion of the examination given by the National Board of Medical Examiners or any other national certifying board recognized by the Board, as well as other supporting documents the Board may require.
(3) The application shall contain the duties or functions which the applicant proposes to perform if registered, if different from those functions promulgated by the National Board of Medical Examiners as appropriate for the certification examination for Physician's Assistants.
C. Requirements for Non-Certified Applicants
(1) Non-certified applicants shall make application for registration on a form provided by the Board. The application shall contain the information required under Subsections A and B(1) and B(3) of this regulation.
(2) The application shall be accompanied by supporting documents, such as transcripts of grades, diplomas, certificates, or degrees, as the Board may require.
(3) The Board shall establish and conduct examinations it considers appropriate to determine that the applicant is qualified and competent to perform, under supervision, the duties or functions for which the applicant is to be registered.↩