Decide if the beneficiary's services as a physician, dentist, lawyer, accountant,
engineer, scientist, management consultant, writer and other highly skilled occupations
are of such a nature and value that they are substantial even if 45 hours or less.
NOTE: Adjudicators should not arbitrarily base the determination solely on the fact that
the beneficiary is a highly skilled professional since the beneficiary's current services
may not always require such skills. For example, a highly skilled labor attorney performing
current services as a labor arbitrator for less than 45 hours per month would not
necessarily be performing SS if his skill as an attorney were not required.