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Physician Cents

Physician Cents

By: Chad Chubb Tyler Olson
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 Welcome to the Physician Cents Podcast! A podcast designed specifically for physicians, offering a breakdown of complex financial topics to help you develop your financial IQ, further your financial journey, and improve your well-being. Whether you're a medical student, resident, fellow, or attending physician, you're sure to learn something new that will benefit your journey.2024 Economics Hygiene & Healthy Living Personal Finance Physical Illness & Disease
Episodes
  • Doc Dollars Q&A: Student Loans, Buying vs Leasing, the 4% Retirement Rule, and More, Ep 37

    Doc Dollars Q&A: Student Loans, Buying vs Leasing, the 4% Retirement Rule, and More, Ep 37
    Sep 15 2025
    In this episode, we’re opening our mailbag and answering some of the most common and nuanced financial questions facing doctors and medical trainees today. Let’s break down the real numbers behind everything from choosing the right future rate of return for investment planning and calculating safe withdrawal rates in retirement, to tackling student loan strategies for dual-income families and navigating the ever-popular “Should I buy, lease, or finance a car?” debate. We make sense of the numbers and provide guidance you can actually use—no matter where you are in your medical or financial journey. Whether you’re a med student, a resident, or a seasoned attending, you’ll walk away with actionable insights and food for thought on building your financial well-being. Looking for help with Disability Insurance, Physician Banking, Student Loan Refinancing, Physician Mortgages, Contract Reviews, and more? Check out our "Best of the Best" sponsors page to find a list of the professionals Chad & Tyler team up with for their clients. You will want to hear this episode if you are interested in... [05:55] Relying solely on savings is risky due to inflation, which erodes purchasing power over time.[08:57] Reevaluating the 25% retirement rule.[11:07] Consider tax brackets when transitioning to retirement.[16:01] Balancing living costs and retirement.[19:35] Student loan refinancing case study.[23:25] Strategizing loan payoff and savings.[25:20] Buying vs. leasing a car. Future Growth and Real Returns One of the hottest topics from the mailbag revolves around the math underpinning financial planning: What’s a reasonable assumption for future investment growth (“real return”), and what role does inflation play in your projections? While the S&P 500 has historically returned close to 9% annually, prudent planners—especially with an eye on maintaining expectations and avoiding unpleasant surprises—tend to use more conservative figures, usually in the 7% range. This is before accounting for inflation. Even if your portfolio earns a 7% return, with inflation running around 3%, your real return is closer to 4%. This is crucial: over long timeframes, underestimating inflation or overestimating returns can dramatically erode your buying power and derail retirement plans. Always plan with conservative estimates and remember that inflation is an ever-present headwind. Safe Withdrawal Rates: The 4% Rule (and Why It’s Not Always 4%) Perhaps one of the most debated topics among planners is the “safe withdrawal rate,” or the percentage of your savings you can spend each year in retirement without running out of money. While the classic “4% rule” is widely cited, it was developed when bond yields were higher and may be a touch optimistic today. A range closer to 3–4%, depending on market conditions, yields, and individual circumstances, is more realistic. For those retiring in their early 50s, a 3% withdrawal rate is safer, creeping up toward 4% for retirees in their 60s. Planning should remain agile—with adjustments made for market swings, unexpected expenses, and shifts in spending needs over time. A key rule of thumb for physicians: estimate annual retirement spending, multiply it by 25 or 30 (depending on comfort with risk and market outlook), and use that as your retirement savings target. Planning for taxes and Social Security timing is vital, too. Student Loan Drama: PSLF or Private Payoff? Listener questions often circle back to student loans—and for good reason. Our case study involves an anesthesia resident (with a high-earning spouse and $130k in loans) prompts a discussion on PSLF (Public Service Loan Forgiveness) versus private refinancing and aggressive payoff. With relatively “modest” debt (by physician standards), high dual income, and the diminished PSLF benefit after factoring in tax strategies, private refinancing with a low monthly payment is attractive. Paying down the debt efficiently, possibly using resident-specific refinance deals, frees up future cash flow and mental energy—a valuable tradeoff given the physician’s strong earning potential. Car Buying Strategies: New, Used, or Lease? We’re also diving into the classic “should I buy new, buy used, or lease?” question. For residents and those who don’t rack up heavy mileage, a lease can make sense—minimal hassle, lower upfront costs, and fewer worries about repairs or moving across the country for training. For those set on keeping a car for 7+ years, buying new (especially with favorable financing terms) or gently used can provide value. Know Your Numbers—And Ask for Help Mailbag episodes like this showcase the diversity of financial questions and the value of thoughtful, detailed planning. Physicians juggle long careers, high debt burdens, and complex compensation structures—but with the right strategies, clear-headed math, and a willingness to get help, financial freedom is well within reach. ...
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    33 mins
  • Student Loan Mailbag Episode: Your Questions, Our Answers, Ep 36

    Student Loan Mailbag Episode: Your Questions, Our Answers, Ep 36
    Sep 1 2025
    If you’re wondering what’s really happening with Public Service Loan Forgiveness (PSLF), curious about creative strategies for paying down your loans, or stressed about how your med school debt might impact buying a home, we’ve got your back. This week, we’re breaking down the current state and future of Public Service Loan Forgiveness (PSLF), discussing student loan management strategies—including some lesser-known tactics—and sharing practical advice for navigating major life decisions, such as marriage and real estate, while carrying significant medical school debt. We wrap up with some solid insights into how debt-to-income ratios affect home purchases, and provide the latest guidance on disability insurance options for residents at top institutions, such as the Mayo Clinic. Whether you’re just starting med school, deep in residency, or well into your attending years, you won’t want to miss the practical tips and real-world scenarios packed into this insightful episode. Looking for help with Disability Insurance, Physician Banking, Student Loan Refinancing, Physician Mortgages, Contract Reviews, and more? Check out our "Best of the Best" sponsors page to find a list of the professionals Chad & Tyler team up with for their clients. You will want to hear this episode if you are interested in... [03:10] Current state of PSLF based on legislative updates as of July 2025.[05:32] Distinction between student loan repayment options (IBR, RAP) and discussion of potential changes.[11:09] Practical benefits and drawbacks of refinancing federal loans in small chunks.[15:37] Why your med school debt shouldn’t stop you from buying a home with your spouse.[19:32] How physicians can secure income protection with disability insurance. The Current State of PSLF for Incoming Interns Given all the buzz about Congressional reforms, we’re covering whether the Public Service Loan Forgiveness (PSLF) program is still accessible to the next generation of physicians. PSLF is not on the chopping block for anyone who is out of medical school. If you're an intern or a senior resident fellow attending, the rules for PSLF are fundamentally the same. If you’re an intern, resident, or attending, PSLF stays intact for existing borrowers. However, the fine print for income-driven repayment plans (such as IBR and the possible new ‘RAP’ plan) is still in flux. Stay alert for legislative updates, though—especially if you’re right at the beginning of your medical education. Final details are still emerging, with significant updates potentially rolling out in 2026. Nonetheless, for those starting training now, PSLF remains a safe and viable option. Should You Refinance Student Loans in Chunks? Another question in the mailbag is whether it’s savvy to take only a portion of federal debt ($30,000 at a time) into a private loan for better rates, while retaining more favorable federal protections for the remainder. The honest answer is that we both think this is unnecessarily complex for minimal upside. Federal loans can always be paid down aggressively, and moving smaller chunks into private loans means navigating possibly shifting interest rates, repetitive refinancing paperwork, and little real financial gain. In most real-world cases, the time, risk, and administrative hassle simply aren’t worth it, unless private rates are remarkably better (which, in 2024, they often aren’t). Refinancing federal student loans incrementally is more trouble than it’s worth for most physicians. Our advice is to assess your full financial picture and consider a clean, one-time refinance if private rates and circumstances are truly compelling. Debt, Marriage, and Physician Mortgages Most lenders only count the debt and income of applicants actually on the mortgage. Both partners don’t need to be on the loan, even if married. This means the non-indebted partner could be solely on the mortgage (with both still on the deed), sidestepping issues with student loan debt affecting loan approval. So the good news is that your med school debt needn’t tank your partner’s real estate dreams. Still, loan requirements change, so the best thing to do is to consult lenders who understand physician loan nuances, and remember you have flexibility as a couple. Disability Insurance—The GSI Advantage for Mayo Clinic Trainees Mayo Clinic incoming residents, listen up: You have exclusive access to Guaranteed Standard Issue (GSI) disability coverage. Your most valuable asset as a young doctor is your earning potential. The latest Milliman survey underscores the growing difficulty of getting fully underwritten disability insurance—over half of applicants face modifications or outright denials due to even minor health history blips. That’s where GSI plans (like those at all Mayo Clinic locations) are game-changers: They offer a strong monthly benefit, no invasive health checks, and a smooth process into higher coverage as your salary ...
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    24 mins
  • Why Your “Emergency Fund” Might Be a Disaster Waiting to Happen, Ep 35

    Why Your “Emergency Fund” Might Be a Disaster Waiting to Happen, Ep 35
    Aug 15 2025
    It’s easy to assume you’re prepared for an emergency just because you have credit cards, a 401 (k), or home equity available—but those options can quietly turn an urgent expense into a long-term financial headache. In this episode, we delve into why these seemingly convenient backstops often come with significant costs, including high interest rates and lost investment growth. We outline exactly how relying on credit or tapping into retirement funds in a crisis can derail even the best-laid financial plans. But we don’t just talk about what to avoid—we get practical about what works. We share our top strategies for building a real emergency fund, from high-yield savings accounts to money market funds and conservative taxable brokerage allocations. By the end, you’ll have a clear sense of how to move beyond risky assumptions, choose safer, more effective options, and build a plan that truly protects your peace of mind no matter what life throws your way. Looking for help with Disability Insurance, Physician Banking, Student Loan Refinancing, Physician Mortgages, Contract Reviews, and more? Check out our "Best of the Best" sponsors page to find a list of the professionals Chad & Tyler team up with for their clients. You will want to hear this episode if you are interested in... (00:00) Think your emergency fund situation is all good?(01:03) The worst emergency fund options: credit cards, stocks, HELOCs.(06:40) Deep dive: why credit cards fail as an emergency fund.(08:56) 401 (k) hardship withdrawals and their hidden costs.(10:48) Nuanced take on using HELOCs as a backup option.(14:30) The best emergency fund options revealed and compared.(22:58) Wrapping up: final thoughts, practical advice, and resources. Why Most Emergency Funds Fall Apart When You Need Them It’s tempting to think you’re covered just because you have access to credit cards, a 401 (k), or a home equity line of credit. But those options are loaded with hidden costs and risks that can turn a short-term emergency into a long-term setback. I want to make sure you see how easy it is to lean on what feels accessible without realizing how expensive or disruptive it really is. When you’re in crisis mode, you don’t want to be scrambling to pay 30% interest, taking taxable, penalized withdrawals from your retirement plan, or eroding your home equity. In this episode, I lay out why those “plans” aren’t really plans at all. Instead, they’re signs of avoiding the uncomfortable truth that your safety net isn’t built yet. The Smarter, Simpler Tools for Emergencies I know that building a true emergency fund can feel like just another chore on your financial to-do list, especially with the demands of a physician’s career. That’s why I’m a big advocate for approaches that keep it simple while truly protecting you. High-yield savings accounts and money market funds offer security, liquidity, and a decent return with almost no hassle or risk of temptation. I also make space in the conversation for using taxable brokerage accounts, but with an intentional, conservative allocation. This isn’t about chasing growth—it’s about backing up your primary emergency fund with an extra layer of security that can help you avoid more drastic moves. How to Put Your Emergency Plan in Place Today If there’s one thing I want you to take from this episode, it’s that you can design an emergency fund strategy that actually works for you. I walk through clear steps on how to decide your priorities, how much to set aside, and where to park those dollars so you’re not losing out on interest or risking a panic sale when something goes wrong. It’s about getting proactive now, so you’re not forced into bad decisions later. We also talk about how to recognize your real “order of operations,” including how you might preemptively secure something like a HELOC as a backup, without ever planning to lean on it first. It’s not about ruling out every tool forever, but about understanding their real costs and risks so you use them wisely. My goal is to make sure you can handle life’s surprises with confidence—knowing your plan is solid, intentional, and built for you. The best of the best list is a paid sponsorship, but these are professionals/companies that Tyler and Chad collaborate with within their own practices or have been vetted to earn a spot on this list. By supporting our sponsors, it allows Chad & Tyler to dedicate more time to you and the Physician Cents community. If you ever have a question (or not a great experience, which we don’t expect!) about a sponsor, please let us know. We call it the “best of the best” for a reason, and we will maintain that standard for our listeners & viewers. Resources & People Mentioned https://www.morningstar.com/personal-finance/10-sources-emergency-cash-ranked-best-worst - Christine Benz’s original article, inspiring the episode topic on best and worst emergency fund ...
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    28 mins
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