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
  • Doctors, Are You Tipping Uncle Sam? Avoid These Common Errors, EP 34

    Doctors, Are You Tipping Uncle Sam? Avoid These Common Errors, EP 34
    Aug 1 2025
    Many physicians don’t realize they’re leaving extra money on the table by “tipping” Uncle Sam through simple, avoidable tax mistakes. While it’s easy to assume your accountant has everything covered, the truth is even experienced professionals (and software) often miss key physician-specific issues. This episode shines a light on common errors doctors make, from mishandled Backdoor Roth contributions to missed 1099 forms and state tax complications. If you’ve never double-checked these items, you might not even know you’re paying more than you should. Recognizing these pitfalls is the first step toward smarter tax management. We talk through why backdoor Roth errors are so prevalent, like incorrect Form 8606 filings or failing the pro rata rule, and how even seasoned accountants may overlook them if they’re not used to working with doctors. We also explain how underpayment penalties happen (especially with 1099 or K-1 income), why S-corp elections are often misused or badly set up, and how moving states complicates your filing. These aren’t just minor technicalities; they can mean real dollars lost. Finally, we give practical advice for catching and avoiding these errors, stressing the importance of proactively reviewing drafts, coordinating with your accountant and advisor, and understanding safe harbor rules. The goal isn’t to turn every doctor into a CPA, but to empower you with the questions and vigilance that keep you from accidentally overpaying. This episode is your invitation to take control of your tax planning so you can keep more of what you earn, without leaving tips for Uncle Sam. 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) Are you tipping Uncle Sam?(03:05) Backdoor Roth IRA errors.(11:36) Missing 1099 income.(12:49) S-corp election mistakes.(21:15) Underpayment penalties.(28:59) State and local tax issues. The Biggest Tax Mistakes Physicians Make (and Why They’re So Common) As physicians, you’re busy enough without memorizing the tax code. But that’s exactly why so many doctors unknowingly make the same costly mistakes year after year. We see this all the time: backdoor Roth IRA errors because Form 8606 is ignored or filled out wrong, pro rata rule surprises because advisors forget to warn you about old IRA balances, and S-corp setups with unreasonably low salaries that scream audit bait. These aren’t gotchas you can shrug off; they’re real money leaks, often in the thousands, that persist because no one stops to check the details until it’s too late. That’s why we think it’s essential to actually talk through these issues out loud. When you hear about these missteps, from underpayment penalties caused by ignoring quarterly estimates, to forgetting 1099 income from side gigs or bank interest, it’s not meant to shame anyone. It’s meant to arm you with the right questions for your accountant, to catch mistakes before they cost you. As physicians, you know small oversights can have big consequences. The same is true for your taxes. Why Your Accountant (or Software) Might Miss It Even with a professional in your corner, there’s no guarantee your return is error-free. Many accountants don’t specialize in physician finances, so they may not recognize the red flags unique to your situation. And if you’re using software like TurboTax, you’re on your own to answer questions it doesn’t even know to ask about your multiple states of work, backdoor Roth moves, or S-corp salary calculations. You need to understand that you can’t outsource vigilance completely; you have to be part of the conversation. How to Avoid These Errors and Keep More of What You Earn Our goal isn’t to turn you into a tax expert, but to help you avoid tipping Uncle Sam. That starts with proactively reviewing your tax drafts with your accountant before filing, catching Backdoor Roth errors, checking that all 1099s and K-1s are accounted for, and confirming your W-4 or estimated payments keep you out of underpayment penalty territory. It means questioning whether an S-corp election is really right for you, and staying alert if you’re moving states or practicing in multiple locations so you file properly everywhere you need to. Ultimately, this is about claiming your role as the financial steward of your career. You’ve worked too hard to let the system nickel-and-dime you through preventable mistakes. A little planning now saves a lot of stress and money later. So let’s commit to catching these issues before they become expensive lessons, and make sure you’re only paying what you truly owe. The best of the best list is a paid sponsorship, but these are professionals/companies that ...
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    34 mins
  • Buying a Home as a Physician? What No One Tells You About the Mortgage Process, Ep 33

    Buying a Home as a Physician? What No One Tells You About the Mortgage Process, Ep 33
    Jul 16 2025
    Most physicians assume qualifying for a mortgage is straightforward; after all, you’re highly educated, creditworthy, and well-compensated. But buying a home as a doctor comes with hidden pitfalls that can leave you paying way more than you should, getting rejected unexpectedly, or locking in a rate you’ll regret. Many don’t realize that standard mortgage rules aren’t designed for your unique career arc, training debt, or 1099 income, leading to confusion and frustration in an already stressful process. Today, we get into those problems head-on with mortgage expert Josh Mettle, who explains why physicians are often at a disadvantage in conventional lending and what mistakes cost them thousands. We unpack the difference between negotiating price vs. concessions, strategies for buying down high interest rates, and how to safely navigate adjustable-rate or “stepped” loans without getting burned. Josh also sheds light on the challenges self-employed or partnership-track doctors face, and what to do about it. Josh offers concrete solutions that go far beyond “find a physician loan.” He and his team specialize in helping doctors across nearly every state understand their true options, run custom analyses, and move quickly in competitive markets. By the end of this conversation, you’ll know what questions to ask, what traps to avoid, and how to set yourself up for financial security, not surprise headaches, when buying your next home. If you’re serious about making the smartest move possible, this episode is your blueprint. 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) Intro.(01:00) Why elevated rates aren’t a 30-year problem and how to negotiate seller concessions.(08:50) Risks and downsides of stepped or subsidized mortgage payment strategies.(17:10) Solving self-employed and 1099 income challenges for physician borrowers.(23:00) Physician mortgage 101: what it is and how it really works.(26:30) Fake physician mortgages and how to vet lenders.(33:40) Comparing physician loans to conventional loans with total cost analysis. Why Physicians Need to Rethink the Mortgage Process Buying a home as a physician isn’t as straightforward as most people think. So many doctors assume they’ll just walk in and get approved thanks to their income, only to run into problems unique to their field. Between student debt, training contracts, and even being self-employed or 1099, there are roadblocks that a typical lender won’t understand. That’s why it’s so important to have these conversations about negotiating smarter, anticipating payment changes, and understanding the real cost of a mortgage beyond the interest rate you see advertised. Negotiating Smarter in a High-Interest Rate Market Many clients are worried about buying at today’s higher rates. The reality is, it’s not a permanent 30-year sentence. There are real strategies, like negotiating seller concessions to buy down the rate temporarily, that can create meaningful monthly savings right when you need them most. By understanding how to work with local market data and partner with a lender who knows these tactics, you can offset a lot of the pain of a high-rate environment. But there is also the risk of stepping into payment plans that increase over time. You need to plan for the worst-case payment and make sure it still fits. It’s like a built-in stress test for your budget. If you’re not comfortable with that future payment, it’s better to know now than get squeezed later. This approach isn’t about gambling on rates falling; it’s about making sure you have a safe, predictable plan no matter what happens in the market. How to Choose the Right Mortgage Strategy for Your Situation It’s not enough to just hear “physician loan” and assume it’s the best option. That name alone doesn’t guarantee a good deal. Always compare the physician mortgage terms with conventional options, analyzing total costs over time, making sure they’re leaving room for savings, student loans, and life expenses. It’s also critical to vet your lender carefully, look at reviews, ask for referrals, and make sure they know physician-specific pitfalls. When you get that right, you’re not just buying a house, you’re securing your overall financial plan. 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 ...
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    43 mins
  • Before You Sign Anything: What Docs Need to Know About Disability Insurance, Ep 32

    Before You Sign Anything: What Docs Need to Know About Disability Insurance, Ep 32
    Jul 1 2025
    If you’re a freshly minted physician just stepping out of residency or fellowship, the last thing you need is another decision demanding your urgent attention. But there’s a flurry of emails, conversations in hospital cafeterias, and ads in your inbox pushing one message hard: “Get disability insurance now, or else.” It’s intense, it’s relentless, and it’s not the full story. What’s often left unsaid is that while disability insurance is crucial, potentially one of the most important financial decisions of your early career, you’re not on the clock in the way you’ve been led to believe. The notion that your opportunity to secure discounted coverage vanishes on July 1st? That’s marketing pressure, not reality. The smarter approach begins by pulling back from the noise and focusing on what actually matters: long-term income protection that aligns with your career and health profile. Guaranteed Standard Issue (GSI) policies often represent a one-time shot at securing coverage without the scrutiny of traditional underwriting. The problem? Most physicians are unaware that their program may already offer this, or they’re being steered away by agents who either lack access or prioritize their own commissions. This conversation cuts through the noise, giving you the context, timing, and key signals to watch for, so you can make this choice with the clarity it deserves. 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) Before you sign anything for disability insurance.(01:10) Debunking the July 1st deadline myth.(02:45) How much time you really have and what to do with it.(04:55) Why GSI policies are a once-in-a-lifetime opportunity.(07:00) Common pitfalls and how to avoid bad advice.(09:20) The truth about who controls GSI access (and why it matters).(11:35) Locking in GSI now vs. hoping for second chances later. Why You’re Being Pressured, and Why You Can Take a Beat Every year around graduation, there’s a wave of messaging that tries to convince physicians they need to lock in disability insurance immediately or risk losing everything. The emails sound urgent, the reps sound convincing, and the deadline, July 1st, is treated like it’s carved in stone. But that sense of panic is manufactured. What’s really happening is that disability insurance is both important and profitable, and that combo makes it ripe for pressure tactics. You don’t need to jump the moment someone flashes a discount. Most programs that offer discounts, especially GSI access, give you a runway of 90 to 180 days after graduation. That’s built-in breathing room. So if you’re just trying to get your feet under you post-training, know that you’re not too late. The people who rush this decision often end up with the wrong coverage, or worse, locked out of better options. GSI Policies Aren’t Just Nice to Have, They Might Be Your Only Shot The idea that you can just “upgrade later” or “shop around” doesn’t hold water when it comes to GSI policies. These aren’t something you can casually circle back to once you’ve settled into your attending role. If your training program offers a GSI, that might be the only window in your career to secure disability coverage with zero medical underwriting. That means no bloodwork, no exams, no questions about your health history, just locked-in coverage based on your job and income potential. And here’s the kicker: a lot of physicians never even hear about these options because their program doesn’t officially publicize them. The access point isn’t the hospital or university; it’s the insurer and its appointed agents. If you don’t know the right person, you won’t even know what you’re missing. That’s why relying on generic advice, or worse, pressure from someone who doesn’t have access to GSI, is a fast way to lose out on your strongest coverage option. Smart Strategy Beats Fast Action Every Time It’s tempting to equate speed with responsibility, especially when you’ve just stepped into the world of attending paychecks and adult-sized decisions. But strategy wins in the long run. Taking time to verify whether your program offers a GSI, learning who has access to it, and comparing your options before signing anything? That’s what puts you in control. A GSI policy can be your foundation. You can always layer on a traditional policy later if your income or needs change. What matters most is locking in insurability while it’s still on the table. Not because someone told you to do it today, but because you made a calm, informed choice in your best interest. The best of the best list is a paid sponsorship, but these are professionals/companies that Tyler ...
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    16 mins
  • How Big Life Changes Wreck, or Rescue, Your Student Loan Strategy, Ep 31

    How Big Life Changes Wreck, or Rescue, Your Student Loan Strategy, Ep 31
    Jun 15 2025
    You might think that making more money solves more problems, but early-career physicians know it can have the opposite effect. The moment you or your partner graduate, sign a contract, or even get engaged, your financial world shifts. And if one of you has massive student loans tied to forgiveness programs like PSLF, those life events don’t just change your lifestyle; they can completely upend your loan strategy. In this episode, we examine how a personal decision like marriage can lead to substantial changes in your repayment plan, tax filing decisions, and long-term financial outlook. And we don’t stop at hypotheticals, we walk through actual numbers and scenarios, including couples holding off on marriage for years, all in the name of student loan optimization. But it’s not just about marriage. From the confusion around SAVE plan forbearance to the overlooked tax traps in your first attending year, we break down the key decisions that tend to sneak up on you the moment your income goes up. This isn’t about turning you into a financial planner, it’s about giving you the clarity to act (or not act) with purpose. We talk about what to avoid, when to wait, and how to spot the quiet mistakes that could cost you thousands. Whether you’re transitioning out of fellowship, newly navigating PSLF, or just trying not to mess up your first six-figure paycheck, this episode gives you the financial footing you didn’t know you needed. 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) Intro and Jeremy’s student loan + marriage question(02:00) PSLF, joint income, and tax filing decisions(05:30) Should couples delay marriage for a loan strategy?(09:20) SAVE plan uncertainty and dual-loan households(13:40) Tax moves when going from fellow to attending(23:20) Are DFA and Avantis worth the cost? Understand how your partner’s student debt changes your financial reality If one of you has six figures of med school debt and the other’s making solid income, your financial life just got way more complicated. I lay out how your partner’s loan situation can impact PSLF eligibility, how your tax filing status plays into it, and why your state’s laws might push the numbers in a direction you didn’t expect. This isn’t just about love and money, it’s about knowing how the system treats you once you’re linked on paper. Know when to act, and when to chill, on student loan plan changes With the SAVE plan in limbo, making a move right now could do more harm than good. If you’re in forbearance, stuck in application purgatory, or wondering whether to jump plans, this part is for you. A lot of borrowers feel stuck, but sitting tight might actually be the smart play. I walk through why filing new forms too early can lock you into the wrong plan, what “waiting it out” should actually look like, and how to stay informed without stressing daily. The key is knowing what to watch for and how to be ready the second new rules drop. Reacting early could cost you forgiveness dollars down the line. Stop the tax + investment mistakes that trip up new attendings When your pay triples overnight, so do your financial blind spots. I walk through common errors I see first-year attendings make: over-contributing to retirement accounts, accidentally triggering Roth IRA penalties, and getting blindsided by taxes on forgivable bonuses. Add in SAVE changes or leftover training-year quirks, and things get messy fast. If you’re trying to stay organized while your income spikes, this is how you do it without leaving money on the table or owing it back in April. 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://studentaid.gov/manage-loans/forgiveness-cancellation/public-service https://www.irs.gov/payments Connect With Physician Cents WealthKeel LLCOlson Consulting LLCTyler Olson on TwitterChad Chubb, CFP®, CSLP® on Twitter Subscribe to Physician Cents Apple Podcasts Audio Production and Show Notes by - PODCAST FAST TRACK
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    34 mins
  • What If Your Paycheck Disappeared Tomorrow?, Ep 30

    What If Your Paycheck Disappeared Tomorrow?, Ep 30
    Jun 1 2025
    Imagine waking up tomorrow and not being able to work, no more surgeries, clinic, or call shifts. For most physicians, your ability to earn an income is your single greatest financial asset, yet few stop to consider how vulnerable it is. If you’ve never heard of “own occupation” disability insurance or assumed your employer coverage is enough, this episode is your wake-up call. Hosts Chad and Tyler explain why disability insurance isn’t just another box to check; it’s a cornerstone of financial security, especially early in your career. Whether you're still in medical school, knee-deep in residency, or just landed your first attending job, they unpack the real-world scenarios that could derail your income and why coverage matters more than you think. They even dive into misunderstood details like Roth IRA withdrawals, 401(k) loans, and the tradeoffs of different insurance riders. By the end of this episode, you’ll not only understand why disability insurance is crucial, you’ll also know what kind to get, when to get it, and how to avoid the most common (and costly) mistakes. Because protecting your income isn’t pessimistic, it’s smart. 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) Why they recorded the episode from a hotel room.(01:39) Using Roth IRA funds for a first home.(06:51) Comparing Roth withdrawals to 401(k) loans.(09:50) When med students should buy disability insurance.(13:32) Making disability premiums manageable in training.(17:03) Is disability insurance truly necessary?(24:09) GSI policies vs. fully underwritten ones. Your Roth IRA Isn’t a Down Payment Strategy We get why people look to their Roth IRA when buying their first home; it feels accessible, and technically, the IRS allows up to $10,000 of gains to be withdrawn penalty-free for a qualifying first-time purchase. But that move comes with big trade-offs. You're not just taking money out; you're giving up the compounding, tax-free growth that makes the Roth so powerful over time. For physicians, especially, whose earnings potential compounds alongside their investments, pulling from a Roth early is almost always a step backward. Instead, we suggest exhausting smarter options first, like physician mortgages that offer zero percent down and avoid private mortgage insurance. If you're tempted to touch the Roth, it’s likely a sign that the timing of your purchase might be too soon. The takeaway: your Roth is a long-term asset. Treat it that way. Disability Insurance Isn’t Optional - It’s Foundational Too many physicians treat disability insurance like an afterthought, something to handle later when they’re making more or finally “settled.” But the risk of becoming unable to work, even temporarily, is real. And unlike life insurance, the odds of needing disability insurance during your working years are much higher. That’s why getting coverage early isn’t just smart, it’s essential. The younger and healthier you are, the better your pricing and options. Wait too long, and even a small health issue could disqualify you or lead to costly exclusions. We also dig into how to make this work on a resident’s budget. Graded premium structures let you start with lower monthly costs that rise over time, giving you solid protection without gutting your cash flow. If you’re in training or transitioning into your first attending role, this is the moment to get it done. Don’t wait for “later” to turn into too late. GSI Policies Are a Great Start - But Don’t Stop There Guaranteed Standard Issue policies are a gift for trainees, they don’t require medical underwriting and ensure coverage even if your health history isn’t perfect. But once you’ve locked in a GSI, the smart move is to see what else might be available. We often recommend comparing it with a fully underwritten policy to check for better pricing, added benefits, or more tailored coverage. You’ve got nothing to lose and possibly a lot to gain. And keep in mind, it doesn’t have to be either-or. For many physicians, keeping the GSI as a foundational policy and layering on another plan is the best way to maximize benefits. Especially if your career and income are about to scale, make sure your disability coverage scales with it. 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 ...
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    29 mins