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  • The Value of Life Outweighs Money, Ep #040

    The Value of Life Outweighs Money, Ep #040
    Nov 1 2025
    This week, we're exploring how moments of uncertainty and adversity can shake our priorities and remind us not to let financial goals overshadow our relationships and overall well-being. Whether you're a medical student, resident, or practicing physician, this episode encourages you to regularly reassess your work-life balance and ensure your financial decisions support, not compete with, the life you truly want to lead. Be proactive, not reactive, in aligning financial strategies with what matters most. So settle in and get ready for honest insights, personal stories, and actionable advice on blending smart financial planning with a fulfilling and authentic life. 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] Balance financial independence and meaningful living.[03:07] Value of life versus the value of financial planning and wealth creation.[06:30] Unique pressures and time demands of the medical profession.[07:47] The emotional, relational, and personal dimensions of financial planning.[08:52] Reevaluate your priorities to optimize life.[09:58] Financial planning as a tool for life optimization. When Life Overshadows Money We open the episode sharing a personal experience: a scary moment when Tyler's son fell and suffered a head injury during a family trip. Although the outcome was ultimately okay, it was a stark reminder that, in moments when our loved ones are in danger, money suddenly feels meaningless. After all, no matter how much money we've accumulated, none of it matters when someone we love isn't ok. These experiences, whether direct or vicarious, force us to reevaluate priorities. Physicians often feel a tension: striving for financial independence or early retirement, versus the die with zero philosophy that advocates for using resources to enrich life today. Setting the right priorities is not always easy, which is why reflective conversations like these are valuable. Work-Life Balance: More Than a Buzzword Work-life balance is especially elusive for many physicians; the grind can easily take over, often leading to missed family moments and a skewed sense of what truly matters. Life moves quickly, and loved ones won't always be around. The true value in life isn't found in dollar signs, but in the relationships and memories we create. While financial security is vital, letting it dominate our decisions can leave us out of balance, personally and professionally. Be Honest About What You Want Effective financial planning does require introspection and honest conversations. Good financial planners will routinely ask clients about their time commitments and priorities, not just their investment strategies. Physicians (and anyone) should establish a "supporting cast," whether it's a spouse, friends, or a planner, to keep themselves accountable for how they spend their time, not just their money. These conversations help prevent years from slipping by without regular reassessment of what truly matters. Making Intentional Choices Periodically consider questions like, "If I could go down to 0.9 or 0.8 FTE and still reasonably reach my goals, would you do it?" For those with steady savings and clear financial plans, there's often hidden flexibility to adjust work commitments and make space for life's priorities. We also share stories of clients who took pay cuts or changed careers to reclaim quality time with their families, and how these moves were celebrated not just financially, but also personally. Financial planning principles are crucial, but only insofar as they enable a life well-lived. Money is the tool, not the destination. Tyler sums it up: "Value financial planning principles, but value them in the context of the value of life and making the most of it for yourself." In medicine and beyond, it pays to be intentional about how we invest our resources, especially the ones we cannot earn back. Are you assessing your priorities regularly? What changes could you make today to give first place to what matters most in your life? 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. Connect With Physician Cents WealthKeel LLCOlson Consulting LLCTyler Olson on TwitterChad Chubb, CFP®, CSLP® on Twitter Subscribe to Physician ...
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    17 Min.
  • Unlocking the Power of Mega Backdoor Roth IRAs, Ep #039

    Unlocking the Power of Mega Backdoor Roth IRAs, Ep #039
    Oct 15 2025
    The Mega Backdoor Roth isn't for everyone, but when available, it's a physician's superpower. Whether you're a W2 employee, an independent contractor, or running your own solo 401k, we discuss how to add it to your financial strategy and explain the potential pitfalls. In this episode, we talk through how to check your plan details and crunch the numbers to see whether it's right for you. After all, balance is key to financial wellness. If you've ever wondered how to get more into your Roth bucket or whether after-tax 401(k) contributions could benefit your long-term plan, this episode is for you. 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... [04:37] Mega Backdoor Roth limit constraints.[09:04] The tax efficiency debate: after-tax vs. brokerage.[13:03] Mega Backdoor Roth strategies.[14:07] Qualifying for a Mega Backdoor Roth.[17:28] Maximizing income for retirement planning. What is the Mega Backdoor Roth? The Mega Backdoor Roth is an advanced retirement savings tactic that enables high-income earners to invest much more into Roth accounts than what standard Roth IRA or Roth 401(k) contribution limits allow. For 2025, the total 401(k) contribution cap is $70,000, which includes your $23,500 employee contribution, employer match, profit-sharing, and, where available, the after-tax contributions that make the Mega Backdoor Roth possible. In practical terms, if your employer plan allows both after-tax contributions and in-service rollovers or conversions to a Roth, you could move up to $70,000 into your Roth 401(k) or IRA annually, subject to subtracting your standard contributions and employer match. This "mega" savings opportunity can significantly boost your tax-free retirement nest egg, if you're eligible. Why Isn't Everyone Doing This? The excitement about the Mega Backdoor Roth on online finance forums makes sense, but not everyone can access this perk. Most 401(k) plans (especially in private practice or academic settings) do not offer the required plan features. Out of every ten clients, maybe only two or three have plans that permit Mega Backdoor Roth contributions. What's more, high employer contributions can limit your after-tax space. If your employer already maxes out your account with generous matching or profit-sharing, there may be little to no room left for after-tax contributions. How Does It Work? Here's the basic playbook: Check Your Plan Rules: Ask HR if your 401(k) permits after-tax contributions and if it allows in-service rollovers or conversions to a Roth. Calculate Your Limit: Subtract your employee plus employer contributions from the $70,000 limit. The difference can be contributed after-tax. Act Quickly on Conversions: Ideally, you want to roll over your after-tax contributions to a Roth as soon as possible. This ensures all growth also becomes tax-free, not just the original contributions. Watch Out for Pitfalls: If you overcontribute before employer matching goes in, you risk missing out on those contributions or breaching the annual cap, which can trigger headaches and require corrective distributions. Solo 401(k)s and Mega Backdoor Roth For independent physicians or those with significant 1099 income, a Solo 401(k) may create even more flexibility. Some people can combine cash-balance pension plans with Solo 401(k)s for both pre-tax and Mega Backdoor Roth contributions. However, not all off-the-shelf plans allow these advanced moves; customized plan setup may be required, and using the right provider can make a big difference. Spouses who work in the practice might also be eligible, potentially doubling the family's Mega Backdoor Roth opportunity, a major win for highly compensated couples. Is It Always the Right Move? More Roth savings sounds great, but don't prioritize future tax-favored accounts over your present cash flow or liquid needs. If contributing the maximum would squeeze your lifestyle or short-term goals, scaling back is wise. Plus, for some, a taxable brokerage account, especially for low-dividend investments, might be more tax-efficient if after-tax-only options are the alternative. Remember, you don't have to max out your after-tax contributions for the strategy to be worthwhile. Even smaller amounts add up and diversify your retirement tax picture. 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...
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    22 Min.
  • Student Loans, What The Heck Do We Do Now?, Ep #038

    Student Loans, What The Heck Do We Do Now?, Ep #038
    Oct 1 2025
    The ever-changing world of student loans is a subject at the top of every doctor's mind right now. With new regulations rolling out, interest resuming, and federal repayment plan changes looming, there's a lot of confusion about the best steps to take next. On this episode, you'll hear the latest updates on student loan forgiveness programs, shifts in income-driven repayment plans, and the tricky decisions surrounding refinancing versus sticking with federal loans. We're also sharing real-world examples, client scenarios, and fresh insights from the front lines of financial planning for physicians. Whether you're nearing Public Service Loan Forgiveness, exploring your repayment options, or debating a move to private lending, this episode is packed with the clarity and practical advice you need to make informed, confident decisions. 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... Evaluating PSLF strategy options [05:15]IBR payment caps removed [08:34]Physician loan forgiveness challenges [13:33]Navigating uncertainty in physician careers [16:37]Refinance strategy - do you want flexibility or a cushion? [20:04]Evaluating PSLF viability for careers [25:20]Loan interest comparison example [26:12] Two Paths: PSLF Seekers and Beyond The current financial environment leaves most borrowers in one of two camps:Those pursuing PSLF, looking to maximize forgiveness via public service employmentThose planning a private payoff, who may consider refinancing to lower their interest rates The ideal strategy depends on your career path, household income, family size, and how many qualifying payments remain if you're hitting the PSLF 120-payment threshold. For PSLF-Bound Physicians: Strategy Amidst Change If you're aiming for PSLF, several changes directly affect your repayment game plan, especially with the phasing out of certain plans like PAYE and changes to the Income-Based Repayment (IBR) plans. Interest Is Not Your Enemy: For those close to 120 payments for PSLF, accrued interest will be forgiven if you stick with the forgiveness programs. Therefore, for many, remaining on SAVE until you're forced to switch (anticipated between December and June) might be optimal, even as interest grows. Shifting Eligibility: New IBR rules will eventually remove the "partial financial hardship" requirement, broadening eligibility—but also eliminates the "payment cap" that protected high earners from excessively high payments. This can significantly impact high-income households, so careful cash flow planning and timely re-application are crucial. Application Backlogs and Buyback Realities: The PSLF Buyback process has proven slower and sometimes more expensive than anticipated, with actual "buyback" costs coming in higher than expected. Advisors now recommend proactively starting or restarting your PSLF payment clock, rather than waiting for an uncertain buyback windfall. Complexity in Tax and Filing Considerations: Married filing separately, AGI adjustments, and state-specific community property rules can all impact monthly payment calculations. As Tyler noted, coordination with tax professionals is increasingly essential. For Those Not Going for PSLF: Refinancing and Payoff Considerations If PSLF isn't on your horizon, perhaps due to private practice plans or employer type, the private refinancing market may seem appealing. But it's not a step to be taken lightly: Don't Jump for Minimal Savings: Unless you can achieve a meaningful rate reduction (at least 1% or more), it's usually not worth giving up federal protections, flexibility, and the slim-but-real possibility that your future career path could shift back into PSLF-eligible territory. Opt for Flexibility: Even when refinancing, it may be better to lock into a longer (e.g., 10-year) term for lower required monthly payments, but pre-pay aggressively at the 5-year rate if possible. This provides cash flow safety in case of income disruption without locking you into a punishing payment schedule. Don't Ignore Lump Sums: If transitioning to private loans, paying down accrued interest at the time of refinance can save on total costs and prevent additional negative amortization. Knowledge, Intentionality, and Professional Support There is no universal "best" solution. The student loan landscape is changing fast, and even professionals need to re-educate themselves regularly as new details and government guidance emerge. Physicians should work closely with knowledgeable advisors, invest time in understanding options, and remember—sometimes peace of mind is worth a higher payment to put debt stress behind you. Whether you are actively pursuing PSLF or considering refinancing, do your homework, seek ...
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    28 Min.
  • 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. Remember: conservative assumptions, ...
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    33 Min.
  • 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 grows. We recommend working with ...
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    24 Min.
  • 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 ideas.https://www.whitecoatinvestor.com - physician finance ...
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    28 Min.
  • 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 Tyler and Chad collaborate with within their own practices or ...
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    34 Min.
  • 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 sponsor, please let us know. We call it the "best of the best" for a ...
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    43 Min.