『Physician Cents』のカバーアート

Physician Cents

Physician Cents

著者: Chad Chubb Tyler Olson
無料で聴く

このコンテンツについて

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 個人ファイナンス 経済学 衛生・健康的な生活 身体的病い・疾患
エピソード
  • Student Loans, What The Heck Do We Do Now?, Ep #038
    2025/10/01
    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 ...
    続きを読む 一部表示
    28 分
  • Doc Dollars Q&A: Student Loans, Buying vs Leasing, the 4% Retirement Rule, and More, Ep 37
    2025/09/15
    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. ...
    続きを読む 一部表示
    33 分
  • Student Loan Mailbag Episode: Your Questions, Our Answers, Ep 36
    2025/09/01
    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 ...
    続きを読む 一部表示
    24 分
まだレビューはありません