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FeaturedPhysician Finance·7 min read

PSLF vs Refinancing: The Decision Every Resident Has to Make

Most residents are told to just pick one and move on. The reality is more nuanced -- and the wrong choice can cost six figures.

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Avance Private Wealth · CFP
29 articles
Physician Finance7 min

How to Negotiate Your First Attending Contract

Your first attending contract is one of the most important financial documents you will ever sign. Here is what to negotiate and how to do it.

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Insurance7 min

Physician Disability Insurance - Own Occupation Explained

Own-occupation disability insurance is the gold standard for physicians. Here is what it means, why it matters, and how to make sure your policy actually delivers.

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Debt & Credit7 min

Paying Off Loans vs Investing on an Attending Salary - The Math

With a high attending income, you can do both. The question is how to split your dollars for the best long-term outcome. Here is the math.

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Investing7 min

What Is a Solo 401k and Do You Need One as an Independent Contractor

If you have any self-employment income as a physician, the solo 401k is one of the most powerful tax tools available to you. Here is how it works.

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Physician Finance7 min

The Attending Financial Checklist - Year One Priorities

Your first year as an attending is the most financially consequential year of your career. Here is a prioritized checklist of what to get done and in what order.

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Debt & Credit7 min

Should You Pay Off Student Loans or Invest First as a Resident

With limited income and massive debt, residents face a real tradeoff. Here is how to think through it based on your loan type, employer, and long-term plan.

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Debt & Credit7 min

The PSLF Decision Framework for Residents - Updated

PSLF can be worth hundreds of thousands of dollars for the right resident. Here is how to evaluate whether it is the right path and what to do once you decide.

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Tax Strategy7 min

Moonlighting and Taxes - What Residents Get Wrong

Moonlighting can meaningfully boost your resident income. But the tax implications catch most residents off guard. Here is what you need to know before your first shift.

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Physician Finance7 min

The Financial Moves to Make in Intern Year

Intern year is overwhelming. But a few financial decisions made in the first few months set the tone for your entire residency. Here is what to prioritize.

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Personal Finance6 min

How to Build Credit as a Medical Student

Medical school is a four-year window to build a strong credit profile before your financial life gets complicated. Here is how to do it right.

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Physician Finance6 min

Understanding Your Resident Contract - The Financial Terms That Matter

Your resident contract is a legal document with real financial consequences. Here is what to look for before you sign.

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Physician Finance7 min

Your First Attending Paycheck - Where Should It Go

Your income just jumped dramatically. The decisions you make in the first few months as an attending set the trajectory for the next decade. Here is how to prioritize.

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Investing7 min

The Backdoor Roth IRA for Physicians - A Step by Step Guide

High-earning physicians cannot contribute directly to a Roth IRA. The backdoor Roth is the workaround. Here is exactly how it works and how to do it cleanly.

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Investing7 min

403b vs 457b - Which One Should Attendings Fund First

Many hospital-employed physicians have access to both a 403b and a 457b plan. They are not the same. Here is how to decide which one to prioritize.

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Personal Finance7 min

Five Financial Moves to Make Before You Turn 30

Your 20s set the foundation for everything that follows. These are the five moves that matter most before you hit 30.

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Personal Finance6 min

How to Negotiate Your Salary - A Practical Guide

Most people accept the first number they are offered. Here is how to negotiate effectively - whether you are starting a new job or asking for a raise.

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Debt & Credit6 min

When to Pay Off Debt vs When to Invest

You have extra money and two good options for it. Here is the framework for deciding whether to pay down debt or put it in the market.

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Personal Finance7 min

What a Financial Adviser Actually Does - and When You Need One

The term financial adviser covers a wide range of people with very different qualifications and incentives. Here is how to tell them apart and when hiring one makes sense.

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Physician Finance7 min

How to Budget on a $60k Resident Salary With $300k in Loans

Residency is financially one of the hardest stretches of a medical career. Here is how to build a budget that keeps you stable without ignoring your debt.

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Savings6 min

The Emergency Fund - How Much Is Actually Enough

Three to six months of expenses is the standard advice. But the right number depends on your situation. Here is how to figure out yours.

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Savings5 min

Why Your Savings Account Is Losing You Money

If your savings are sitting at a big bank earning next to nothing, inflation is quietly shrinking your purchasing power. Here is what to do about it.

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Personal Finance6 min

How to Read Your First Pay Stub

Your first paycheck probably looks nothing like what you expected. Here is what every line item means and where your money is actually going.

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Investing6 min

The Difference Between a Roth and Traditional IRA - Explained Simply

Both accounts help you save for retirement. The difference comes down to when you pay taxes - and that decision matters more than most people realize.

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Investing6 min

What Compound Interest Actually Means for Your Money

Compound interest is one of the most cited concepts in personal finance. Here is what it actually means in practice and why starting early is not just a cliche.

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Investing6 min

You Just Got Your First 401k - Now What

Your employer just enrolled you in a 401k and you have no idea what to do next. Here is exactly where to start.

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Insurance7 min

Disability Insurance for Residents: Why You Need It Before Residency Ends

Most residents put off disability insurance until they are attendings. That delay is one of the most expensive financial mistakes a physician can make -- and it is almost entirely avoidable.

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Debt & Credit8 min

How to Budget as a Resident: Making $60k Work With $250k in Student Loans

A $60,000 resident salary with $250,000 in student loans sounds impossible to manage. It is not -- but it requires a framework built for the actual numbers, not generic advice.

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Tax Strategy7 min

The Backdoor Roth IRA for Physicians: A Step-by-Step Guide

Once attending income exceeds the Roth IRA income limits, direct contributions are no longer available. The backdoor Roth IRA solves this -- but only if executed correctly.

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Personal Finance8 min

How to Negotiate Your First Attending Contract: What Physicians Actually Need to Know

Most physicians sign their first attending contract without negotiating. The terms locked in at signing will affect income and career flexibility for years -- and almost everything is negotiable before you sign.

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