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Common Financial Advice that Makes No Sense for Physicians

common-financial advice

There is no shortage of financial advice out there. You are undoubtedly exposed to a wide range of money headlines and adages that may or may not be helpful.

They can be found in books, magazines, newspapers, social media, news feeds, and blogs. If you’re more of an audiovisual person, television, podcasts, and Youtube will also tell you what you should be doing with your money.

Some of these recommendations are excellent and more or less universal. “Spend less than you earn.”

Other advice is generally good, but may not apply to everyone. “Invest in real estate.”

Some of it is just bad and borderline criminal. “Invest your emergency fund in an interest-bearing “stablecoin” account.”


common-financial advice


Why has there been a proliferation of financial advice aimed specifically at physicians?

One sad truth is that we need it. Stanley and Danko singled out physicians as notorious under-accumulators of wealth based on their research for The Millionaire Next Door.

That’s not the primary reason, though. That fact indicates that we doctors need to improve our financial knowledge and implementation of sound strategies.

More importantly, physicians have a fairly unique career and compensation trajectory.

When our friends are ramping up their careers, we’re racking up debt in medical school.

When our friends are getting promotions and bumps in pay, we’re busting butt in residency and fellowship for little more than minimum wage when you factor in the long, long hours.

When we finally catch up to the carrot at then end of the stick and get a real doctor job, our salary can go up five-to-tenfold overnight.

Career advancement is less profound as compared to most other professions. In many medical specialties, an early-career physician can earn just as much as a colleague with decades of experience. Particularly in employed models, the hierarchy among physicians often looks more horizontal than vertical, at least in terms of pay.

All this to say that common financial advice that probably works for most people may not make any sense at all for you as a physician. Here is some conventional wisdom that can be tossed out the window as a doctor.


Net Worth Targets by Age


Here are some guidelines from Budgets are Sexy:


  • At 25 years old — you should have 1/2 of your yearly salary saved
  • At 30 years old — you should have 1x your yearly salary saved
  • At 35 years old — you should have 2x your yearly salary saved
  • At 40 years old — you should have 3x your yearly salary saved
  • At 45 years old — you should have 4x your yearly salary saved
  • At 50 years old — you should have 5x your yearly salary saved
  • At 55 years old — you should have 6x your yearly salary saved
  • At 60 years old — you should have 7x your yearly salary saved
  • At 65 years old — you should have 8x your yearly salary saved
  • At retirement — you should have 10x your yearly salary saved


At 25, most future physicians are in medical school earning no salary.

At 35, there haven’t been enough working years to bank up twice one’s salary, especially when you enter higher tax brackets while paying back student loans.

By 65, I honestly hope you’ve got more than 8x your salary saved. If you’ve been listening to me, you will have been FI for a decade or two by then!


Here’s another set of savings goals for the “above average person” from Financial Samurai:




Since we’re not making any money at age 22 and nothing much at 29, any savings goals for age 30 and under are meaningless. A net worth of zero at 30 is an accomplishment for a physician, and it usually requires family help or an early start to medical education combined with a short residency.

The mid-to-late 30s is where we make up for lost time, and I’d say that the net worth targets at age 40 and up are on the low side for physicians. I’d like you all to be millionaires before 45, and it’s absolutely achievable.

Don’t worry about what your friends have or what a table says you should have. Make your own goals based on your age, debt load, and salary, and do what you can to achieve them on your own timeline.


Retirement Calculators Based on Salary


You may have heard that you’ll need to replace 70% or 80% of your pre-retirement income to have a comfortable retirement. This frequently referenced guideline makes sense if and only if your spending is perfectly coupled with your income.

If you’re setting aside a small amount for retirement and spending the rest, living more or less paycheck-to-paycheck after paying yourself first, then you will need to replace most of your salary to maintain that standard of living. You won’t need 100% because you won’t be setting money aside for the retirement you’re living, and you’ll have a better tax situation as a retiree than as a working bee.

J.P. Morgan correctly recognizes the trend that those with higher salaries will need to replace a lower percentage of their incomes in retirement, but they still say that a $300,000 a year household will need 72% of that in retirement.

However, I strongly encourage everyone, especially those with a physician’s salary, to completely decouple their spending habits from their incomes. Do that, and you may be in a position to replace less than half of your pre-retirement income after you leave the workforce.

Vanguard has a retirement calculator that lets you change the percentage of your income that you feel you’ll need in retirement. This makes sense. Your retirement needs have everything to do with how much you’ll be spending and nothing to do with how much you used to earn.

If we start with a default of 80%, our hopes of an early retirement are dashed completely. We’re barely halfway to our retirement goals at age 50.






However, if we feel we can get by on $100,000 a year, which represents 40% of our gross income, the picture becomes much rosier.






Any retirement calculator that says you need to replace a high percentage of your working years’ income is lacking the flexibility that someone with a high income needs.

For more information on how to best calculate your FI number while incorporating cashflowing assets, see How Much Money Does a Doctor Need to Retire?


Save 10% to 15% for Retirement


Setting aside 10% to 15% of your income may be adequate for a person who can work for 40 years and still retire in her early 60s, but that’s not you. You should be saving more.

Also, there’s a big difference between net savings rate (after-tax) and gross savings rate (pre-tax), and the guideline doesn’t specify. The difference between the two grows as your effective tax rate increases, and physicians with high salaries pay a higher percentage in taxes.

My recommendation to those interested in early financial independence is to aim for a net savings rate of 50%. Strive to live on half of your takehome pay, and use the rest to pay down debt and invest. Do that and you’ll be FI in about 15 to 20 years, assuming you start with nothing.

If that’s not feasible due to a low salary or high cost of living, at least do what the White Coat Investor recommends and save 20% or more of your gross (pre-tax) salary for retirement. That might not get you an early retirement, but it should provide for a comfortable, on-time retirement.


Live Frugally


Now, there’s nothing wrong with thrift, and we’ve developed plenty of frugal habits that helped contribute to our early financial freedom.

That said, when you earn multiple six figures per year, saving $5 here and $10 there isn’t going to make a meaningful difference in your financial well-being. The Latte Factor was written for people with a lot less disposable income than you. If your preference is for Folgers brewed at home, you will definitely save some money, but a few dollars a day on fancy coffee, tea, or kombucha isn’t going to break the bank. Nor is a $6 or $8 glass of wine or pint of beer.

While a few dollars is no big deal, a few hundred thousand dollars is a very big deal, especially when you’re young and you choose to spend that money rather than let it compound for decades into a seven figure sum.

The biggest discretionary spending categories for most people are housing, transportation, food, and travel. With a physician-like salary, you can afford to splurge in one or two of these areas, but not all four. Figure out what truly floats your boat (and that may be an actual floating boat, a 5th category), and try to spend reasonably in other areas.



Spend Three Months’ Salary on an Engagement Ring


The diamond industry has some slick marketers. How they got this audacious rule of thumb out there is beyond me, but it’s ludicrous, especially for a physician.

The only exception I could make is for a medical student earning nothing. If you happen to have had a ring handed down from previous generations, and it didn’t cost you a thing, go ahead and propose with that $0 ring if you think your soulmate would approve.

As a resident or fellow, three months’ salary looks something like a $15,000 ring. Do yourselves a favor and max out two Roth IRAs and put the other $3,000 towards a ring. You can obviously spend less than that, but again, as a physician, you don’t have to be overly frugal if you don’t want to be.

As an attending physician, three months’ salary could be $100,000 or more. Just don’t.

Personally, I spent about three weeks’ salary as a resident on an engagement ring. My wife still loves her 0.62 carat square Asscher cut diamond, and yes, I started and funded her first Roth IRA right after we got engaged.



You Need a Side Hustle


Don’t get me wrong; I think side hustles can be stupendous. They can be great outlets for creativity and give us an opportunity to pursue passions either within or entirely outside of medicine.

This website started as a side gig when I was a full-time anesthesiologist, and it didn’t become my sole gig for another three and a half years.

Most side gigs will never pay $100 to $300 an hour, but most doctor jobs do. It’s rare for a side gig to become as lucrative as the main gig when you’re a physician. So, unless you’re financially independent, don’t quit your day job. It pays well and you probably don’t have a ton of free time to devote to other money-making endeavors.

Now, a side hustle can be rewarding in numerous non-financial ways, and it’s always beneficial to learn new skills and expand our capabilities. Just understand that it’s possible to reach all of your financial goals with one good career. That’s how most doctors do it.

Our friend Passive Income MD feels that creating additional income streams outside of medicine is non-optional, but that doesn’t necessarily mean that you need a second job. Passive income streams can get the job done.


There you have it! Don’t let anyone tell you how much money you should have saved by 30, what percentage of your income you’ll need in retirement, what percentage of your income to save, how little you should be spending, or how much you should spend on a ring. And no, you don’t need a side hustle to reach your financial goals.



What other financial advice do you hear that makes no sense for physicians? Please share in the comment box below.


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18 thoughts on “Common Financial Advice that Makes No Sense for Physicians”

  1. For those looking for a side income, I recommend being your own portfolio manager. It has a number of benefits. Nobody cares as much about your portfolio as you do. And I’d like to believe that no one knows you better than you know yourself. This is critical for creating objectives and gauging your capacity, desire, and need to take risks.

  2. Subscribe to get more great content like this, an awesome spreadsheet, and more!
  3. Perhaps the biggest financial mistake we have made is remaining in our house for 34 years. We should have downsized to a new house after our kids graduated from college. Over the past five years, we have paid for three new HVAC systems, a new roof, new gutter guards, a new two-story deck, a new cook top, re-coating of our stucco house, new dehumidifier, new fireplace insert, repairing and staining our driveway, and replacing window glass. Three other appliances are on life support as well as two cars with more than 225,000 miles on each. Housing prices have jumped more than 25% in our area. Even without taking on a mortgage for a new house, the cost of real estate commissions and moving costs plus the chance that we would lose equity if the real estate market cools office in the face of higher interest rates, moving now seems unwise. But hey, we have almost re-built our house!

    • Ouch! Our 14-year old water heater is being replaced as we speak, but your house troubles sound many times more expensive.

      Congrats on your new-ish house!

  4. About a side hustle, I think being your own portfolio manager can be profitable. There are several advantages to it. No one cares about your own portfolio as much as you do. And I’d like to think that no one knows yourself as well as you do. That’s important when it comes to setting goals and determining your ability, willingness and need to take risk. It’s scalable; the return on it can be greater than $300/hr and can increase with time. And the largest investment as a PM tends to be the time spent earlier on in learning. Later on, the time taken to be your own PM may be comparatively small. A final advantage can be the money saved to pay someone else to be your PM. A downside is that your have to spend time learning about personal finance. Possibly the greatest disadvantage is that you’re now exposed to your own behavioral flaws. Of all behavioral flaws, the number one problem may be overconfidence. You have to stay within your circle of competence.

    • I definitely agree with the benefits of managing your own investments. I’ve written dozens of blog posts to help people do exactly that!

      I don’t know that I’d consider that a side hustle, though, unless you start managing other people’s money. If it’s just your family’s portfolio, it’s something that you’re insourcing, which does save money — potentially millions of dollars over the decades — but doesn’t rise to the level of a side hustle. Sort of like mowing your own lawn or painting your own house, but more lucrative (if you do it well without costly mistakes).



  5. Another great read! I love how this article continues to remind us just how specific our chosen profession is. From delayed gratification to “catch up” periods after we transition to attending-hood, our finances require a special understanding and education. Some of the same rules apply to us, but where we should be by age is definitely not one of them! Thanks for the read! Keep ‘em coming!


    The Motivated M.D.

  6. Excellent article with many good points. I particularly endorse not sweating the small stuff. Given our incomes, we can indulge a little in the $10 latte. It will give you more pleasure that fretting over the expense.

  7. Good article Leif. I wish I had written it. I think I’d add at least one thing to the list:

    1) Roll over your 401(k) to an IRA when you leave an employer.

    Not only does this reduce your asset protection, but it causes Backdoor Roth IRA contributions to be pro-rated.

    • Excellent point, Jim.

      I left my employer nearly 3 years ago, and both my 401(k) and the 457(b) remain where they were. At some point, I may roll the 401(k) over to my solo 401(k), but as long as I have earned income, I’ll want that ability to do a clean Backdoor Roth.


  8. Decoupling your spending habits from your income… Not sure if you’ve ever used that turn of phrase before but I like it

  9. Hi,
    I will start off by saying excellent post. rhymes all the way through.
    We are dual physician family with 2 kids, fat fired within 5 years of my fellowship completion.
    My question to you is more philosophical as i know the practical answer to this !!
    When do you say to yourself enough is enough, knowing you will never be short on the mullah even if you stopped working today. When I stay enough is enough being aggressively continuing clinical work with sleepless nights and taking on new ventures, real estate investing and other side gigs??

    • Congrats on your impressive feats as a dynamic duo!

      One thing I’ve learned about myself is that I’m not good at being idle for any significant length of time. I’m missing that “neutral” gear. That doesn’t mean I felt compelled to continue working long days with sleepless nights indefinitely, though.

      Once I figured out I was indeed FI, I worked about another 2.5 years full time and 2 years part time to be comfortably fatFI before stepping away from my anesthesia career for good. Now, I’m training for a half marathon (and possibly a full), writing (obviously), and doing whatever the day brings. Tomorrow, I’ll be laying sod at my wife’s cousin’s house. I try to balance work and play as best I can.


      • haha, half marathon, eh? Why not just embrace a full blown midlife crisis and start doing triathlons? Yours truly did exactly that , starting with 10k’s and sprint triathlons. Now finding myself doing half Irons and shopping for a more expensive carbon bike with fancy aero wheels…

        • Good for you! The swim scares me. I could handle the bike and run, but I don’t want to find myself underneath a bunch of knees and elbows in frigid, open water. I’ve heard too many horror stories!


        • Good for you. Some of us in our late 60’s struggle with medical issues that prevent this degree of participation. As a former elite marathoner, I am relegated to hiking mountains and recreatiionl biking. I am happy with this as I will never be able to run again.

      • that’s what the mass swim start looked like in the days of yore…:)
        But no longer, now they have self-seeding groups prior to start based on your expected swim time and they let 3-5 swimmers go in a a time.

    • Well that is the million dollar question and the only one that matters. I do no think think there is a stock answer to this. If your stream of income aside from earnings is predictable, the answer is easier.
      I had multiple projections and goals over my 40 years of practice, and most did not work out. This was largely a result of rash investment decisions. If I had followed a simple balanced investment plan, and stuck with it, my net worth would be at least double.
      I resurrected my retirement plan with side gigs and lucky real estate investments, but I cannot advocate this approach.
      The “enough is enough” decision is still likely to be gradual if your practice allows it. It took me 5 years from the time I had enough until it was a reality. You will need to find the balance and it may not be obvious at first. If possible, take it one step at a time. As physicians we have been conditioned to grueling schedules and we do not easily separate from the opiate of medicine. Expect a withdrawal if you separate suddenly.


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