How Big Life Changes Wreck, or Rescue, Your Student Loan Strategy, Ep 31
Release Date: 06/15/2025
Physician Cents
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...
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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...
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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,...
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It’s not like physicians wake up thinking about disability insurance. But you might wish you had. Today, Dr. Stephanie Pearson shares a raw, firsthand account of the career-ending injury that forced her to trade the OR for the insurance world. Her story doesn’t just highlight the importance of coverage, it exposes the hidden traps in policies that too many doctors assume are solid. The goal here isn’t fear; it’s preparation. And her lived experience lays out a compelling case for why most physicians walk around with a false sense of security. We also get into what “true...
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Physicians assume that once their income stabilizes and their savings plans are in place, they will have peace of mind. But what if that peace never shows up? What if, despite doing everything “right,” they still feel anxious, distracted, or perpetually behind? In this episode, we explore a surprising culprit: the emotional toll of financial noise - the relentless stream of news, updates, social media posts, and peer chatter that quietly chips away at your well-being. Today, we’ll walk through real-world examples of clients with rock-solid plans who nonetheless feel like the sky is...
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Physicians don’t realize they’re financially exposed — not just to malpractice, but to everyday events like fender benders, lawsuits, or even divorce. Asset protection sounds like something complex or reserved for the ultra-wealthy, but in reality, there are basic, easy-to-implement steps that can make a big difference. This episode starts by opening your eyes to just how vulnerable your assets might be right now — especially if you haven’t taken any proactive measures to protect them. As the conversation unfolds, hosts Chad Chubb and Tyler Olson break down four practical and...
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You’ve matched—congrats! But now what? As you transition from med school to residency, financial decisions are about to get real, and the steps you take now can make a huge difference in your financial future. Many new residents don’t realize how much financial planning matters at this stage—things like student loans, budgeting, and even insurance may seem like details you can handle later, but getting ahead now can save you serious money (and stress) down the road. Federal student loans, private refinancing, and income-driven repayment plans all come with deadlines and fine...
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Most physicians assume their first contract is a “standard agreement” that everyone signs without question. But as Kyle Claussen, CEO of Resolve, reveals in this episode, there’s no such thing as a truly standard physician contract. From compensation structures to non-compete clauses and tail coverage, every detail can significantly impact your financial future and career flexibility. Yet, many doctors accept these contracts at face value, unknowingly leaving money on the table or committing to restrictive terms that could hinder them down the road. By the time a physician realizes...
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Lots of physicians wonder: If I can manage my own investments, why pay an advisor? It’s a fair question. If you're comfortable picking index funds and setting up automated contributions, what’s left for an advisor to do? This conversation unpacks the real value of financial planning beyond investments. From student loans and tax decisions to asset protection and estate planning, there's much more to consider than just growing a portfolio. Many assume an advisor’s worth is tied to investment management alone, but the real benefits show up in unexpected areas—especially as life and...
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Managing your own investments can feel empowering—especially when you've done the research and built a solid plan. But when does the complexity of financial planning cross the line from DIY-friendly to requiring professional help? That’s exactly what Dr. W is wondering. As a resident who's been diligently managing an all-equity portfolio, he’s now questioning when and if a financial advisor would be worth the cost. What’s the real value of professional advice, and how does it stack up against a well-educated, self-managed approach? We unpack the tangible and intangible benefits of...
info_outlineYou 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 LLC
- Olson Consulting LLC
- Tyler Olson on Twitter
- Chad Chubb, CFP®, CSLP® on Twitter
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