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Reading the 555 thread has many/mostly truths, some conjecture, but overall EM and medicine in general are all going downhill. As Rekt stated, it is not if you will go down but what view you have on the way down. What seat may be debatable but if you ask the fore fathers in your field, I suspect they will tell you that the plane is going down.
As the plane is/will go down during your career, best to learn to fly the plan for a soft landing. My first 15 attending years was a nice smooth ride but a CMG turbulence forced buyout happened. Sometimes you need a bump in the road to force you to see what is available outside of medicine. I wish these bumps happened earlier in my career as I would have been forced earlier to look for other options in & outside of medicine. Yes, I too was a big spender and had little to show after 15 years.
To docs who think that this is not an option, not possible, too risky; you can stop reading and continue making a top 5% salary living an upper middle class life. This is not all bad and for most Americans a dream option. To those who believe what was possible 5-10 yrs ago is not possible today, we will just disagree. This is not meant to be the gospel on investing/money management to be debated, but my attempt to educate & help. Yes, one size does not fit all so pick what fits your financial plans.
To docs who want to learn and willing to take some risks then read on. I do not pretend to know everything but comes from my experiences with some failures and many successes.
1. I started/helped open a FSER 5 yrs ago when our SDG was forcibly bought out. I offered over 10 SDG partners this option and only 3 was willing to take this leap of faith. Now all 3 have left the hospital completely. Some of the other 7 are looking to get out 5 years later. FSERs have become a game of best operators as the risk is higher and rewards/income lower. I still think it is a great option for Tx docs. If you are looking for a shift or two, DM me and I may be able to help. There just are not much left but best to get your foot in the door because docs are leaving the hospitals in droves.
2. Look into real estate. This has been discussed ad nauseum and really not much more to add. I have done LTR, MTR, & STR with varying success. For people starting out and especially destination cities, think MTR. I wish I did MTRs instead of LTRs when I first started. DM me if you want some advice. It is less work than you think.
3. Look into syndication investing be it apartment, commercial, or storage. Even during the 2008 RE downturn, the best performing class was apartments/storage. Again, this is a game of operators and you have to pick the best of breed. I have been investing in syndications for 3 years. Bought 7 syndications and all have sold/closed with 2x+ ROI allowing me to double my stake. Even with the current environment, good operators will weather the storm. DM me if you want advice and I can help point you operators I trust. This is a great way to get into RE with complete passivity but you also lose complete control.
4. You are never too old to adjust to another career. Docs are smart, well connected, and have a large shovel. Capital ventures love docs. I am starting my journey into finance and it is quite refreshing to learn something new. Doors will open in places you would not expect once you start to branch out into different investment platforms.
It has not been all roses, I have lost my total investment in an alternative energy venture and more losses than wins in the stock market. I have been offered opportunities in other energy ventures, Physician staffing companies, other FSER operators, a Pet grooming business, beauty venture, Food company but the timing/offer was not right. Even failed and declined investments are a great learning experience and IMO the best educator is failure.
Good luck to everyone on finding a soft landing.
As the plane is/will go down during your career, best to learn to fly the plan for a soft landing. My first 15 attending years was a nice smooth ride but a CMG turbulence forced buyout happened. Sometimes you need a bump in the road to force you to see what is available outside of medicine. I wish these bumps happened earlier in my career as I would have been forced earlier to look for other options in & outside of medicine. Yes, I too was a big spender and had little to show after 15 years.
To docs who think that this is not an option, not possible, too risky; you can stop reading and continue making a top 5% salary living an upper middle class life. This is not all bad and for most Americans a dream option. To those who believe what was possible 5-10 yrs ago is not possible today, we will just disagree. This is not meant to be the gospel on investing/money management to be debated, but my attempt to educate & help. Yes, one size does not fit all so pick what fits your financial plans.
To docs who want to learn and willing to take some risks then read on. I do not pretend to know everything but comes from my experiences with some failures and many successes.
1. I started/helped open a FSER 5 yrs ago when our SDG was forcibly bought out. I offered over 10 SDG partners this option and only 3 was willing to take this leap of faith. Now all 3 have left the hospital completely. Some of the other 7 are looking to get out 5 years later. FSERs have become a game of best operators as the risk is higher and rewards/income lower. I still think it is a great option for Tx docs. If you are looking for a shift or two, DM me and I may be able to help. There just are not much left but best to get your foot in the door because docs are leaving the hospitals in droves.
2. Look into real estate. This has been discussed ad nauseum and really not much more to add. I have done LTR, MTR, & STR with varying success. For people starting out and especially destination cities, think MTR. I wish I did MTRs instead of LTRs when I first started. DM me if you want some advice. It is less work than you think.
3. Look into syndication investing be it apartment, commercial, or storage. Even during the 2008 RE downturn, the best performing class was apartments/storage. Again, this is a game of operators and you have to pick the best of breed. I have been investing in syndications for 3 years. Bought 7 syndications and all have sold/closed with 2x+ ROI allowing me to double my stake. Even with the current environment, good operators will weather the storm. DM me if you want advice and I can help point you operators I trust. This is a great way to get into RE with complete passivity but you also lose complete control.
4. You are never too old to adjust to another career. Docs are smart, well connected, and have a large shovel. Capital ventures love docs. I am starting my journey into finance and it is quite refreshing to learn something new. Doors will open in places you would not expect once you start to branch out into different investment platforms.
It has not been all roses, I have lost my total investment in an alternative energy venture and more losses than wins in the stock market. I have been offered opportunities in other energy ventures, Physician staffing companies, other FSER operators, a Pet grooming business, beauty venture, Food company but the timing/offer was not right. Even failed and declined investments are a great learning experience and IMO the best educator is failure.
Good luck to everyone on finding a soft landing.