I think they actually said that if you take out all loans at the max Cost-of-Attendance, you'd graduate with $283,000. The average indebtedness was less than that because of scholarships and taking out less than the max loans, etc. It's a cold comfort but at least it's not QUITE that high.
Unfortunately, if you were to take out all loans at the maximum COA (using the figures from here:
http://www.uvm.edu/~stdfinsv/?Page=medbudgets.html=) you would need to take out $292,000 total. This is only a 9k difference from the amount quoted above, but the real difference is that the 292k is not the debt you would graduate with, but the amount that you would initially borrow. The actual amount of debt you would graduate with would be that 292k PLUS annual interest accrual at 6.8 - 7.9% all 4 years.
I know its depressing, but I found the following calculator to be very helpful (you can use it as a guest or sign in with you AAMC account to have it save inputted values for next time):
https://services.aamc.org/30/first/home/organizer
Enter the loan amounts in the Organizer and then click on the Calculator to see results.
Here is a scenario I made for Joe Shmoe:
- Joe is so incredibly stoked to have gotten into UVM, his first choice school!
- Joe has little to no savings and his parents are not in the position to help him out financially. He does feel that the military or public service programs available would be a good fit for him.
- Joe is paying the full COA all 4 years with Stafford loans and Grad Plus loans only. I averaged the COA to be approx. $73,000/yr. If we assume a generous $42,000 in Stafford loans (I believe the max is around $45k nationally, I believe it is school-specific and I do not know the max at UVM) that leaves $31,000 in Grad Plus loans for Joe each year.
- Joe opts for a short residency (3 years) in something like Family Medicine. He has a starting resident salary of 50k and a starting physician salary of 150k (I am not making any claims about the future of resident or physician salaries or accurate averages, I just used these numbers for a quick and optimistic estimate)
- Joe is smart guy so he opts for IBR during residency instead of forbearance and begins paying back around 10% of his residency salary each year.
The results:
Joe took out $292,000 in loans.
When he graduates from his residency, Joe will be $398,000 in debt (he would be 411k in debt if he forbears).
If Joe pays back his loans on a standard repayment schedule,
he is looking at paying back around $530,000 in total (after living frugally for the 7 years after residency). There are other options that would allow him to pay back less, over more time - this is merely a short-term example.
The numbers are scary but I am not trying to convince anyone to choose a more or less expensive school due to cost. I chose an expensive private school for my undergraduate education and I do not regret it for a second. But what I do regret is how uninformed I was about the particulars of my student loans. I made decisions like that of deferring payment for a year (while back in school) without really understanding the amount of interest that would accrue and I was shocked when I began making payments and found out that I had to pay more than 40% of my salary just to meet the minimum. My first few years after college would have been less stressful if I had really understood the ins and outs of my loans from the beginning.
Every medical student who is going to be financing their education primarily or exclusively with loans should have a realistic understanding of the financial debt they are taking on. Don't believe the doomsayers who claim that a pricey medical school education will leave you destitute for the rest of your life. But, you also shouldn't believe the naive kids who flippantly repeat something along the lines of "But you'll be a DOCTER! You'll be so loaded you won't even notice a half million in loans!" Instead, utilize loan calculators such as this one, financial aid advisors, (heck even an accountant could be helpful) and sources you trust to get the facts straight. It will certainly pay off when you graduate with a level of debt and a payment plan that you were anticipating.