Becoming a physician is not a ticket to the 1%

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if you put in 50K in the market starting at 30 x 10 years. Do not do anything from age 40, you will have about 10M in the bank at 65.

Time matters more than amount assuming you are putting in a good amount 50K+

Thing is you probably won't have as many docs in this generation working till 65 maybe 55 max. Millennial gen is all about lifestyle. If they can learn to live off 100k then they can have their cake and eat it too.

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Thing is you probably won't have as many docs in this generation working till 65 maybe 55 max. Millennial gen is all about lifestyle. If they can learn to live off 100k then they can have their cake and eat it too.
This is the point. Put in 50K for 10 yrs. At 40, you can cut down to 1/2 time hospital. Do Urgent care. Do telemed. Do something you like that pays the bills. By the time you are 65, you will have plenty of $$$

I can't stress how imp it is to do something early.
 
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Sometimes its a matter of delayed timing that makes the 100k/yr tough to live on. I was frugal and did the whole live like a resident for 5 years as an attending but since i got married a year ago even though she is also frugal and finding deals and we r right at that 100k mark now and this is without loans, kids, or a house.

Monthly Example:
Rent: 2400
2 cars: 1600 total will be paid off in 3 yrs and no plans to upgrade
Health ins/utilities: 1000
Credit cards combined: 2500-3000 includes vacations averaged out.
Roughly 8k/month on average but realistically 100-110k yearly.

In my area to get a 3000-4000 sq ft (excluding basement) home since we both will be working 75% from home your looking at 700-800k if you want something built within the last `10 years. That right there is $4400/mo ish with mortgage, property tax, home ins, which will bring us to 120k/yr till cars are paid off in 3 years.

The 100k/yr is def possible as a couple especially if you have paid off cars and you want a 700k ish house. No idea expenses with kids included but obviously having paid off cars and less house should make it possible as well.
Cars seem to be on the higher side
 
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Cars seem to be on the higher side
2 Toyota Rav 4 awd hybrids at 1.75% 48 mo about 790 each but will own them and they last 200k easy and get 40mpg. A camry awd 2022 is only 100 less per month and gets worse mpg. Cars only selling at MSRP these days stinks.
 
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Did you sell in 2020 or is all your crypto worth very little now?
Was able to sell BTC around $40K and ETH around $3000 in March of this year (half of my cryoto overall), but unfortunately didn't sell enough. Was able to make some nice profit overall from 2020 buys and was able to raise some cash. So far 2022 overall has been brutal for me. I did a fair amount of hedging and I'm still down almost 15% YTD because growth-tech has absolutely been pummeled / slaughtered. At one point was down almost 25% ... brutal stuff.
 
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Top 1% US income 600K - I would say 10% of docs avg this
Top 1% net worth 11M - Achievable for most docs becoming attendings around 30 yrs.

30 Yr old doc makes 350K and 300K debt. 250K take home. Take 100K/yr and enjoy. 100k pay off loan. 50K savings for home
34 Y old doc now has debt paid off, 150K savings. Keep living on 100K/yr. Put 150K into market, use 150K down on a 500k home.
Market historical return S&P 10%, so 7 yrs to double your money. Investment Calculator - SmartAsset
55 yr old doc (20 yrs of savings) putting 150K/yr into market will have right at 10M.
Just remember to close your eyes, ignore the market, and don't over react during bear markets.

Problem is most people do not have the willpower to keep putting in money regardless of market conditions. Problem is docs are not willing to live on 100K/yr a year. Problem is docs get married, have kids and 100K/yr is hard to live on. Problem is docs get divorced.

I am not an advocate of docs living on 100k/yr b/c I know I could not. If you want to live on 200k/yr, then increase your income to 450K/yr with extra work/side hustles.

Bottom line is, save 150K/yr x 20 yrs and you are top 1% net worth by 55. Do it til your 65 and you are at 27M. Don't put another dime in after 55 yrs old and you have 40M at 75.

Time is your friend. Start Early and put alot in early. Think the above is too hard, then try this. If you put 150K/yr x 10 yrs and do nothing else at age 45, then at 65 you will have 21M. Still too hard? Put in 150K x 10 yrs and do nothing else at age 40, then at 65 you will have 12.5M. Still too hard? Put in 150K x 2 yrs you still have 5M at retirement and can live comfortably.
I'm sure you understand the concept of inflation. The historical S&P return is around 7% when taking inflation into account. This is not semantics. 11M today will have much more purchasing power than 11M in 25 years when your hypothetical 30yo physician gets to age 55. A 10M portfolio increases to 21M by age 65. This is all assuming 100% stocks, which most will not have the appetite for.

"If any doc can't have 10M at age 65 starting at 30 yrs old making 350K, then they have made poor financial or personal decisions. A few divorce will kill your net worth no matter what you do."

And yet.. 83% of physicians 65-69yo have a NW less than 5M, with 24% under 1M according to a medscape survey from 2020. 10M at 65 is the exception, certainly not the norm.

 
I'm sure you understand the concept of inflation. The historical S&P return is around 7% when taking inflation into account. This is not semantics. 11M today will have much more purchasing power than 11M in 25 years when your hypothetical 30yo physician gets to age 55. A 10M portfolio increases to 21M by age 65. This is all assuming 100% stocks, which most will not have the appetite for.

"If any doc can't have 10M at age 65 starting at 30 yrs old making 350K, then they have made poor financial or personal decisions. A few divorce will kill your net worth no matter what you do."

And yet.. 83% of physicians 65-69yo have a NW less than 5M, with 24% under 1M according to a medscape survey from 2020. 10M at 65 is the exception, certainly not the norm.

Let's say someone gets smart with money in their 40's, can they still retire with >$5 million on a physicians salary?

I know a few people that started medical school later as nontrads and I have always wondered if it is financially worthwhile to pursue medicine after a certain age. I highly doubt every 29 year old IM resident knows what they are doing with money. I think a lot of people make some mistakes and figure out money, investing, and wealth as they mature.
 
I'm sure you understand the concept of inflation. The historical S&P return is around 7% when taking inflation into account. This is not semantics. 11M today will have much more purchasing power than 11M in 25 years when your hypothetical 30yo physician gets to age 55. A 10M portfolio increases to 21M by age 65. This is all assuming 100% stocks, which most will not have the appetite for.

"If any doc can't have 10M at age 65 starting at 30 yrs old making 350K, then they have made poor financial or personal decisions. A few divorce will kill your net worth no matter what you do."

And yet.. 83% of physicians 65-69yo have a NW less than 5M, with 24% under 1M according to a medscape survey from 2020. 10M at 65 is the exception, certainly not the norm.

Do you disagree that the majority of doctors are underaccumulators of wealth due to their financial and personal decisions?
 
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I'm sure you understand the concept of inflation. The historical S&P return is around 7% when taking inflation into account. This is not semantics. 11M today will have much more purchasing power than 11M in 25 years when your hypothetical 30yo physician gets to age 55. A 10M portfolio increases to 21M by age 65. This is all assuming 100% stocks, which most will not have the appetite for.

"If any doc can't have 10M at age 65 starting at 30 yrs old making 350K, then they have made poor financial or personal decisions. A few divorce will kill your net worth no matter what you do."

And yet.. 83% of physicians 65-69yo have a NW less than 5M, with 24% under 1M according to a medscape survey from 2020. 10M at 65 is the exception, certainly not the norm.


I'm also going to keep pointing out that not all docs make 350K. I realize I made a financial choice to go into my specialty, but my salary is <200K. :shrug:
 
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Let's say someone gets smart with money in their 40's, can they still retire with >$5 million on a physicians salary?

I know a few people that started medical school later as nontrads and I have always wondered if it is financially worthwhile to pursue medicine after a certain age. I highly doubt every 29 year old IM resident knows what they are doing with money. I think a lot of people make some mistakes and figure out money, investing, and wealth as they mature.

Yes. It all depends on what you do,
I'm also going to keep pointing out that not all docs make 350K. I realize I made a financial choice to go into my specialty, but my salary is <200K. :shrug:
what is your specialty? That’s just wrong when midlevel that are clueless make in the 120-130s it’s so wrong of a doc to make that. You need to renegotiate your contract mvenus.
 
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And yet.. 83% of physicians 65-69yo have a NW less than 5M, with 24% under 1M according to a medscape survey from 2020. 10M at 65 is the exception, certainly not the norm.
There is a reason why most docs have financial IQs of teenagers. Obviously all docs have a unique situation but I still will contend that any doc who is an attending before 35 should have a min of 5+min in 20 yrs if they are taking home 250K/yr. There is a reason pro sports athletes who have made 100M in their career are broke, they outspend their paychecks. If the NBA just force save the 1st $1M of each player's initial contract into the S&P at the typical age of 20, they would have 17M (about 7M in todays money) if they didn't contribute another cent by age 65.

To the 24% who has a NW less than 1M, I have to ask HOW? Its a rhetorical question but they have only themselves to blame if they worked full time for 20+ yrs making an avg salary of 250K.
 
what is your specialty? That’s just wrong when midlevel that are clueless make in the 120-130s it’s so wrong of a doc to make that. You need to renegotiate your contract mvenus.
You're clearly not peds. Most peds subspecialists make in the high 100s to low 200s for salary. We make significantly less than our adult counterparts. No amount of negotiating is going to increase my salary that significantly because this is the standard for the field. And going into private practice 1) doesn't meet my career goals, and 2) is logistically challenging in my field due to the need for ancillary services (though less logistically challenging than some other subspecialties) and use of expensive medications that take a lot of time to get prior authorization for.

All that said, I'm happy. My work life balance is getting better the further out from fellowship I am (and fellowship was nice). I live in a nice area in a nice home and can buy the things that I want. I am saving reasonably well for retirement and have a nice emergency fund and enough for a decent down payment on a house should I choose to buy one. I can afford to travel. I'll be a millionaire someday... will I have a net worth of 11M ever? Probably not, but that's okay.
 
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You're clearly not peds. Most peds subspecialists make in the high 100s to low 200s for salary. We make significantly less than our adult counterparts. No amount of negotiating is going to increase my salary that significantly because this is the standard for the field. And going into private practice 1) doesn't meet my career goals, and 2) is logistically challenging in my field due to the need for ancillary services (though less logistically challenging than some other subspecialties) and use of expensive medications that take a lot of time to get prior authorization for.

All that said, I'm happy. My work life balance is getting better the further out from fellowship I am (and fellowship was nice). I live in a nice area in a nice home and can buy the things that I want. I am saving reasonably well for retirement and have a nice emergency fund and enough for a decent down payment on a house should I choose to buy one. I can afford to travel. I'll be a millionaire someday... will I have a net worth of 11M ever? Probably not, but that's okay.
Money is only a small piece of a much bigger picture. Many of the happiest people in the world have nothing, and many of the most miserable people are rich, and I think that is often lost on these threads. You can totally save ~50k/year making ~200k. It might mean sacrificing a bit, but long term you will have plenty for retirement if you learn to live on less early.
 
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One of my college buddies is a 4th year EM resident and I was talking to him about money and he has no idea how to save or invest. He says he wants to live a "jet setting" life.
 
One of my college buddies is a 4th year EM resident and I was talking to him about money and he has no idea how to save or invest. He says he wants to live a "jet setting" life.
I was under the impression that the EM job market is pretty tight, heavily infiltrated by PE, with a projected surplus of >10K ED physicians by 2030?

Likely already discussed but being in the top 1% of net worth is highly reliant on picking the right parents
 
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I was under the impression that the EM job market is pretty tight, heavily infiltrated by PE, with a projected surplus of >10K ED physicians by 2030?

Likely already discussed but being in the top 1% of net worth is highly reliant on picking the right parents
He said he's not worried about that.

I'm concerned of his lack of financial knowledge. He did admit that his parents never talked to him about finance.
 
He said he's not worried about that.

I'm concerned of his lack of financial knowledge. He did admit that his parents never talked to him about finance.

Wish him the best...I'm a rad and the HC system our group covers has a ED residency that is private equity. Vast majority of times I call in findings I am speaking to a NP/PA. It's actually a shock when I get to speak to a physician (attending or resident).
 
Wish him the best...I'm a rad and the HC system our group covers has a ED residency that is private equity. Vast majority of times I call in findings I am speaking to a NP/PA. It's actually a shock when I get to speak to a physician (attending or resident).
and the NP/PAs are clueless I assume.
 
Wish him the best...I'm a rad and the HC system our group covers has a ED residency that is private equity. Vast majority of times I call in findings I am speaking to a NP/PA. It's actually a shock when I get to speak to a physician (attending or resident).
Most graduating medical students have no idea about money or the future of healthcare. It's rare when you can have a sitdown discussion about these topics.

To be fair, my friend probably has a very romanticized view of EM and I can see him not being happy one day.

And when I catch up to him, I'll have more money than he does with a FM salary because I know more about money than he does.
 
He said he's not worried about that.

I'm concerned of his lack of financial knowledge. He did admit that his parents never talked to him about finance.
No he means that it depends on how much money you get from your parents. Most people start with nothing or debt, while I know people who have had all of their schooling paid for and have been given starter investment accounts. You tend to stay in the same wealth bracket that you started in.
 
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No he means that it depends on how much money you get from your parents. Most people start with nothing or debt, while I know people who have had all of their schooling paid for and have been given starter investment accounts. You tend to stay in the same wealth bracket that you started in.

With Boomers I feel the expectation was to bump it up a notch. Now and in the future, I think many will struggle to stay in the same wealth bracket (aside from those at the very top- if anything wealth accumulation will continue to sky-rocket)
 
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With Boomers I feel the expectation was to bump it up a notch. Now and in the future, I think many will struggle to stay in the same wealth bracket (aside from those at the very top- if anything wealth accumulation will continue to sky-rocket)
Generally speaking, I think that is correct. For the most part, social mobility is largely frozen due to the high costs of education with relatively low return with wages.
 
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Not sure about this. Even assuming the doc is zero debt in year 1 making an average 250k salary or 180ish post tax with a non working spouse and invests 100k a year so living on 7k/month and lets even give them the s/p 500 index 10 percent returns and lets pray 3 percent avg inflation so in 10 years they are at 1.4m or about 56k/year using the 4 percent withdrawal. You'd need closer to 13-15 years imo assuming the same returns and able to maintain the 7k per month spending.
 
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Not sure about this. Even assuming the doc is zero debt in year 1 making an average 250k salary or 180ish post tax with a non working spouse and invests 100k a year so living on 7k/month and lets even give them the s/p 500 index 10 percent returns and lets pray 3 percent avg inflation so in 10 years they are at 1.4m or about 56k/year using the 4 percent withdrawal. You'd need closer to 13-15 years imo assuming the same returns and able to maintain the 7k per month spending.
If you pay off your home in these 10 yrs, it might be possible.

Also, financially independent does necessarily mean "stop working." I would consider myself financially independent if my home was paid off with 1.5 mil invested in an S&P500 index.
 
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Not sure about this. Even assuming the doc is zero debt in year 1 making an average 250k salary or 180ish post tax with a non working spouse and invests 100k a year so living on 7k/month and lets even give them the s/p 500 index 10 percent returns and lets pray 3 percent avg inflation so in 10 years they are at 1.4m or about 56k/year using the 4 percent withdrawal. You'd need closer to 13-15 years imo assuming the same returns and able to maintain the 7k per month spending.
Just FYI, the median household income is $67k. $7k/month is actually quite above average spending.
 
If you pay off your home in these 10 yrs, it might be possible.

Also, financially independent does necessarily mean "stop working." I would consider myself financially independent if my home was paid off with 1.5 mil invested in an S&P500 index.

If you pay off your home early, your chances of reaching FI actually goes down, not up. That money used to pay off the low interest mortgage early came out of money that was making 10% in the market.
 
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If you pay off your home early, your chances of reaching FI actually goes down, not up. That money used to pay off the low interest mortgage early came out of money that was making 10% in the market.
Make sense number wise , but we tend to disregard human behavior in a lot of these things.

I am a risk averse individual who likes to have a degree of certainty when it comes to finance.
 
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Make sense number wise , but we tend to disregard human behavior in a lot of these things.

I am a risk averse individual who likes to have a degree of certainty when it comes to finance.
Plus it’s assuming one can’t do both at the same time. I made jumbo payments and am about 45k away from paying off my house. Have been putting in 10k a month in the stock market, and will have more to invest once the house is paid off
 
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Plus it’s assuming one can’t do both at the same time. I made jumbo payments and am about 45k away from paying off my house. Have been putting in 10k a month in the stock market, and will have more to invest once the house is paid off

That’s just splitting hairs. You could also make minimum payments on the house and take the excess you make in stocks and pay down the mortgage. In the end, the money goes one place or the other, and the more into the house, the less into the stock market which is typically the much higher return.
 
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