- Joined
- Sep 3, 2012
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I'm in the latter half of my training, which means that I'm probably going to start a job search within the next year. Dire job market warnings aside, I am more thoroughly considering my post-training career options and and the somewhat daunting task of paying back my medical school loans (which pretty far on the wrong side of the bell curve).
Previous threads (here and here) have discussed income based repayment (IBR) and public service loan forgiveness (PSLF), and how it doesn't make sense for most rad onc attending salaries. Two slightly newer options are Pay As You Earn (PAYE) and Revised PAYE (RePAYE). The rules attached to each program are slightly different and a good analysis can be found here.
The short version of PSLF with (Re)PAYE: if someone works full time a qualifying state/federal/tribal organization or non-profit organization (501c3), loan debts can be forgiven after 120 monthly payments. Residency counts for ~60 of these payments. Payments are capped at the 10 year standard repayment rate for PAYE (i.e. monthly payments won't keep rising even if salary does).
So, in other words, 60 additional monthly payments after residency and one can be free of med school debt. This leads to my 3 questions:
1) What does the job market look like (basically anywhere in the U.S.) for 501c3 jobs? Lots of attendings work at 501c3 hospitals, but my understanding is that they are paid by a contracted physician group, which aren't typically 501c3. Does that mean most qualifying jobs are academic?
2) Does anyone have experience to share regarding practicing radiation oncology at the VA or similar government positions? Any pros/cons I wouldn't otherwise be aware of having worked with others in different specialties who work within the VA system? I love working with vets, but I'm sure there are a number of "unique" challenges I'm not considering.
3) Finally, and potentially most financially important: is all of this moot given the opportunity cost of losing out on potential "partnership years" in private practice, assuming one is interested in such a thing?
Many thanks for any/all advice and input. I'm confident I'll be able to pay these off in a relatively reasonable amount of time, but it'd be nice to maximize my savings throughout the process.
Previous threads (here and here) have discussed income based repayment (IBR) and public service loan forgiveness (PSLF), and how it doesn't make sense for most rad onc attending salaries. Two slightly newer options are Pay As You Earn (PAYE) and Revised PAYE (RePAYE). The rules attached to each program are slightly different and a good analysis can be found here.
The short version of PSLF with (Re)PAYE: if someone works full time a qualifying state/federal/tribal organization or non-profit organization (501c3), loan debts can be forgiven after 120 monthly payments. Residency counts for ~60 of these payments. Payments are capped at the 10 year standard repayment rate for PAYE (i.e. monthly payments won't keep rising even if salary does).
So, in other words, 60 additional monthly payments after residency and one can be free of med school debt. This leads to my 3 questions:
1) What does the job market look like (basically anywhere in the U.S.) for 501c3 jobs? Lots of attendings work at 501c3 hospitals, but my understanding is that they are paid by a contracted physician group, which aren't typically 501c3. Does that mean most qualifying jobs are academic?
2) Does anyone have experience to share regarding practicing radiation oncology at the VA or similar government positions? Any pros/cons I wouldn't otherwise be aware of having worked with others in different specialties who work within the VA system? I love working with vets, but I'm sure there are a number of "unique" challenges I'm not considering.
3) Finally, and potentially most financially important: is all of this moot given the opportunity cost of losing out on potential "partnership years" in private practice, assuming one is interested in such a thing?
Many thanks for any/all advice and input. I'm confident I'll be able to pay these off in a relatively reasonable amount of time, but it'd be nice to maximize my savings throughout the process.