Question about debt for Attendings

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TheBoneDoctah

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As med school gets closer and closer, thinking about the huge amount of debt I will have makes me want to vomit. DO schools are known to be rather pricey. Have any Attendings in here graduated from a DO school with a tuition greater than 40k/year? How tough has it been to repay the loans? Is it doable? Any insight helps.
 
Probably get more info if you post in the Physician/Resident Forums of SDN. Not sure how many of them wander the pre-med forums.
 
This debt issue is more of a problem for the new generation of doctors. The average debt in 2000 was like $90k compared to $180 today, so I think its rare to find an established practicing physician with medical school debt issues. Nevertheless, it depends on how much debt you'll have and what speciality you're in. I know someone who recently completed their residency in internal medicine. They have $400k in debt and their monthly payments are $5k. They make in the low 200s, so after taxes and their debt payments they're walking away with $90k or so. That's pretty much as bad as it can get and it's still doable. Is it worth it is another story. I personally would say no, it's not worth going to medical school if you're near $300k+ debt.
 
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This debt issue is more of a problem for the new generation of doctors. The average debt in 2000 was like $90k compared to $180 today, so I think its rare to find an established practicing physician with medical school debt issues. Nevertheless, it depends on how much debt you'll have and what speciality you're in. I know someone who recently completed their residency in internal medicine. They have $400k in debt and their monthly payments are $5k. They make in the low 200s, so after taxes and their debt payments they're walking away with $90k or so. That's pretty much as bad as it can get and it's still doable. Is it worth it is another story. I personally would say no, it's not worth going to medical school if you're near $300k+ debt.

Quite a few students are hitting $300k+ now.

I have no UG debt but with $70k/year COA and interest accumulating starting day 1 I'll be looking at $300k by the time I'm done.
 
Quite a few students are hitting $300k+ now.

I have no UG debt but with $70k/year COA and interest accumulating starting day 1 I'll be looking at $300k by the time I'm done.

Yea, that's kind of scary. I hope you love medicine. I think medicine is alright. I definitely don't have a passion for it. I don't have much debt, so I am relieved that I can quit anytime I want if medicine becomes unbearable.
 
Yea, that's kind of scary. I hope you love medicine. I think medicine is alright. I definitely don't have a passion for it. I don't have much debt, so I am relieved that I can quit anytime I want if medicine becomes unbearable.
how much do you think your opinion changed from being pre-med to med student to resident to attending?
 
how much do you think your opinion changed from being pre-med to med student to resident to attending?

I was excited to pursue medicine up until my 3rd year of medical school. My clinical rotations killed my interest in medicine. The idea of medicine is cool and reading about it is interesting. I just don't like the day to day work very much. I did not shadow much as a pre-med, so I didn't know what I was getting into. Most people I know really like medicine, so I'm probably just an outlier.

I just started my second year of residency, so maybe things will change when I'm an attending.
 
I was excited to pursue medicine up until my 3rd year of medical school. My clinical rotations killed my interest in medicine. The idea of medicine is cool and reading about it is interesting. I just don't like the day to day work very much. I did not shadow much as a pre-med, so I didn't know what I was getting into. Most people I know really like medicine, so I'm probably just an outlier.

I just started my second year of residency, so maybe things will change when I'm an attending.
What is your speciality ?
 
I was excited to pursue medicine up until my 3rd year of medical school. My clinical rotations killed my interest in medicine. The idea of medicine is cool and reading about it is interesting. I just don't like the day to day work very much. I did not shadow much as a pre-med, so I didn't know what I was getting into. Most people I know really like medicine, so I'm probably just an outlier.

I just started my second year of residency, so maybe things will change when I'm an attending.

What were you hoping a typical day would be like? How is reality different?
 
You really don't like anesthesia? I am working with a bunch of anesthesiologist right now in the OR and I think it is fascinating!

As far as debt is concerned, one of the physicians (DO) that I worked with said that they had about 300K when they were done...granted, that doctor likely makes 350-400k per year now, so I would say it was worth it financially

But the truth is, you should only pursue medicine if it is something you really want to do. I absolutely love working in the OR right now, and can definitely say that I look forward to spending the rest of my life working as a doctor
 
Almost anyone that would be a 5 years or more out of residency will have an interest rate of 2-3%.

The 6-8% is a relatively new trend. It remains to be seen how much struggle our generation will face.
 
Highest I have encountered so far is a EM resident who told me they had around 400k. Combination of Caribbean loans and culinary school loans.
 
Do you think it's the specialty you chose, or is there something in particular about medicine in general that eventually turned you off?

Anesthesia is cool, I guess. It's one of the lesser evils.

What were you hoping a typical day would be like? How is reality different?

I was hoping to practice medicine and help people. However, in reality, when I am on the medical floors I feel like I'm spending 10% of my time doing medicine and the rest of the time is doing social work type stuff, which I don't particularly enjoy. Also, I question how much we really help people, and I feel like we frequently do more harm than good.
 
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I was excited to pursue medicine up until my 3rd year of medical school. My clinical rotations killed my interest in medicine. The idea of medicine is cool and reading about it is interesting. I just don't like the day to day work very much. I did not shadow much as a pre-med, so I didn't know what I was getting into. Most people I know really like medicine, so I'm probably just an outlier.

I just started my second year of residency, so maybe things will change when I'm an attending.
yea I have a couple friends who I kept track of pretty well and they hated 3rd, 4th, and their 1st year of residency. They just seemed so jaded and burnt out. Then I remember talking to them on the phone when they were in 2nd and 3rd year of residency and they LOVED their jobs. Its was like a complete 180. Hopefully that will be the case.

Did you ever see yourself in research or something else like that? That's my thing is I have done a few years of research now and the thought of doing that for a living (not just bench work but like the top end bureaucratic stuff) would make me absolutely miserable. I wouldn't mind having a hand on some research on the side. But to me going into medicine is like a way out of all that crap. Think I'll find it in medicine heh?
 
Almost anyone that would be a 5 years or more out of residency will have an interest rate of 2-3%.

The 6-8% is a relatively new trend. It remains to be seen how much struggle our generation will face.

This is so true. This is my loan statement. My payment is $873/month and I send $900. I was fortunate to be able to consolidate my loans to a lower rate right when I graduated school. Plus, I did not have to start paying back until I graduated residency. I have no more undergrad debt.
TypePrincipalInterest Rate
Subsidized$23,800.87 2.875%
Subsidized$8,013.83 4.75%
Unsubsidized$112,479.37 2.875%
Unsubsidized$36,391.75 4.75%

The private loans: payment is $64, I send $100.
Private$3,411.87 2.88%
Private$4,783.73 3.01%

I cannot imagine having a loan payment of $5000/month, that's just really ugly.
 
This is so true. This is my loan statement. My payment is $873/month and I send $900. I was fortunate to be able to consolidate my loans to a lower rate right when I graduated school. Plus, I did not have to start paying back until I graduated residency. I have no more undergrad debt.
TypePrincipalInterest Rate
Subsidized$23,800.87 2.875%
Subsidized$8,013.83 4.75%
Unsubsidized$112,479.37 2.875%
Unsubsidized$36,391.75 4.75%

The private loans: payment is $64, I send $100.
Private$3,411.87 2.88%
Private$4,783.73 3.01%

I cannot imagine having a loan payment of $5000/month, that's just really ugly.

What the ____

Who do I have to (insert favorite verb) to get a interest loan that low!?


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Such was life pre ~2008ish
Do you have faith that these things will change? I mean most things are cyclical in nature. Costs for medical school (especially DO school) have varied from being overly expensive (compared to inflation and GDP at the time) to very cheap. It seems that every 20-30 years it flips.
 
Quite a few students are hitting $300k+ now.

I have no UG debt but with $70k/year COA and interest accumulating starting day 1 I'll be looking at $300k by the time I'm done.
The COA is always an over estimate . I doubt you need the full $70k every year.
 
The COA is always an over estimate . I doubt you need the full $70k every year.

still, calculate out 4 years of 7%+ interest and 4 years of tuition hikes...
 
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The COA is always an over estimate . I doubt you need the full $70k every year.
When you've got a wife and kids, you definitely take out the max... but we live on a tight budget that we intend to carry over to residency and my first 5+ years of practice to pay off loans asap. Worst case scenario I go into primary care making 180K a year (do nhsc) and pay off all student loans within about 7 years or less. Best case I decide on a specialty that makes 300K+ and pay off my loans 4-5 years or less.
 
When you've got a wife and kids, you definitely take out the max... but we live on a tight budget that we intend to carry over to residency and my first 5+ years of practice to pay off loans asap. Worst case scenario I go into primary care making 180K a year (do nhsc) and pay off all student loans within about 7 years or less. Best case I decide on a specialty that makes 300K+ and pay off my loans 4-5 years or less.
Good luck with that.
 
If somebody is paying 5k in loans a month they must have mostly private loans. IBR, PAYE, and win.
 
When you've got a wife and kids, you definitely take out the max... but we live on a tight budget that we intend to carry over to residency and my first 5+ years of practice to pay off loans asap. Worst case scenario I go into primary care making 180K a year (do nhsc) and pay off all student loans within about 7 years or less. Best case I decide on a specialty that makes 300K+ and pay off my loans 4-5 years or less.
If you take a perm job at 180K/yr, after taxes your paycheck a month will be $9500 (this is a true value and this is why I quit all my perm jobs). It sounds like a lot now but if you are paying 5K/month in loans with that, not much left over to live.
 
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My wife saw a lot of her fellow medical students stress spend. She's a PGY-3 now, and we see a lot of her fellow coworkers and friends still stress spend and not live within their means. Some are over 350-400k in debt, but still choose to buy new cars and motorcycles, etc. Add a kid or two to the equation and it's an even bigger mess.

Did you see a lot of this @cabinbuilder or @DrBowtie?
 
My wife saw a lot of her fellow medical students stress spend. She's a PGY-3 now, and we see a lot of her fellow coworkers and friends still stress spend and not live within their means. Some are over 350-400k in debt, but still choose to buy new cars and motorcycles, etc. Add a kid or two to the equation and it's an even bigger mess.

Did you see a lot of this @cabinbuilder or @DrBowtie?
Of course, I have my own mess. Had divorce, 2 kids, credits cars, car loans, etc BEFORE I went to medical school so once I got out of residency that debt compounded, etc. so I have been digging out for the last 5 years but still wanted to have fun with my kids and do stuff once I started making money. I'm actually on the plus side now and life is good. It comes down to priorities and what is most important. My student loans are least of my worries because my payments are so low.
 
My plan:

My wife will be working as an RN while I am in med school. We are going to live off her salary so we don't have to take out living loans.

Once I start making some money in residency, we are planing on putting 100% of my salary towards my loans while in residency so that by the time I am done with residency, the loans should be pretty much paid off.
 
My wife saw a lot of her fellow medical students stress spend. She's a PGY-3 now, and we see a lot of her fellow coworkers and friends still stress spend and not live within their means. Some are over 350-400k in debt, but still choose to buy new cars and motorcycles, etc. Add a kid or two to the equation and it's an even bigger mess.

Did you see a lot of this @cabinbuilder or @DrBowtie?
Certainly in med school there were people who took lavish trips and bought nice things, but I never asked anyone directly where it came from and rightly assumed for most people it came from the family bankroll.

Now in residency, people don't really discuss nitty gritty financial stuff other than most people generically referring to "I have a lot of loans". It's all subjective based upon debt tolerance. Again, people take nice trips, live in luxury apts but since we get salaries, it's harder to follow the money so to speak.
 
My plan:

My wife will be working as an RN while I am in med school. We are going to live off her salary so we don't have to take out living loans.

Once I start making some money in residency, we are planing on putting 100% of my salary towards my loans while in residency so that by the time I am done with residency, the loans should be pretty much paid off.
dangggg what you got there is a sugar momma. Sweet deal my friend.
 
My COA will be 252k, so how much will my overall debt be after 4-year residency? Will it be over 300k if I make no payments during residency?
 
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Hahahahhah I mean, I just really hope it works out. I think it sounds reasonable. Right now I'm her sugar daddy making a whopping $17 an hour while she is in nursing school lol
Yea my wife and I have the same arrangement. She is working on her masters while I work. Then when she is done we will swap. The problem is that her degree is not quite as useful as being an RN. Heck there are entire states out there that dont even have licensing agreements for my wife's degree... so depending on where I end up at, we could be SOL.
 
This is so true. This is my loan statement. My payment is $873/month and I send $900. I was fortunate to be able to consolidate my loans to a lower rate right when I graduated school. Plus, I did not have to start paying back until I graduated residency. I have no more undergrad debt.
TypePrincipalInterest Rate
Subsidized$23,800.87 2.875%
Subsidized$8,013.83 4.75%
Unsubsidized$112,479.37 2.875%
Unsubsidized$36,391.75 4.75%

The private loans: payment is $64, I send $100.
Private$3,411.87 2.88%
Private$4,783.73 3.01%

I cannot imagine having a loan payment of $5000/month, that's just really ugly.
Are you using a 30-year repayment plan? $900/month seems low....
 
Yea my wife and I have the same arrangement. She is working on her masters while I work. Then when she is done we will swap. The problem is that her degree is not quite as useful as being an RN. Heck there are entire states out there that dont even have licensing agreements for my wife's degree... so depending on where I end up at, we could be SOL.
Haha well hopefully she will find a good job. Also, I am thinking if I get into a expensive school that after the first year since she isn't going to school and is only working we will become residents.
 
Haha well hopefully she will find a good job. Also, I am thinking if I get into a expensive school that after the first year since she isn't going to school and is only working we will become residents.
Yea that should work out if you end up at a public school. That seems to be the one loophole that helps people get in-state tuition. I know it is true at Rowan. They changed it so that you cant get in-state after going to the school for a year. However, if you have a SO who is working in the state then you can get in-state tuition.
 
Yeah, actually she an LVN right now but is going to be doing a "LVN to RN" step up program once we move. However, we were thinking that she should wait a year after we move that way she can work for a year and gain resident status for both of us. Not only would it save her money on her program but it could save us HUGE amounts of cash on my schooling.
 
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If you are single and live in a state with no income tax on wages (Texas, Florida, Tennessee, New Hampshire, Washington state, Nevada, South Dakota, Alaska, Wyoming), $200k salary should allow for just over $12k/month take home after taxes (federal income and payroll) and basic deductions (personal exemption and standard deduction).
 
Yea my wife and I have the same arrangement. She is working on her masters while I work. Then when she is done we will swap. The problem is that her degree is not quite as useful as being an RN. Heck there are entire states out there that dont even have licensing agreements for my wife's degree... so depending on where I end up at, we could be SOL.
Wow, I am in the same situation. Working as my wife goes through grad school right now to become an occupational therapist. It will be nice not having to pull out as many loans with a working spouse during medical school.
 
Wow, I am in the same situation. Working as my wife goes through grad school right now to become an occupational therapist. It will be nice not having to pull out as many loans with a working spouse during medical school.
haha no way, my wife is in a grad program to be an art therapist
 
If you take a perm job at 180K/yr, after taxes your paycheck a month will be $9500 (this is a true value and this is why I quit all my perm jobs). It sounds like a lot now but if you are paying 5K/month in loans with that, not much left over to live.
I totally realize that. I'd likely boost the income with some moonlighting out seek out am NHSC location. While it may seem unrealistic, I do have a reputation among my friends and family for being 'extremely cheap' simply because I am frugal. I set a tight budget with my wife and we stick to it. I will live off 3K a month and put the rest toward loans if I have to. That's almost a thousand more pretty month than we live off now with a family of 4. I'm not disagreeing with you. It will be hard. But it's highest priority for my wife and I to get out of debt.
 
I've heard a couple of different things:

1)OMD from fire department (ER doc) said that he worked a 1-2 locums per month at another ED and paid his debt off around 10 years; attended a Caribbean school then transferred to a US school in his 3rd year. He explained the different practice models for EM and discussed the pros and cons of each.
2)DO #1 I shadowed: he simply told me to have a plan, doesn't matter what it is but understand the debt is massive. Another ER doc
3)DO #2 I shadowed: he too worked locums and paid his grad school and med school debt down quickly. He recommended this. ER doc again.
4)MD #2-another ER doc (notice a pattern here?) is a friend, graduated school quite some time ago. Paid down debt by pinching pennies and was debt free +/- 10 years. He said he couldn't buy a car when he graduated...was only approved for a VW lease. Three years later he was able to buy the car outright. Guy is wicked good with finances though.
5)MD#3-older sister, 4th year surgical resident. She has something like 400$ leftover each month after loans/rent etc. She did an SMP and had somewhere around 300K in debt at the end. She has said the debt is horribly depressing but she couldn't imagine doing anything else. She thinks it will be worth it when she's done. I think she would take on an extra 50K in debt in exchange for sleep/personal life.

The best thing going for me/my family is that we stand to make a rather significant profit when we sell our house. This could cut anywhere from 1/3 to 1/2 of my anticipated med school debt. I try to cut costs where I can...things like auto maintenance (you can do anything with a Haynes manual and Youtube) and Craigslist go a long way.
 
I totally realize that. I'd likely boost the income with some moonlighting out seek out am NHSC location. While it may seem unrealistic, I do have a reputation among my friends and family for being 'extremely cheap' simply because I am frugal. I set a tight budget with my wife and we stick to it. I will live off 3K a month and put the rest toward loans if I have to. That's almost a thousand more pretty month than we live off now with a family of 4. I'm not disagreeing with you. It will be hard. But it's highest priority for my wife and I to get out of debt.

Lol, it's nuts how people can't imagine living below their means. For some reason many people believe they have to SPEND what they make. Anyone who doesn't follow that trend becomes a cheapskate.

Kudos to you for sticking to what you want. My goals are similar. I hate debt and refuse to let them snowball over time.
 
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