In this episode, I walk through a practical 6-step path for physicians who are starting their careers with significant student debt and want to build toward a 7-figure net worth. This stage can feel slow, frustrating, and uncertain, but with the right structure, discipline, and priorities, the transition from negative net worth to financial momentum is absolutely achievable. You’ll learn:

• How to choose a repayment approach that actually fits your life
• Why protecting yourself with cash reserves and insurance comes first
• How lifestyle guardrails help prevent overspending as income rises
• Why investing early matters, even while paying off debt

In this episode, I talk through the reality of choosing a post-training career path and why the decision between academics and private practice is rarely as simple as it sounds. There are meaningful pros and cons on both sides, and the real story lives in the details of contracts, culture, expectations, and incentives.

You’ll hear about:

• Why academics and private practice each cover a wide range of real-world experiences
• How financial structure, partnership terms, and equity risk show up in private practice
• What to watch for around research time, call responsibilities, and compensation in academics

The goal is not to tell you which path is better. The goal is to help you understand what you are walking into so you can choose the environment that aligns with your values, your priorities, and the kind of work life you want to build.

I walk through the popular “save 20% of your income for retirement” guideline and why that number is only a starting point. The real conversation is about your life, your priorities, and the tradeoffs you want to make. In this episode:

• Why 20 percent is a rule of thumb, not a rule
• The role of employer retirement contributions
• How lifestyle choices shape your savings rate
• Early retirement goals
• Why cost of living & inflation matter more than a single number
• Situations where saving less than 20% still works