In this masterclass-style episode of Life Well Lived: A Physician’s Guide to Wealth, host James Nutter (fiduciary financial advisor and partner at IM Wealth) is joined by Andrew Paulson, co-founder of StudentLoanAdvice.com and a nationally recognized student loan consultant affiliated with White Coat Investor.
Together with James and co-host Jeff McPherson, CFP®, Andrew breaks down the latest physician-specific student loan updates, including:
- How the SAVE plan changed again in 2025—and what it means for your monthly payments
- The real implications of the One Big Beautiful Bill Act (OBBBA)
- PSLF updates: more accessible, or more fragile?
- How to decide if refinancing is right for you—or a costly mistake
- The roadmap to cleaning up your repayment strategy, no matter where you’re starting
With 130+ physicians registered for the live masterclass, this conversation reflects the most pressing questions in the physician community—like what to do if you’re stuck in limbo, how buyback might work, and what strategies actually provide clarity in a confusing system.
Whether you’re in training, mid-contract, or years into repayment, this episode gives you the playbook to avoid six-figure mistakes and move toward true financial freedom.
What You’ll Learn in This Episode
- Why most doctors feel “behind” on student loans—and how to change that mindset
- The latest rules on PSLF, SAVE, and OBBBA (One Big Beautiful Bill Act)
- Common mistakes that delay or derail forgiveness (and how to avoid them)
- The decision tree for refinancing vs. forgiveness
- Practical tax and repayment strategies for physicians at different stages
About the Guest
Andrew Paulson, CSLP® is the co-founder of StudentLoanAdvice.com and principal consultant affiliated with White Coat Investor. He has advised on over $1 billion in student loan debt for more than 2,900 doctors, dentists, and high-income professionals. His passion for student loan planning began with his wife’s nursing school debt, and today he helps physicians nationwide make smarter, clearer financial decisions.
When he’s not coaching doctors through repayment strategies, Andrew can be found golfing, skiing, mountain biking, or spending time with his wife and three kids under five. He’s also a self-proclaimed “wannabe triathlete.”
Next Steps
- 📅 Schedule a 1:1 with Andrew at StudentLoanAdvice.com
- 🩺 Join IM Wealth’s waiting list for a free financial wellness diagnostic
Additional Resources
- Download the PSLF Hacks Checklist
- Book a free financial wellness session with James
- Get access to exclusive physician financial tools at www.imwealth.com
- 1% of IM Wealth’s revenue is dedicated to providing scholarship funds to medical students. Learn more about the Meaningful Journeys Scholarship and how you can join the fight here.
- Learn more about the impact IM Wealth is making in the lives of physicians here.
- Gain FREE immediate access to all of IM Wealth’s exclusive physician financial wellness resources here.
About the Show:
This isn’t just another finance podcast—it’s a movement. We’re challenging the status quo, cutting through the noise, and giving physicians real strategies to take control of their money and their future.
Because true wealth isn’t just about numbers—it’s about freedom.
Find and follow the show on YouTube.
About James Nutter:
James Nutter is on a mission to help physicians reclaim their financial power. With a deep understanding of the unique challenges doctors face, he provides real-world strategies that cut through the noise and lead to lasting financial freedom.
Follow James on Instagram.
About Jeff McPherson:
Jeff McPherson, CFP® is the founder of IM Wealth and a seasoned financial planner who has dedicated his career to helping physicians gain clarity and control over their money. With years of experience guiding high-income professionals, Jeff is known for simplifying complex financial decisions and teaching practical strategies that empower doctors to achieve long-term freedom. As a mentor and educator, he has helped shape IM Wealth’s physician-first approach, blending technical expertise with a deep understanding of the unique pressures physicians face.
Disclaimer
The opinions expressed in this podcast are for informational and educational purposes only and do not constitute financial, legal, or tax advice. Any financial decisions should be made in the context of your unique circumstances and in partnership with a trusted financial advisor who understands your personal plan.
