Finance for Physicians

Finance for Physicians

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Finance for Physicians episodes

  • The #1 Reason Physicians Make Bad Financial Decisions

    Physicians are super smart, work hard, and have tons of earning potential. Even more importantly, they are in a trusted profession that provides value and makes a difference. 

    In this episode of the Finance For Physicians Podcast, Daniel Wrenne talks about the main reason why physicians make bad financial decisions and how to avoid them to stay on track.   

    Topics Discussed:
    • Financial Solutions: Best or worst place to start? It depends
    • Home Buying Decision: Avoid being house poor and pressured to pay bills
    • Financially Fine: Learn to live the ideal life that you hoped to live
    • What went wrong? Buying a nice home is not a mistake, it’s the buying process
    • Ideal Future: Children? Life/work balance? Financial freedom? Charitable giving?
    • Financial Resources: What’s available? Income/earning potential vs. priorities
    • Financial Decision: What’s your budget? Incorporate true all-in costs
    • Efficiency Hacks: Ways to improve outcomes of financial decisions
    • Financial Planning Process: Avoid temptation/shiny objects, stay out of trouble
    • Links:

      Free DIY Financial Planning Guide

      Schedule a free call with Wrenne Financial Planning

      Contact Finance for Physicians

      Finance for Physicians

      24 min
    • Potential Major Tax Changes & the PSLF Waiver

      The wild economy is causing some unique changes to taxes and student loans. How can you take advantage of and benefit from loan forgiveness and proposed changes to the tax laws? 

      In this episode of the Finance For Physicians Podcast, Daniel Wrenne talks about existing and pending potential major tax changes, including the Public Service Loan Forgiveness (PSLF) Waiver.   

      Topics Discussed:
      • PSLF Waiver:
        • Who does it affect? Non-profit workers with federal student loans
        • If you qualify:
          • Make sure your loans are direct federal loans
          • Make sure prior employment is certified/verified
          • Proposed Tax Law Changes:
            • Increase to the tax brackets
            • Increase capital gains tax rates
            • Increase tax loss harvesting benefits or deferring gains on capital assets
            • Increase if business/practice is taxed as S Corp profit
            • Disallow backdoor Roth IRA conversions on after-tax dollars
            • Strategies to Consider:
              • Accelerate income into 2021 while tax brackets are lower
              • Increase incentive to maximize deductions in 2022
              • Accelerate capital gains in 2021 to minimize taxation in 2022
              • Complete backdoor and other Roth IRA conversions before end of 2021
              • Links:

                PSLF Limited Waiver Opportunity Huge Benefit For Physicians

                The First Step To Reduce Your Taxes with David Glenn

                Chairman Neal Announces Additional Days of Markup of the Build Back Better Act

                Analyzing Biden’s New “American Families Plan” Tax Proposal

                Contact Finance for Physicians

                Finance for Physicians

                26 min
              • Finding Light In Life's Darkest Times

                Suicide is a serious topic that most people don’t talk about, but we all know people who struggle with depression and have attempted or committed suicide. Take time to talk and tackle it head-on with scripture to save lives. 

                In this episode of the Finance For Physicians Podcast, Daniel Wrenne talks to Dr. Matthew Sleeth, a speaker, author, and creation care leader. Matthew is a former emergency room physician and chief of hospital medical staff who resigned from his position to teach, preach, and write about faith and health. Matthew’s newest book is, “Hope Always: How to Be a Force for Life in a Culture of Suicide.”   

                Topics Discussed:
                • Matthew’s Career Path: Progressed from high school flunky to medical school
                • Domino Effect: When bad or evil things happen to good people
                • The Bible: How Matthew’s career trajectory changed after meeting the Lord
                • Christian Conversations: Going to church is to give, not get something
                • Suicide: How to talk about and manage taboo topics fundamental to faith
                • Mind, Body, and Soul: Traditional suicide approach then versus now
                • Suicide Stats: All-time high now in the United States since the great depression
                • Modern Thinking: What is our purpose? Nothing matters anymore
                • Young People’s Disease: Why do you feel that way? Do you have a plan for that?
                • Suicide Prevention: Recoil from harmful thoughts and talk to someone to get help
                • Suicide Signs/Consequences: Use everything that works to stay alive, save lives
                • Links:

                  Matthew Sleeth, MD

                  Hope Always: How to Be a Force for Life in a Culture of Suicide

                  Solid Steps Radio

                  Canada’s Medical Assistance in Dying Law

                  Men Are From Mars, Women Are From Venus

                  Making Relationships Work

                  Contact Finance for Physicians

                  Finance for Physicians

                  41 min
                • PSLF Limited Waiver Opportunity Huge Benefit For Physicians

                  If you have a federal student loan, are you aware of recent changes and the Public Service Loan Forgiveness (PSLF) Limited Waiver Opportunity? For a limited period of time, borrowers may receive credit for past payments on loans not qualified for PSLF.

                  In this episode of the Finance For Physicians Podcast, Daniel Wrenne talks about PSLF and other student loan changes regarding prior payments and loans. The federal government is trying to follow through on the promises of PSLF.  

                  Topics Discussed:
                  • PSLF Refresher: Must have a qualified loan, payments, and employer
                  • PSLF Problems: Too much red tape, confusion, servicer errors, and declines
                  • #1 Qualifier: Loan type - you must have a direct loan to qualify for PSLF
                  • Deadline: Complete consolidation into Direct Loan Program by Oct. 31, 2022
                  • Limited Time Waiver - Federal government’s proposed solutions for borrowers:
                    • Prior payments may count with qualifying employment certification
                    • Perks for borrowers in the military/inactive duty
                    • Future automation for qualifying federal employees’ PSLF progress
                    • Reviews and audits of prior PSLF processing and denials
                    • Are corrections still incorrect? Request the second review
                    • Links:

                      Federal Student Aid - PSLF Limited Waiver Opportunity

                      Federal Student Aid - PSLF Help Tool

                      Federal Student Aid - PSLF Direct Consolidation

                      The Federal Family Education Loan Program (FFEL)

                      Federal Perkins Loans

                      Parent PLUS Loans

                      COVID Forbearance

                      Finance for Physicians: Why Federal Student Loans Are A Great Bet For Many Physicians With Travis Hornsby

                      Contact Finance for Physicians

                      Finance for Physicians

                      29 min
                    • How Physicians Can Avoid Becoming House Poor

                      Buying a home is a big decision. It’s one of the biggest purchases that you are ever going to make in your life, and it’s the #1 error or issue that causes financial challenges for people. Everyone is susceptible, including physicians. 

                      In this episode of the Finance For Physicians Podcast, Daniel Wrenne talks to his colleague, Jennifer DeLorbe Quire, a Certified Financial Planner CFP®, about home-buying decisions.    

                      Topics Discussed:
                      • Do’s and Don’ts: How to make sure you stay on the right side of the tracks
                      • Wrong Path: Approaching decision without big-picture plan in place
                      • Right Way: Prioritize, plan, and identify purpose of what’s most important
                      • Timeline: Don’t be pressured or rushed into buying a house; there’s other options
                      • Proceed with Caution: How one decision affects absolutely everything else
                      • Need vs. Want: Justifying emotions with logic - spending more than you should
                      • Cash Flow: Home costs add up, calculate budget, and build in a margin
                      • How much should you spend on a house? Plan for what needs to be saved, what’s most important, and what’s left over
                      • Links:

                        How Much Should Physicians Spend on Their Home?

                        The Complete Guide To Physician Mortgage Loans

                        All-In Home Costs Calculator

                        The Key Process Behind Using Money To Live Better Lives with Jennifer Quire

                        Hire or Fire Your Financial Advisor with Dr. Jim Dahle and Alan Moore

                        The White Coat Investor - Should I Sell My House to Pay Off My Student Loans?

                        Jennifer Quire on LinkedIn

                        Contact Finance for Physicians

                        Finance for Physicians

                        32 min
                      • What's It Like Being Married To A Doctor

                        What is it like being the spouse of a physician? You get to witness their journey from being an undergrad through residency and then being in-practice. Plus, it gives you a front-row seat to financial and non-financial issues that physicians experience. 

                        In this episode of the Finance For Physicians Podcast, Daniel Wrenne talks to Hugh Baker, a Certified Financial Planner or CFP® who is married to Kerry, a primary care physician in practice.    

                        Topics Discussed:

                        • Passion or Pay? Most physicians become doctors as a calling/dream profession
                        • Medical School and Marriage: No better time than quick break before residency
                        • Financial Challenges/Stressors: Just scraping by with help from parents’ payroll
                        • Transitioning into Training: Real job running a hospital as a family medicine resident
                        • Counterintuitive Costs: Spent money on cleaning service to spend time together
                        • Save Money, Buy Time: Not frugal, but spent money on anything time related
                        • Outcomes and Priorities: Is there something you could have done differently?
                        • Children: Challenging time that amplifies potential problems with relationships
                        • House Poor: Not an option because of interest in splurging on vacations
                        • Big Picture Money: Decision fatigue affects conversations and costs
                        • What’s Important: Listen, be supportive, and align with values to avoid mistakes
                        • Upbringing: What’s your relationship with money? How do you relate to money?
                        • Patient Population: Constant push for physicians to do more with less
                        • Flexible Fund: Cash in savings means ability to choose to not work somewhere
                        • Links:

                          Contact Finance for Physicians

                          Finance for Physicians

                          59 min
                        • The Dangerous Pursuit of Financial Independence

                          For some physicians, achieving financial independence is the end-all-be-all to living the good life. Pursuing it can be fantastic when well-balanced and a key factor to reducing burnout.

                          In this episode of the Finance For Physicians Podcast, Daniel Wrenne talks to Donovan Sanchez, a Certified Financial Planner (CFP) and founder of Skyview Financial Planning, about the pursuit of financial independence.   

                          Topics Discussed:
                          • What is financial independence? Financially set for life
                          • Pursuit of Financial Independence: Be reflective, thoughtful, and understanding
                          • Does financial independence buy happiness and solve life’s problems?
                          • Physician’s Perspective: Achieve financial independence sooner than later
                          • Field of Medicine: Doctor’s motivation is to help people, make money, escape
                          • I.R.E. Movement: Pressure to payoff student loans in extraordinary timeframe
                          • Time and Money: What’s more important? Do you trade dollars for time?
                          • On Living a Rich Life: What would make your life really rich?
                          • Busy Work: Sacrifices need to be made from time to time - no regrets
                          • Vision Document: What do you want your life to be like?
                          • On track or not? Ask someone you love and trust to provide honest feedback
                          • Links:

                            Donovan Sanchez’s Website

                            4 Ways Financial Independence Fights Burnout

                            On Living a Rich Life

                            How Conflicts of Interest Muddy the Financial Advice Waters

                            Financial Independence Retire Early (F.I.R.E.) Movement

                            Breaking Away From Traditional Primary Care to Start a Primary Concierge Service with Drs. Cady and Ryan Brown

                            Citizen Kane

                            Contact Finance for Physicians

                            Finance for Physicians

                            48 min
                          • Improving Medicine With Vulnerability

                            Physicians feel the pressure to be perfect, and sometimes hide or fail to address their own mental wellness. Medicine’s intense focus on the quality of patient care is generally a good thing, but in some cases has unintended negative consequences. It takes courage for a physician to be vulnerable.

                            In this episode of the Finance For Physicians Podcast, Daniel Wrenne talks to Dr. John Budin, an accomplished physician, speaker, and blogger. John discusses why he chose to practice medicine and what he describes as the mental health closet.   

                            Topics Discussed:
                            • John’s Case: Pressure to hide mental health flaws that make physicians human
                            • Mental Health Closet: Why John finally publicly shared bipolar disorder diagnosis
                            • Culture of Medicine: Vulnerability is opposite of professionalism and success
                            • Caregivers vs. Receivers: Difficult for doctors to acknowledge need, ask for help
                            • License at Risk: Career consequences, repercussions for revealing mental health
                            • Stigma Solution: Support and care for colleagues struggling with mental health
                            • Community: Increased mental health awareness with doctors, residents, students
                            • Physician’s Financial Path: Scary, uncertain aspects of being destabilized in life
                            • First Step: Get treatment publicly or behind closed doors to remain confidential
                            • Accept Humanness: Ways to become who you are, authentic, and vulnerable
                            • Links:

                              Physician Living with Bipolar Disorder

                              Poll: Workplace Stigma, Fear of Professional Consequences Prevent Emergency Physicians from Seeking Mental Health Care

                              International Society for Bipolar Disorders

                              American Psychological Association (APA)

                              Contact Finance for Physicians

                              Finance for Physicians

                              48 min
                            • Breaking Away From Traditional Primary Care to Start a Concierge Medical Practice

                              When you’re miserable or not satisfied with your traditional primary care position at a major hospital, it’s time for a big change to live your best life and values. Focus on your future goals and dreams.

                              In this episode of the Finance For Physicians Podcast, Daniel Wrenne talks to Drs. Cady and Ryan Brown, who started their own concierge medical practice, Downtown Drs. Brown, located in Lexington, Kentucky.    

                              Topics Discussed:
                              • Cady and Ryan’s concierge medical practice and career progression
                              • Primary Care Patient Load: From honeymoon period to fast track to burning out
                              • PTO Requirements: Physicians not valued as people, professionals in practice
                              • Reassurance and Education: Patients need to know if things are okay or not
                              • How and why Cady and Ryan created concierge medical practice from scratch
                              • Tradeoff: More security, less setup work for autonomy, independence, finances
                              • Competition: Not many concierge medical practices, but demand definitely exists
                              • Pressures/Stressors: Different now, feels better being in control of own destiny
                              • Links:

                                Downtown Drs. Brown

                                Meet the Drs. Brown

                                Concierge Medicine Today

                                Contact Finance for Physicians

                                Finance for Physicians

                                42 min
                              • When To Refinance Student Loans

                                If you are going for Public Service Loan Forgiveness (PSLF), it is not the optimal time to refinance your student loans. If you’re not sure, don’t refinance because you may qualify for PSLF. Never say never! 

                                In this episode of the Finance For Physicians Podcast, Daniel Wrenne talks to Jeff Wenger, a Certified Financial Planner (CFP®), about when is the optimal time to refinance your student loans.  

                                Topics Discussed:
                                • Refinance: Means getting new lender to pay off old loan to start new private loan
                                • Reasons not to refinance out of a federal student loan:
                                  • COVID forbearance
                                  • 20- or 25-year forgiveness programs
                                  • Revised Pay As You Earn (REPAYE) interest subsidy
                                  • Reasons to Refinance:
                                    • To get a better interest rate and make progress on loans
                                    • Pay the least amount out-of-pocket over time
                                    • Locked-in Loans: What if you lose your PSLF-qualified or income-driven job?
                                    • What if you start with private loans? With record-low interest rates, refinance now
                                    • Personal Preference: Move on with life, refinance, pay it off ASAP if PSLF is out
                                    • Links:

                                      A Guide to Public Service Loan Forgiveness (PSLF)

                                      9 Biggest Student Loan Misconceptions

                                      Should I Drop Out Of PSLF

                                      Avoid Leaving Money On The Table With PSLF

                                      Why Student Loans Are A Great Bet For Many Physicians 

                                      How To Capitalize On Record Low Student Loan Interest Rates

                                      Getting Your PSLF Ducks In A Row

                                      Credible

                                      SoFi

                                      CommonBond

                                      Jeff Wenger on LinkedIn

                                      Wrenne Financial Planning

                                      Contact Finance for Physicians

                                      Finance for Physicians

                                      27 min

                                    About Finance for Physicians

                                    From the publisher's feed

                                    The goal at Finance for Physicians is to help you use money as a tool to live a great life, on your own terms. Daniel Wrenne, podcast host and CEO of Wrenne Financial Planning, has spent the last…

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