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Published on:

14th Aug 2025

You’re Making Money—Now What? Smart Money Moves for Residents & Doctors - E28

Michael and Brady break down the essential financial roadmap every new resident, fellow, or newly attending physician needs. From managing lifestyle creep and student loan strategy to protecting your most valuable asset, your ability to earn, this episode is the guide you wish you had straight out of med school. Whether you're transitioning from medical school to residency or residency to attending, this conversation offers a clear, actionable framework to help you build wealth with confidence, clarity, and control. If you're a medical professional ready to take charge of your financial future, this one’s for you.

Key Timestamps:

(00:00) - Transitioning from medical school to residency

(03:05) - Jumping from residency to attending salary

(04:54) - Three common financial profiles of new physicians

(07:00) - Salary ranges by specialty and geography

(08:55) - Lifestyle creep and financial risks

(12:20) - Starting with a cash flow analysis

(13:45) - Leveraging your early income for wealth building

(15:27) - Dangers of overindulgence after residency

(17:10) - Hidden risks despite high attending salaries

(18:20) - De-risking your balance sheet

(20:35) - Unique risk factors for medical professionals

(25:55) - Understanding tiers of liquidity

(30:12) - Physician burnout and optionality

(31:50) - Planning to live debt-free

(35:22) - Income-driven repayment and PSLF strategy

(39:05) - Strategic payoff vs. emotional payoff

(41:20) - Prioritizing toxic debt in financial triage

(45:33) - New student loan legislation highlights


Key Topics Discussed:

Financial Fortitude, Genesis Wealth Planning, Brady Hemmerle, Michael Acosta, Financial Wellness, Wealth Building, Financial Psychology, Financial Advisor, Finance Coach, Student Loan Debt, Finance Guidance for High Earners, Business Owner Finances, Hiring a Financial Advisor, Student Loan Forgiveness, Tax Strategies, Retirement Planning, Investing Strategies, Financial Guidance for High Earners, Smart Money Moves for High-Income Professionals, Tax, Wealth & Investment Strategies for Top Earners, Financial Planning for Doctors, Lawyers & Execs, Wealth Management Tips for High-Income Earners, Expert Advice on Taxes, Investing & Growing Wealth, High Earner Money Talk, Financial Wisdom for 6-Figure+ Entrepreneurs, Smart Strategies for Managing High Income

Money, Taxes & Freedom for High-Earning Professionals, The Dave Ramsey Show, BiggerPockets Podcast, The Motley Fool Money Show, We Study Billionaires, ChooseFI, Afford Anything, Financial planning for physicians, Student loan strategies for doctors, Transitioning from residency to attending, Physician wealth building tips, Medical professional financial advice


Mentions:

Website: https://www.genesiswealthplanning.com/

Michael’s LinkedIn: https://www.linkedin.com/in/michaelracosta/

Brady’s LinkedIn: https://www.linkedin.com/in/brady-hemmerle-cfp%C2%AE-75043013a/

Financial Health Checkup: https://www.livingbalancesheet.com/lbsVision/lite/michaelracosta


This podcast is for informational purposes only and is not to be construed as tax, legal, or investment advice. Although the information has been gathered from sources believed to be reliable, please note that individual situations can vary. Therefore, the information should be relied upon only when coordinated with individual professional advice.  Guest speakers and their firms are not affiliated with or endorsed by PAS, Guardian, or Genesis Wealth Planning and opinions stated are their own.  Guardian, its subsidiaries, agents, and employees do not provide tax, legal, or accounting advice. Consult your tax, legal, or accounting professional regarding your individual situation. All investments and investment strategies contain risk and may lose value. 

 

Michael Acosta is a Registered Representative and Financial Advisor of Park Avenue Securities LLC (PAS). OSJ: 6115 PARK SOUTH DRIVE, SUITE 200, CHARLOTTE NC, 28210, 704-5528507. Securities products and advisory services offered through PAS, member FINRA, SIPC. Financial Representative of The Guardian Life Insurance Company of America® (Guardian), New York, NY. PAS is a wholly owned subsidiary of Guardian. Genesis Wealth Planning is not an affiliate or subsidiary of PAS or Guardian. CA Insurance License # 0M50974. 7237198.15. Expiration 8-27.

Show artwork for Financial Fortitude: Tax, Wealth & Investment Strategies for High Income Earners

About the Podcast

Financial Fortitude: Tax, Wealth & Investment Strategies for High Income Earners
Purpose Driven Financial Guidance for High Earners
Financial Fortitude is a podcast for high-income earning professionals facing complex financial issues/challenges such as:
- How to pay off MASSIVE student loan debt as quickly as possible?
- Where should I be saving today so I can retire early?
- When can I retire and how much do I “need” to have saved?
- I’m ready to sell my business, what should I be doing?

Hosted by experienced financial advisors and CFP®s, Michael Acosta and Brady Hemmerle. This show goes beyond stale and generic strategies to provide in-depth advice about high-income earning professionals’ unique situations. Each episode delves into critical financial topics, helping you enhance your knowledge, strengthen your financial fortitude, and guide you toward becoming an Extraordinary Wealth Builder (#EWB).

Financial Guidance for High Earners
Smart Money Moves for High-Income Professionals
Tax, Wealth & Investment Strategies for Top Earners
Financial Planning for Doctors, Lawyers & Execs
Wealth Management Tips for High-Income Earners
Expert Advice on Taxes, Investing & Growing Wealth
High Earner Money Talk
Financial Wisdom for 6-Figure+ Entrepreneurs
Smart Strategies for Managing High Income
Money, Taxes & Freedom for High-Earning Professionals