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Financial Planning for Residency: Managing Debt and Preparing for the Future

Medical School
April 11, 2025

Residency is a critical time for building your medical career, but it’s also a period of financial transition. Balancing a modest income with existing student loans, living expenses, and future goals can be challenging. Developing a financial plan during residency is essential for managing debt, minimizing stress, and setting yourself up for long-term success.

Balancing the financial demands of residency can be challenging, but a good plan makes all the difference. AcceptMed provides tools and strategies to manage student debt, budget effectively, and set the foundation for a secure financial future. Let us support you in making smart financial decisions during residency.

1. Understand Your Financial Situation

  • Assess Your Debt:
    Review the total amount of student loans, interest rates, and repayment terms.
  • Evaluate Your Income:
    Residency salaries are often modest, averaging between $60,000 and $70,000 annually.
  • Track Expenses:
    Create a budget to monitor rent, utilities, transportation, food, and other living costs.

2. Managing Student Loans During Residency

  • Federal Loan Repayment Options:
    • Income-Driven Repayment (IDR): Adjusts monthly payments based on your income.
    • Public Service Loan Forgiveness (PSLF): Work in a qualifying non-profit or government organization to have loans forgiven after 120 payments.
  • Consider Refinancing:
    Refinancing with a private lender may lower interest rates, but it forfeits access to federal benefits like PSLF.
  • Deferment or Forbearance:
    Postpone payments temporarily, but be aware that interest may continue to accrue.

3. Create a Budget and Stick to It

  • Essential Expenses:
    Prioritize rent, food, transportation, and loan payments.
  • Emergency Fund:
    Save at least 3–6 months’ worth of expenses to cover unexpected costs.
  • Avoid Lifestyle Inflation:
    Resist the temptation to overspend on non-essential items.

4. Planning for the Future

  • Start Saving for Retirement:
    Contribute to employer-sponsored plans like a 403(b) or open an IRA. Even small contributions during residency can grow significantly over time.
  • Explore Disability Insurance:
    Protect your future income with an own-occupation disability policy.
  • Plan for Board Exams and Licensing Fees:
    Budget for these costs, which can be significant during and after residency.

5. Seek Professional Advice

  • Financial Advisors:
    Consider consulting an advisor experienced in working with physicians to create a personalized financial plan.
  • Free Resources:
    Take advantage of financial literacy programs offered by residency programs or professional organizations.

Financial planning during residency is essential for managing debt and preparing for a secure future. By understanding your financial situation, creating a budget, and exploring loan repayment options, you can reduce stress and lay the groundwork for long-term success.

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