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BackTable / ENT / Podcast / Episode #91

Financial Well-Being for Physicians

with Marshall Gifford

In this episode of BackTable ENT, Dr. Julie Wei speaks with Marshall Gifford, an expert in financial physician well-being, about benefits of financial planning and financial tips for residents transitioning into independent practice.

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Financial Well-Being for Physicians with Marshall Gifford on the BackTable ENT Podcast)
Ep 91 Financial Well-Being for Physicians with Marshall Gifford
00:00 / 01:04

BackTable, LLC (Producer). (2023, February 22). Ep. 91 – Financial Well-Being for Physicians [Audio podcast]. Retrieved from

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Podcast Contributors

Marshall Gifford discusses Financial Well-Being for Physicians on the BackTable 91 Podcast

Marshall Gifford

Marshall Gifford is a financial advisor and an expert in financial physician well-being.

Dr. Julie Wei discusses Financial Well-Being for Physicians on the BackTable 91 Podcast

Dr. Julie Wei

Dr. Julie Wei is a pediatric ENT surgeon, professor, clinical researcher, author, and speaker.

Show Notes

First, Gifford explains that the transition from residency to independent practice is a window of opportunity for earning compound interest, even for physicians with debt. He explains that investment will help physicians earn money from having money, so they can stop trading more hours for dollars. In his opinion, the benefit of financial advisors is to help people take action and engage in more complex financial discussions. He notes that blogs, like The White Coat Investor, can be helpful supplements to financial advising.

Dr. Wei also inquires about the intersection of physician burnout and poor financial wellness. Gifford confirms that from his personal experience as an advisor, physicians who are financially stressed often feel stressed at work as well. He motivates graduating residents to save 20% of their paycheck, because the average debt for residents is $200-400k. Next, Gifford moves onto discussing common financial mistakes that physicians make; some physicians do not understand the economics of their decision, leading them to take out more loans than their salaries can sustain. Dr. Wei agrees that delayed gratification can be a challenging principle to practice, especially as trainees see their peers in non-medical careers prioritizing expenses other than paying off their debts. Gifford also shares financial pearls, such as setting up a system of automated saving from paychecks and consulting a financial advisor before big purchases, in order to prioritize expenses. He also recommends that physicians maximize their 401k, even if they have debt, and to enroll in life and disability coverage. He recognizes that finding the right financial advisor can be difficult, as many certifications for financial advising exist. However, he believes that experience of the individual matters more than certifications. He encourages physicians to have a general conversation about physician-related financial concerns, such as asset protection in lawsuits, with a potential financial advisor in order to assess knowledge and skill set. Additionally, Gifford touches on divorce and advises both parties to keep legal costs to a minimum and to consider prenuptial agreements.

Finally, he lists four actions that residents can take now to establish financial wellness: understanding their debt, setting up an emergency fund, protecting their income, and maximizing their Roth IRA accounts.


White Coat Investors Website

BackTable ENT Episode 53: Financial Basics from the White Coat Investors

Real Life Financial Planning for the New Physician by Todd D. Bramson and Marshall W. Gifford

Disclaimer: The Materials available on are for informational and educational purposes only and are not a substitute for the professional judgment of a healthcare professional in diagnosing and treating patients. The opinions expressed by participants of the BackTable Podcast belong solely to the participants, and do not necessarily reflect the views of BackTable.

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