ER Doc Advisor - Financial Planning & Taxes for Emergency Physicians

EP 255: Decade by Decade: The Real Net Worth Trajectory of Emergency Physicians

When ER doctors talk about building wealth, the stories often sound like night-and-day—one physician hits millionaire status by 40, while another is still digging out of debt. What explains the difference?

It usually comes down to a handful of consistent choices around debt management, savings rates, and lifestyle creep. To see how those decisions play out, let’s walk decade by decade through the financial trajectory of a typical emergency physician.

Topics Discussed   

  • The most common financial pitfalls for residents and how to avoid them.
  • Key milestones ER docs should hit by age 30, 40, 50, and beyond.
  • How debt strategies like PSLF vs. refinancing impact your long-term net worth.
  • Why a 20–30% savings rate is the ultimate wealth-building lever.
  • The role of lifestyle creep in holding physicians back financially.
  • Strategies to transition from aggressive saving to financial independence.
  • How to protect and optimize wealth in your 50s and 60s.

Resources Mentioned:

Tags:

 

ER docs, physician finance, PSLF, student loans, financial planning, retirement planning, emergency medicine, physician wealth, lifestyle creep, savings strategy, coast FIRE, debt payoff, tax planning