For Early-Career Attendings

Your income just changed everything

The jump from training to attending income happens fast. The decisions that follow shape the decades after, and we help you get them right.

New attending physicians at a white-coat event

The attending transition

Everyone wants your business now

A new attending makes several major financial decisions in the first year, often while being pitched by everyone who noticed the income change. Each one compounds for decades, and the right answer differs for every physician.

$222K+
Where attending income typically starts
$50–200K
What the refinance-vs-PSLF call can swing
Year one
When most major decisions get made

Attending pay: BLS OEWS (2024); PSLF swing per alooola modeling; first-year framing illustrative.

What we help with

The first five years, handled

The decisions that define the next three decades, modeled against your actual numbers, not the marketing of whoever called you last.

Refinance vs. PSLF

The highest-stakes call of your early career, modeled both ways with your actual numbers. A wrong answer can swing $50–200K.

Backdoor Roth IRA

Now above the income limit, we set up the conversion correctly and make sure you contribute every eligible year.

Practice buy-in structuring

The terms of a partnership buy-in are negotiable; we model the economics before you sign.

Lifestyle-inflation guardrails

A spending framework that lets you enjoy the income you earned without slowing the wealth you're building.

Your first real portfolio

Tax-advantaged layering and allocation calibrated to a physician's compressed earning window, not an age-based rule.

Retirement at a new bracket

Your first high-earning years are the most valuable to save; we calibrate pre-tax and Roth and show whether you're on track.

A figure ascending a warm, sunlit staircase

Getting started

Make the first decisions count

The first five attending years carry more weight than any that follow, and the offers coming at you rarely put your interests first. We model each decision against your actual numbers, then coordinate them into one plan.