No show policies

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Yeah I’d come off early too. Giving them your money for a year interest free is terrible. Get that money in the market sooner....

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How many episodes of his show have you watched?...

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This is a terrible take. By this logic, anything "could" be proven in the future.

Our jobs as physicians is to practice based...

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This completely changes the answers in the thread though. We were basing answers off of $9000 monthly budget excluding rent. If your actual monthly budget...

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to me, it depends on what that monthly 9000 spending equals. If that includes one off type spending as noted above, and gives you space for expenses like...

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Too short of a time frame. Don’t chase returns and risk your capital.

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you should get your own individual policy that is true own occupation. This does not meet those definitions

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Recently Jeaveau (newer Botox) threw a party in Cancun and had a bunch of derms and plastic surgeons down:

https://www.nytimes.com/2019...

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Tell them you need a base guarantee on top of your production, just a floor if you don't see as many patients as expected.

I wouldn't ask...

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you’re fine in the sense that all you need is a course correction, and you posting here probably indicates you’re ready to make some changes. Your...

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You’ll be ok with the 350k home. It’s not the “right” answer, considering the lack of clear ties to the area you’re moving to, but with your...

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Hey I liked it. Had me going for the first couple lines

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They’re taking such advantage of you it should be illegal. if it’s true you are in derm, this is one of the worst sounding jobs I’ve ever heard...

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so you’re annoyed that a specialist who has a little to no training in reading EKGs would ask you to order one? An ophtho or a dermatologist may be...

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Update us after you speak to the practice. Your numbers really do look off, I can’t figure out the discrepancy. Even if PE was taking 10% it would not...

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Tough situation. The good news is you only have to get through two years, but the combination of one income and 4 young children makes this very challenging....

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Just google future value calculator, or use the future value function in excel. Jim has articles on how to learn how to do it in excel

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Same. I never viewed any of this as a dump. I just legitimately don't know how to interpret or order certain tests. I always viewed it as collaboration....

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That's usually the way I approach it. Almost all the PCPs that refer to me have my cell. I usually will text/call to discuss and explain my thought process....

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just ask for a breakdown of the bill. It’s really hard to compare to “average “childbirths because the service is offered for different babies born...

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My understanding was employee contributions had to be before Dec 31 but profit sharing contributions could be made up until April 15. I would again wait...

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3% is relatively low. I would put the extra money in tax advantaged space in the 401(k). I would also consider doing a Roth 401(k) if that was an option,...

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agreed. people have very strong opinions on this, the concept of getting something for free is popular obviously. Also rubs me the wrong way. We are all...

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So trying to understand the math here. Most employers offer a certain percentage match, let’s say 3% match. Wouldn’t that 3% match be the same whether...

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If I’m interpreting your post correctly, your income is almost 700,000 with your spouse at a resident’s salary. So you’re looking at potentially...

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"I started a cleanse"

"Is it my diet?"

"I found black mold in my house"

"You're...

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Plus harder to get as busy in saturated areas even if you are PP....

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Austin is insanity. Stories in TX about out of state buyers dropping 7 figures on houses they don’t even see. Influx from Ca is in part to blame, Austin...

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Think he said it is a hot market. I'm guessing Austin or something similar...

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You can afford it. Here's my reasoning:

700k income --> translates to 31-34k/mo depending on state

About 12k/mo to retirement...

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I'm also curious what "skipped out" means.

Nothing wrong with taking a rec from a family member. But avoid fee based.
...

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I was in a similar situation. Went for the car and haven’t regretted it at all. Life’s about balance. I was frugal in other areas, saved far more...

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Lean on your real estate agent here. Mine sent me a long list of comps so we could decide together what a fair offer here was. There’s just not enough...

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This course is over $3k now I believe.

there are more testimonials out there then when this thread began (I think the Prudent PS got started...

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Wash sale rules simply include buying the same or an identical security within 30 days before or after correct? Not holding other shares of the security?...

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Best choice is to do Roth next year, avoiding the CA tax and still being in a low tax bracket.

If the law changes you can just use a rollover...

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To answer the question you asked: A loan at 2% interest isn't the end of the world. You can do it.

To answer the question you didn't ask:...

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You’re both saying the same thing. It’s post tax money, which is what Kamban is referring to when he says you’ve already paid income tax on that...

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Welcome. You can use either Fidelity or Vanguard, no wrong answers there. Most people would elect to simply stay with Fidelity for simplicity sake since...

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No PTO, can take whatever I want but don’t get paid. I take occasional long weekends throughout the year. Probably just 1, maybe 2 weeks total the last...

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You can afford it. Whether or not you want to spend $80,000 on something that will depreciate faster than normal likely due to wear and tear from children...

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Different strokes. I’m similar to you, travel doesn’t hold much magical appeal. Didn’t have the funds to do so growing up. Even when I travel domestically...

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Interesting thread. Makes me think I'm missing out on something.

I've never flown anything other than economy (and usually basic economy...

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FWIW this is one of the more entertaining threads I've read in a while. 10/10. I was also pulling for a surprise millionaire story here.

...

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Yeah very region specific. Where I trained a 6 month wait was normal. Here 3 weeks booking out is a busy practice. But yes my tendency has been to overbook...

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Generally speaking yes. Our market is competitive and saturated so the subsequent poor reviews tend to hurt with a practice on every block. Part of the...

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True. This is derm. Out of 45-50 scheduled patients usually get about 8-12 no shows or same day cancellations....

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No-shows have been the bane of my practice for years. I tend to have between a 10 to 25% no-show rate, and that’s despite automated messages going out...

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I see both points of view. I get a lot of doubles in my practice, and even triples. One parent and two kids, for example. I had a family of five who all...

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Agreed. Personally as a derm I’d much rather have a derm trained dermpath than a path trained dermpath. Better understanding of the clinical picture...

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Invest. Unless debt gives you anxiety....

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I guess the conflation between retirement accounts and E fund doesn't make sense to me. You should have already calculated an appropriate E fund amount....

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Chances are very slim you'll be able to start your own dermpath group. Everyone works for either academic centers, or PE or these larger path mills. Not...

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I think I’m somewhere down the middle. Used to be on the dressier side of the spectrum. Not anything super expensive, I would buy everything on sale,...

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I agree with this. keep it simple, until you have done more than enough research and thought about the pros and cons of make it an asset allocation change...

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Never on work days. Sleep was always more important to me.

Only eat breakfast on the weekends. Alternate between healthy (oatmeal and fruit)...

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Derm. Work 5-5.5 days a week. 7:30-5 but will mix in occasional half days here or there. Well above the standard for the specialty where 4 days is the...

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When the pandemic started, there was language about relaxing practicing across state lines. Has that been cut back for televisits now? Where the patient...

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Varies greatly based on region. $120-160 generally. When I was making these calculations, I used around 130 to 140 as a safe estimate.

I...

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Out of the 3 you mentioned, interventional pain.

this may be a stereotype, I’m not extremely familiar with GI, but fields that are overly...

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22% is just the withholding for bonuses.The actual income will be taxed at whatever your normal income tax rates are.

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It’s a good question. I think everyone uses their emergency fund slightly differently. As someone noted above, I tend to have a separate sinking fund...

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I mean you posted this question on the website of the White Coat Investor so … I think it's possible....

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I faced basically the same decision as you. I went with option number one, since I was single my social life would have gone to zero with option two....

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Lithium Agree with your post - I just can’t justify the cost. Lost a good chunk of change last year due to pulling out because of Covid, and it’s...

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Look, you said yourself that everyone is different and everyone has different things that bring them value or joy in life. The original poster clearly...

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I understand what you’re trying to say, but I don’t think this kind of blanket generalization works well because it’s so dependent person to person....

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20% for retirement - completely separate from saving for big ticket purchases. Those you’ll want to save for separately.

Don’t sell from...

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It could work out for you. Or it could end pretty badly. The renting first scenario has a much higher floor. That’s why I wouldn’t buy immediately...

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Splitting hairs. Pick either. I’m in the minority that doesn’t love the Fido app. There aren’t many serious differentiators....

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The disability rate you quoted seems very reasonable. It would be shortsighted to give it up this early. You’ve saved a great amount for six years post...

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Yeah you’re overthinking this a little bit. It’s just a ballpark rule to get you in the habit of saving. For some people it will mean an early retirement,...

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I guess I’m not really understanding the OP’s question. Are you asking if you really have to save 20% for retirement? Or that you assumed saving 20%...

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Never buying another German car. The cost on the repairs....

Not worth financing to build up an EF. Buy cash and build up your EF with your...

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Going to create a solo 401k for the first time this year and wanted to make sure I had things correct.

(1) With VG now allowing IRA rollovers,...

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I’m not sold on the syndications. I’m going to wait for a real estate downturn to see which companies weather the storm first.
Whitebearddoc...

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Really interesting trend. Normally on this forum these threads are a genitalia-measuring contest of how frugal someone can be, sometimes to almost ridiculous...

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Good post but I’m going to assume you meant 4 figures. 5 is mathematically impossible....

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Yeah, your anxiety is justified. But the biggest thing as stated above is to make sure you and your wife learn from your mistake, and why it should never...

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You already answered your own question. It doesn’t sound like you want or need the money.

When people post like this, I think they...

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Tough situation but you’ll do fine. It sounds like you are making the best decisions possible.

I also don’t understand why you cannot...

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Oh God. This is going to turn into the last thread with 3 pages of grilling advice.

You’re fine OP. With no SL and your savings rate you’re...

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Fine to do. The rest of your financial house is in order. If it’s something that’s important to you, you’ve earned the right.

Just...

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The posts here might seem harsh to you, but the fact that pretty much everyone is unanimous tells you your plan to buy is not a wise financial move. Everyone...

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It’s not that complicated. Learn about tax loss harvesting. Read about tax efficiency of different classes and then come up with a plan of which investments...

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There’s one variable I haven’t seen discussed above. You’re a practice owner. What are your plans for the practice in retirement? Are you going...

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SuitSupply Spend money on a good tailor. An expensive suit that doesn't fit well will look like crap. Black suits are for weddings and funerals. But...

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I think the question is about automatic reinvestment vs. holding them in a MMA and reinvesting periodically manually to avoid a ton of tax lots. I’...

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How do people judge the strength and stability of different insurance carriers anyway? If it was me I'd take the cheaper quote but I'll admit I kno...

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@childay These patients are next to impossible to get to psych. I saw about 15-20 cases in residency and one year out of residency I've seen about 7 mor...

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@finance dummy Just saw your questions. I chose A for the location and nightlife. I'm single and didn't want to go somewhere with a terrible dating scen...

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In the derm world, delusions of parasitosis is our fibromyalgia. Most annoying: high maintenance cosmetic patients (yes, some of us actually prefer med ...

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35% would be considered low in my field as well (derm), that's more PA level. If you have any entrepreneurial spirit being a true partner would likely...

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Range by Epstein. Especially interesting to read as a specialist. Atomic Habits is another good one I started and have to come back to. @Lordosis...

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I second the Signature Room and the architecture boat tour up the Chicago River. Plenty of museums if that's your thing. Wildberrys breakfast for the...

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I was faced with a similar situation. I took Job A. The social life has been great, plenty of nightlife opportunities on the weekend. As a single pe...

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Agreed with above. To answer your question, I personally used a local contract attorney but I've had friends use Resolve, they're the main competitor ...

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Meal prepping is my weakness. Outpatient based with no cafeteria. We usually have a drug rep lunch once or twice a week. Lately I've been better on Sundays...

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Two questions regarding the actual patient efficiency portion: 1) How do you all handle the overly social patient who rambles and wants to tell you ab...

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OP: Felt like I could have written this post. I'm in a similar situation, except my base was only for one year. While talking to them is helpful, I'm...