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Physicians, residents and other clinicians
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Education only. Please keep patient and health information out of anything you send us.

Tools

Vantage MD Wealth calculators

Free, in-browser calculators built for attendings, residents with moonlighting, and dual-physician households. Adjust the assumptions, stress-test the outcome, and pair each run with the guide that explains the trade-offs.

Tool 1 of 3 · Illustration

The cost of a late start

What the same monthly amount becomes by 65 from three starting ages, and what a training loan does while you train.

Investing
35
$1,500
6%

Before fees, taxes and inflation. Not a prediction.

Training loan
$200,000
6.5%
4 years
$0
Balance by age, same monthly amountStart at 25Start at 35 (you)Wait until 40
Illustration. Investing $1,500 a month at 6% a year: starting at 25 reaches $2,987,236 at 65; starting at 35 reaches $1,506,773; waiting until 40 reaches $1,039,491. The table below lists the values.$0$1M$2M$3M253035404550556065Age
Start at 25, at 65
$2,987,236$720,000 paid in
Start at 35, at 65
$1,506,773$540,000 paid in
Wait until 40, at 65
$1,039,491$450,000 paid in
Cost of starting late
$1,480,464the gap at 65 between starting at 25 and at 35
Monthly amount from 35 to match
$2,974what closes the gap by 65
Training loan while you trainAmount owed
Illustration. A $200,000 loan at 6.5% with $0 a month for 4 years is $252,000 at the end of training.$0$100k$200k$300k01234Years of trainingStarting balance $200,000
Owed after 4 years
$252,000$52,000 of it is unpaid interest
Interest charged
$52,000$0 paid in total
Show these numbers as a table
Balance at each age, investing $1,500 a month at 6% (illustration)
AgeStart at 25Start at 35 (you)Wait until 40
25$0not startednot started
30$104,655not startednot started
35$245,819$0not started
40$436,228$104,655$0
45$693,061$245,819$104,655
50$1,039,491$436,228$245,819
55$1,506,773$693,061$436,228
60$2,137,065$1,039,491$693,061
65$2,987,236$1,506,773$1,039,491
Training loan at the end of each year (illustration)
YearPrincipalUnpaid interestAmount owed
0$200,000$0$200,000
1$200,000$13,000$213,000
2$200,000$26,000$226,000
3$200,000$39,000$239,000
4$200,000$52,000$252,000

Method

Illustration, not a forecast. Every number comes from the assumptions above, which you can change. Real returns vary from year to year and can be negative; fees, taxes and inflation are left out.

  • Investing: the same amount at the end of every month from the starting age until 65, growing at the annual rate ÷ 12 each month. Balance after n months = amount × ((1 + i)n − 1) ÷ i, where i = rate ÷ 12.
  • Matching amount: the monthly figure that gives the start-at-25 total by 65 from your starting age, using the same formula solved for the amount.
  • Loan: simple interest. Each month adds balance × (rate ÷ 12) to unpaid interest, which is not added to the principal. A payment clears unpaid interest first, then principal. Federal Direct loans charge simple interest, but some events can add unpaid interest to the principal, which would make the balance grow faster than shown.

Want a catch-up plan? An advisor who works with physicians and clinicians can fit one around your loans and contract.

Tool 2 of 3 · Illustration

Two offers by wRVU

A higher bonus rate is worth nothing below the threshold. Enter both offers and the wRVUs you expect, and see which one pays more. Read the contract article

Offer A
$260,000
6,200
$45
Offer B
$250,000
5,200
$38
Your year
6,000

Ask each practice for what physicians in the same role actually produce.

Total pay by annual wRVUsOffer AOffer B
Illustration. At 6,000 wRVUs, offer A pays $260,000 and offer B pays $280,400.$0$100k$200k$300k$400k$500k3k4k5k6k7k8k9k10kAnnual wRVUsyour year
Offer A at your wRVUs
$260,000bonus $0
Offer B at your wRVUs
$280,400bonus $30,400
Difference
$20,400more from offer B
Lines cross at
5,470 wRVUsabout, on a 10-wRVU grid
Show these numbers as a table
Total pay at each wRVU level (illustration)
Annual wRVUsOffer AOffer B
4,000$260,000$250,000
5,000$260,000$250,000
5,500$260,000$261,400
6,000$260,000$280,400
6,500$273,500$299,400
7,000$296,000$318,400
8,000$341,000$356,400
9,000$386,000$394,400

Method

Illustration. Total pay = base salary + (wRVUs − threshold) × bonus rate, and the bonus is zero below the threshold. Offer A is the example from our contract article: $260,000 base and $45 per wRVU above 6,200, in a role where physicians produce 5,800 to 6,000 wRVUs. Offer B is made up for comparison.

Real contracts add quality bonuses, caps, clawbacks, call pay and benefits, which this leaves out.

Weighing an offer? Talk to an advisor who works with new attendings before you sign.

Tool 3 of 3 · Illustration

Tail coverage reserve

If a job change is possible, how much would you set aside each month to have a tail coverage bill covered by then? Read the tail coverage article

Your numbers
$30,000

An example figure. Ask your carrier for a real quote.

24 months
3%
Set aside each month
$1,214for 24 months
Interest earned along the way
$854
Reserve balance by month (illustration)
MonthSaved so farShare of the quote
6$7,33224%
12$14,77549%
18$22,33174%
24$30,000100%

Method

Illustration. Monthly amount = quote × i ÷ ((1 + i)n − 1), where i is the yearly rate ÷ 12 and n the number of months, with deposits at the end of each month. The quote itself is yours to find: tail prices depend on specialty, state, limits and years covered.

Planning an exit? An advisor can look at tail, disability cover and savings together.

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