Money Meets Medicine Podcast
Student Loan Changes: Everything Doctors Need to Know
With all the recent changes surrounding student loans, it’s easy to fall out of the loop. If you’re not up-to-date on public service loan forgiveness (PSLF) and other rule changes related to repayment of your medical school loans, you’ll want to tune into our conversation.

Major changes happening with medical school loans
- A one-time adjustment of your payment count in July 2023.
- If you had 12 consecutive months in forbearance, or a total of 36 months (not necessarily consecutive), then you qualify for a one-time adjustment in July of 2023.
- PSLF rules will be changing – permanently.
- There’s a new definition of full-time work: 30 hours across the board for everybody.
- Some periods of deferment will now count.
- You’ll get credit for administrative forbearance, but not a grace period.
- Your payment clock, whenever you consolidate, will not go to zero but will be the weighted average of the qualifying payments that you have.
- If you’re a contractor that works in a state where state law prohibits you from being employed by a non-profit institution (which is the case for a lot of doctors in Texas and California), you’ll now qualify.
- President Biden’s federal student loan forgiveness plan includes $10k forgiven (up to $20k if you went to school on a Pell grant).
- Check to see who owns your student loan. The federal government doesn’t have the power to forgive privately owned loans.
Medical student loans still feel confusing? Send us your questions
We’re answering this question from a Money Meets Medicine listener:
“Once I refinance my student loans, how can I get student loan forgiveness if I change my mind?”
You’ll hear what we have to say about that.
Other questions answered:
- What are the new PSLF requirements and when do they take effect?
- I missed the waiver that expired in October 2022. Am I really out of luck?
- I submitted my PSLF form, but still haven’t heard back yet. When will my payments be updated?
- Can I get the $10,000 forgiveness and get PSLF?
- Did the Biden administration make a change to the student loan forgiveness plan that excludes some borrowers from relief?
- When should I consider refinancing my student loans?
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Because you can rest assured there are conflicts of interest. It’s just a matter of how they show up. And once you can say “Show me the money” and find them, that’s when you can make intentional, informed decisions regarding your personal finance.
In tackling this topic, we wanted to acknowledge the two main reasons you may be considering your options for charitable giving, especially as a high-earning physician.
One is that you may have religious convictions that make you feel more inclined to give. Even if you don’t hold to the same belief system that we do – specifically around tithing and the historical background of that concept – giving to your community is very valuable. Not just for the recipient, but for you, the giver.
This leads us into reason two, which is that giving money (or other valuable resources) and helping others has been shown to increase long-term satisfaction and fulfillment in your life.
There’s also a practical side of financial charitable giving to consider, which are the tax advantages you can use to create the most bang for your buck – literally.
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Does tithing or charitable giving play a part in your personal finances? Should it? As usual, we’re not shying away from taking a deep dive into a very personal topic. Personal finance is personal, maybe never more so than when it comes to deciding how you want to give back.
In tackling this topic, we wanted to acknowledge the two main reasons you may be considering your options for charitable giving, especially as a high-earning physician.
One is that you may have religious convictions that make you feel more inclined to give. Even if you don’t hold to the same belief system that we do – specifically around tithing and the historical background of that concept – giving to your community is very valuable. Not just for the recipient, but for you, the giver.
This leads us into reason two, which is that giving money (or other valuable resources) and helping others has been shown to increase long-term satisfaction and fulfillment in your life.
There’s also a practical side of financial charitable giving to consider, which are the tax advantages you can use to create the most bang for your buck – literally.
Making the Most of Your Paycheck
You’ve done it – your training is complete and now you’re finally getting a paycheck fit for an attending physician. You think, “I’ve arrived! I’m going to start making so much more money.”
Famous last words. If you’re not prepared, that is.
Seemingly unassuming, everyday expenses still have the potential to wreck your new paycheck and your budget. I’ve seen it many times over the years: you try to be careful, but you (understandably) want to enjoy your hard-earned money. Costs creep up on you, things snowball. Suddenly, your post-tax paycheck is no different than it was in residency.
You thought you knew how to spend money wisely, but now you wonder, “What was the point of all my hard work to get here?”
Don’t worry. You can still enjoy the money you make while being aware of five main money traps that a high-income earner like you could be susceptible to if you’re not paying attention.
Are you ready to live a life you love?
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