physician early retirement

Early Retirement Plans for Physicians

Physician Early Retirement Plans


Physician early retirement is not a novel idea, but perhaps one that now has a more developed framework. It is an idea whose time has come: take back the keys to your j.o.b. and work because you want to not because you have to!

Physician on FIRE is the best-known physician early retirement guru, and he is a genuinely lovely guy who has added significantly to the Financial Independence Early Retirement lexicon. He is the face behind physician early retirement.

So, how is physician early retirement done? This is my summary piece on physician early retirement. What do you need to know to get the keys to the FIRE?

As for me, read I retired two months ago to learn more.


Can a Physician Early Retire?

Most anyone can early retire if made a priority. Physicians are not special, though there is a growing physician community preaching FIRE, perhaps as a backlash to the burnout epidemic. We understand now that the hospital won’t love us back.

In fact, there are a lot of features of being a physician that prevents us from considering early retirement.

What are the disadvantages physicians face trying to retire early:

  • Late Start at Income
  • High Educational Expenses
  • Student Loans
  • A Desire to Serve
  • A Sense of Guilt When Leaving the Calling
  • In General, Poor Financial Habits and Knowledge


I know the last one may be a bit controversial, especially for those reading a physician financial blog, but truly “keeping up with the Joneses” should read “keeping up with the doctor’s parking lot.”

While doctors are not born into life with targets on our backs, we often get them as we become beguiled by the supposed complexity inappropriately promoted by Wall Street. Accumulation is just not that difficult folks!


And there are advantages for Physician early retirement:

So, can physicians retire early? Yes, but like most audacious goals, it takes planning and plenty of elbow grease.


How Early Can Physicians Retire?

If you bother to go through medical school, and you can escape on the other side without a lot of student debt, it seems like a decade is a good goal for the earliest you might consider retirement.

How early can a physician retire? It depends on your savings rate. Savings rate is especially important since it has expenses as an integral part. An infinite savings rate means you can retire now, whereas the zero savings rate asymptotically approach retire never. Remember that savings rate is more important than investment returns for most of your early retirement plan.

So, to put that in perspective: 4 years of college, four years of medical school, 3-8 years of residency, and ten years working. This means at the earliest, a physician might be 42-47 before retirement. That is 32 years learning, 10 years working, and 60 years retired. Can you really make your money last that long?


Can a Doctor Retire Early at 45?

So, can a doctor retire early at 45? Sure!

By the time you are 45, you know your expenses and have had time to partake in the hedonic treadmill. Either you hit it and you will retire at a regular time, or you were able to control expenses.

The hard part is not moving the goal posts: to find out what enough spending is and stick with that. Joy (utility) goes up with increased income, but only to a point.

A physician can retire early at 45 by understanding yearly costs of living and then multiplying that number by 33.

That is, the magic number for physician early retirement is 33x your yearly expenses.


What is a Physician’s Early Retirement Number?

So, what is a physician’s early retirement number? Thirty-three times your yearly expenses.

What about the 4% Safe Withdrawal Rate? There is plenty written that the 4% rule no longer is true given high equity prices and low interest rates, but people who spout that line don’t understand how the 4% rule was derived. (And as an aside, often use Monte Carlo projections which do not favor early retirement.)

I have done some modeling on the 3.33% Safe Withdrawal Rate for Early Retirement, and I’ll have you read that for background.

The traditional 4% Safe Withdrawal Rate is fine for a traditional retirement. Smart physicians who want to oversave for early retirement will be more comfortable at 3 and change.

In summary, a physician’s early retirement number is 33x yearly expenses.


Average Net Worth of Physicians at Retirement

What about the average physician? Are they on track to retire early? No.

What is clear is that physician early retirement must be a loud and present desire pursued over time. Luckily some of us only became aware of early retirement after reaching our early retirement number.

Those of you still on the climb: focus on savings rate and don’t forget to enjoy the journey. As seen with the average net worth of physicians at retirement, most won’t make it.


7 Keys of Physicians Considering Early Retirement

Let’s get into the commonly asked questions of physicians considering early retirement and discuss 7 powerful strategies.


Health Care

Health care insurance is an expense. As feared as it is by the general public, it is just a line item on your retirement budget! At least physicians know how to navigate the system.

You can go for ACA Premium Tax Credits, or you can think about a few other options, such as health shares or catastrophic plans.

Another consideration: remember you can run your health insurance costs and a deductible business expense if you have 1099 income. A couple weeks of locum will go a long way in physician early retirement.


Access to Retirement Accounts

Access to retirement accounts is another “big problem” with easy solutions if you understand physician early retirement.


A Roth Ladder to Access Retirement Accounts without Penalty

Using 72t to Access Retirement Accounts

Remember that your withdrawal plan is a vital part of your early retirement plan.


Purpose In Early Retirement

Physicians have struggled through the educational system and overcame q3 call and 36-hour shifts. We can do whatever it is that is important to us.

For some, purpose in early retirement comes easy. Perhaps for others, early retirement is a cure to burnout.

As it is said: you do you. And don’t forget about the honeymoon phase of early retirement.


Asset Allocation and Investing

As you have a long-time horizon, it is best to keep an aggressive asset allocation. But not too aggressive!

It is best to be a DIY investor if you consider early retirement. Remember that the “average” fee is 1%. If you are trying to live off of 3.33% of your nest egg, you are losing 30% of your money to the financial advisor. Sit with that for a moment.

A simple three-fund portfolio is adequate if you consider asset location and understand that your stock/bond ratio provides you with 90% of the total returns. Understand your asset allocation and don’t feel the need to overcomplicate things.

You can be an excellent DIY Physician Investor!

There are bond alternatives you might consider for your safe money, but you must have bond in your portfolio as safe money to prevent Sequence of Returns Risk


Sequence of Returns Risk in Early Retirement

I had a lot of fun writing guest posts on ERN on the topic. See here.

ERN is the wiz kid of Sequence Risk in early retirement, but I’ll be honest I can’t read most of his stuff.

What I’m thinking about lately: remember sequence risk is in the future until it is happening. Once it happens (the market is down 30+ percent), you need to re-balance into the downturn. After that market downturn, there is no more sequence risk. I’ll be presenting next year at WCI’s conference on the topic of Personalized Glidepath in Retirement, and I look forward to developing on this theme thereafter.


Understand the Tax Code

If physicians plan to retire early, it is almost mandatory to understand the tax code! This is no joke. Taxes will be your largest expense in retirement, and there are ways to message taxes such that you pay less over your lifetime.

Some considerations:


Finally understand tax-efficient investing and withdrawal strategies and how the tax code works.


Advanced Strategies For Physician Early Retirement

What about using a 529 plan as a bonus retirement account? You already use a HSA and a backdoor Roth as a bonus retirement account. Why not a 529?

Asset Protection is important while you are working. Make sure you have good asset protection when you retire early as well!

Cancel life insurance, and when should I cancel my disability insurance?


Summary: Physician Early Retirement

Some Doctors are retiring early because of Covid, and many other doctors plan to retire early because it is the right thing to do!

Of course, “never retire” and “retire early” are actually sides of the same coin. Just one, you work for money, and one, you work for passion. Or maybe both are passions.

Physicians can reach early retirement. It takes commitment and hard work, but that is nothing to physicians. You have to have a plan, and it takes a ton of knowledge. I hope the above helps physician early retirement build and grow in enthusiasm and helps you reach your goals.

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