ACEP Frontline - Emergency Medicine

Dollars and Cents with the White Coat Investor - Dr. Jim Dahle

Nov 5, 2025
Dr. Jim Dahle, an emergency physician and financial mentor for medical professionals, shares invaluable insights on how physicians can boost their financial literacy. He discusses the significant student loan burdens that young physicians face and the importance of a solid insurance strategy. Jim emphasizes living like a resident to maximize savings, investment simplicity with index funds, and the crucial timing of Social Security benefits. He also recounts his own emergency rescue after a climbing accident, tying his experiences back to the vital role of emergency medicine.
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INSIGHT

Physicians Start Financially Behind

  • Physicians often start their careers with large student debt and a net worth worse than zero.
  • Recognize that reaching “back to broke” is a significant early milestone and requires deliberate planning.
ADVICE

Buy Adequate Insurance Early

  • Buy term life insurance if others depend on your income and get disability insurance unless you are financially independent.
  • Increase liability coverage beyond state minimums to avoid being underinsured for accidents.
ADVICE

Delay Loan Payoff Until Job Is Set

  • Don't prepay large student loan balances until you know your first attending job and PSLF eligibility.
  • Use residency extras to invest or improve life rather than aggressively paying loans if loans may be forgiven.
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