
Doctors Building Wealth
Doctors Building Wealth is for physicians drowning in student debt and working endless hours, wondering if your medical career will ever bring true freedom. Despite your six-figure income, the path from successful doctor to financially independent professional feels impossibly complex.We get it—balancing patient care and financial planning is overwhelming when no one taught you how to invest during medical school. Lucky for you, you don't have to figure it out alone.Meet Drs. Letizia Alto and Kenji Asakura, physicians who've built a multi-million dollar real estate portfolio while maintaining their medical careers. They've helped hundreds of fellow doctors replace clinical income with passive cash flow—without sacrificing patient care.Join Leti and Kenji each week as they interview physician investors who've escaped the burnout cycle, share step-by-step strategies to analyze deals, and provide actionable blueprints to build your real estate portfolio with your busy schedule. Learn how to leverage your high income, create tax advantages most doctors miss, and build the time freedom you deserve.It's time to stop trading your time for money and start building generational wealth. Your patients need you at your best—not burned out and counting the years to retirement.
Latest episodes

Jul 6, 2025 • 15min
What Happened When This Psychiatrist Turned a Duplex Into a Real Estate Empire
What if simply being the backup offer on a property could set you on the path to financial freedom?Many doctors give up on a deal after their first offer isn’t accepted, missing opportunities right in front of them.By staying patient, being the backup offer, and using creative 1031 exchanges, you can continue to build your portfolio even while working full-time in medicine.BY THE TIME YOU FINISH LISTENING, YOU’LL DISCOVER:How Nicole Shirvani secured her first duplex by staying in as the backup offer until it came back to herThe way she used 1031 exchanges to build momentum and acquire multiple properties without heavy tax burdensHow to find and close off-market deals by building connections, calling local agents, and leveraging for-sale-by-owner opportunitiesREADY FOR REAL ESTATE SUCCESS? Book your call HERE for your next move. RESOURCES + LINKSWork w/ SRMD: HEREJoin our FREE Facebook Groups: HEREFOLLOW + CONNECTConnect with SRMD: Website | Instagram | FacebookLiked this episode? Share it on social and tag me @semiretiredmdLove the show? Leave a 5-star review and let me know!

Jun 29, 2025 • 31min
Can Your Financial Advisor Help You Buy Real Estate? If Not, Listen to This.
Do you feel trapped in your medical career, overwhelmed by debt and the weight of your workload?Many doctors struggle with the feeling of being stuck in a never-ending cycle of work and financial stress, believing that the only way to break free is by waiting decades for retirement.But what if there was a way to achieve financial independence much sooner, using a strategy you may not have been taught in medical school?BY THE TIME YOU FINISH LISTENING, YOU’LL DISCOVER:How financial advisors can help you build a comprehensive financial plan beyond just stocks.Why real estate investing is often overlooked by traditional financial advisors—and how to make it work for you.The benefits of being a fiduciary and the questions you should ask financial advisors to ensure they’re working in your best interest.READY FOR REAL ESTATE SUCCESS? Book your call HERE for your next move. RESOURCES + LINKSWork w/ SRMD: HEREJoin our FREE Facebook Groups: HEREFOLLOW + CONNECTConnect with SRMD: Website | Instagram | FacebookLiked this episode? Share it on social and tag me @semiretiredmdLove the show? Leave a 5-star review and let me know!

Jun 22, 2025 • 16min
How Much Cash Do You Really Need to Start Investing in Real Estate?
Are you letting your bank account decide your future in real estate?Too many doctors believe they need tens or even hundreds of thousands of dollars to begin building a real estate portfolio. This belief not only delays your financial freedom—it may completely derail it. In today’s episode, Leti and Kenji bust the myth that you need a massive savings cushion to start investing and show you how creative strategies and the right mindset can unlock doors you didn’t know existed.BY THE TIME YOU FINISH LISTENING, YOU’LL DISCOVER:The #1 limiting belief that stops high-income professionals from starting their real estate journeyReal-life examples of how doctors invested with as little as $6,000Multiple creative financing strategies that can get you into your first deal faster than you thinkREADY FOR REAL ESTATE SUCCESS? Book your call HERE for your next move. RESOURCES + LINKSWork w/ SRMD: HEREJoin our FREE Facebook Groups: HEREFOLLOW + CONNECTConnect with SRMD: Website | Instagram | FacebookLiked this episode? Share it on social and tag me @semiretiredmdLove the show? Leave a 5-star review and let me know!

Jun 15, 2025 • 40min
Give More, Earn More: The Surprising Secret to Building Wealth as a Doctor with Bob Burg
Bob Burg, author of 'The Go-Giver,' shares his wisdom on transforming burnout into success by shifting focus from getting to giving. He discusses how adding value to team relationships enhances loyalty, especially in medicine and real estate. Bob emphasizes the role of authenticity in leadership, urging listeners to cultivate it for both personal and professional growth. His insights into the dynamics of giving and receiving challenge conventional wealth beliefs, revealing that true prosperity stems from generosity and understanding personal values.

Jun 8, 2025 • 15min
How to Get the Tax Benefits When You Buy a STR at the End of the Year
How Can You Maximize Tax Benefits When Buying a Short-Term Rental at Year-End?Are you struggling to figure out how to take advantage of tax benefits when purchasing a short-term rental towards the end of the year?Many people are motivated to use real estate tax loopholes, especially for short-term rentals. But when you're buying towards the end of the year, how do you make sure you get your required hours in?BY THE TIME YOU FINISH LISTENING, YOU’LL DISCOVER:How to make sure you complete your 100 hours of material participation by year-endCreative ways to accumulate hours quickly—even if you’re managing the property remotelyHow to leverage these hours to unlock significant tax benefits like bonus depreciationRESOURCES MENTIONED:https://semiretiredmd.com/material-participation/READY FOR REAL ESTATE SUCCESS? Book your call HERE for your next move. RESOURCES + LINKSWork w/ SRMD: HEREJoin our FREE Facebook Groups: HEREFOLLOW + CONNECTConnect with SRMD: Website | Instagram | FacebookLiked this episode? Share it on social and tag me @semiretiredmdLove the show? Leave a 5-star review and let me know!

Jun 1, 2025 • 39min
Building Wealth That Lasts: Real Estate and Other Alternative Investments with Josh Magnuson
Are you struggling to grow your real estate portfolio because you keep running out of capital?Many investors hit a wall when their personal funds dry up and don’t know how to keep expanding beyond their first property.This episode dives into how creative capital raising and combining active and passive investing strategies can break that barrier and help you build lasting wealth faster.BY THE TIME YOU FINISH LISTENING, YOU’LL LEARN:How to leverage community and capital raising to scale your real estate investments beyond your own fundsThe differences between active and passive real estate investing, and how to balance both for long-term successWhy diversification into alternative investments and uncorrelated assets is crucial for protecting your wealthREADY FOR REAL ESTATE SUCCESS? Book your call HERE for your next move. RESOURCES + LINKSWork w/ SRMD: HEREJoin our FREE Facebook Groups: HEREFOLLOW + CONNECTConnect with SRMD: Website | Instagram | FacebookLiked this episode? Share it on social and tag me @semiretiredmdLove the show? Leave a 5-star review and let me know!

May 18, 2025 • 35min
What the Ultra-Wealthy Know About Investing That You Don’t (Yet)
What do the ultra wealthy know about investing that most doctors and high-income earners don’t?Are you stuck with 90-95% of your portfolio in stocks and bonds, feeling vulnerable when the market dips?That’s the common trap many fall into—missing out on alternative investments that protect and grow wealth differently.BY THE TIME YOU FINISH LISTENING, YOU’LL LEARN:Why ultra high net worth individuals diversify heavily into alternative assets like real estate, private credit, and collectiblesHow true diversification with uncorrelated assets can protect your wealth in volatile marketsThe advantages of cash flow, control, and tax benefits that real estate investing offers over traditional stock market investingREADY FOR REAL ESTATE SUCCESS? Book your call HERE for your next move. RESOURCES + LINKSWork w/ SRMD: HEREJoin our FREE Facebook Groups: HEREFOLLOW + CONNECTConnect with SRMD: Website | Instagram | FacebookLiked this episode? Share it on social and tag me @semiretiredmdLove the show? Leave a 5-star review and let me know!

May 4, 2025 • 25min
Mastering the Sale: The Other Half of Real Estate Investing Most People Ignore
How do you sell an investment property for maximum profit?Are you focusing solely on buying properties and neglecting the importance of selling them strategically?The truth is, most investors overlook the selling side, missing out on opportunities to maximize their returns. Understanding seller psychology can be the key to negotiating better deals.BY THE TIME YOU FINISH LISTENING, YOU’LL DISCOVER:How selling investment properties can make you a better buyer.Why mastering the seller’s mindset boosts your negotiation skills.Tactics to maximize your sales price without compromising on speed.🔗 Resources Mentioned:https://semiretiredmd.com/real-estate-year-in-review-2021-part-1-properties-we-sold/https://semiretiredmd.com/year-in-review-2021-part-2-refinances-and-purchases/https://semiretiredmd.com/our-real-estate-investment-portfolio-review-2022/https://semiretiredmd.com/buy-and-hold-real-estate-investing-strategy/READY FOR REAL ESTATE SUCCESS? Book your call HERE for your next move. RESOURCES + LINKSWork w/ SRMD: HEREJoin our FREE Facebook Groups: HEREFOLLOW + CONNECTConnect with SRMD: Website | Instagram | FacebookLiked this episode? Share it on social and tag me @semiretiredmdLove the show? Leave a 5-star review and let me know!

Apr 20, 2025 • 20min
The Ultimate Framework for Deciding When to Sell Your Rental Property
What if you could sell your rental property for a profit, but how do you decide when it’s time?Many doctors find themselves unsure of when to sell their properties or which ones to sell.Are you holding onto underperforming properties because you don't know if it's the right time to let go?It’s a common mistake to stay attached to properties that aren’t performing as well as others.BY THE TIME YOU FINISH LISTENING, YOU'LL DISCOVER:How to evaluate your property’s performance using a cash-on-cash return framework.The importance of assessing both forced and market appreciation before making a decision.The role of your time and energy in managing properties and how to evaluate when it's too much.READY FOR REAL ESTATE SUCCESS? Book your call HERE for your next move. RESOURCES + LINKSWork w/ SRMD: HEREJoin our FREE Facebook Groups: HEREFOLLOW + CONNECTConnect with SRMD: Website | Instagram | FacebookLiked this episode? Share it on social and tag me @semiretiredmdLove the show? Leave a 5-star review and let me know!

Apr 6, 2025 • 32min
The Business of Breaking In: What I’ve Learned as a Physician Entrepreneur
Are you struggling to navigate the world of entrepreneurship, especially as a woman or a doctor breaking into new territory?You might be feeling overwhelmed, unsure of how to fit in or how to tackle the challenges of starting and growing a business. It’s easy to feel out of place or doubt your path.But what if you could shift your mindset and embrace the discomfort as a pathway to growth? What if you could learn the key lessons that help entrepreneurs thrive, especially those new to business?BY THE TIME YOU FINISH LISTENING, YOU’LL DISCOVER:How to reframe feeling like the "only one in the room" to embracing your role as a trailblazer.The resourcefulness you need to develop as an entrepreneur, and how to stay focused in a world full of distractions.The value of mentorship and how investing in your mindset can exponentially increase your success.READY FOR REAL ESTATE SUCCESS? Book your call HERE for your next move. RESOURCES + LINKSWork w/ SRMD: HEREJoin our FREE Facebook Groups: HEREFOLLOW + CONNECTConnect with SRMD: Website | Instagram | FacebookLiked this episode? Share it on social and tag me @semiretiredmdLove the show? Leave a 5-star review and let me know!