Money Matters: Thriving Financially as a Brand-New Attending Physician
Be Smart with Your Sign-On Bonus
Your first attending compensation often includes a sign-on bonus. It’s a welcome windfall after resident pay for however many years! But before you spend it, use it strategically:
More money, more problems is mostly about taxes. Remember taxes come out of that so plan accordingly.
Rebuild or establish your emergency fund (aim for 3–6 months of expenses).
Allocate a portion toward student loan repayment or savings goals.
And yes, enjoy life intentionally! Financial planning isn’t about deprivation. It’s about finding balance between treating yourself and treating your future self.
Integrating bonus planning into your wealth management strategy for doctors helps optimize both short and long-term goals.
Clean Up Old Accounts from Residency
During training, you likely opened accounts like a 403(b) or Roth IRA. Now, consider converting traditional accounts to a Roth IRA, especially if you’re in a lower tax bracket than you’ll ever see again. Pay taxes now, let the money grow tax-free, and enjoy the retirement payoff.
At TriHelix Wealth Collective, we guide new attendings through this key financial planning for physicians, a decision that can add hundreds of thousands to your nest egg.
Know Your Benefits Inside and Out
Your attending contract comes with a thick benefits booklet. Send this to your financial planner! Inside are hidden nuggets of value:
Retirement plans (401(k), 403(b), Roth options)
Employer match: free money you should always capture
Health, disability, life insurance: Find your gaps in coverage.
CME reimbursements, stipends, relocation funds: Use them all!
Maximizing your benefits is crucial. So many doctors overlook thousands of dollars in available compensation.
Reassess Your Student Loan Strategy
Your jump in income as a new attending makes this the perfect time to reassess student loan repayment, refinancing, consolidation, or PSLF eligibility. Given constantly evolving rules, the best path ties directly into your overall financial plan, taxes, and retirement saving trajectory. Working with a student loan financial advisor for physicians can make a big difference.
Get a Physician Contract Attorney
This is one of your biggest financial commitments, don’t sign without a review. A physician contract attorney ensures:
Fair compensation and call structure
No burdensome non-compete clauses
Clarity on bonus terms or loan repayment obligations
A small cost upfront, huge protection long term for your peace of mind and financial well-being.
Shift Out of the Resident Mindset
Here’s something most financial advisors won't tell you: many new attendings struggle not with overspending, but oversaving. After years of frugality, spending may feel uncomfortable, so saving becomes a default. But financial planning is emotional, not just numerical. The goal is balance: stay on track financially while enjoying the life you’ve earned. Emotional and behavioral financial planning can help.
Becoming an attending physician isn't just about a higher income, it’s stepping into a new financial identity. Clean up legacy accounts, make smart tax moves, optimize your benefits, adjust your loan
strategy, and protect yourself legally. You don’t need to live like a resident forever and you don’t have to sacrifice joy for financial security. With intentional, physician-specific financial planning, you can have both.
