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Short-Term vs. Long-Term Financial Goals for Physicians

As a physician, your career is filled with complex decisions, long hours, and high-stakes situations. But when it comes to managing your finances? The challenges are different, though they’re just as critical. Between medical school debt, late career starts, and fluctuating income, it can be tough to figure out which financial goals should take priority.

That’s where a clear understanding of short-term and long-term financial goals can make all the difference. Knowing how to structure your planning across time horizons helps you protect your lifestyle, reduce stress, and build real financial momentum. In this guide, we’ll break down how physicians can define, prioritize, and pursue the financial milestones that matter most, no matter where you are in your career.

Understanding Short-Term vs. Long-Term Financial Goals

Let’s start with the basics: what’s the difference?

Short-term financial goals are usually those you plan to achieve within the next five years. Think of them as foundational moves—paying down debt, building an emergency fund, buying insurance, and learning how to manage your income wisely.

Long-term financial goals typically go beyond five years and are focused on your future security, growth, and lifestyle. This includes retirement planning, saving for your kids’ education, and wealth-building strategies like investing or real estate.

The key insight? You need both. Short-term financial decisions lay the groundwork for long-term success, and neglecting either side can create avoidable stress and financial instability.

Short-Term Financial Goals for Physicians

Short-term goals are your launchpad. They give you the financial flexibility to weather uncertainty and position you for sustainable growth.

Paying Down Medical School Debt

With six figures of medical school debt, repayment can feel like a mountain. Should you refinance? Stick with federal repayment plans? Chase forgiveness?

The truth is, the best strategy depends on your specialty, employer type, and income outlook. For example, if you’re working in a nonprofit hospital, Public Service Loan Forgiveness (PSLF) may be the best long-term play. But if you’re heading into private practice, refinancing might offer lower interest and faster payoff.

The important thing is to make an intentional plan, not just send in the minimum and hope for the best.

Building an Emergency Fund

Yes, even high earners need emergency savings. Unforeseen expenses like a partner’s job loss, relocation, or even a delay in your first paycheck can happen at any time.

Aim to set aside three to six months of essential living expenses in a high-yield savings account. Start with one month if needed, and build from there as your income increases.

Establishing a Budget and Managing Cash Flow

Budgets aren’t about restriction. They’re about alignment. Especially in your early years, it’s easy to let spending creep up to match your paycheck. But unchecked lifestyle inflation can rob your future self of options.

Use a budgeting app, spreadsheet, or even a trusted advisor to help track where your money is going. The goal is to ensure your daily decisions match your long-term goals.

Purchasing Disability and Life Insurance

As soon as someone else relies on your income, whether it’s a spouse, child, or even a co-signed loan, you need protection.

Disability insurance for doctors ensures your income is protected if an illness or injury prevents you from working. Life insurance provides financial security for your loved ones if something happens to you.

Both are more affordable and easier to qualify for early in your career. Don’t wait until you need it. By then, it may be too late.

Long-Term Financial Goals for Physicians

Once you’ve laid a strong foundation, it’s time to think bigger. Long-term goals help you build wealth, reduce stress, and design the life you want.

Planning for Retirement

Just because you started earning later doesn’t mean you can’t retire comfortably. In fact, the earlier you start contributing, the better.

Max out employer-sponsored plans like a 401(k) or 403(b) if available. Consider adding a Roth IRA or traditional IRA depending on your income and tax strategy. And if you’re self-employed, a solo 401(k) or defined benefit plan could significantly increase your savings potential.

Saving for a Child’s Education

Planning to start a family? Now’s the time to explore education savings accounts.

529 plans are the most popular option, offering tax advantages and flexibility. The earlier you begin contributing—even modestly—the more you benefit from compound growth.

Buying or Investing in Real Estate

Physicians often find themselves wondering: Should I buy a home now or wait? Should I invest in rental properties?

The answer depends on your financial priorities, job stability, and location. Homeownership can be a smart move if it aligns with your long-term goals, but jumping in too early can limit your flexibility. A financial advisor can help you evaluate timing, tax impact, and return potential.

Building Long-Term Wealth

Your retirement account is just one piece of the puzzle. As your income grows, you’ll want to explore other investment opportunities to diversify and protect your assets.

Think of this as your personal portfolio—one designed to grow alongside your career. The right mix of strategies depends on your goals, risk tolerance, and professional path.

Feeling overwhelmed by competing financial priorities? Physician’s Resource Services offers financial planning for doctors that’s designed to fit your career, goals, and lifestyle.

Learn More

Goal Setting by Career Stage

Your financial priorities aren’t static. They evolve with your life and career. Here’s how to think about goal-setting at every stage.

During Residency and Fellowship

Keep it simple: stay aware of your debt, live below your means, and build an emergency fund. This is also a great time to get disability and life insurance while rates are low.

Early Career (First 5–10 Years)

This is when your income increases dramatically—but so can your spending. Stay disciplined, increase retirement contributions, and continue chipping away at loans. Don’t rush into major purchases without a clear plan.

Mid-to-Late Career

Now’s the time to fine-tune your strategy. Start thinking about tax planning, estate planning, charitable giving, and legacy goals. You’ve worked hard to build wealth—now it’s time to protect and direct it.

The Role of Financial Support in Goal Planning

You don’t need to tackle this alone. A financial advisor who understands physician finances can help you:

  • Prioritize short- and long-term goals
  • Evaluate loan repayment and insurance options
  • Build a flexible investment plan
  • Avoid common mistakes like under-saving or overcommitting

More than anything, a good advisor provides structure, accountability, and a plan tailored to your life and values.

Tracking Progress and Adjusting Over Time

Your goals will shift. That’s not a failure—it’s life.

Set up annual or semi-annual reviews to revisit your progress. Are you ahead of schedule? Behind? Do your priorities still align with your financial strategy?

Tools like budgeting apps, financial dashboards, or simple check-in meetings can help you stay on track. Major life changes like job shifts, marriage, and kids are great moments to reevaluate.

Build a Financial Roadmap That Grows With You

Physicians are used to making high-stakes decisions at work. But when it comes to personal finances, it’s okay to ask for help.

Setting and balancing your short- and long-term financial goals doesn’t have to be overwhelming. With the right structure, a clear sense of what matters most, and a partner like PRS, you can build a plan that supports every phase of your life and career.

*This material is provided as a courtesy and for educational purposes only. Please consult your investment professional, legal or tax advisor for specific information pertaining to your situation.

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Robin Bales – AGENT

Robin has owned a Commercial Leasing Company providing financing to doctors and other operators for their equipment beginning in 2007. After the global crash of 2008, she went to work for NYL and spent 3 years there working with other entrepreneurs securing their retirement future and safeguarding their personal asset risks. Robin opened her own agency in 2017 Legacy by Design and has run a national firm coast to coast with 50-70 agents. Today the agency is much smaller serving 5 agents who share the same vision and passion for our clients focusing on health insurance, Medicare, and annuities.

Robin is most connected to ethos of PRS mission to improve the lives of doctors and their families. Supporting those who run the leading infrastructure of our country.

Robin has been married for 22 years to her husband Steven. Together they have 3 girls and have built a family with strong values and commitment to each others successes. Robin’s family are home bodies by nature and enjoy their 3 dogs hanging in living room or kitchen.

Karli Allen – HEAD OF WEALTH MANAGEMENT

Karli is a graduate of The Master’s University in Santa Clarita, CA, and has a business degree with emphases in accounting, finance, and management. Karli has been in the financial services industry since 2014 and joined the PRS team in 2018.

Karli oversees investment and financial planning operations and assists with the onboarding and service of the firm’s advisory clients.  Karli was a key part of our firm’s custodial transition to Fidelity in 2019 as part of our decision to become an independent investment advisory firm.  Before joining PRS, Karli worked in personal financial planning in Orange County, California.  She also holds a FINRA Series 65 license. Karli is grateful to be a part of such an amazing team.

Outside of work, Karli enjoys traveling, playing golf, and spending time with her husband and their goldendoodle.

Gabriela Chavez – ANALYST

At Physicians Resource Service Gabby plays a pivotal role in Paul’s advisory team, staying in close contact with clients, driving business development, and lending a hand in daily operational tasks. Additionally, she collaborates with CPA Erin Anderson to prepare tax returns, conduct withholding reviews and undertake various tasks across the division.

Gabby is currently double-majoring in accounting and finance at the University of the Incarnate World in San Antonio, and she plans to sit for her Certified Financial Planning exam in the fall of 2022. Before transferring to UIW, she attended the University of Texas Rio Grande Valley in Edinburg, Texas. Gabby was born in Germany and is Mexican American. She loves to travel and has visited 11 different countries. She has a five-year-old pug named Penny.

Chris Fullbright – FINANCIAL ADVISOR

Chris brings experience in financial services and the perspective of a successful entrepreneur who has launched several businesses. With over a decade in the industry, he has served as both an advisor and in a management role coaching new advisors. Chris attended the University of Georgia and Texas State University and graduated with a Bachelor of Applied Arts and Sciences.

He currently holds many financial services licenses and designations including FINRA Group One, Series 6, Series 63, Series 65, Series 7, ARPC, and Certification in Long Term Care (CLTC). In his free time he enjoys being involved in the local community through organizations such as Comfort Crew for Military Kids. Chris is also an active member of Austin Christian Fellowship Church, and enjoys spending time there as well as reading, fishing, and going to sporting events. He is happily married to Monique with two wonderful sons. In addition to serving physicians, Chris specializes in working with special needs families.

Kevin Burris – PARAPLANNER

Kevin received his BA and MBA from Indiana University, earned the Certified Financial Planner (CFP) designation from the University of Georgia, and Retirement Income Certified Professional (RICP) designation from the American College. Kevin is looking forward to helping physicians live their best life. Kevin enjoys spending time on the lake with his wife, playing golf, and watching Indiana University sports.

Michael Kohles – AGENT

Michael attended Lake Michigan College and Siena Heights University, graduating magna cum lade with a Bachelor of Business Administration, with a major in Finance and minor in Marketing. Michael has been in the financial services industry since 2015 and has experience with multiple insurance verticals. Michael is excited to help physicians achieve their financial goals by providing insurance solutions. Michael is married to Erin and has 4 children. Michael also enjoys reading, golfing, playing poker, learning, and traveling.

Erin Kohles – UNDERWRITING PROCESSOR

Erin supports our advisors and clients during the insurance underwriting process in multiple ways. On a given day, she helps by processing applications, tracking and following up on open cases, and answering client questions. She appreciates the part she plays in helping clients prepare for the future, and she strives to make the process as simple and efficient as possible.

Erin has been in the insurance industry for two years and brings with her six and eight years of experience in accounting and quality control, respectively. She graduated from Ball State University and has her life & health and property & casualty insurance licenses. In her free time, she enjoys cheering on her two boys who play basketball, soccer, and baseball; traveling with her husband; and playing with their Yorkie, Mingo.

Erin Anderson – CERTIFIED PUBLIC ACCOUNTANT

As a certified public accountant, Erin is a valuable part of our tax division at PRS. She enjoys working with our advisors to develop tax-efficient strategies, and she strives to provide clarity for every client she serves. Erin started her career as an accountant after graduating from Oklahoma State University in 2012 with a master’s degree. She earned her CPA license in 2018. Erin and her husband have two little boys, and they love spending time outdoors as a family and watching OSU football.

Alex Simmons – BUSINESS DEVELOPMENT

Alex oversees Business Development at Physician’s Resource Services. She works with each department to assist in continually improving PRS so we remain a leading competitor in the industry. Alex graduated from Texas Tech University with a Bachelor of Business Administration in Energy Commerce. She is a Texas native who loves to spend her free time traveling and taking her pup, Teddi, to the dog park.

Jennifer Khan- UNDERWRITING SPECIALIST

Jennifer is an Underwriting Specialist at Physician’s Resource Services, with an extensive background in customer service and administration. Jennifer grew up in Texas, graduated from Southeast Missouri State University with a BFA in Theatre, and spent six years in Chicago performing sketch and improv. She is a graduate of the Conservatory Program at The Second City and iO Chicago. Jennifer and her husband, Qamar, moved to Texas with their dachshund mix, Dobby, to be closer to family, sunshine, and good BBQ.

Cheryl Breeden – OFFICE MANAGER

Cheryl is the Business Manager for the firm and a licensed service assistant. She graduated from the University of Texas at Austin with a Bachelor’s Degree in Business Administration. She has years of experience in the areas of process management, customer service, benefits, and insurance. Cheryl has three girls — Ashley, Hannah, & Olivia. She brings this experience to our firm where she manages the underwriting and service process. She also manages the business operations for the firm.

John C. Jackson IV – ASSOCIATE FINANCIAL CONSULTANT

John is an agent from Austin, TX, a graduate of Westlake High School and The University of Texas at Austin, with a Bachelor’s Degree in Economics and a Minor in Business Administration. While at UT, John was a 2-Time Captain and 4-Time All-Conference performer for the men’s lacrosse team. While away from the office, John coaches with the Westlake Youth Lacrosse program and volunteers with Austin’s Young Men’s Business League, and Austin Sunshine Camps.

Paul Smith, CFP® ChFC® MSFS – FINANCIAL ADVISOR

Paul has helped his clients in financial, business, and estate planning for over 10 years. Paul is a graduate of Texas State University, with a Bachelor’s Degree in Psychology. He has also completed the extensive studies necessary to earn the Certified Financial Planners (CFP®) and Chartered Financial Consultant (ChFC®) designations. Paul is actively involved in the community through his volunteer work and service on Community Action Board for the Helping Hand Home for Children. Paul is married to Heather and they have two children, Nyla and Hazel.

Richard Cunningham – MANAGING DIRECTOR

For 30 years, Richard has been helping clients reach their financial goals with sincerity and integrity. He works with GME program administrators, individual physicians and their families to help doctors achieve financial security. Richard is a graduate of the University of Texas at Austin, with a Bachelor’s Degree in Economics. He studied in Paris at the Sorbonne. Richard supports numerous charitable organizations, is actively involved in Austin Recovery, and he participates in the Leukemia Lymphoma Society as a survivor of CML. Richard is married to Adrienne with two children, Raven and Coates.