#139 This or That: What Retirement Plan Should Physicians Choose?

#139 This or That: What Retirement Plan Should Physicians Choose?

Author: Nate Reineke October 29, 2025 Duration: 25:27

It is Halloween! The kids are out trick-or-treating, and the air is a little crisper as the seasons change. A change in jobs or open enrollment can lead to the spooky decision of what retirement plan is best: a defined benefit plan or a defined contribution plan? Nate Reineke and Chelsea Jones break down what each plan means and the benefits that come with each. We also discuss some key things you should consider when deciding.

We also answer your colleagues' questions.

A Cardiologist in Oregon asks, “Should I own gold?” They also say, “My workplace plan now offers a Roth 403(b). Should I maximize that to get more into my Roth or just continue as normal with the backdoor Roth?”

The Spouse of a dermatologist in Virginia says, “We want to retire at 50, but know that we can’t get Medicare until we are 65. What are our options to stop working or dramatically scale back with that in mind?”

An Internal Med Doc in Washington just switched jobs. With their new employer, they can elect for the employer match to go into my 401 (k) or take it as a cash balance. Which should they choose?

Are you ready to turn worries about taxes and investing into all the money you need for college and retirement? It’s time to make a plan and get on track.

To find out if we’re a match visit physicianfamily.com and click get started or, you can ask a question of your own by emailing podcast@physicianfamily.com. See marketing disclosures at physicianfamily.com/disclosures


Finding a clear path through financial planning feels uniquely challenging when your career is in medicine and your heart is at home with family. The Physician Family Finances Podcast exists in that specific, demanding space. Host Nate Reineke, alongside co-host Chelsea Jones, brings their experience as Certified Financial Planner™ professionals directly to conversations with physician parents. They understand the dual pressures of managing a practice, caring for kids, and making smart long-term decisions with your earnings. Each episode moves beyond generic advice to tackle the real questions you face, from navigating student loan strategies and investment options tailored to a physician's timeline to planning for retirement without sacrificing your family's present. This isn't about quick tips; it's about building a sustainable framework that aligns with your values and goals. Tune in for a candid, practical discussion that makes complex topics like tax laws and wealth building accessible, so you can gain confidence and clarity with your finances. The entire podcast is built on the principle that securing your future should feel like an achievable part of your life's work, not an overwhelming distraction from it.
Author: Language: English Episodes: 100

Physician Family Finances Podcast
Podcast Episodes
#137 Should Physicians Have a Whole Life Policy? [not-audio_url] [/not-audio_url]

Duration: 25:52
As a young doc, it can seem like everyone has something to sell you. Many physicians can end up with a whole life policy that they don’t actually need, and that policy can have a loan against it without you really knowin…
#135 W-2 or 1099: Are the Tax Savings Actually Worth It for Doctors? [not-audio_url] [/not-audio_url]

Duration: 23:43
Starting a new job always brings changes and new opportunities. For some docs, it may bring the question if being a 1099 contractor will create tax savings or a headache? Nate Reineke breaks down what you should consider…