#146 Are Mega Backdoor Roths Mega Awesome for Doctors?

#146 Are Mega Backdoor Roths Mega Awesome for Doctors?

Author: Nate Reineke December 17, 2025 Duration: 25:03

That benefits packet you skimmed might hide a major opportunity. When it comes to saving for retirement, it can seem like there are a million account types, and it is becoming more common for employers to offer even more options. While that flexibility can be great, it can also be confusing, especially when a plan includes the Mega Backdoor Roth. In this episode, Nate Reineke and Chelsea Jones break down what the Mega Backdoor Roth is, how it works inside your employer plan, and when doctors like you should consider using it. We also answer your colleagues’ questions. A Pediatrician in California says, “My Morgan Stanley advisor doesn’t want me to buy and hold our index funds. Why do you think that is?” An Emergency Medicine Doc in Arizona asks, “I have been attending for about 18 months now, and everyone is telling me to buy a house, but what is wrong with renting for another year or two?” A Retired Oncologist in Oregon says, “My expenses are sporadic, and when I had a regular monthly withdrawal set up previously, I found that the cash just started to build up. What do you think about me taking withdrawals out in chunks instead of a regular monthly withdrawal?” 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
#133 Dependent Care FSA: Time Suck or Tax Saver for Doctors? [not-audio_url] [/not-audio_url]

Duration: 21:26
There are a thousand opinions out there on how to raise kids, but the one thing everyone can agree on is that raising kids is expensive. Luckily, there’s a way that doctors like you can save on taxes and use pretax dolla…
#132 Should Physicians Own AI Stock? [not-audio_url] [/not-audio_url]

Duration: 31:58
Before Amazon was Amazon, some people took a huge risk and bought stock in the company. Luckily, that risk paid off for them! Now, history is repeating itself with some AI stocks where they could be the next Amazon, or t…
#129 Will a Summer Splurge Spoil Physicians' Savings Plans? [not-audio_url] [/not-audio_url]

Duration: 35:42
Summer means vacations, and vacations can lead to splurges. While following a plan is important, the occasional splurge is inevitable, even for the pros. Listen in as Nate Reineke, Chelsea Jones, and Kyle Hoelzle reveal…
#126 One (More) Big Beautiful Episode with Ken Eremita, CPA [not-audio_url] [/not-audio_url]

Duration: 30:00
The One Big Beautiful Bill remains long and confusing. Some people think that the new tax laws are barking mad, while others are wagging their tails with delight. Listen in as Ben and Nate are joined by Ken Eremita, CPA…