#173 Think Twice Before Rolling Your Old 403(b) into a Traditional IRA

#173 Think Twice Before Rolling Your Old 403(b) into a Traditional IRA

Author: Nate Reineke June 24, 2026 Duration: 26:59

When you change jobs, a rollover rep may offer to help move your old retirement account, stressing how much control you'll have over your investment options in an IRA. But is that what this decision is really about?

Nate Reineke and Chelsea Jones take a question from an OBGYN in South Carolina moving about $400,000 from former employers. A rollover rep is steering them toward an IRA instead of their new 403(b). Nate and Chelsea unpack what that call is really offering: an account with potentially higher investment management fees, plus a tax wrinkle many physicians miss. Pre-tax dollars in a traditional IRA can complicate a future Backdoor Roth. Rolling old funds into the new 403(b) is often worth a look, though the right move depends on your situation. We also answer your colleagues' questions. An Emergency Medicine Doc in Washington wonders, “We have about $5,000 in credit card debt, no emergency fund, and we want to start investing. Should we crush the debt, build savings, or start investing first?” An Orthopedic Surgeon in Ohio asks, “I have a practice partnership buy-in coming in about two years, and it looks like I'll either have to pay cash or take a roughly cut-in-half salary for two years to fund it. Should I take the salary reduction, or find another way?” An Orthopedic Surgeon in New York says, “I'm thinking about a "coast FIRE" approach or a mini-retirement so I can be more present while our kids are still at home. Is it financially feasible for us to pause or scale back mid-career?” Are you ready to turn worries about taxes and investing into a plan for college and retirement? If you’re evaluating your options and want to learn more, 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: 50

Physician Family Finances Podcast
Podcast Episodes
#139 This or That: What Retirement Plan Should Physicians Choose? [not-audio_url] [/not-audio_url]

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 b…
#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…