#180 Saving Beyond the 529: How Doctors Can Pass Down Wealth

#180 Saving Beyond the 529: How Doctors Can Pass Down Wealth

Author: Nate Reineke August 12, 2026 Duration: 32:50

There are two ways to get saving for your children wrong.

You can undersave and leave your kids with student loans. You can oversave and hand a nineteen year old a pile of money with no strings attached. Physician families tend to worry about the first one and end up closer to the second.

In our new episode, we discuss which accounts help keep you out of both ditches!

We also answer your colleagues' questions

A Surgeon in Arizona says, “My portfolio has drifted way off from where I set it a few years ago because stocks ran up so much. Do I actually need to rebalance, and if so, how do I do it without triggering a big tax bill?”

A Hospitalist in Texas asks, “I've got a 401(k), a Roth IRA, an HSA, and a taxable brokerage account, and I have no idea what's supposed to go where. Does it matter which investments live in which account, or can I just buy the same thing across all of them?”

A Gastro doc in Michigan writes, “Every time the market drops, I get the urge to sell and wait until things calm down. Is there ever a good reason for a long-term investor to move to cash, or is that always a mistake?”

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
#154 Doctor Dilemma: Pension Plan or Higher Compensation [not-audio_url] [/not-audio_url]

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#152 A Physician's PE Dilemma: Cross the Finish Line or Another Lap? [not-audio_url] [/not-audio_url]

Duration: 19:53
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#150 Should Doctors Wait to Close on a New House? [not-audio_url] [/not-audio_url]

Duration: 23:42
New year, new interest rates? It’s a strong maybe. That isn’t the most helpful answer, but if you are close to closing on a new house, should you wait to see if they drop or lock in now? Nate Reineke and Chelsea Jones di…
#148 New Year, New 401K Catch-Up Contribution Rules for Doctors [not-audio_url] [/not-audio_url]

Duration: 27:58
It’s New Year’s Eve! We hope that you have had a wonderful 2025. As we look ahead to 2026, you may be making resolutions or setting goals for yourself. This is a time we all reflect on what changes we’d like to make. As…
#147 What End-of-Year Tax Breaks Should Physicians Utilize? [not-audio_url] [/not-audio_url]

Duration: 33:35
The holiday season brings many fun traditions, like going to see the lights, opening Advent calendars, baking, or shopping for the perfect gift. Since the holidays also signal the end of the year, it can be a time to thi…
#146 Are Mega Backdoor Roths Mega Awesome for Doctors? [not-audio_url] [/not-audio_url]

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…