If you're a PA, NP, or pharmacist earning over $100K a year but your savings account still looks like it belongs to your student days... you're not alone.

I became a millionaire by age 31, not by winning the lottery or flipping houses—but by mastering the basics: saving, investing, and being intentional with money. In this post, I’ll walk you through how to calculate your real savings rate, strategies to save more without sacrificing joy, and how to build wealth faster.

Step 1: Know Your Actual Savings Rate

Most medical professionals have no idea what their savings rate is. If that’s you? Let’s fix that.

To find your savings rate:

1. Add up ALL dollars you put toward true savings and investments each month. That includes:
• Emergency fund deposits (your sinking funds for vacations don’t count)
• 401(k), 403(b), or other employer retirement plan contributions
• Roth IRA or brokerage account deposits
• HSA contributions
2. Then divide that number by your gross monthly income (not your ...

What if I told you that it’s possible to go from zero to over a million dollars invested in just 7 years on a PA salary?

No gimmicks. No crazy frugality. No lottery luck.

Just a clear, proven 3-step strategy any driven PA can follow.

Let’s break it all down.

Step 1: Cross the $200K Mark with Your Primary Job

This is where most PAs tap out, but it’s also where the biggest growth potential starts.

📊 According to data from Marit Health, 1 in 14 PAs already earn over $200K/year.

Here’s how to increase your odds of joining them:

✅ Choose a High-Earning Specialty:
Dermatology, critical care, cardiothoracic surgery, and PM&R consistently top the list. But it’s not just about the specialty—it’s about where you land within it.

💡 Specialties like dermatology, plastic surgery, and psychiatry have high intraspeciality variance in pay, meaning some PAs are crushing $200K+ while others are barely above average. Don’t just switch specialties… switch to a better-paying role within your speci...

If you're a practicing PA, a PA student, or even considering PA school, you're probably asking yourself: Is the debt worth it? The good news? PA salaries are going up. The better news? You have more control over your income than you might think.

PA Salaries Are On the Rise (But Uneven)

According to the latest AAPA Salary Report, PA earnings rose 5.5% in 2024 alone. MGMA data shows:

• Surgical PAs: median is up 15% since 2020
• Non-surgical, non-primary care PAs: median is up 21%
• Primary care PAs: median is up 30%

Sounds great for primary care, right? Not so fast. That percentage growth only tells part of the story. You need to look at absolute numbers and actual earning potential across subspecialties.

The 3 Highest Paying PA Specialties in 2025

Using Marit Health salary data, these are the current top-paying specialties:

1. Dermatology — Average: $166K/year
• Avg. weekly hours: 37
• Also has highest percent of PAs earning $200K+
2. Critical Care — (as a critical care PA myse...

If you're a medical professional who feels like you're working nonstop but not moving forward financially, you’re not alone. We're already more than halfway through the year—and if 2025 hasn’t brought the money progress you were hoping for, it’s not because you’re lazy. It’s because you don’t have the right systems in place.

Let’s fix that.

This moneycheck-in will help you:

• Understand where you are in your wealth journey
• Identify what’s missing from your strategy
• Take specific action steps to make the second half of this year count

The Wealth Building Continuum (and Where You Fit In)

Everyone’s checklist will look different based on where they are in the wealth-building process. Think of it like a continuum. Most medical professionals go through these stages:

1. Clear High-Interest Debt — Credit card debt, personal loans with interest rates >10%. These are urgent and must go first.
2. Have a Strategy for Moderate-Interest Debt — Studen...

You’ve seen the headlines. You’ve heard the stats.
But let’s get real… will AI actually take your job as a PA or NP?

And more importantly: what can you do right now to protect your income, career, and long-term freedom?

Let’s break it all down without the fearmongering.

🚨 AI Disruption Is Real (But Not the Full Story)

AI is already shaking up industries, with projections estimating 85 million to 800 million jobs displaced by 2030.

In medicine, specialties like radiology and pathology are already seeing massive shifts.

But what about PAs and NPs?

Here’s the good news:

You probably won’t be replaced.
But your job will change—and those who adapt will thrive.

💡 Step 1: Understand Automatable Hours

AI disruption isn’t all-or-nothing. The most important question is:
How much of your job can be automated?

Examples of automatable roles:

• Radiology = high risk
• General medicine = moderate
• Psychiatry = low (empathy can’t be coded)
• Surgery/Pro...

You’ve probably heard it already:
“Trump wants to give your kid a thousand bucks.”
And if you’re a medical professional trying to build wealth for your family, you’re probably wondering:

Is this legit? Should I open one of these Trump Accounts?

Let’s break it down... money-first, politics-neutral.

What Is the Trump Account?

This account is part of the One Big Beautiful Bill that’s officially passed and signed into law.

The details are still murky, but here is what the  Trump Account for kids plans to  offer:

✅ $1,000 in seed money for kids born in a specific time window from the federal government
✅ Up to $5,000/year in parental contributions allowed
✅ Tax-deferred growth
✅ Tax breaks (specifically taxed at capital gains rates rather than ordinary income brackets) if the money is used for:

• Education
• Housing
• Starting a business
  

But if the money is used for anything else?
Ordinary income tax + a 10% penalty.

Also, all funds must be withdrawn by age 31.

Sounds Good… But How ...

If you're a medical professional and either have kids or want kids someday, you've probably wondered:

How can I give them a financial head start I never had?

Let me show you how we’re doing it.

I’ve set up a system where both of my kids will be millionaires by the time they’re 35—and it doesn’t require hundreds of thousands of dollars.

It just takes intention, a few monthly contributions, and the right accounts.

First—This Is Not All or Nothing

Let me be clear:
You don’t need to hit millionaire status for this to be worth it.

Even if you can only do a fraction of this plan, you're still setting your kid up with a financial launchpad that most of us never had.

Even $100/month over time = six figures by adulthood. That’s still a huge win.

But if you do want to go all in, here’s exactly how we’re making millionaire status happen by age 35:

Step 1: Open a UTMA Account

We start with a UTMA account (Uniform Transfers to Minors Account)—
✅ It’s flexible
✅ It’s taxable
✅ And the mone...

The fastest way to wreck your finances as a medical professional?
Buying the wrong house.

I’ve seen it too many times—PAs, NPs, and PharmDs rushing into homeownership, only to end up house-poor, underinvested, and stuck in golden handcuffs for decades.

So if you’re dreaming of buying a home in the next 1, 2, or even 5 years, let’s walk through what really matters when it comes to buying a house without sabotaging your future freedom.

Step 1: Don’t Start With the House

Don’t start by asking what kind of house you want.
Start with: “What can I safely afford each month?”

This is one of the biggest money moves you’ll ever make—especially if you’re not planning to become a real estate investor. You’ve got to get this right.

Step 2: Calculate Your Max Monthly Housing Expense

Here’s the formula I use:

1️⃣ Take your gross annual household income (pre-tax)
2️⃣ Divide by 12 to get monthly income
3️⃣ Multiply by 0.2 (that’s 20%)

That number = your max monthly housing cost
✅ If you’re buying:...

Spring 2025 came in hot with tariff wars, rising inflation, student loan chaos, and stock market volatility that has a lot of medical professionals wondering...

“Is it even possible to build wealth in a season like this?”

Short answer: yes.
But you need a strategy—and some serious emotional discipline.

Why Personal Economics > Macroeconomics

The truth? You could come out of this economic mess ahead—if you have your personal financial systems dialed in.

✅ No high-interest debt
✅ 3–6 months of cash reserves
✅ Multiple income streams
✅ A student loan plan
✅ A long-term investing system

If you don’t have these in place, this season can wreck you.
If you do? You can use it to build wealth while everyone else panics.

What Investing in a “Down Market” Actually Feels Like

Whether you’re:

• A new investor putting in your first $1,000
  
• Or a seasoned one watching $70K disappear from your account in a day
  

It still stings.

But this is where people either panic and pull out...
Or keep go...

You graduate. You pass your boards. You land the job.
That six-figure paycheck hits—and then... reality sets in.

If you’re a brand new PA, you know exactly what I’m talking about.
It’s not quite the dream you imagined. Expenses feel overwhelming. Loans are looming. And you’re wondering, “Wait… where did my paycheck go?”

Let’s walk through exactly what you should be doing in your first year of practice to get your money right.

Why Generic Budget Rules Don’t Work for PAs

You’ve probably heard of those 50/30/20 budgeting rules:

• 50% to needs
  
• 30% to wants
  
• 20% to savings/investing
  

I hate those.

They’re made for the masses—not for people like us.
If I followed that rule? I wouldn’t be a millionaire by 31. I needed a lot more than 20% going toward debt and wealth-building.

What you really need is a cash flow system that helps you grow your net worth—not just track your spending.

Inside the Millionaires in Medicine Club, I break down exactly how to do this with a free tracker you c...