Binge read all things wealth building, debt reduction, & lifestyle.

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 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...

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...

Yep, you read that right. It's totally possible to turn your kid into a future millionaire—without needing to throw in hundreds of thousands.

I’m doing it with just a few thousand dollars and a lot of intention. And in this blog, I’ll show you exactly how:
👉 The accounts we use
👉 The money system we teach our 3-year-old
👉 And the mindset shifts that actually matter more than the money

Let’s break it all down.

Our Four-Bucket Money System for Kids

You’ve probably heard of the classic give-save-spend system for teaching kids about money.

I hate it.

Why? Because it completely ignores investing—arguably the most important pillar of long-term wealth.

So instead, we created our own version: Give, Save, Spend, and Invest.

Every Sunday, our 3-year-old gets her allowance in quarters (supervised, of course), and she gets to divide those coins between her four jars.

To make the “invest” jar feel real, we created a visual thermometer tracker for her investing goals, broken into:

• 🎓 Coll...

If you’re a PA, NP, or pharmacist and think wealth building is only for people in higher-paying specialties or dual-income households with no debt—this blog is for you.

The truth? It’s 100% possible to become a multi-millionaire with a six-figure income, even if you’re working in primary care, living in a high cost-of-living area, or just starting out. How do we know? Because we’ve helped medical professionals just like you do exactly that.

Below are five real client case studies to show you what’s possible with the right systems, strategy, and support.

CASE 1: Kelly, a Primary Care PA, Married to an RN

Challenge: Lower-paying specialty + early 30s with limited investments
Goals: Reduce hours when they start a family, retire early with flexibility

What We Did:

• Optimized their PSLF strategy to save $600/month on student loan payments
• Reallocated that money into an investing system
• Completely overhauled their account structure and monthly contributions

Result:
Kelly and her sp...

If you're a PA, NP, or pharmacist and you've ever thought, "Personal finance is just too complicated for me," you're not alone. That’s exactly what most of us are conditioned to believe.

But here's the truth: learning to manage your own money could save you more than $1.5 million in your lifetime. I know this because I’ve lived it.

My Story: From Student Debt to Seven Figures

When I graduated as a critical care PA, I had $161,000 in student loans and zero assets. Like many new grads, I was eager to "do the right thing", so I hired a financial advisor and opened a Roth IRA through Edward Jones.

It felt like I was checking all the right boxes. But years later, I realized I had paid thousands in fees without even realizing it: fees that were quietly dragging down my returns.

Once I learned to manage my portfolio myself, everything changed. Less than a decade later, I hit $1 million in net worth at age 31.

The Cost of Not Learning Personal Finance

Most medical professionals fall int...

When I first became a PA, I thought hitting $1 million in net worth would mean I “made it.”

But now that I’ve actually crossed that milestone, and helped hundreds of medical professionals do the same. I can tell you this:

A million dollars isn’t enough.
If you want to retire comfortably (or early), reduce your clinical hours, or stop working when your health is still good, you’ll probably need $3–4 million or more.

Let’s break down why that number matters, and how I built wealth faster than most people thought possible.

Why $1M Won’t Cut It Anymore

Here’s what most people don’t realize:

If you retire with $1 million, and use the standard 4% withdrawal rule, that gives you just $40,000/year to live on. Not exactly luxurious.

Now add inflation into the mix.
What feels like enough today won’t go nearly as far by the time we’re 65.

Example:

At 35 years old, if I spend about $70K/year, I’d need $3.7M by age 65 to maintain that lifestyle.
(That’s the inflation-adjusted cost.)

So no…...

How Medical Professionals Can Earn $10K+ a Year in Passive Income (Without Working More)

What if your money could work harder, so you don’t have to?

Whether your goal is an extra $10K, $20K, or $50K/year, building passive income as a PA, NP, pharmacist, or physician is 100% possible. But not all passive income streams are created equal.

In this post, we’re breaking down the top 3 cash-flowing investment strategies that medical professionals are using in 2025 to earn more: without picking up extra shifts.

1. Dividends from the Stock Market – True Passive Income

Barrier to entry: Low
Truly passive: ✅
Tax advantages: ✅ (qualified dividends = long-term capital gains rate)

But here’s the catch:

To earn $50K/year from dividends, you’d need to invest $1 million at a 5% dividend yield. Most people can’t do that in the early wealth-building years.

  This is the easiest place to start. Open a brokerage through Fidelity, Vanguard, or Schwab and invest in ETFs and index funds that pay divi...