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Shane Tenny is managing partner, Spaugh Dameron Tenny, LLC, and host of The Prosperous Doc podcast.

Signing bonuses and taxes: What physicians should know

Shane Tenny, CFP
Physician Finance
April 28, 2025

When physicians accept a job offer from a hospital, they are often enticed with a signing bonus in the form of a forgivable loan.

Given the complexities of looking for a job and negotiating an employment contract, it’s easy to see the words “signing bonus” and overlook the term “forgivable loan.”

However, while this may seem like an attractive deal, it carries significant tax implications that …

Read more…

Signing bonuses and taxes: What physicians should know

Navigating your 457 plan: key steps for physicians changing jobs

Shane Tenny, CFP
Physician Finance
March 17, 2025

When it comes to retirement savings, 401(k) and 457(b) plans are both popular options, but they have some key differences. While private employers typically offer 401(k) plans, 457(b) plans are available to employees of state and local governments and tax-exempt organizations under IRS Section 501, excluding churches and church-controlled organizations.

What is a 457 plan?

While a 401(k) is considered a defined contribution retirement account, a …

Read more…

Navigating your 457 plan: key steps for physicians changing jobs

Behavioral finance: your mood and your money

Shane Tenny, CFP
Physician Finance
November 13, 2024

Dr. Peter Onorato, an accomplished anesthesiologist, found himself at a crossroads. With a lucrative career and a substantial income, he was eager to grow his wealth. Like many high-income earners, Peter believed he could outsmart the market. Despite his wife’s concerns, he decided to invest over $300,000 in a tech startup after several days of online “research” and hearing from several colleagues in the doctor’s lounge about the expected 25-30 …

Read more…

Behavioral finance: your mood and your money

Money dysmorphia: the new financial disorder affecting millions

Shane Tenny, CFP
Physician Finance
August 18, 2024

A new, concerning trend in society has emerged online and across social media: money dysmorphia. It’s the latest version of the comparison trap and aims to describe a distorted view of one’s financial situation and how one is doing financially.

What is money dysmorphia?

Money dysmorphia is a psychological condition where individuals have distorted perceptions of their financial status, often leading to unhealthy behaviors and attitudes toward money. Similar to body dysmorphia, …

Read more…

Money dysmorphia: the new financial disorder affecting millions

The pros and cons of whole life insurance for high-income earners

Shane Tenny, CFP
Physician Finance
September 22, 2023

According to the American Council of Life Insurers, permanent insurance is the most common type of life insurance purchased in the U.S. today. There are various types of permanent life insurance available, but traditional whole life insurance is the most popular. Whole life insurance has pros and cons for high-income earners like physicians.

What is whole life insurance?

Life insurance policies come in two main types: permanent life and term life. Whole …

Read more…

The pros and cons of whole life insurance for high-income earners

Common open enrollment considerations for doctors

Shane Tenny, CFP
Physician Finance
November 15, 2022

Similar to most financial topics, benefit elections are not a one-size-fits-all recommendation. Open enrollment occurs at the end of each year and remains open for a month and a half. During this time, you can sign up for health insurance, flexible spending accounts (FSA) for health care and/or dependent care, health savings accounts (HSA), retirement plans, as well as other benefits. Be aware that employers often use the open enrollment …

Read more…

Common open enrollment considerations for doctors

Transition planning: financial moves for medical residents and fellows

Shane Tenny, CFP
Physician Finance
June 9, 2022

The unpaid time between training and practice is probably the one area of planning that catches most residents and fellows off guard. Transition planning involves preparing for the financial and lifestyle changes as you transition from training to practice.

Many new decisions will need to be made during this time, such as:

  • Determining which benefits you can and should continue from your former employer.
  • Electing benefits offered by your new employer.
  • …

    Read more…

Transition planning: financial moves for medical residents and fellows

Financial infidelity: It’s not about the money, it’s about trust

Shane Tenny, CFP
Physician Finance
March 25, 2022

If you have never heard the term “financial infidelity,” it doesn’t mean you don’t know what it is. In fact, according to a recent creditcards.com survey, 32 percent of respondents have financially cheated on their partners. Both finances and cheating can be complex subjects to discuss, even with and, sometimes especially with, those closest to you. Not surprisingly, this topic is pertinent to physicians and dentists because they tend to …

Read more…

Financial infidelity: It’s not about the money, it’s about trust

Here’s why doctors are financially depressed

Shane Tenny, CFP
Physician Finance
March 5, 2020

Finances were reported as the second leading cause of physician depression for men and women in 2018.

Doctors, like anyone else, face normal challenges that life throws at them. Additionally, they carry a huge weight on their shoulders as they go through rigorous training, are trained to put patients first, and are expected to increase …

Read more…

Here’s why doctors are financially depressed

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  • Most Popular

  • Past Week

    • Retirement isn’t the end of medicine, it’s a second act [PODCAST]

      The Podcast by KevinMD | Podcast
    • The conflict of interest that discloses as nothing

      Martha Rosenberg | Medications
    • Surgical judgment: the skill no one sees from the gallery

      Mustafa Kemal Çalık, MD | Physician
    • Why haven’t ambient AI scribes boosted productivity?

      Karan Kanwar | Health Technology
    • Why exhaustion can make you see things that aren’t there [PODCAST]

      The Podcast by KevinMD | Podcast
    • Physician well-being is not an individual problem

      Heather Buckley | Conditions and Diseases
  • Past 6 Months

    • Why CDC opioid guidelines get the overdose data wrong

      Richard A. Lawhern, PhD | Conditions and Diseases
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      The Podcast by KevinMD | Podcast
    • Sensory processing in autism and the brain’s volume control

      Josette Pelatan, PhD | Conditions and Diseases
    • What maternity care deserts cost a town

      Manisha Kaliaperumal | Health Policy
    • Why medicine needs a national physician license now

      Vaishali Popat, MD, MPH | Physician
    • A cold cost $945. The cost of primary care is broken.

      Susan Newman, MD | Physician
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      The Podcast by KevinMD | Podcast
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      Farid Sabet-Sharghi, MD | Physician
    • Shift work and circadian rhythms shape the 24/7 workplace

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    • Paid for twice

      Physicians paid for G2211 twice. Most never bill it.

      Michael Duben, MD | Physician Finance
    • The next child

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      Steven Merahn, MD | Health Policy
    • Choosing a limb lengthening surgeon requires accountability

      Hrayr Basmajian, MD | Physician

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