Kutschke Michael J, Fadale Paul D
From the Department of Orthopaedic Surgery, Brown University Warren Alpert School of Medicine, Providence, RI.
J Am Acad Orthop Surg. 2025 Feb 1;33(3):108-116. doi: 10.5435/JAAOS-D-23-01260. Epub 2024 Sep 17.
Personal finance is a topic that has historically been shunned as a point of conversation in academia, often avoided and seldom discussed in medical training. However, this aversion leaves trainees and early career surgeons to make complex financial decisions without sufficient understanding while simultaneously facing the pressures of building an orthopaedic practice-a recipe destined for burnout. This simple review serves to equip young orthopaedic surgeons with the fundamental personal financial concepts essential for making wise financial choices early in their careers. Prompt elimination of all high-interest consumer debt and devising a strategy to address student loans are crucial first steps in establishing the foundation for personal financial success. Progressing through training and entering practice bring about enhanced personal discretionary funds that are most effectively deployed through consistent budgeting and automated saving strategies. Malpractice, disability, and life insurances are keys to protecting current and future earnings as well as preventing financial catastrophe. Augmenting these items with a functional understanding of taxation systems, tax diversification, and asset protection is essential to recognize in the early years of practice to set the trajectory for financial independence and a well-deserved retirement.
个人理财这一话题在学术领域一直被视为避谈内容,在医学培训中也常被回避且鲜有讨论。然而,这种反感使得实习生和初入职场的外科医生在没有充分理解的情况下做出复杂的财务决策,同时还要面对建立骨科业务的压力——这注定会导致职业倦怠。这篇简要综述旨在让年轻的骨科外科医生掌握基本的个人财务概念,这些概念对于他们在职业生涯早期做出明智的财务选择至关重要。迅速消除所有高息消费债务并制定应对学生贷款的策略,是奠定个人财务成功基础的关键第一步。随着培训的推进并进入工作阶段,个人可自由支配资金会增加,通过持续的预算编制和自动储蓄策略能最有效地运用这些资金。医疗事故保险、伤残保险和人寿保险是保护当前及未来收入以及防止财务灾难的关键。在执业初期就对税收制度、税收多元化和资产保护有切实的理解,并以此来补充这些保险项目,对于设定财务独立和应得退休生活的轨迹至关重要。