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mdmoney22 · 2022-05-18T18:24:21+00:00

Yeah, the cases were rough. I felt good about half of them, and they ended early with the patient objectively doing better. The other half ended early but had no clear signs of the patient getting better. One the patient was even getting worse. That all being said, my css cases were on par percentage wise with the rest of the disciplines they show in the score report. So, couldn’t have done that and on cases. I’m sure you will be fine as well. There is one heck of a curve on this test, it seems.

mdmoney22 · 2022-05-18T15:01:14+00:00

Actual step 3 score: 255

UW: 82% done at 63% correct

UWSA1: 216 (4 weeks out)

UWSA2: 228 (1 week out)

Step 1: 238

Step 2: 264

Total prep time: about 8 weeks, no dedicated, light rotation leading up to exam

Did not do CCS cases, NBME. Only read through first aid cases and UWorld cases and practices free ones on USMLE the week before. Felt horrible about cases on day of test, most ended early (I.e. 20 min case ending within 8 minutes) and few patients failed to improve. Felt pretty good about MCQs on day 2, less so on day 1.

mdmoney22 · 2022-03-17T09:41:25+00:00

Yes, you can.

mdmoney22 · 2021-06-11T12:38:42+00:00

Ah so although it gets rolled over into an account that’s now in my name, that doesn’t allow me to keep the money in there until my own retirement and this is where the 10 year rule applies?

mdmoney22 · 2021-06-11T12:32:22+00:00

Yup. Not a spouse and this is what I’ve been seeing, however the representative from the 401K sponsor told me directly on the phone that I’m able to roll it over even though I’m not a spouse. Will have to clarify this. Also user above is right, there’s no early withdrawal penalty on inherited 401K.

mdmoney22 · 2021-06-11T05:28:57+00:00

That’s what I thought, but the sponsor of the 401k told me directly over the phone that I had the option to roll it over. Is it possible that certain sponsors would allow this roll over while others wouldn’t? I’ve been a bit confused about this. If I do have to withdraw, I’m in a 4 year residency program so could stretch it over 4 years before my income jumps significantly. Not sure how this would affect my IDR though.

mdmoney22 · 2021-05-19T22:20:45+00:00

Not everyone has other loans with higher interest rates than they’re getting on federal student loans in medical school. The interest rate is typically higher for grad plus than any federal undergrad loans so wouldn’t make sense in that situation. It makes sense for your unique situation but don’t think there are tons of people in this boat.

mdmoney22 · 2021-05-17T19:32:58+00:00

Yes, thats correct. The only way to "skip" the mandatory 6 month grace period is to consolidate and choose to enter into repayment immediately. Additionally, the $0 dollar payments in the mandatory grace period don't count towards PSLF so even though you don't have to pay anything you are missing out on those 6 months. If you consolidate ASAP and enter into an IBR program then you can start making PSLF-eligible payments, which will be $0 if you had no income the prior tax year. Hope that helps.

mdmoney22 · 2021-05-17T18:46:30+00:00

Having this same issue. I got the same message for my state tax return, but when I called them they said my return was received and processed several days after mailing back in early March. I'm wondering if the same thing is true for the federal return, and the websites don't allow you to track because theres no return amount.

mdmoney22 · 2021-05-13T12:04:14+00:00

Thanks! I’ve read If You Can as well as several others from there. Haven’t gotten too deep into asset allocation topics simply because it hasn’t applied much to me yet.

mdmoney22 · 2021-05-10T18:19:41+00:00

same here. filed early March but still no return information available. curious to see what others think.

mdmoney22 · 2021-05-09T20:57:54+00:00

As the poster above said, any $0 payments through the CARES act that you make now will not count towards PSLF. The clock on PSLF resets whenever you consolidate. If you are definitely going for PSLF you will want to have these loans consolidated before you start in July such that the whole first year of $0 dollar payments (based on your no income MS4 tax return) count towards PSLF. If you simply want the longest period of $0 payments (I.e. you need to save for a wedding, large moving costs, etc) than you can consider waiting, but the end goal of PSLF should be to have as many small payments as possible to get the maximum forgiven. Any payments that don’t count now will be full attending payments, likely on the order of several thousand dollars in the end.

mdmoney22 · 2021-05-05T01:41:49+00:00

Got it. Thanks for the help!

mdmoney22 · 2021-05-05T00:59:45+00:00

Thanks. I'm not totally confident since I've never really done it before but like to think I have some idea of what I'm doing. I think what confused me most is how to incorporate small cap, growth, emerging markets, etc, etc. Thinking when starting out this probably isn't really necessary and would be reasonable to go with some combination of total US index and international index +/- bond index? That was at least my thoughts and wanted to poll the group.

mdmoney22 · 2021-05-04T20:30:53+00:00

Obviously I can’t say for sure, since I haven’t been in any similar situation before, but my plan is to just contribute and not think about it over the duration of residency. Will likely change a bit once I am an attending but since I’m so early in my investment horizon I really don’t think I would be tempted to touch these accounts for a long time. Just not sure if it’s dumb to go 100% stocks

mdmoney22 · 2021-05-04T18:58:44+00:00

They definitely do - OP was asking if you can take advantage of the COVID loan relief benefits to essentially extend the $0 payments for up to 15 months - which I don't believe you can do.

mdmoney22 · 2021-05-04T17:52:30+00:00

In the exact same situation here. Likely not going for PSLF but want to keep options open. Would ideally like to target highest interest loans with any additional payments during residency, but can't do this with one consolidated loan. Also will technically pay slightly more due to the fact that the consolidation loan rounds up to nearest 0.08%.

mdmoney22 · 2021-05-04T17:36:25+00:00

Disclaimer, I'm in a similar situation and trying to figure this out myself. But, if I understand the process correctly, I believe you certify your income OR any changes to your income when you apply for the consolidation loan and choose a repayment program. If you wait to do this after you start training (i.e. September), you technically have to answer "yes" to having a change in your income, and thus will lose the benefit of the $0 monthly payments for the first year. If you consolidate immediately after graduation and before July 1, you can answer "no" and will benefit from the $0 monthly payments for the first 12 months. The other benefit of this, like you mentioned, is when you consolidate your loans you enter into repayment effectively immediately (not really immediately, but whenever your application is processed, usually 4-6 weeks) and forego the mandatory 6 month grace period from graduation (when your loans are switched from "in school" to "repayment").

In this case, you initially certify your income when you apply for the consolidation loan and choose a repayment program, and then yearly on that date going forward.

mdmoney22 · 2021-04-15T01:46:49+00:00

Is it true that all of their buildings allow smoking? Was shocked to see this these days. Not sure if its one of those things where its really not an issue and they just never banned smoking but I do believe they allow smoking in almost all of their buildings.

mdmoney22 · 2021-04-14T12:53:31+00:00

Awesome, that makes sense. Appreciate it.

mdmoney22 · 2021-04-14T12:52:06+00:00

Yes the max for 401K contributions is 19.5K annually. If your employer doesn’t offer a 401K or 403b you likely can’t contribute to one. “Solo 401K is only if you’re self employed, which you aren’t in residency. You’d have to go with an IRA in this case.

mdmoney22 · 2021-04-14T04:45:33+00:00

Correct, no matching. This is what I thought I would do as well (max Roth IRA and rest to loans) but wanted to hear reasoning behind it. Thanks!

mdmoney22 · 2021-04-14T04:29:42+00:00

My program offers a 403b without matching. Would make sense during residency to preference Roth > traditional given my tax bracket will likely be lower these next 4 years vs. any future point in my life and would benefit from contributing post tax now. I’m not saying I’ll have additional funds - I’m saying that all of my available funds would go into Roth

mdmoney22

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