{"id":522,"date":"2016-05-04T14:44:46","date_gmt":"2016-05-04T14:44:46","guid":{"rendered":"http:\/\/blogs.nejm.org\/frontlines-clinical-medicine\/?p=522"},"modified":"2016-06-09T12:36:49","modified_gmt":"2016-06-09T12:36:49","slug":"fringe-part-2-debt-management","status":"publish","type":"post","link":"https:\/\/blogs.nejm.org\/frontlines-clinical-medicine\/2016\/05\/04\/fringe-part-2-debt-management\/","title":{"rendered":"The Fringe: Part 2 &#8211; Debt Management"},"content":{"rendered":"<p><div style=\"width: 135px\" class=\"wp-caption alignright authorPic\"><img loading=\"lazy\" decoding=\"async\" src=\"[php] bloginfo('template_url'); [\/php]\/images\/AU000_bbelcher.jpg\" alt=\"Bianca Belcher, MPH, PA-C\" width=\"125\" height=\"150\" align=\"left\" \/><p class=\"wp-caption-text\"><\/p>\n<p><\/p>\n<p class=\"wp-caption-text\">Bianca Belcher, MPH, PA-C, practices neurosurgery in Boston, MA.<\/p>\n<p>&nbsp;<\/p>\n<p><\/p><\/div>Welcome to part 2 of my 4-part series titled &#8220;The Fringe&#8221; (<a href=\"http:\/\/blogs.nejm.org\/frontlines-clinical-medicine\/2016\/03\/29\/the-fringe-part-1-negotiation-basics\/\">see part 1<\/a>).<\/p>\n<p>So many students come out of medical school, PA school, or\u00a0nursing school with a significant amount of debt. Couple graduate loans with undergraduate loans and\/or other loans that you may have taken on over the years (car, house, etc.) &#8212; and the final number can be scary.<\/p>\n<p>I had the opportunity to sit down with a financial expert, Keith Gilbreath from the Highland Financial Group, who specializes in financial management for medical professionals and he was able to present five very relevant tips to help with debt management.<\/p>\n<p><strong>TIP #1: Organize your student loans by interest rate. Focus on paying off the highest interest rate loans first.<\/strong><\/p>\n<table class=\" aligncenter\" width=\"414\">\n<tbody>\n<tr>\n<td width=\"98\"><span style=\"color: #0000ff\"><strong>Who You Owe<\/strong><\/span><\/td>\n<td width=\"98\"><span style=\"color: #0000ff\"><strong>Loan Amount<\/strong><\/span><\/td>\n<td width=\"72\"><span style=\"color: #0000ff\"><strong>Interest Rate<\/strong><\/span><\/td>\n<td width=\"98\"><span style=\"color: #0000ff\"><strong>Monthly Payment<\/strong><\/span><\/td>\n<td width=\"48\"><span style=\"color: #0000ff\"><strong>Ranking<\/strong><\/span><\/td>\n<\/tr>\n<tr>\n<td width=\"98\"><strong>Lender A<\/strong><\/td>\n<td width=\"98\"><strong>25,000<\/strong><\/td>\n<td width=\"72\"><strong>5.25%<\/strong><\/td>\n<td width=\"98\"><strong>$200<\/strong><\/td>\n<td width=\"48\"><strong>2<\/strong><\/td>\n<\/tr>\n<tr>\n<td width=\"98\">Lender B<\/td>\n<td width=\"98\">20,000<\/td>\n<td width=\"72\">3.50%<\/td>\n<td width=\"98\">$150<\/td>\n<td width=\"48\">4<\/td>\n<\/tr>\n<tr>\n<td width=\"98\"><strong>Lender C<\/strong><\/td>\n<td width=\"98\"><strong>22,000<\/strong><\/td>\n<td width=\"72\"><strong>5%<\/strong><\/td>\n<td width=\"98\"><strong>$165<\/strong><\/td>\n<td width=\"48\"><strong>3<\/strong><\/td>\n<\/tr>\n<tr>\n<td width=\"98\">Lender D<\/td>\n<td width=\"98\">15,000<\/td>\n<td width=\"72\">7.90%<\/td>\n<td width=\"98\">$125<\/td>\n<td width=\"48\">1<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p style=\"text-align: left\">Sit down and list out all of your loans, their amounts, interest rates, and monthly payments. Add a final column entitled <em>Ranking<\/em>. Run-through all of your loans and rank them according to interest rate (Highest = 1). Focus on paying off your highest interest rate loans first. According to the example above you would focus on paying off Lender D first. So, in addition to the monthly payment, you should try to pay extra per month <em>just toward that loan<\/em> as opposed to the group of loans. Once you pay it off, you then can take that $125 per month payment (that you are used to paying already) and add it as an \u201cextra\u201d payment for Lender A (Rank #2) and so on and so forth.<\/p>\n<p style=\"text-align: left\"><strong>TIP #2: Consider Consolidation.<\/strong> When possible, a simplified payment to a singular entity (at a low interest rate) always trumps multiple payments to a bevy of providers. New private providers (big banks) focus on debt repayment every few months. Keep an eye out for great interest rates and consolidation deals, even if it is just for the highest interest rate debt that you have. If you qualify, it could save you <u>thousands<\/u> in the long run!<a href=\"http:\/\/blogs.nejm.org\/frontlines-clinical-medicine\/wp-content\/uploads\/sites\/8\/2016\/04\/ifYouOweVA.png\" rel=\"attachment wp-att-528\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-528 alignright\" src=\"http:\/\/blogs.nejm.org\/frontlines-clinical-medicine\/wp-content\/uploads\/sites\/8\/2016\/04\/ifYouOweVA-300x172.png\" alt=\"ifYouOweVA\" width=\"300\" height=\"172\" srcset=\"https:\/\/blogs.nejm.org\/frontlines-clinical-medicine\/wp-content\/uploads\/sites\/8\/2016\/04\/ifYouOweVA-300x172.png 300w, https:\/\/blogs.nejm.org\/frontlines-clinical-medicine\/wp-content\/uploads\/sites\/8\/2016\/04\/ifYouOweVA.png 480w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p style=\"text-align: left\"><strong>TIP #3: Pace Yourself<\/strong>. Although paying off loans is very important, don\u2019t forget about the other things in your financial life that need attention \u2013 like retirement!<\/p>\n<p style=\"text-align: left\"><strong>TIP #4: Create Automatic Payments<\/strong>. Debt and revolving credit often carry penalties for late or missed payments. Set yourself up for success by scheduling automatic payments and chip away at those balances worry free. In addition, some lenders even offer a reduction in interest rates if you sign up for automatic payments.<\/p>\n<p style=\"text-align: left\"><strong>TIP #5: Review you balance(s) periodically.<\/strong> Everyone likes success and while you may groan at the sight of your remaining balance, remember: 1) where you started, and, 2) that you are headed in the right direction! Progress should always be celebrated.<\/p>\n<p>In the upcoming part 3 of &#8220;The Fringe&#8221; series, we will discuss deciphering your benefits package.<\/p>\n<h5><em>A special thanks to Keith Gilbreath with Highland Financial Group for taking the time to help with this series.<br \/>\n<\/em><\/h5>\n","protected":false},"excerpt":{"rendered":"<p>Welcome to part 2 of my 4-part series titled &#8220;The Fringe&#8221; (see part 1). So many students come out of medical school, PA school, or\u00a0nursing school with a significant amount of debt. Couple graduate loans with undergraduate loans and\/or other loans that you may have taken on over the years (car, house, etc.) &#8212; and [&hellip;]<\/p>\n","protected":false},"author":1259,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[20,32,38],"tags":[292,293,294],"class_list":["post-522","post","type-post","status-publish","format-standard","hentry","category-education","category-physician-assistant","category-work-life-balance","tag-debt","tag-finances","tag-student-loans"],"_links":{"self":[{"href":"https:\/\/blogs.nejm.org\/frontlines-clinical-medicine\/wp-json\/wp\/v2\/posts\/522","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.nejm.org\/frontlines-clinical-medicine\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.nejm.org\/frontlines-clinical-medicine\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/frontlines-clinical-medicine\/wp-json\/wp\/v2\/users\/1259"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/frontlines-clinical-medicine\/wp-json\/wp\/v2\/comments?post=522"}],"version-history":[{"count":0,"href":"https:\/\/blogs.nejm.org\/frontlines-clinical-medicine\/wp-json\/wp\/v2\/posts\/522\/revisions"}],"wp:attachment":[{"href":"https:\/\/blogs.nejm.org\/frontlines-clinical-medicine\/wp-json\/wp\/v2\/media?parent=522"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.nejm.org\/frontlines-clinical-medicine\/wp-json\/wp\/v2\/categories?post=522"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.nejm.org\/frontlines-clinical-medicine\/wp-json\/wp\/v2\/tags?post=522"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}