For physicians, dentists, pharmacists, and other medical professionals in residency, training, or their first attending years - turning six-figure student loans and a late start into a coordinated plan for building wealth.
The first money decisions of your career are among the most consequential. Handled well, six-figure student loans and a compressed timeline become a plan. Handled poorly, they quietly cost you for decades.
Early on, you're a prime target for commission-based products and one-size-fits-all advice. We exist to change that - fiduciary guidance focused on the debt, tax, and investing decisions that matter most in your early career.
Public Service Loan Forgiveness, income-driven repayment, or private refinancing? Choosing the wrong path - or the wrong timing - can cost six figures over the life of your student loans.
Aggressively pay down student loans, or start compounding early? The right balance depends on your rates, your timeline, and your goals - not a generic rule of thumb.
Residency and fellowship, your lowest-income years, are a rare window for Roth contributions and conversions. Miss it, and you may never get those low brackets back.
Establishing the right savings, investment, and protection foundation while cash is tight in residency sets the trajectory for everything that follows.
The decisions you make about student loans in your first years out of residency compound for the rest of your career. They deserve a strategy, not a default.
Your financial needs evolve dramatically across your career. We build strategies that adapt with you - not generic plans that ignore where you actually are.
Medical professionals are trained to prioritize patient interests, so you can appreciate the same in your investment advisor - where recommendations are driven by what's best for you, not by what generates a commission.
As a fee-only RIA, our only investment advisory revenue comes from a transparent, tiered AUM fee - charged in arrears. That alignment is intentional - our only incentive is growing your wealth, never selling you products.
Every client speaks directly with the principal. No hand-offs to junior staff. Virtual meetings for ultimate flexibility - built around the on-call and shift hours that physicians, nurses, residents, and pharmacists know well.
Legally bound to act in your best interest when managing your investments. Not a sales pitch - a legal obligation.
Tiered AUM fee, charged in arrears. No commissions on investment products. You see exactly what you pay and why.
Speak 1-on-1 with the owner-operator. Your advisor knows your name, your goals, your situation.
Initial meetings are free - even if you never become a client. Think of it as a second opinion on your financial health.
Evidence-based portfolio construction calibrated to your compressed accumulation timeline and risk parameters.
PSLF optimization, refinancing analysis, and coordinated repayment-investment strategies.
Tax strategy coordination across W-2 income, 1099 work, practice entities, and investment accounts.
Custom strategies accounting for your later start, higher income trajectory, and specific retirement goals.
Investment and wealth strategy coordination around buy-ins, buy-outs, and practice sale events.
Coordination of entity structuring, partnership planning, asset protection, and intergenerational wealth transfer.
Time-tested investment principles, enhanced by modern technology. We don't chase the next trend - we build enduring strategies.
A complimentary, in-depth conversation about your career, financial picture, goals, and concerns. Think of it as a second opinion on your financial health - no obligation, no pressure.
We develop an investment strategy built around your specific situation - accounting for career arc, tax efficiency opportunities, and the financial complexities and risk profile specific to medicine.
Disciplined execution across portfolio construction, tax strategy, insurance coordination, and estate planning. As your discretionary investment manager, every action taken on your behalf is fiduciary.
Regular reviews, proactive adjustments for life and career changes, and direct access to your advisor. Your financial strategy evolves as your career does.
Early-career strategy is just the beginning. Aston Sandel manages wealth from residency through every stage that follows - new attending years, practice ownership, peak earning, and beyond.
Explore Full Medical Wealth ManagementYes. Residency and fellowship are when the highest-leverage decisions happen - student loan strategy, first Roth contributions, protection basics. Starting early, even with modest dollars, sets the trajectory for your attending years.
The planning and guidance are complimentary. Our only compensation is our management fee on assets we manage for you - and in training years, those can start small. We'd rather help you make the right moves now and grow together than wait until the "right" account size.
Don't wait. Your training years are the lowest tax bracket you will ever see again - which makes them uniquely valuable for Roth contributions and Roth conversions, even in small amounts. Waiting until attending income arrives permanently forfeits that window. We help you balance it against your loan strategy so both work together.
It depends on your employer type, your repayment plan, and your timeline. PSLF, income-driven repayment, and private refinancing lead to very different outcomes - choosing wrong, or switching at the wrong time, can cost six figures. We model the paths side by side before you commit.
Usually it isn't either/or. The right balance depends on your interest rates, forgiveness eligibility, employer match, and timeline. We build a coordinated plan where your loan strategy and your investing strategy work together instead of competing.
Before or right after the first contract, ideally. The first attending years concentrate the biggest decisions of your career - loan payoff versus forgiveness, first serious investing, insurance, and lifestyle choices that compound for decades.
It's central to how we plan. Intern year, residency, fellowship, first attending contract - each stage has different income, different constraints, and different opportunities. We meet virtually, scheduled around shift and on-call hours.
Whether you're evaluating your current advisor or exploring professional wealth management for the first time - we offer complimentary consultations with no obligation. Speak directly with the principal. Virtual meetings available.
