In fact, finances are a huge stressor for many medical students, residents, and even

事實上，經濟是很多醫學生、住院醫師的巨大壓力，甚至是

attending physicians.

主治醫生；

Between the opportunity cost, raising cost of tuition, and increasing interest rates

在機會成本、提高學費成本和提高利率之間。

on student loans, it's easy to see why becoming a doctor isn't as financially favorable

貸款，很容易理解為什麼成為一名醫生在經濟上並不那麼有利。

as it once was.

因為它曾經是。

For that reason, being smart about your finances from the beginning is essential.

是以，從一開始就精打細算是非常必要的。

These are the common financial pitfalls to avoid as a pre-med and medical student.

這些都是作為醫學預科生和醫學生要避免的常見財務陷阱。

Dr. Jubbal, MedSchoolInsiders.com.

朱波醫生，醫派內參網。

The reason its key to get a grip on your finances from even your college days is the concept

其關鍵的原因是，即使是你的大學時代，掌握你的財務是概念

of the compounding effect.

的複利效應。

In short, interest compounds over time and either work for you or against you.

簡而言之，利息隨著時間的推移而複利，要麼對你有利，要麼對你不利。

If you invest at a rate of 7% per year, that money doubles after 10 years.

如果你以每年7%的速度投資，10年後這筆錢就會翻倍。

However, the reverse is true too.

然而，反之亦然。

If you take out loans at 7%, that money too compounds with time.

如果你以7%的利率貸款，這些錢也會隨著時間的推移而複利。

With the average graduating medical student carrying $200,000 in debt, it's common sense

醫學生畢業平均揹負20萬債務，這是常識

why you want to pay that money off sooner than later.

為什麼你想早點把這些錢還清。

You must personally take ownership of your own financial well-being.

你必須親自掌握自己的財務狀況。

No one else will do this for you.

沒有人會為你做這個。

My family was not wealthy and I had to pay for both college and medical school all on

我的家庭並不富裕，大學和醫學院的學費都是我自己掏的

my own.

我自己的。

But by practicing intelligent financial decisions and saving aggressively, I was able to keep

但通過實行明智的財務決策和積極的儲蓄，我能夠保持住。

my loans quite low and even pay them off shortly after graduating.

我的貸款相當低，甚至畢業後不久就還清了。

The first and most obvious mistake ties in with the common misconception that as a doctor,

第一個也是最明顯的錯誤與常見的誤區有關，作為一名醫生。

you'll never have to worry about money again.

你再也不用擔心錢的問題了。

For that reason, too many students figure they'll worry about finances later.

為此，太多的學生都以為以後會為財務發愁。

Now let's say a medical student graduates with $300,000 in debt.

現在假設一個醫學生畢業時，負債30萬元。

That debt starts accruing interest the moment they take it out in medical school.

這筆債務在醫學院拿出來的時候就開始計息了。

While they're making minimum payments in residency, it's still accruing interest.

雖然他們在居住地支付了最低限度的款項，但還是在計息。

By the time they're an attending physician and making more aggressive payments on their

等到他們成為主治醫生，在他們的身上進行更積極的支付的時候

student loans, that amount is closer to $400,000 – sometimes even more.

學生貸款，這個數額接近40萬美元，有時甚至更多。

The average primary care doctor is making $220,000 per year and the average specialist

主治醫生的平均年薪為22萬美元，專科醫生的平均年薪為22萬美元。

is making $330,000 per year.

是年薪33萬元。

Not as much as most people would have you believe.

沒有大多數人相信的那麼多。

At this point, you may think “so what!?” it'll only take 2, maybe 3 years to pay off

這時，你可能會想："那又怎樣！？"只需要2年，也許3年就可以還清了。

with such a huge salary.

以如此鉅額的工資。

But if we look closer, that's obviously not the case. The biggest expense, of course, is going to be taxes,

但如果我們仔細觀察，情況顯然不是這樣。最大的支出，當然要數稅收了。

but you'll also be paying for malpractice, and living expenses too.

但你也要支付誤工費，和生活費了。

And don't forget, you probably have a family at this point, which has its own set of expenses.

別忘了，你此時可能已經有了家庭，這也有自己的一套開支。

Now you see why, particularly for primary care doctors, it's not uncommon to be paying

現在你明白為什麼了吧，特別是對於基層醫生來說，付出的代價並不少見。

off student loans for a decade or more.

關學生貸款十年以上。

And the bad news is that these statistics are trending in an unfavorable direction.

而壞消息是，這些統計數據正朝著不利的方向發展。

As tuition rises, student loan options are actually getting worse.

隨著學費的上漲，學生貸款的選擇其實越來越差。

Federal subsidized loans are gone, and loan refinancing has less utility than it did before.

聯邦補貼貸款沒有了，貸款再融資的作用也不如以前。

Therefore, unless you have incredibly favorable loan terms, its best to minimize your loan

是以，除非你有非常優惠的貸款條件，否則最好儘量減少你的貸款。

burden.

負擔。

For these reasons, I'm a strong advocate of educating yourself on financial basics

基於這些原因，我極力主張對自己進行財務基礎知識的教育。

even as a college student.

即使是大學生。

Unfortunately, our modern education systems do not prioritize financial education, and

遺憾的是，我們的現代教育體系並沒有把理財教育放在優先位置，而且。

as a result many students make mistakes that, in the long term, cost them a small fortune.

結果很多學生犯了錯誤，長此以往，讓他們損失了一筆小錢。

Our personal finance videos and blog posts are a great place to start.

我們的個人理財視頻和博客文章是一個很好的開始。

If you'd like to read further, I highly recommend The White Coat Investor book, the Personal

如果你想進一步閱讀，我強烈推薦《白衣投資者》這本書，《個人的

Finance subreddit, and a few other resources I'll have linked in the description below.

金融子網，以及其他一些資源，我會在下面的描述中進行鏈接。

Students, and often times their parents, prioritize the prestige of a program too far above other

學生和他們的家長常常把一個項目的聲望看得比其他項目更重要。

factors.

因素。

I've gone over the relative importance of college prestige in a previous video.

我在之前的視頻中已經介紹過大學聲望的相對重要性。

Prestige in medical schools is arguably less important compared to college universities.

醫學院的聲望與大學大學相比，可以說是不那麼重要。

I've personally seen colleagues or helped clients from less competitive medical schools

我個人曾見過競爭不那麼激烈的醫學院的同事或幫助過的客戶。

match into highly competitive residencies at highly desirable institutions.

匹配到競爭激烈的理想院校的住院部。

That isn't to say that medical school prestige doesn't matter, but it's of secondary

這並不是說醫學院的聲望不重要，但它是次要的。

importance.

重要性。

The opportunities available (and the student making the most of those opportunities) is

現有的機會（以及學生充分利用這些機會）是

most important, and these opportunities are only weakly correlated with a medical school's

最重要的，而這些機會與醫學院只存在微弱的相關性。

prestige.

聲望；

After a certain level, say Top 20 or 25, the relative importance of prestige drops even

到了一定的級別之後，比如說前20名或者25名，威望的相對重要性就會下降，甚至是

further.

此外，

I'd argue other factors are more important, including your fit in the school's culture.

我認為其他因素更重要，包括你對學校文化的適應性。

Do you mesh well with other students and the faculty?

你與其他學生和老師的關係是否融洽？

Do you overall like the school and its location?

你總體上喜歡學校和它的位置嗎？

What about the cost?

那費用呢？

Have they offered you any financial incentives and what is your out of pocket cost going

他們有沒有為你提供任何經濟獎勵，你的自費費用是多少？

to be?

要做什麼？

These factors will play a much greater role in your happiness, wellbeing, and long term

這些因素將對你的快樂、幸福和長期發揮更大的作用。

success than the prestige of your institution.

的成功，而不是你的機構的聲譽。

I remember during orientation week at my medical school, a lecturer presented on finance basics

我記得在醫學院的迎新周，有位講師介紹了金融基礎知識

101 for medical students.

101名醫學生。

In it, she explained anything you pay for now is costing you 50% more due to the compounding

她在裡面解釋說，由於複利的關係，你現在支付的任何費用都要多出50%。

effect of interest on your loans.

貸款利息的影響。

Small expenses, like buying a $4 coffee every day at Starbucks, is actually costing you

小的支出，比如每天在星巴克買4元錢的咖啡，其實是讓你花掉了

$6 in the long term, and doing it daily adds up quick.

長期來看6元錢，每天做的話，加起來很快。

In her words, “skip the sexy coffee” and brew it yourself at home for a fraction of

用她的話說，"跳過性感的咖啡"，自己在家沖泡，只需花很少的錢。

the cost.

的費用。

While I agree with her logic, there's a balance one must strike.

雖然我同意她的邏輯，但人必須取得平衡。

Don't be so frugal that you make yourself miserable.

不要太節儉了，把自己弄得很痛苦。

On one extreme, you don't need to buy every new gadget that comes out.

在一個極端，你不需要買每一個新出的小工具。

Your smart phone can last a few years, trust me.

你的智能手機可以用上幾年，相信我。

And do you really need new clothes again?

而你真的又需要新衣服嗎？

You'll be rocking scrubs in the hospital most days, and no, the fancy scrubs you see

你在醫院裡大部分時間都會穿上手術服 不，你看到的是漂亮的手術服。

all over social media are not necessary.

在社交媒體上都不需要。

The free ones you get from the hospital are fine, and you'll be much more comfortable

醫院免費給你的就可以了，你會舒服多了的

getting blood, excrement, and other goodies on the hospital scrubs anyway.

讓血液，排洩物，和其他好東西 在醫院的手術服反正。

On the other extreme, don't be afraid to enjoy yourself and eat Korean BBQ every now

在另一個極端，不要怕享受，偶爾吃吃韓式BBQ

and then.

然後：

Pinching every penny to the point your happiness is significantly compromised is not a healthy

錙銖必較，以至於你的幸福感大打折扣，這不是一個健康的做法。

long term solution either, even if your wallet is better padded initially.

長久之計也好，即使你的錢包最初墊得再好。

Remember that it's easier to be poor when you're young.

記住，年輕的時候比較容易窮。

Practice simplicity and appreciation of what you have, rather than always longing for something

練習簡單和欣賞你所擁有的東西，而不是總是渴望得到一些東西。

new.

新的。

Pick up a budgeting app and track your expenses.

拿起一個預算應用程序，跟蹤你的開支。

I recommend Mint for its ease of use.

我推薦Mint，因為它的易用性。

Defer gratification, and understand that you can have the fancy Michelin star meals and

延後滿足感，並明白你可以擁有米其林星級的高級餐點和。

designer clothes when you're an attending physician, but they aren't necessary right

當你是一個主治醫生時，設計師的衣服，但他們是沒有必要的權利。

now.

現在。

Living in this manner has its own benefits – it will make it that much sweeter when

這樣的生活方式也有自己的好處--會讓它變得更加甜蜜，當

you finally earn it and can afford these things.

你終於賺到了，可以負擔得起這些東西。

I know several colleagues who didn't have to pay a dime in loans because their parents

我認識好幾個同事，他們不用交一分錢貸款，因為他們的父母...

footed the bill.

腳的賬單。

That's great for them, but practicing my own self-restraint and delayed gratification

這對他們來說是很好的，但練習我自己的自我剋制和延遲的滿足感

was rewarding in its own way.

是有自己的收穫的。

First, I have the satisfaction of knowing that I earned and paid for my MD on my own

首先，我很滿意地知道，我的醫學博士是我自己掙來的，也是我自己支付的。

merit, and that feeling of paying off the last of your student loans is hard to replace.

功，而那種還清最後一筆助學貸款的感覺是很難替代的。

And now I know I've made it, because I can get guac in my Chipotle bowl without sweating

現在我知道我成功了 因為我可以在我的Chipotle碗裡吃到鱷梨醬而不出汗了

the extra three dollars.

額外的三塊錢。

Before committing to anything that has long lasting implications, it's obviously very

在承諾任何具有長期影響的事情之前，它顯然是非常。

important you understand what you're getting yourself into.

重要的是你要明白你在做什麼。

This applies in two ways regarding medical school finances.

關於醫學院的財務，這適用於兩個方面。

First, understand the different types of scholarships.

首先，瞭解不同類型的獎學金。

No-strings-attached scholarships, like the Med School Insiders Annual Scholarship, are

像醫學院內部人士年度獎學金這樣的無附加條件的獎學金是

fantastic opportunities.

奇妙的機會。

These scholarships provide free money for tuition and related expenses, most commonly

這些獎學金為學費和相關費用提供免費資金，最常見的是

to students in financial need.

給經濟困難的學生。

Some focus on areas of study, like medicine, and others focus on your religious affiliation,

有的側重於研究領域，比如醫學，有的則側重於你的宗教信仰。

region where you live or grew up, or even your writing chops.

你生活或成長的地區，甚至你的寫作技巧。

But other “Scholarships” aren't scholarships in the traditional sense.

但其他 "獎學金 "並不是傳統意義上的獎學金。

For example, the Health Professions Scholarship Program, or HPSP, are scholarships offered

例如，衛生專業獎學金計劃，或HPSP，是提供的獎學金。

by the U.S. military.

由美軍。

Other similar offerings can be found with the US Public Health Service or Indian Health

其他類似的產品可以在美國公共衛生服務局或印第安人衛生局找到。

Services.

服務：

They pay for your medical school in exchange for a commitment.

他們為你的醫學院支付學費，以換取承諾。

These are best suited for individuals whose career goal is to be a military doctor or

這些最適合那些職業目標是軍醫或的人。

rural primary care doctor.

農村初級保健醫生；

If your goals align with the commitment, more power to you.

如果你的目標與承諾一致，那麼你就有更多的力量。

Otherwise, I recommend you exercise caution.

否則，我建議你謹慎行事。

Second, understand the contingencies of various loan forgiveness programs.

其次，瞭解各種貸款豁免項目的應急措施。

For example, the Public Service Loan Forgiveness Program, offered by the U.S.

例如，美國提供的 "公共服務貸款豁免計劃"。

Government, has a complex mix of requirements.

政府，有著複雜的需求組合。

In it's first year, of the 28,000 borrowers who submitted loan forgiveness applications,

在第一年，在提交貸款豁免申請的2.8萬名借款人中。

only 96 had their debt forgiven.

只有96人的債務被免除。

That's less than one percent.

這還不到百分之一。

Purchasing a new PlayStation while forgoing quality foods in favor of cheaper fast food

一邊購買新的PlayStation，一邊放棄優質的食物，選擇便宜的快餐。

is not a good long term decision.

不是一個好的長期決定。

Yet it's surprisingly common to see pre-med and medical students cheap out in all the

然而，在所有的預科生和醫學生中，竟然普遍存在著便宜的現象。

wrong places.

錯的地方。

Your health and wellbeing is the highest priority.

您的健康和福祉是最優先的。

As someone who has personally experienced significant medical issues, let me tell you

作為一個親身經歷過重大醫療問題的人，讓我來告訴你。

that if you aren't healthy, nothing else matters. I'm not saying to go treat yourself

如果你不健康，什麼都不重要了。我不是說要你去犒勞自己

to concierge medicine and weekly massages, but prioritizing healthy exercise and dietary

到禮賓醫學和每週按摩，但優先考慮健康的運動和飲食。

habits will have tremendous compounding effects long term.

習慣會產生巨大的複合效應，長期。

The second most important aspect is your education.

第二個最重要的方面是你的教育。

Missing an extra year or two because you failed to get into medical school the first time

因為第一次沒有考上醫學院，所以多錯過了一兩年的時間。

can cost you hundreds of thousands of dollars in career earnings.

可能會讓你失去幾十萬的職業收入。

Yet so many students skimp out on test prep or admissions advising because they figure

然而，許多學生卻吝嗇於考試準備或錄取建議，因為他們認為...。

they'll “see how it goes.”

他們會 "看情況而定"

It's not just a matter of wasting money on having to retake the MCAT or the monetary

這不僅僅是浪費錢的問題，必須重考MCAT，還是金錢的問題。

cost of applying to medical school once again.

再次申請醫學院的費用。

The opportunity cost is orders of magnitude larger.

機會成本要大幾個數量級。

Do it right and do it once.

做對了，就做一次。

Be the strongest applicant you can be.

做最強的申請人。

By working on myself, achieving top scores, and bullet proofing my own application, I

通過對自己的努力，取得了最高分，並對自己的申請進行了防彈處理，我。

was able to not only get accepted to top institutions, but was even awarded merit-based full tuition

不僅能夠被頂尖院校錄取，甚至還獲得了擇優錄取的全額學費。

scholarships that drastically reduced my loan burden.

獎學金，大大減輕了我的貸款負擔。

These scholarships are only offered to those who are the strongest of applicants.

這些獎學金只提供給那些最強的申請人。

By bolstering your own application, you can optimize your chances to receive these lucrative

通過加強自己的申請，你可以優化你獲得這些有利可圖的機會。

scholarships as well.

獎學金以及。

Don't expect to get into a strong medical school or match into your dream residency

別指望能考上強勢的醫學院，也別指望能匹配到夢想中的住院醫師。

program if you haven't adequately prepared and invested yourself in your own education.

計劃，如果你沒有充分的準備和投資自己的教育。

That means doing as best you can on the MCAT and optimizing your medical school or residency

這意味著要儘可能地在MCAT上做到最好，並優化你的醫學院或住院醫師資格。

application the first time.

第一次申請。

If you need help with the MCAT or strengthening your own medical school or residency application,

如果你需要MCAT的幫助，或者加強自己的醫學院或住院醫師申請。

our top physician advisors at MedSchoolInsiders.com are here to help.

我們在MedSchoolInsiders.com的頂級醫生顧問在這裡提供幫助。

They love what they do, and they're the best in the industry.

他們熱愛他們的工作，他們是行業中最好的。

They've passed our highly rigorous 5 step screening process and have excelled in their

他們通過了我們嚴格的五步篩選程序，並在他們的工作中表現出色。

own medical careers.

自己的醫療事業。

As you guys know, I'm a huge proponent of systems generating results.

你們知道，我是系統產生結果的忠實擁護者。

That's why my team and I have spent months perfecting our proprietary and systematic

這就是為什麼我和我的團隊花了幾個月的時間來完善我們專有的系統化的。

processes that ensure the highest quality service for each and every student.

流程，確保為每一位學生提供最優質的服務。

Unlike other companies, you'll never worry about being “unlucky” and not getting

與其他公司不同的是，你永遠不會擔心自己 "倒黴 "而得不到。

a phenomenal advisor.

一個了不起的顧問。

Our team consistently delivers an excellent experience and service, and I personally stand

我們的團隊始終如一地提供卓越的體驗和服務，我個人認為，我們的團隊是一個很好的團隊。

by that.

以此。

Our results speak for themselves.

我們的成果不言而喻。

Learn more at MedSchoolInsiders.com.

更多內容請登錄MedSchoolInsiders.com瞭解。

Thank you guys so much for watching.

非常感謝你們的觀看。

What other financial mistakes or misconceptions do you commonly find?

你還經常發現哪些理財錯誤或誤區？

I'm going to be making a part 2 video on finances for pre-med and medical students,

我準備做一個關於醫學預科生和醫學生財務的第二部分視頻。

and I want your input!

我想聽聽你的意見！

Leave a comment below, or shoot me a message on Instagram.

在下面留言，或者在Instagram上給我留言。

Much love to you all, and I will see you guys in that next one.

很愛你們，我們下一場見。