re: Investment advice

In my case, more like 30+ years ago. But yes, the landscape was even more different then than 7-8 years ago or now. No money down, wrap mortgaged deals and strawman buyers are no longer weapons of choice. But in the trusts I formed and the partners I had along the way, doctors and dentists were common players. It put them in investments that generated income and the possibility of appreciation, with little to no management on their part. But they typically also had a mix of investments once they became established... as did I. Being a one trick pony is not what I am suggesting, nor would I suggest that for anyone.

A balanced portfolio of investments is what most seek. And hopefully there will be a healthy work/life balance that goes with that. My background was in banking and real estate, so that's what made sense for me as a way to build wealth early on. I've always invested in the stock market though. I owned stocks and mutual funds before I ever bought the first piece of property. If this gentleman is seeking to establish an early tax advantaged nest egg (realizing that his income will grow substantially in the years to come and this option my leave the table for him), I believe that the Roth is not an unwise decision for now. He will likely be in the accredited investor club sooner than later. So there will be a whole host of choices for him as time goes on.

As someone who has probably devoted his adult life to the study of medicine and helping people, I see this as much more than just a business opportunity for him though. From family to friends who are physicians, even those who are multi millionaires, never seem to be able to truly walk away. At best, they just cut back. My (now retired) doctor owns the building where his practice was and he still maintains some sort of ownership interest in the clinic. He mainly just rides (and wrecks) his Harleys these days. And he does a few days a month in the ER just to say he did it.

In any case, short of unforeseen circumstances, money should be the least of the OP's worries as time passes. So taking all of what's been suggested into account, IMO, he should choose whatever investment vehicles that meet his goals, interests and stress tolerance, whether it be 50/50 stocks and real estate or 33/33/33 in something totally different,

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I hear that often, but even if what I have been offered gets cut in half, I will still make a good living. I understand this is no longer the "monetary golden age" of Medicine, but it is still a decent living. I don't need an extravagant lifestyle.

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I agree.

You will make a much better living as a staff physician than as a resident.

I am merely pointing out that the trend in physician salaries is very flat.

You have hit the nail on the head regarding the "golden age" being past.

I would not choose another career. I really have not had any year over year raises in quite awhile. I still make a nice living, but there does not seem to be a growth component to my income. To maintain same income, I have to do a little more work each year. I enjoy what I do, but at some point I would like to see some of the explosive costs in medicine flow to the physician. Healthcare costs have exploded; physician salaries are flat. Money is going to administrators, computers, coders, etc. The documentation time is ever growing- you get paid the same for more work.