Jason Erickson, DO, MSPT

Pain on the outside of your hip is one of the most common problems I see in my practice. Walkers get it. Runners get it. People who've never been to a gym get it. For decades, we called it bursitis and injected it. We were treating the wrong thing.

@noahkaufmanmd @DrSuneelDhand surgeoncheck.com

@DrSuneelDhand Would be interesting if we had matrix and we could just rate physicians based on all of the data and actually suss this out. This should be something objectively verifiable. Somebody should make doctorstats.com.

There are two massive problems with this (true) tweet 1. Every doctor agrees with it. 2. Every doctor thinks they are the 20%

@olsonplanner Just noticing this post. You will be missed on this platform. Thank you for the encouragement, advice, and thoughtful engagement. Guess I'll finally have to sign up for Tiktok!

Doctors - I won't be writing much here going forward. DMs are closed to new requests, though I'll check messages from existing conversations from time to time. Here's where I'll be focusing my public educational efforts: 1) Physician Cents (Podcast) 2) A Good Problem to Have (Podcast) 3) Tiktok 4) At attendings' homes where they host their trainees for a meal and a discussion about money with me. These have had such an impact, love playing this supportive role. 5) At a medical conference near you. In-person teaching opportunities like these are really fun and I will be doing more of them. 6) Semi-annual webinars - one in the spring and one in the fall. Next up is the Post-Match Financial Education Webinar, slated for April 10th. As for planning work: If you want to work with us at OlsonFP, you're welcome to inquire through our website. - Our next set of single sessions ($4k) with me will take place in August. - Ongoing planning service interviews are taken on a case by case basis. On a related note, I've determined we will grow the practice by hiring another tax pro so I won't be the only EA/CPA on staff. I'm looking forward to continuing to build the practice. Appreciate you all in medicine as you navigate your careers and make tough money decisions! Your work is SO important. My heart particularly continues to be with you med students and trainees - y'all work so hard in learning and training, ultimately for your patients - we are all in your debt. I'll keep doing my best to support you with what I have to give. - Tyler

@ryaninman thank you for clarifying and for the link!

Yes the IRS confirms it explicitly. The exact language: "after the growth period, Trump accounts generally will be subject to the section 408 rules that apply to other traditional IRAs (such as the rules related to contributions, distributions, required minimum distributions, rollovers, Roth conversions, ordinary income taxation, and reporting)." Some light bedtime reading if you want to verify: irs.gov/pub/irs-drop/n…

Dave Ramsey is telling people to skip the Trump Account. He's wrong. And if you're a physician, especially a practice owner, ignoring this account could cost your kid $3,100,000 out. Tax free. Let me walk you through the math. If you own your practice and take a W2, your practice can contribute $2,500 per year to your child's Trump Account. That contribution is deductible by the practice AND excluded from your taxable income. You don't pay a dime of tax on it going in. Then you personally contribute another $2,500 per year after tax to hit the $5,000 annual cap. Don't own a practice, no problem, you can personally contribute the $5,000/yr (family can also assist!) Do that from birth to age 18. Add the $1,000 government seed on day one. Invest in a low cost S&P 500 index fund (the only option allowed, which is perfect for a long time horizon). Assume 7% average annual returns. At age 18, your kid has approximately $181,000 in that account. Here's where it gets interesting. Your kid turns 18. They're a college freshman with little to no income. You convert the entire Trump Account to a Roth IRA. The tax bill is roughly $20,000. You gift your kid the cash to cover the tax so the full $181,000 stays inside the Roth. From that moment forward, every dollar of growth is tax free. Forever. Without contributing another $1, account value... At age 30: ~$356,000 At age 40: ~$700,000 At age 50: ~$1,377,000 At age 60: ~$3,100,000 At a 4% withdrawal rate, that's $124,000 per year in tax free income. For life. From an account your child never contributed a single dollar to. And before someone says "but what if the market doesn't cooperate"... the 4% rule has been stress tested through Monte Carlo simulations across thousands of market scenarios including the Great Depression, the dot com crash, 2008, and COVID. At a 4% withdrawal rate with a diversified portfolio, the probability of the money lasting 30+ years exceeds 95% in virtually every credible study. For a 60 year old, that means the money outlasts them. The total out of pocket cost to the parents? $45,000 over 18 years if the practice covers half. The practice gets the tax deduction on its half. You don't recognize the income. $90,000 over 18 years if fully personally funded without any outside help. $45,000 in. $3,100,000 out. Tax free. Dave Ramsey gives advice for people digging out of credit card debt. That's his lane and he's good at it. But when it comes to tax advantaged planning for high income physician families, he's not even in the same zip code. Don't take financial planning advice from someone who doesn't understand your situation.

@AcdntlyRetired Simple Path to Wealth I Will Teach You to be Rich Automatic Millionaire

5 books to have your kids read before they turn 21: 1. The Millionaire Next Door 2. Rich Dad, Poor Dad 3. The Lion Tracker's Guide to Life 4. Why We Sleep 5. Atomic Habits What else?

@sweatystartup Volvo XC90

Crash test ratings are a scam. Physics rules all on the road. Add to this that people are 7x more likely to have an accident in their first 3 years driving.

Do not put your kid in a subcompact car when they get their license. Corolla. Civic. I wouldn’t even put them in a sedan. Do you want them to survive their first accident or not? My son will drive an F150 and my daughter will drive an Expedition.

@DrNikhilMD pinch and burn

Without naming your speciality, tell me something you say 100 times everyday at work.

@polyeaster @DrDiGiorgio been waiting 2 weeks to get a simple dot phrase added into my consult template so that I don't have to type it in myself for every single time.

@DrDiGiorgio Hospitals literally work with epic to build the way they want their version to look. If hospitals demand diff functionality in the setting of changed billing practices then it will improve. This will never happen until govt regulates insurance tho

Item 1: allow doctors to own hospitals Item 2: eliminate Epic Item 3: eliminate HIPAA Item 4: eliminate metric reporting requirements

James Van Der Beek passed away today. I’m a healthcare guy and I post about healthcare. Now I want to talk about James. He was special, he was 48 years old, a Father of six, a Husband. He was man who spent his final chapter teaching the ultimate guide to real life. James was part of my growing up. Dawson’s Creek. Varsity Blues. The 90s. He was just there, woven into the background. What he did over the last few years was bigger than any of that. He recorded a video on his last birthday. Cancer had taken everything he used to define himself. He couldn’t be the husband who helped around the house. He couldn’t pick up his kids and carry them to bed. He couldn’t work. He was too weak to prune the trees on his own property. And he sat with that. He asked himself the question most of us spend a lifetime avoiding: If I am none of the things I do, who am I? His answer was simple. Devastating. Beautiful. “I am worthy of God’s love simply because I exist. And if I’m worthy of God’s love, shouldn’t I also be worthy of my own?” That’s it. That’s the whole thing. We spend our careers building identities around what we produce, what we control, and what we can point to. And then life has a way of stripping it all down to the studs. James Van Der Beek faced that moment with the courage. He said cancer was the best thing that ever happened to him because it taught him how to live. He left behind his wife, Kimberly, six children, and a message that every father, husband, and man chasing the next thing needs to sit with. Watch this video. Then call someone you love. Thank you for your contribution. Rest easy…

@olsonplanner Swedish bullas next?

Making cookies on this snowy day. ☺️

@Davembmd get rid of the gloves

@olsonplanner it certainly is unreal but that's exactly what most hospital employed physicians are experiencing. the only way to meaningfully increase your comp in many of these places is to increase your volume and be more efficient.

@iSpineDoc Right?? Unreal this isn’t standard.

A physician recently shared the following: “Met up with a hospitalist coworker from 8 years ago. Pay is exactly the same. Even locums rates.” This is nothing short of a substantive pay cut. Here’s why, and 5 rules to follow to protect yourself.👇🏻

@olsonplanner absolutely NEEDS to be in your FIRST contract. every other non-physician employee in the hospital is getting an annual increase.

First rule: lock in growth at the start. What to push for in your first contract: ✅ Automatic annual increases ✅ Step-ups tied to years of service ✅ RVU conversion factor floors “Reviewed annually” means nothing.

@olsonplanner done😀

Why haven’t you made your 2026 backdoor Roth IRA contribution yet?

@kswiss702 @_tatercrater @ankurnagpal @grok physicianonfire.com/backdoor

@kswiss702 @_tatercrater @ankurnagpal @grok Backdoor Roth IRA 2025: A Step by Step Guide with Vanguard - Physician on FIRE

One of the craziest loopholes in the US tax code If you earn $150K+, you can no longer contribute to a Roth IRA But, you can instead use a Solo 401k to fund your Roth IRA with $70K every single year Here's how it works:

@olsonplanner For own occupation is the payout typically based on just your salary or your total comp (salary + production bonuses + metric bonuses)?

Having Michael Relvas on the podcast today to talk about disability insurance. You want me to ask him anything?

This is such an important point. People don’t realize that the reason for high administrative costs in healthcare isn’t private insurance. It’s Medicare. That’s right. The endless bureaucratic needling all adds up. Just the Medicare approved electronic medical records costs this practice $10k a month. Then add in all the staff needed for billing, coding, quality metrics, and other compliance. For a hospital, multiply those tasks by 1000. None of that shows up on balance sheets for CMS’s admin costs. It’s just offloaded onto private doctors and hospitals and all the Medicare for all advocates can go on claiming that Medicare has low admin costs.

@MatchtoMillion keep renting for at least a year (maybe 2) as an attending

Many of my resident friends bought a house when they moved here. They've all complained about how expensive it is, and none of them are staying once residency is finished. I feel like I actually made the right decision this time in renting.