Original Article

CME Article: “I’m Not Good with Money” and Other Lies Residents Tell Themselves about Personal Finance

Authors: Natalie Freidin, MD, Andrew D. Schreiner, MD

Abstract

Objectives: Some physicians believe that they have difficulty managing their own personal finances, and many medical schools and residences do not have formal financial curricula embedded in education. Given that many medical students have >$200,000 in school loans, physicians are expected to navigate the complex financial world without guidance.

Methods: In this article, the authors developed a personal finance curriculum for Internal Medicine residents with the aim of evaluating the proportion of residents engaging in active personal finance activities, increasing their knowledge of financial literacy and their comfort with personal finance concepts using a pre- and postintervention survey. The content of the curriculum included four modules structured around different financial themes and delivered to trainees in 45-minute sessions.

Results: A majority of the residents were able to participate in workplace retirement, log into their retirement account, possessed a Roth individual retirement account, manage a budget, and check their credit score. An area prompting concern postintervention was the level of discomfort engaging with personal finance that disproportionally affected the female trainees more than their male counterparts.

Conclusions: It is likely that an individual’s comfort level managing finances stems from money beliefs, rather than actual ability given the requirements to graduate from medical school and the demands of an Internal Medicine residency.

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References

1. Rotenstein LS, Torre M, Ramos MA, et al. Prevalence of burnout among physicians: a systematic review. JAMA 2018;320:1131–1150.
 
2. West CP, Shanafelt TD, Kolars JC. Quality of life, burnout, educational debt, and medical knowledge among internal medicine residents. JAMA 2011;306: 952–960.
 
3. Nicholls M. Cardiologists and the burnout scenario. Eur Heart J 2019:5-6.
 
4. Scheckel CJ, Richards JR, Newman JR, et al. How trainees finance their medical education: implications of higher education act reform. J Am Osteopath Assoc 2020;120:370–379.
 
5. West CP, Dyrbye LN, Erwin PJ, et al. Interventions to prevent and reduce physician burnout: a systematic review and meta-analysis. Lancet 2016; 388:2272–2281.
 
6. Accreditation Council for Graduate Medical Education. Internal medicine milestones. https://www.acgme.org/globalassets/pdfs/milestones/internalmedicinemilestones.pdf. Published 2020. Accessed December 16, 2022.
 
7. Stanley TJ, Danko WD. The Millionaire Next Door: The Surprising Secrets of America's Wealthy, 1st ed., Boulder, CO: Taylor Trade Publishing; 2010.
 
8. Walsh DW, Sullivan WM, Thomas M, et al. A multicenter curricular intervention to address resident knowledge and perceptions of personal finance. South Med J 2021;114:404–408.
 
9. Ng P, Raghavan S, Zhang C, et al. Money talks: pilot financial wellness programs to promote positive financial planning behaviors among residents. Acad Med 2022;97:380–384.
 
10. Dhaliwal G, Chou CL. A brief educational intervention in personal finance for medical residents. J Gen Intern Med 2007;22:374–377.
 
11. Wong R, Ng PN, Bonino J, et al. Financial attitudes and behaviors of internal medicine and internal medicine-pediatrics residents. J Grad Med Educ 2018; 10:639–645.
 
12. Phillips AC, Lewis LK, McEvoy MP, et al. Development and validation of the guideline for reporting evidence-based practice educational interventions and teaching (GREET). BMC Med Educ 2016;16:237.
 
13. Sharma A, Minh Duc NT, Luu Lam Thang T, et al. A Consensus-Based Checklist for Reporting of Survey Studies (CROSS). J Gen Intern Med 2021;36:3179–3187.
 
14. Ganguli I, Sheridan B, Gray J, et al. Physician work hours and the gender pay gap—evidence from primary care. N Engl J Med 2020;383:1349–1357.
 
15. Krivkovich A, Liu WW, Nguyenet H, et al. Women in the workplace 2022. https://www.mckinsey.com/featured-insights/diversity-and-inclusion. Published 2022. Accessed January 25, 2023.
 
16. Bank of America. Women, money, confidence: a lifelong relationship. https://business.bofa.com/content/dam/flagship/article/Women-money-confidence/WomensResearchReport.pdf. Published 2022. Accessed January 25, 2023.