Build a Tax-Smart Retirement Portfolio: What Every Physician Must Know

6 Feb 2026 · 1 min
0:31

In this video, Sean Polley walks physicians through the unique financial challenges they face—high incomes, variable compensation, and steep tax brackets—and presents a step‑by‑step framework for constructing a retirement portfolio that minimizes tax liability while preserving growth. He begins by profiling the typical physician’s earnings profile and explains why standard “one‑size‑fits‑all” advice often falls short. The core of the presentation covers the hierarchy of tax‑advantaged retirement accounts (employer‑sponsored 401(k)/403(b), profit‑sharing plans, defined benefit plans, Roth IRA, and the back‑door Roth), detailing contribution limits, eligibility rules, and the strategic order in which to fund them. Polley then dives into asset location, showing how to place tax‑inefficient assets (e.g., REITs, high‑turnover funds) in tax‑deferred accounts and tax‑efficient assets (e.g., broad‑market index funds, tax‑managed ETFs) in taxable accounts. He discusses timing strategies for high‑income years, the use of “mega back‑door Roth” contributions, and the importance of managing Medicare surtax exposure. The video concludes with a brief overview of estate‑planning considerations—step‑up in basis, beneficiary designations, and charitable giving vehicles—that further enhance the tax efficiency of a physician’s retirement plan. Throughout, Polley emphasizes actionable, data‑driven recommendations and provides concrete examples of contribution calculations and portfolio allocations.

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