A Life Well Lived: A Physicians Guide to Wealth

In this episode of Life Well Lived , James Nutter welcomes Paul for a raw, energizing conversation about why standards—not goals—are what actually change lives. Paul’s life story is anything but polished: growing up feeling like an outsider, facing real consequences, rebuilding through discipline, combat sports, faith, and relentless consistency. What emerged wasn’t perfection—but resilience. Paul...

In this engaging episode of "Life Well Lived: A Physician's Guide to Wealth," host James Nutter is joined by the dynamic Dr. Mary Anderson to delve into the complex issue of burnout, especially as it affects high-achieving professionals like physicians. Dr. Anderson shares her insights on how to balance drive and well-being, referencing her widely-acclaimed book, "The Happy High Achiever," now ava...

Student loans remain one of the biggest financial stressors facing physicians today. Between demanding careers, family responsibilities, retirement planning, taxes, and investing, it's easy to delay making a clear plan for educational debt. The challenge is that physicians are often flooded with conflicting advice. Some experts recommend pursuing Public Service Loan Forgiveness (PSLF) at all costs...

Most physicians are trained to make high-stakes decisions every day, but when it comes to money, mortgages, and building a long-term financial plan, many are left without a playbook. In this special re-aired conversation, James Nutter joins Zoe Taylor, founder and CEO of Moving Medicine Partners, to discuss the financial decisions physician families should consider before buying a home, hiring a f...

What would happen if you could sit down with your younger physician self and share everything you've learned about money, family, success, and life? In this episode, James Nutter sits down with Dr. Tim Regan, Chief Medical Officer of Lakeland Regional Health, for a candid conversation about the financial mistakes, lessons, and decisions that shaped his career and family over the last three decades...

Your first physician contract may be one of the most important financial documents you'll ever sign. In this rerun of one of our most popular episodes, James Nutter sits down with Jon Appino, founder of Contract Diagnostics, alongside CFP® Jeff McPherson, to discuss the hidden risks and opportunities buried inside physician employment agreements. Jon shares a shocking story about an OB-GYN who unk...

In this week’s episode of A Life Well Lived: A Physician’s Guide to Wealth , James welcomes Zoe Taylor, a nationally recognized realtor and founder of Moving Medicine Partners —a nationwide network of 83 realtors who are all married to physicians and uniquely understand the challenges of relocating for medical careers. Zoe shares hard-earned insights on the biggest mistakes physicians make when bu...

After years of sacrifice, physician families often expect one moment to fix everything: The contract. The income. The house. The “arrival.” But what happens when the dream comes true… and you still don’t feel okay? In this deeply honest conversation, Kendra — coach, speaker, and founder of It Gets Better Now — unpacks the hidden emotional cost of medical training and the quiet survival patterns th...

Most physicians don't have an income problem. They have an optionality problem. In this episode, James Nutter is joined by Donovan Miske — CEO and founder of Kona Medical Consulting and advisor to over 12,000 physicians across four countries — for a candid, story-driven conversation on what it actually takes to build freedom outside the hospital walls. Donovan walks through the three core pathways...

You just finished a 12-hour shift. Your kid needs help with a project you didn’t know existed. Your spouse is reheating dinner. And in the background… your student loans are still there. Quiet. Heavy. Constant. For years, you’ve been told there are only two “smart” options: Destroy your life for 3–5 years and obliterate the debt Or gamble on PSLF and hope the rules don’t change But what if neither...

You did everything right. Years of training. Long hours. High income. So why does money still feel like the one area of your life that's quietly out of control? In this episode of A Life Well Lived: The Physician's Guide to Wealth , James sits down with Devon Tomlinson — pastor, money coach, and author of From Setback to Success — for a conversation that goes deeper than spreadsheets and debt payo...

This is Part 3 of a 5-part physician student loan series designed to help you take control of your loans, your money, and your future. PSLF is working. Since October 2025, three IM Wealth client families have had their loans forgiven—over $1 million wiped out. But that doesn’t mean you should bet everything on the program without a safety net. The physicians who sleep well at night aren’t the ones...

This is Part 2 of a 5-part physician student loan series designed to help you take control of your loans, your money, and your future. Physicians know how to earn—but most were never taught how to attack debt strategically. The result? Fear-based minimums, avoidance, and the quiet mental tax of carrying a balance that never seems to move. In this solo episode, James Nutter dives deep into the Obli...

This is Part 1 of a 5-part physician student loan series designed to help you take control of your loans, your money, and your future. Physicians carry some of the heaviest student loan burdens of any profession—and yet most were never taught how to think about them strategically. The result? Fear-based decisions, paralysis, and a sense of drowning beneath a number that never seems to move. In thi...

Physicians are among the highest earners in the country—yet many still feel financially stressed, behind, and uncertain about their future. In this powerful episode, James Nutter sits down with Dr. Lisha Taylor, a physician, former private equity professional, and founder of Wealth Minded MD, to unpack the real reason money still feels hard—even at the highest income levels. This isn’t about math....

For physicians, student loans aren’t just math—they’re emotional. They shape decisions about jobs, families, burnout, and freedom. In this masterclass episode, James Nutter pulls back the curtain on the confusion surrounding physician student debt and explains why so many doctors feel stuck, anxious, or ashamed about a system they were never equipped to navigate. James outlines the three student l...

In this masterclass-style episode of Life Well Lived: A Physician’s Guide to Wealth , host James Nutter (fiduciary financial advisor and partner at IM Wealth) is joined by Andrew Paulson, co-founder of StudentLoanAdvice.com and a nationally recognized student loan consultant affiliated with White Coat Investor. Together with James and co-host Jeff McPherson, CFP®, Andrew breaks down the latest phy...

Physicians are often told that the path to higher income is simple: work more hours. More shifts. More patients. More call. But that approach has limits—and often leads to burnout. In this episode, Donovan Miske of Kona Medical Consulting explains a different strategy: intentional income stacking. Instead of pursuing random side hustles, Donovan helps physicians design revenue streams that compoun...

After years of sacrifice, physician families often expect one moment to fix everything: The contract. The income. The house. The “arrival.” But what happens when the dream comes true… and you still don’t feel okay? In this deeply honest conversation, Kendra Harvey — coach, speaker, and founder of It Gets Better Now — unpacks the hidden emotional cost of medical training and the quiet survival patt...

Are you filing correctly… or filing strategically? Because those are not the same thing. In this masterclass episode, James and Jeff walk through the hidden $68,000 gap that separates two identical physicians earning the same income—one overpaying in taxes, the other building intentional leverage through strategy. This isn’t about aggressive loopholes. It’s about understanding the business-owner a...

Long before burnout surfaces… Long before stress spills into your family life… Long before financial pressure builds… Your contract has already shaped the trajectory of your career. In this episode, James welcomes back Jon Appino, founder of Contract Diagnostics, to break down what most physicians were never taught in training: how to truly understand and negotiate the document that determines how...

At some point in a physician’s career, a quiet question surfaces: Is this it? Not because you failed. Not because you’re lazy. But because something feels off. In this episode, James welcomes back Sarah A. Samaan, MD, FACC, FACP, FASE, a former cardiologist, physician coach, and founder of Mindful Physician Coaching, to unpack a powerful reframe: burnout isn’t always exhaustion — it’s often misali...

Burnout in medicine is usually framed as an individual problem. A physician problem. A resilience problem. A mindset problem. But what if that framing is incomplete? In this conversation, James is joined by Lisa A. Muehlenbein, PhD, founder of The Medlife Matrix and host of The Medlife Support Podcast , to explore burnout through a wider — and more honest — lens: as a family systems issue. Lisa br...

Most people don’t quit on their goals all at once. They don’t wake up one morning and decide, I’m done trying . They just stop touching them. A week gets busy. Then a month goes by. Then suddenly it’s March and the goal that felt important in January hasn’t crossed your mind in weeks. In this episode, James Nutter talks honestly about why this happens — not because people lack discipline, but beca...

Every year, high-achieving professionals—especially physicians—set ambitious goals with the best intentions. And every year, most of those goals quietly disappear by February. Not because people don’t care. Not because they lack discipline. But because motivation fades, and no system is built to sustain consistency. In this episode, James Nutter breaks down why goals fail and walks physicians thro...