For physicians is an emergency fund really necessary?


Please save an emergency fund if there is any concerns about job security or making your bills at the end of the month. The below is for physicians who have relatively stable incomes and job security.

Update: There was actually a recent post on White Coat Investor that discusses the need for emergency funds. There are some good cases for it, but stick to my thoughts on why you may note need as much as some sites may say…read and digest as you will…

So there is a lot of talk on the web about having an emergency fund. Typically this is 3 to 6 months of expenses. Some would argue to keep 3-6 times bare bones expenses and others would argue to keep 3-6 times the average amount you spend in expenses. Having an emergency fund makes sense to cover life’s unexpected occurrences. What could these be? Well the biggest would be loosing a job. Lower on the list would be for major expenses like car or home repair. After that medical expenses are the other most likely unexpected expense. These things may run between $500 and $5,000 (a broken furnace can be pricey). So my question is if an emergency fund is needed?

Is an emergency fund necessary?

I think the easy answer is yes, particularly if the average income is somewhere between $30,000 to $100,000. Then an emergency fund becomes crucial because coming up with $500 or $1,000 is more difficult, especially if the net worth is close to $0. The other time the answer easily is yes is if there is job volatility. This can be either insecurity in the current position or being a small business owner. Both cases can lead to a loss of income and therefore 3-6 months of expenses becomes very important. Nobody wants to be kicked out of their homes, and in the case of a loss in income this can be very important. In both of these cases I think having an emergency fund is paramount! 

How about high earners?

What about for high income earners, particularly physicians. Do we need an emergency fund? I would argue no. In fact, I personally don’t keep an emergency fund and it is not part of my plan in getting your financial house in order. So why do I not think high income earners, particularly physicians, need an emergency fund?

Job security

Most physicians have very very strong job security. It is difficult to hire physicians and when they are established, have a strong relationship with their patient panel, and understand the hospital/clinic system making it very disruptive to replace them. Therefore the likelihood of having a salary cut or loss is less likely. This is particularly true for partnered or employed physicians. Some physicians who may come into trouble and desire to maintain a larger emergency fund are those who are dependent on collecting payment. I have one colleague who works in private practice and there were months in his practice where they actually did not earn any income. For him, an emergency fund is necessary.

$1,000 or $2,000 won’t break the bank

For most high income earners a few grand will not break the bank. Hopefully they have read some financial blogs and their output/spending is less then their input/earning. Therefore at the end of each month they have a surplus of cash. That money should be going towards savings/retirements/debt pay down and if there is an emergency then direct it towards the emergency.

High credit limits

Most physicians should have a decent credit score and therefore higher credit limits. If an emergency requires a few grand, they should be able to place it on their credit card with the plan to pay it off at the end of the month. That may require liquidating some after-tax assets but will allow for quick coverage in case of an emergency.

The downside of having money sitting around in a bank.

This one depends on risk tolerance/allocation. I am relatively young and have a high risk tolerance. I would rather have my money in the stock market then sitting in a bank. Therefore, I do not want 3 – 6 times my monthly expenses sitting around not earning interest. There is always the danger of loosing money such as in 2008, but that has to be a personal decision.

Do you have an emergency fund? If so, how many months of expenses? Bare bone or total expenses?  

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I am a Dad and Doctor trying to find financial freedom by owning my dollars and debts. Helping dads with their finances so they can focus on the family.

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