Financial Challenges of First-Generation Physicians: Part 1

When you became a physician, everyone probably assumed your money worries were over. But if you’re a first-generation doctor, the financial journey often comes with a unique and often unspoken set of challenges that your peers might not understand.

That’s why I’ve created a new video series, exploring the specific financial challenges for first-generation physicians. In Part 1, I unmask the hidden burdens you might be carrying—from navigating complex family responsibilities to the fear of saying “no,” and the subtle ways these pressures can lead to financial pitfalls like lifestyle creep and delayed savings.


Transcript:

Financial Planning for Physicians: Building a Strong Foundation

Hello, this is Ben Martinek with Bona Fide Finance. I work specifically with physicians to help them build a strong foundation.

Why High-Income Physicians Still Struggle with Money

One of the things we work on with our clients, and something particularly close to our heart, is addressing financial challenges that physicians often don’t expect. Many assume that once they start earning “doctor money,” their financial worries are behind them.

But that’s not always the case. Especially for physicians who are first-generation wealthy—perhaps the first in their family to earn this level of income or even attend college—their upbringing was often marked by financial struggle and difficulty.

Physicians and First-Generation Wealth Challenges

Growing up with limited resources can leave a lasting impact. You may have felt uncertainty, emptiness, or stress around money, and witnessed real hardship.

Even more, some family members may still face the same financial challenges, and you feel a strong inclination to help them because of your own experiences.

Family Financial Obligations for Physicians

The question becomes: how do you work through this money challenge? On one hand, you deserve to be rewarded for your hard work, success, and sacrifices. You’ve earned the opportunity to build a good life for yourself.

At the same time, you may want to give back to family members who supported you through school or personal sacrifices. Without a formal agreement, this can create stress and uncertainty. Many physicians feel a strong sense of responsibility to take care of family, even when it comes at their own expense.

Setting Financial Boundaries with Family

It’s challenging to know how much to give, when it’s enough, and when it’s okay to say no. Many physicians struggle to set boundaries, feeling guilty about turning down family requests, which can delay personal goals such as buying a home, saving for retirement, or avoiding debt.

Why Physicians Can’t Solve Everyone’s Money Problems

It’s common to try to carry the financial burdens of family or even the wider world. But no matter how much you earn, you cannot solve all problems—not even all your family’s financial struggles.

One of the most important steps is working with an advisor who understands these challenges.

How Financial Advisors Help Physicians Manage Family Expectations

I also grew up with modest means, so I understand the balance between wanting to help others and protecting your own financial future.

Working with a financial advisor can provide clarity, confidence, and guidance in setting boundaries. Through thoughtful conversations, we can help you feel comfortable saying no and prioritizing your goals without guilt.

Financial Planning for Physicians: Balancing Family Support and Personal Goals

It’s important to prioritize your finances—you deserve that. At the same time, you can create room to support family members responsibly, honoring their sacrifices without compromising your future.If this resonates with you, schedule a call by reaching out to hello@bonafidefinance.com to set up an introductory session and start building a plan tailored to your situation.

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Bonnie Martinek

Administrative Assistant
Bonnie (Ben’s mom!) is a mother of 9 and a grandmother of 17. She has lived in rural Indiana her whole life and has a master’s degree in Special Education. In her own words, she’s done a little bit of everything but is a master of none (teaching, construction, manager of a corn maze, CNA, farm work, cashier, auto bodywork, and the list goes on!). Widowed in 2019, she is reinventing herself through her work in the day-to-day operations of Bona Fide Finance and client relations. Bonnie loves getting to know our clients and is happy to serve them well!

Deb Martinek

Relationships Specialist

Deb has been with Bona Fide Finance since its inception in 2015 and long before that with her support of Ben studying for the CFP designation and the dream of starting the business of helping individuals and families meet their financial goals.

She fills the Relationships Specialist role – Deb is typically the first encounter our new clients have as she walks them through our service offerings and introduces them to the map of financial literacy.

She has a bachelor’s degree from Ball State University and a master’s degree from the Franciscan University of Steubenville. Deb lives in Bismarck with Ben and their two young daughters, is a card-carrying member of the CDL club (read more about those adventures here) and is happiest reading an epic novel, solving a 1000-piece jigsaw puzzle, or working in her kitchen where she can serve love to the people in her life through quality food (clients enjoy her holiday shipment of homemade goodies each December!).

Ben Martinek

CFP®, EA, CSLP®, RICP®, Founder and Advisor

Ben Martinek, CFP®, EA, CSLP®, RICP®, is the founder and lead advisor at Bona Fide Finance, an independent, fee-only firm dedicated to helping doctors, young professionals, and growing families take control of their financial future. With a deep understanding of student loan debt—having tackled his own—Ben specializes in guiding clients through debt repayment strategies, smart investing, and comprehensive financial planning so they can build wealth with confidence. Ben’s passion for financial planning comes from his desire to provide honest, objective advice tailored to each client’s unique situation. He loves seeing the impact of his work, whether it’s helping a family pay off student loans years ahead of schedule, setting up an early retiree for financial freedom, or giving clients the peace that comes from knowing their finances are in order. His clients appreciate his thoughtful, high-touch approach, often saying that working with him has changed their lives.

Before launching Bona Fide Finance in 2015, Ben’s career path was anything but conventional. The fourth of nine children, he grew up in rural Indiana and initially pursued a path in academia, earning a B.A. in philosophy and classical languages, followed by a master’s degree in philosophy. Along the way, he explored careers in construction and truck driving—logging over 600,000 miles across the U.S. with his wife, Deb—before finding his true calling in financial planning.

Now based in Bismarck, North Dakota, Ben and Deb stay busy raising their two daughters, Edith and Virginia. Since their truck-driving days, Ben is happiest on a long road trip—preferably behind the wheel of his TDI Volkswagen Jetta. He enjoys sailing on Lake Sakakawea, camping in their vintage ’90s pop-up camper, and smoking a pipe by the grill. A lover of strategy board games, he favors Clans of Caledonia (mostly because Deb refuses to play Risk with him). When he’s not working with clients, he can be found smoking meat, gardening, hiking, or diving into The Lord of the Rings or Dune. Ben also serves on the school board for his daughters’ Montessori school and is actively involved in pre-marriage ministry in the Bismarck Diocese.