By Dr. Peter Kim of Passive Income MD, WCI Network Partner
In recent years, there has been a growing trend of physicians turning to side hustles to supplement their income. This trend is not surprising, given the financial and career challenges that many doctors face today. The world of medicine is changing, and it is impacting how physicians choose to practice medicine.
Several years ago when I decided to start a business while working as an attending physician, I remember a conversation I had with my father. I still remember what he said:
“You're a doctor. Focus on being a doctor. Why would you ever want to do something else besides being a physician?”
That side business grew into what is called Curbside Real Estate. This one business led to other business ideas and opportunities, such as Passive Income MD.
My father was a physician who grew up in a different era and practiced medicine in the '80s, a time that many consider the golden age of medicine for various reasons. However, he acknowledges times have changed significantly since then. In fact, he's not entirely sure he would have pursued medicine again if he had to go through it in today's environment. He admits that in the last decade, the medical field has experienced more changes than in the previous 40 years.
The traditional pathway for physicians used to be crystal clear: study hard and focus on the right things, and you'll be rewarded later in life. Unfortunately, these rules no longer seem to apply. High student loan debt, a decrease in autonomy, the corporatization of medicine, the influence of private equity and hospitals, and changes in reimbursements and insurance have affected the field of medicine. While technology, politics, and regulations have also affected other professions, doctors have felt the impact more significantly. The truth is, physicians can no longer practice and thrive in the same way previous generations did.
As a result, many doctors are seeking alternative solutions to supplement their income and achieve more flexibility and freedom. Physicians are natural problem-solvers, and we're applying this same approach to our professional lives. We understand that there must be a different way to achieve our goals, and we're exploring alternative paths to reach them.
In the upcoming sections, let’s explore some reasons behind the question, “Why are physicians turning to side hustles?”
#1 Financial Challenges
One of the primary reasons physicians are turning to side hustles is the need for extra income. The lives of physicians today are not the same as they used to be, and dealing with rising student loan costs, decreasing salaries, and decreasing reimbursements can lead to increased financial stress. For many physicians, a side hustle provides a way to earn extra income without sacrificing their primary medical practice.
As physicians, we often experience delayed gratification, and by the time we graduate and become attending physicians, many of our peers have already settled financially and started building their net worth. However, we're just getting started, and we may need that extra income to achieve our financial goals.
To supplement their income, many physicians are using their skill sets and interests to explore alternative income streams. Some are starting businesses or picking up case reviews, becoming expert witnesses, doing medical surveys, or becoming consultants to leverage their medical degrees and create extra income. Others are investing in real estate or pursuing other ventures outside of medicine.
When physicians don't have to rely solely on their primary medical practice for income, it provides a sense of relief, and it can allow for a more enjoyable life in medicine. A side hustle can be an excellent way for physicians to earn extra income while still maintaining their primary medical practice. With careful planning and hard work, a side hustle can provide a path to financial security and personal fulfillment.
More information here:
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#2 Creative Outlet
The second reason many physicians are turning to side hustles is to scratch their creative itch. Many people look at doctors as one-dimensional people who are focused solely on medicine, but many have talents and interests outside of medicine. By taking those outside interests, hobbies, or skills and talents and making extra income from them, physicians can experience a sense of fulfillment and joy that they may not get from medicine alone. By taking those outside interests, hobbies, skills, or talents outside of medicine, you can provide life balance while creating a little extra income from it.
Some physicians are artists, writers, or musicians who take these creative outlets and talents that they have to create extra income. Others see their side hustle as therapy and a way to express themselves in ways that medicine does not allow.
Physicians are doing really creative things: artists, writing, music, or even coding have provided fun ways to create extra income. It opens them up to use a different side of the brain. Many have found it to be therapeutic and life-giving, and the sole reason they're doing a side hustle is for that creative outlet.
More information here:
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#3 Diversification
The third reason many physicians are turning to side hustles is for portfolio diversification. Gone are the days when physicians relied solely on their medical job for income. With the changing landscape of healthcare, there is no guarantee that a physician's job will remain stable or that they will continue to earn the same amount of money throughout their career. The corporatization of medicine has resulted in businesses and private equity firms taking over medical practices, which can lead to significant changes to job terms, unexpected pay cuts, and even job loss.
Building up that extra income stream means not relying on medicine 100%, providing powerful financial security.
Creating a side hustle can provide physicians with financial security and peace of mind. By having an additional source of income, they can weather unexpected changes in their job or industry. This diversification can also provide physicians with more flexibility in their lives. If they want to work part-time or change the way they practice medicine, having that extra income can make those choices possible.
#4 Work-Life Balance
Finally, some physicians are turning to side hustles to plan their exit. Burnout is a real issue for many physicians today, with up to 50% experiencing signs and symptoms of burnout on a daily basis.
That's where side hustles come in. Physicians can establish a sense of financial stability that allows them to take control of their lives when they create additional streams of income outside of practicing medicine. Flexibility doesn't necessarily mean that doctors will leave medicine entirely. But with a reduction in workload or a change in their practice, doctors could align with their passions and interests.
When physicians have the ability to work on their own terms, it will have a profound impact on how they view their medical profession. By reconnecting with the passion that drove them to pursue medicine, physicians can rediscover the sense of fulfillment and satisfaction that comes with helping others and, thus, create work-life balance and reduce the risk of burnout.
If you are a physician who is feeling the effects of burnout, financial stress, or a lack of creative outlets, consider starting a side hustle. Take the time to explore your interests and talents outside of medicine, and think about how you can use those skills to create additional income streams. With the right mindset, resources, and support, you can build a successful side hustle that not only helps you achieve your financial goals but also provides a sense of fulfillment and purpose.
To get started, check out the List of Physician Side Hustles on Passive Income MD, and join the Passive Income Docs community to connect with other physicians who are exploring alternative income streams.
Building a side hustle takes time, effort, and dedication. A lot of great things have happened to me, and I'm still constantly learning. But a lot of that has to do with the side hustles that eventually became the main hustles and main businesses.
It's funny now when I talk to my father. He comes back and asks me constantly, “How are those businesses doing?” It's awesome to see it all come full circle.
Have you thought about creating a side hustle? If you already have one, what do you do? Has it helped you financially and/or emotionally? Comment below!
I still think the percentages of doctors who have a side hustle is very low, despite what you read on the internet. I personally don’t know anyone in real life at my hospital who has one (unless they keep it secret)
I agree with you about the value, though, particularly ones that had lottery like payoffs like Jim had with his website.
Unfortunately I wasn’t smart enough to find one yet so at age 47 and am stuck driving to another hospital 1 hour away for a bonus $500/shift as my side hustle. Still thankful for the extra income compared to the average person but would be nice to have something with more upside and doesn’t depend only on my physical presence to make money.
I agree, I don’t know any doctors with a side hustle that isn’t actually some sort of moonlighting. To me, that is the most efficient side hustle, moon lighting or overtime.
If your arts and crafts gig made as much/more money than being a doctor…..well then you should make jewelery for a living and let medicine be your side hustle.
Not always. Sometimes you can’t get enough hours or business even if a side hustle has a good hourly rate. Plus, like expert witnessing it may depend on you still practicing. Plus you may enjoy doing both.
I’ve had a side hustle since the bear market and financial crisis of 2007-2009.
At times it was one weekend a month of inpatient psychiatry, but in 2016, I went to two hospitals an hour apart and rounded from 7AM to 7PM on some weekends.
During the first year of the pandemic, I was doing two or three weekends a month for a while as half the psychiatrists got COVID and were out sick.
It’s always involved “trading life for money” for me and I had very little passive income. We rented out our starter home from 2003 to 2019, but like Dr. Dahle’s first rental…we made no money.
The side gig is now about a third of my “semi-retired” income, taking “at home call” and doing a quarterly long weekend or vacation stint to spell the primary psychiatrist for 10 days.
The side gig stoked a SEP-IRA from scratch up to (now) 12% of my entire portfolio. I’m still contributing to it and will put 25% of my after expense income for 2022 in this week.
I’m glad to have the opportunity to leverage the weekend and holiday pay up to a nice rate reflecting other psychiatrists lack of interest in this weekend and holiday work.
Nice article. Things have certainly changed and one must “roll with the punches” or get hit.
I graduated medical school in 2017 and am a Physician Advisor/previous board exam tutor at MedSchoolCoach. I believe I actually found the company from a posting on the White Coat Investor.
Sure – it adds close to 10 hours of additional work on top of my already terrible hours, but it was by far worth it. Low stress job, no clinical liability, no commute (it’s all remote work) and I receive close to $1000/month in extra compensation. I had extra trips to Disneyland and soon a trip to Hawaii because of it.
That has been an excellent outlet through residency and fellowship to supplement my house staff income while still giving back to students. I would highly suggest something like that for any resident/fellow.
Hi Dr. Peter Kim,
It’s a fascinating read about the changing world of medicine and the new opportunities that physicians have to supplement their income through side hustles.
I love that you injected your personal story (>‿◠)✌ -stories always glue us to the copy. It’s a pity that our limiting beliefs and blocks-are often projected from our own families…
I see lots of small business owners do have these blocks without even knowing it. When you suggest raising a price-they feel as if it’s not right!
I always say that you are not selling-you are SERVING ♥‿♥ . You bring value to a person’s life!
or…
There are lots of other limiting beliefs we get. I personally was always told, that you can make money only if you finish college and work very hard…and i have heard conversations, that those, who have lots of money, probably doing something illegal…
The financial literacy and diversification in a physician’s career is definitely important.
Great article and Useful insights for those looking to start a side hustle. (>‿◠)✌ With a growing trend of physicians turning to side hustles, it is clear that the world of medicine is changing, and physicians are adapting to meet the new challenges and opportunities.
This article serves as a great resource for anyone interested in exploring the world of side hustles as a physician.