ObjectivesThis study aimed to assess residents’ and fellows’
knowledge of finance principles that may affect their personal financial
health.
MethodsA cross-sectional, anonymous, web-based survey was administered
to a convenience sample of residents and fellows at two academic medical
centers. Respondents answered 20
questions on personal finance and 28 questions about their own financial
planning, attitudes, and debt. Questions regarding satisfaction with one’s
financial condition and investment-risk tolerance used a 10-point Likert scale
(1=lowest, 10=highest). Of 2,010
trainees, 422 (21%) responded (median age 30 years; interquartile range,
28-33).
ResultsThe mean quiz score was 52.0% (SD = 19.1). Of 299 (71%)
respondents with student loan debt, 144 (48%) owed over $200,000. Many respondents had other debt, including 86
(21%) with credit card debt. Of 262 respondents with retirement savings, 142
(52%) had saved less than $25,000. Respondents’ mean satisfaction with their
current personal financial condition was 4.8 (SD = 2.5) and investment-risk
tolerance was 5.3 (SD = 2.3). Indebted trainees reported lower satisfaction
than trainees without debt (4.4 vs. 6.2, F (1,419) = 41.57, p <
.001). Knowledge was moderately
correlated with investment-risk tolerance (r=0.41, p < .001), and weakly
correlated with satisfaction with financial status (r=0.23, p < .001).
ConclusionsResidents and fellows had low financial literacy and
investment-risk tolerance, high debt, and deficits in their financial
preparedness. Adding personal financial
education to the medical education curriculum would benefit trainees. Providing education in areas such as
budgeting, estate planning, investment strategies, and retirement planning
early in training can offer significant long-term benefits.