The Millionaires in Medicine Show

Kristin Burton, MPAS, PA-C, CAQ-HM, CPAAPA

Millionaires in Medicine is the personal finance and investing podcast for physician assistants/associates (PAs), nurse practitioners (NPs), and pharmacists (PharmDs) who want to build wealth without burnout or finance-bro fluff. Hosted by Kristin Burton, a critical care & cardiology PA who became a self-made millionaire at 31, each episode covers student loan strategy, salary negotiation and career moves, investing for financial independence, and simple money systems that work for real clinician schedules so your income turns into options, time, and freedom.

  1. 16h ago

    1 in 3 Medical Professionals Carry Credit Card Debt. Here's the Way Out

    If you're earning a great income and ready to start building real wealth, not just paying off debt, this book gives you the framework for what comes next: investing, income growth, and long-term financial freedom. 👉 Buy it here: https://www.millionairesinmedicine.com/pabook Between 1 in 2 and 1 in 3 medical professionals carrying credit card debt today, and if that's you, this episode was made for you. In this solo episode, Kristin breaks down exactly why credit card debt has to be treated as its own separate math problem, not lumped in with your student loans or mortgage, and lays out the specific system to get rid of it fast, even on a busy medical professional's schedule. Using real numbers, Kristin shows the brutal true cost of "just paying the minimum" on $10,000 of credit card debt (hint: it's not $10,000), and exactly what changes when you restructure how much you put toward it each month. She also shares a real, gut-punch message from a PA who reached out completely overwhelmed by five figures of credit card debt, and how that message led directly to a brand-new free tool built specifically to help medical professionals get out of credit card debt for good. Inside, you'll hear: Why credit card debt should never be shamed as a character flaw, and should be treated as a math and systems problem insteadThe real interest math on carrying $10,000 in credit card debt at today's average rate, and how long it actually takes to pay off at "reasonable" monthly paymentsWhy investing while carrying high-interest credit card debt almost always loses you money, with one narrow exceptionThe exact "progress dollars" system and the 20% rule that dramatically speeds up payoff timelinesWhy 0% APR balance transfers and personal loan consolidation can help, but won't fix the real problem on their ownWhy credit card debt should never be treated the same as federal student loan debtResources / linksDoc2Doc Lending (personal loan consolidation option): https://partner.doc2doclending.com/nurses-apps/millionaires-in-medicine The PA Millionaire Path: https://www.millionairesinmedicine.com/pabook Disclaimer The Millionaires in Medicine Show is for educational and informational purposes only. The content shared is not intended as medical, legal, financial, or investment advice and should not be relied upon as such.

    1 in 3 Medical Professionals Carry Credit Card Debt. Here's the Way Out
  2. Oct 20

    50+ Cases, 11 Trials: Inside a PA's Two-Decade Expert Witness Career

    If you're earning a great income but wondering how to build a professional life with more variety, freedom, and impact, this book gives you the framework to make your income work harder for you. 👉 Buy it here: https://www.millionairesinmedicine.com/pabook What does it look like to build an entire career on top of clinical medicine, not instead of it? In this episode, Kristin sits down with Erich Fogg, a PA who's spent three decades stacking side ventures on top of full-time clinical work: co-founding a national CME company, working as a medical expert witness, serving on the NCCPA board, and now running Pathway to Pass, where he coaches PA students through the highest-stakes exam of their careers. Erich walks through how each opportunity led to the next almost by accident, starting with moonlighting shifts, then a chance conversation with a mentor, then an unexpected phone call from an attorney that turned into a 20+ year expert witness career. He also shares the story behind his most emotionally powerful venture yet: helping a single failing PA student improve by an enormous margin, and what that experience taught him about coaching people through failure. Inside, you'll hear: How a simple moonlighting shift in the '90s became Erich's first step toward building something outside clinical workThe behind-the-scenes reality of building a national CME company, including the hidden costs no one warns you aboutHow a random phone call from an attorney turned into decades of expert witness workThe incredible turnaround story that launched Pathway to Pass, and what it revealed about test-taking versus test-writingWhy the hardest part of retaking a high-stakes exam often isn't content knowledge at allWhat Erich tells students who've failed the PANCE multiple times and are running out of chancesHis honest advice for a new PA who wants a career as varied and entrepreneurial as his ownIf you've ever wondered what's possible beyond a single clinical career path, or you're supporting someone stuck after a failed licensing exam, this episode is proof that setbacks don't have to be the end of the story. Ready for a real plan for your income, debt, and investing? Apply to join the MiM Coaching Program here: https://www.millionairesinmedicine.com/coach Resources / links Pathway to Pass: https://pathwaypass.com Connect with Erich on LinkedIn/Instagram (linked via his website) Instagram: @pathwaytopass The PA Millionaire Path: https://www.millionairesinmedicine.com/pabook Disclaimer The Millionaires in Medicine Show is for educational and informational purposes only. The content shared is not intended as medical, legal, financial, or investment advice and should not be relied upon as such.

    50+ Cases, 11 Trials: Inside a PA's Two-Decade Expert Witness Career
  3. Oct 13

    $100K-$300K+ Health Tech Roles: How to Leave Clinical Medicine Without a Pay Cut

    If you're earning a great income but wondering whether clinical medicine is sustainable for the next 10, 20, or 30 years, this book gives you the framework to build real financial security no matter what career path you choose. 👉 Buy it here: https://www.millionairesinmedicine.com/pabook What if the next chapter of your medical career wasn't clinical at all? In this episode, Kristin sits down with Lauren Curtis, a pharmacist turned product leader with experience at Amazon Pharmacy and PillPack, and now the founder of Hey Health Tech, a platform helping clinicians find careers in the health tech industry. Lauren shares how she stumbled into health tech almost by accident, why this space has exploded with opportunity in just the last couple of years, and what job titles and search strategies clinicians should actually be using instead of typing "pharmacist remote" into LinkedIn. She and Kristin also dig into realistic compensation ranges, how competitive these roles really are, and the surprisingly small details that can make a resume stand out in a stack of hundreds of applicants. Inside, you'll hear: How Lauren transitioned from community pharmacy into one of the earliest hires at a health tech startupThe job titles and search terms clinicians should actually be using to find these rolesA realistic timeline for making a non-clinical transition, and what actually stretches it outWhy some entry-level health tech roles pay far less than clinicians expect, and where the real compensation range hidesWhat actually gets a resume seen in a pool of hundreds (or thousands) of applicantsA surprising real hiring story about the small, unexpected detail that helped one candidate stand outWhy your clinical CV might be working against you in a health tech job searchHow AI fits into this career path, and why clinicians who understand it now may have a real advantage laterIf you've ever wondered what life outside the bedside could look like, or you're not sure where to even start looking, this episode lays out a real roadmap for exploring health tech as a legitimate next chapter. Ready for a real plan for your income, debt, and investing? Apply to join the MiM Coaching Program here: https://www.millionairesinmedicine.com/coach Resources / links Hey Health Tech newsletter & job board: Website: www.heyhealthtech.com LinkedIn: https://www.linkedin.com/in/lauren-curtis/Instagram: https://www.instagram.com/heyhealthtech/The PA Millionaire Path: https://www.millionairesinmedicine.com/pabook Disclaimer The Millionaires in Medicine Show is for educational and informational purposes only. The content shared is not intended as medical, legal, financial, or investment advice and should not be relied upon as such.

    $100K-$300K+ Health Tech Roles: How to Leave Clinical Medicine Without a Pay Cut
  4. Oct 6

    $250,000 in Student Debt to Millionaires by 34: A PA Couple's Real Story

    If you're earning a great income but aren't sure your money is actually building toward real wealth, this book gives you the framework to make that income work harder for you. 👉 Buy it here: https://www.millionairesinmedicine.com/pabook Less than 5% of millionaires in the U.S. are under 35. In this Millionaire Spotlight episode, Kristin sits down with longtime friend Carissa, PA-C, and her husband Stefan, to talk about how they crossed the millionaire mark in their early 30s starting with two ordinary six-figure incomes, a quarter-million dollars in student loan debt, no inheritance, and no dramatic business exit. Carissa and Stefan walk through their entire journey: the debt-focused years right out of PA school, the exact strategy that let them travel internationally and still throw a wedding while attacking six figures of debt, and what changed the moment they were finally debt-free. They also get honest about the one thing they'd do differently if they could go back, and how becoming millionaires has completely reshaped what their day-to-day life, careers, and family plans actually look like. Inside, you'll hear: How much student loan debt Carissa carried into her career, and how long it took to pay it offThe exact strategy they used to pay off six figures of debt while still traveling and living lifeWhat changed financially and personally the moment they became debt-freeTheir current outlook on early retirement, and the age they're targeting to stop working entirelyWhy real estate is the next chapter they're exploring, and the tax strategy behind itThe one investing regret they both share, even after everything they've accomplishedThe books and resources that shaped their approach to moneyTheir single piece of advice for someone who wants to be exactly where they are in 8-10 yearsIf you've ever assumed a big income, an inheritance, or an unusually frugal lifestyle is required to hit millionaire status early, this episode is proof that it's about the plan, not the paycheck. Ready for a real plan for your income, debt, and investing? Apply to join the MiM Coaching Program here: https://www.millionairesinmedicine.com/coach Disclaimer The Millionaires in Medicine Show is for educational and informational purposes only. The content shared is not intended as medical, legal, financial, or investment advice and should not be relied upon as such.

    $250,000 in Student Debt to Millionaires by 34: A PA Couple's Real Story
  5. Sep 29

    1,500 AI Medical Devices Already Exist… Should PAs Be Worried?

    The PA Millionaire Path is out! If you're a PA, NP, pharmacist, or physician earning a great income but not sure your money is actually building lasting wealth, this book gives you the framework to change that. 👉 Buy it here: https://www.millionairesinmedicine.com/pabook A patient walks into the ER with shortness of breath. A stethoscope flags a possible cardiomyopathy. An ultrasound probe estimates LV function. An AI tool reads the chest x-ray. The labs come back. And a diagnosis gets made — without a single diagnostic conversation between clinician and patient. In this solo episode, Kristin walks through why this scenario isn't hypothetical, and what it means for the future of clinical practice. Kristin breaks down the AI diagnostic tools already authorized and in use today, a wild recent story involving humanoid robots and telerobotic surgery, and a study that challenges a lot of assumptions about which specialties are actually "safe" from AI disruption. She also gets personal about what this means for her own career after a decade in clinical practice, and what she believes separates clinicians who will thrive in this next era of medicine from those who won't. Inside, you'll hear: What's already happening with AI-powered diagnostic tools in real clinical settings todayWhy the specialties long assumed to be "AI-proof" may not be as safe as we thinkA surprising real-world example involving humanoid robots and surgery that raises big questions about the future of procedural medicineWhat a recent Nature Medicine study revealed when general-purpose AI models went head-to-head with FDA-cleared clinical toolsWhy Kristin believes this isn't a doomsday moment — but also isn't one to ignoreThe specific skill set she believes will separate clinicians who stay highly valuable from those who get left behindIf you've ever wondered whether AI is actually coming for your job, or just assumed your specialty is safe, this episode will challenge some of your assumptions — and might change how you think about your next 10 years in medicine.Ready for a real plan for your income, debt, and investing? Apply to join the MiM Coaching Program here: https://www.millionairesinmedicine.com/coach The PA Millionaire Path: https://www.millionairesinmedicine.com/pabook Disclaimer The Millionaires in Medicine Show is for educational and informational purposes only. The content shared is not intended as medical, legal, financial, or investment advice and should not be relied upon as such.

    1,500 AI Medical Devices Already Exist… Should PAs Be Worried?
  6. Sep 22

    20-35%: The Pay Bump You Should Demand Before Going 1099

    The PA Millionaire Path is out! If you're earning great income but feel like taxes are quietly eating into your ability to build real wealth, this book gives you the framework to make your income work harder for you. 👉 Buy it here: https://www.millionairesinmedicine.com/pabook W-2 or 1099? Employee or contractor? For a lot of PAs, NPs, pharmacists, and CRNAs, that decision gets made without ever fully understanding what's actually on the table — in terms of pay, taxes, deductions, and risk. In this episode, Kristin sits down with Jason Watson, CEO and partner of WCG CPAs and Advisors and a tax expert who's spent decades working specifically with medical professionals, to break down what most clinicians get wrong about contractor income, tax strategy, and real estate. Jason and Kristin dig into how much more you should actually be earning to make a 1099 contract worth it, why treating your 1099 income "like a business" unlocks a completely different set of tax tools, when an S-Corp election actually saves you money (and when it backfires), and the short-term rental tax strategy that's become one of the most talked-about tools in medicine right now — including exactly what it takes to qualify for it. Inside, you'll hear: The pay increase Jason and Kristin both recommend before accepting 1099 over W-2 workWhy 1099 income unlocks deductions W-2 employees lost back in 2017The income threshold where an S-Corp election starts to actually make financial senseA common, costly mistake medical professionals make with S-Corp timing when switching mid-yearHow a recent change to SALT limits is reshaping S-Corp tax strategy in 2026Why long-term rentals are great for building wealth but do almost nothing for your tax billThe short-term rental loophole, what "material participation" actually requires, and how it can offset W-2 incomeOther advanced (and much riskier) tax strategies Jason sees medical professionals explore, from car washes to oil and gasWhy Jason says roughly half of his strategy calls end with a client deciding to do nothing — and why that's actually a winIf you've ever wondered whether you're leaving money on the table with your tax strategy, or you're weighing a 1099 opportunity and don't know what questions to ask, this episode will change how you think about your next conversation with a CPA. Ready for a real plan for your income, debt, and investing? Apply to join the MiM Coaching Program here: https://www.millionairesinmedicine.com/coach Resources / links WCG CPAs & Advisors: https://wcginc.com/tax-center/millionaires-in-medicine The PA Millionaire Path: https://www.millionairesinmedicine.com/pabook Disclaimer The Millionaires in Medicine Show is for educational and informational purposes only. The content shared is not intended as medical, legal, financial, or investment advice and should not be relied upon as such.

    20-35%: The Pay Bump You Should Demand Before Going 1099
  7. Sep 15

    $16,000 in Flights With Points (Lay Flat Business Class)

    Want the exact cards and transfer partners they recommend? Grab our free 2026 Points & Miles Playbook here: https://www.millionairesinmedicine.com/travelhack What if your next international trip (business class included) didn't have to cost you thousands of dollars? In this episode, Kristin sits down with Matt and Michael, two clinical pharmacy specialists who've turned a travel hacking hobby into serious expertise, visiting 40+ countries largely on points and miles. Matt and Michael break down exactly how they approach credit card sign-up bonuses, which cards are actually worth their annual fees, the tools they use to track down elite point deals before they disappear, and how they turned one unforgettable multi-country trip into their proudest travel hacking win yet. They also share how they teach this exact system to medical residents so even people early in their careers (and their income) can travel the world without draining their bank account. Inside, you'll hear: How to evaluate whether a credit card's annual fee and sign-up bonus is actually worth itThe tools and websites they use to track down elite points deals before they disappearHow to know if a points redemption is actually a "good deal" compared to paying cashThe strategy behind choosing which loyalty program to transfer your points intoHow they track dozens of card categories and credits without losing their mindsWhy even beginners with just one or two cards can unlock meaningful travel valueHow this exact system has helped friends, family, and medical residents book major trips they didn't think they could affordIf you've ever wondered whether credit card points are actually worth the hassle, or you want to travel more without blowing your budget, this episode lays out a real, tactical system you can start using immediately. Ready for a real plan for your income, debt, and investing? Apply to join the MiM Coaching Program here: https://www.millionairesinmedicine.com/coach Resources / links Michael and Matt help people understand credit card points, travel rewards, award flights, and how to strategically choose cards based on their spending and travel goals. 📧 Michael: MiguelBPCA@hotmail.com 📧 Matt: McKenzie.Matt13@gmail.com Instagram: @mattmck3nzie | @miguelbpca Apply to join the MiM Coaching Program: https://www.millionairesinmedicine.com/coach The PA Millionaire Path: https://www.millionairesinmedicine.com/pabook Disclaimer The Millionaires in Medicine Show is for educational and informational purposes only. The content shared is not intended as medical, legal, financial, or investment advice and should not be relied upon as such.

    $16,000 in Flights With Points (Lay Flat Business Class)
  8. Sep 8

    9 PA Jobs Paying $200K+ With Just 2 Years of Experience

    If you're earning a great income but aren't sure your money is actually building toward real wealth, this book gives you the framework to make that income work harder for you. 👉 Buy it here: https://www.millionairesinmedicine.com/pabook Most conversations about the highest paid physician assistant jobs start with locums, surgical first assisting, or building your own aesthetic practice. But there's a whole category of traditional, salaried PA jobs clearing $200,000+ a year that rarely gets talked about. In this solo episode, Kristin pulls real job postings from September 2026 and walks through nine of the highest paid physician assistant positions in the country right now: where they're located, what experience they actually require, and what the schedules really look like. Kristin breaks down which specialties keep showing up at the top of the highest paid physician assistant job postings, why some of these roles require surprisingly little experience, and why comparing salary alone can be misleading once you factor in shift structure and effective hourly rate. She also digs into a few standout postings that combine strong pay with a genuinely reasonable schedule, something a lot of PAs assume doesn't exist at this income level. Inside, you'll hear: The specialties that consistently produce the highest paid physician assistant rolesWhy several $200K+ jobs on this list only require 2-5 years of experience, not a decadeA cardiothoracic surgery posting with a 7-on/7-off schedule and a strong salary rangeAn emergency medicine job with a shift structure that may pay more per hour than jobs with a higher listed salaryWhy dermatology salaries posted online often understate real earning potentialTwo orthopedic surgery jobs offering $150K-$230K with Monday-Friday hours, no call, and no eveningsWhy earning a high income is only step one — and what separates high-earning PAs who build wealth from PAs who stay stuck on the income treadmillIf you've ever assumed the highest paid physician assistant jobs require locums work, a side hustle, or a decade of experience, this episode will challenge that assumption with real postings and real numbers. Ready for a real plan for your income, debt, and investing? Apply to join the MiM Coaching Program here: https://www.millionairesinmedicine.com/coach Resources / links The PA Millionaire Path: https://www.millionairesinmedicine.com/pabook Disclaimer The Millionaires in Medicine Show is for educational and informational purposes only. The content shared is not intended as medical, legal, financial, or investment advice and should not be relied upon as such.

    9 PA Jobs Paying $200K+ With Just 2 Years of Experience

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About

Millionaires in Medicine is the personal finance and investing podcast for physician assistants/associates (PAs), nurse practitioners (NPs), and pharmacists (PharmDs) who want to build wealth without burnout or finance-bro fluff. Hosted by Kristin Burton, a critical care & cardiology PA who became a self-made millionaire at 31, each episode covers student loan strategy, salary negotiation and career moves, investing for financial independence, and simple money systems that work for real clinician schedules so your income turns into options, time, and freedom.

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