
James Nutter
Fiduciary Financial Advisor and Director of Innovation & Client Experience at IM Wealth specializing in physician family finances
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Jul 21, 2026
The Money Conversation Most Physician Spouses Don't Know How To Start
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James NutterGUEST
How about you two try to guess each other's? And that's always a fun exercise to do.

James NutterGUEST
I think this would be a great way to understand each other's background and your values around money specifically.

James NutterGUEST
Like just pull this up and ask each other, like, what does this mean to you? What are your top three? And then typically when I'm in a meeting, I'll ask why.

James NutterGUEST
And nine times out of 10, it's like clockwork where they talk about their childhood.

James NutterGUEST
Like my mom and dad were X, Y, Z. I grew up and money was always a really stressful topic and we didn't have much.
10 MINS LATER
37. Medicine Teaches You How to Save Lives. But Who Teaches You How to Build One? |James Nutter
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James NutterGUEST
So how can you find ways to trade your money to buy back your time? And a simple, like, framework that I learned from, uh, Darren Hardy's work is take your annual income, household income, divide that by 2,000 to come up with your household hourly rate, and then anything below your hourly rate that you don't enjoy and absolutely drives you fricking bonkers, [chuckles] I would say, like, use that money to buy back your time because then you can be spending that time either recharging your batteries, rest and relaxation.

James NutterGUEST
You could spend more time with your friends and family, or you could potentially be spending that time to learn a new skill set that maybe increases your hourly rate.

James NutterGUEST
So I think that would be the biggest thing that I would say to reduce burnout.

James NutterGUEST
And I know money typically falls in, like, the, when you look at the Medscape reports, like, seven, eight, nine, and 10-

Lisa MuehlenbeinHOST
So before we officially wrap, if someone's listening today and wants to learn more about your work, your podcast, or how you support physician families, where's the best place for them to connect with you?
