Forum Mailbag: Choosing A Medical School, Trying To Beat The Market, REITs and Ex-Div Dates, And More!

December 25th, 2017
8

There is so much great information on personal finance forums. I regularly participate on several message boards, including Bogleheads, White Coat Investor, and Rockstar Finance. Here are some of the discussions happening around the internet.

1. White Coat Investor: Choosing A Medical School

Question: PRS Doc is a premedical student who poses the hypothetical scenario of being accepted to the following three schools:

  1. A good school with a full tuition with a monthly stipend,
  2. A top-ranked school with full-tuition, and
  3. A middle-ranked school with only half-tuition, but in a great (i.e. sunny) location

WSP’s Take: This would be a pretty amazing, but rare situation to be in. However, I think many pre-medical students experience a situation where they can attend either a more prestigious, more expensive private school, or a lower-prestige, less expensive school.

To answer PRS Doc’s hypothetical scenario, I would pick the top-ranked school first, then the good school with full tuition and monthly stipend, followed by the middle-ranked school in a good location. I believe the top-ranked medical schools give their medical students a boost in residency applications, and their match lists are typically filled with top-ranked programs.

Anyone from any U.S. M.D. school can get into any residency or specialty in the country, but it is much harder if you don’t go to a top-ranked school.

For the more general scenario of picking a state school over a more expensive private school, it’s about the value that the private school provides. I think most people would choose Harvard or Johns Hopkins over their local state school, but what about a school ranked #15? How about a school ranked #25? My personal cutoff would probably be to attend a more expensive school ranked in the U.S. News Top 15, depending on the difference in tuition. But everyone’s cutoff school will be different.

2. Rockstar Finance: Trying to Beat the Market?

Question: Stock_Street wants to know whether forum members are expecting to beat or underperform the market this year.

WSP’s Take: I don’t even look at my investments very often anymore. They teach you in residency to not order a test if it won’t change your management. The way I invest won’t change based on how it’s performed recently. I do know my investments have gone up this year — the S&P 500 went up in a straight line in 2017, but I don’t know whether I’m beating the benchmark or not.

3. White Coat Investor: Sharp Fall in REITs

Question: Erockin is concerned that REITs took a large tumble overnight, and is wondering why this happened.

WSP’s Take: As others in the thread have noted, many REITs went ex-dividend last week. Most REITs are required to distribute 90% or more of earnings to investors in the form of dividends. They typically announce a dividend on one day, go “ex-div” on another day, and then actually pay the dividend on a third day.

If you own the stock before the ex-div day, then you will receive the dividend. If you buy the stock on the ex-div day or later, then you will not get the dividend. Therefore, on the ex-div day, the stock falls by the amount of the announced dividend, but holders of the stock will get the difference a few days later on the dividend payout date.

In this case, the popular Vanguard REIT VNQ had a dividend announcement day of 12/14, ex-div date of 12/19, and a dividend payout date of 12/22. While the trading share price of VNQ declined on the morning of 12/19, holders of VNQ stock received the difference on 12/22.

This highlights why I don’t believe you should purchase dividend stocks strictly for the dividend. The value of a stock does not increase because it paid out a dividend. It is simply a redistribution of the share price from the stock to the dividend.

4. Bogleheads: FUSVX or FSTVX in Fidelity 401k?

Question: Zback is deciding between FUSVX (S&P 500) or FSTVX (Total Stock Market) for his 401k and is asking for opinions from the Bogleheads community before he makes his elections.

WSP’s Take: There’s no significant difference in returns between the two indices. FSTVX is slightly more diversified because it has the mid-cap and small-cap shares. It will also potentially have a slightly higher expected return (with more volatility) because it contains the small-cap shares.

Since it’s in a 401k, it actually doesn’t matter which fund you pick initially. Unlike a taxable account, you can change your allocation without tax consequences in a 401(k). I have both S&P 500 index funds and Total Stock Market index funds in my Fidelity accounts.

Wall Street Shares: 5 Articles To Read This Week

  1. Rogue Dad, M.D: The Financial Folly of the U.S. Healthcare System — Even physicians have trouble navigating our byzantine healthcare system.
  2. Millionaire Doc: Multifamily Investing Part 1 –This M.D. describes the many different ways you can invest in multi-family properties.
  3. White Coat Investor via Passive Income, M.D.Multiple Streams of Income — In this post in 2011, WCI writes about developing alternative income streams, including from blogging.
  4. The Retirement Manifesto: Living Life at the Limits — I’m inspired to do something outside my comfort zone after reading this story from Fritz.
  5. My Curiosity Lab: Best Future Career: Doctor, Engineer, or Plumber? — Dr. Curious runs the numbers, and finds that while doctors have a late start, they easily can surpass the engineer or plumber over a lifetime. Kids, start studying for the MCAT.

What do you think? Do you agree or disagree with any of my responses? What’s your take on the topics in this week’s forum mailbag?

8 COMMENTS

  1. I’m probably biased because I am in the military and attended medical school on a military scholarship, but I don’t think that where you attend medical school is all that important. It certainly doesn’t matter to 99+ percent of my patients. For this reason, I’d be strongly biased toward attending any medical school that would minimize the debt I’d accumulate. If there is actual hard data that demonstrates the benefit of attending a more expensive and prestigious medical school, I’m unaware of it.

    Happy holidays!

    • I think we’ll agree to disagree on this one. While I agree that patients don’t care where their doctor went to medical school, I think some hiring physicians and hospitals do. It also depends on the specialty. Patients don’t choose their emergency physician or anesthesiologist, but they do choose their PCP or surgeon.

  2. I would disagree on the med school thing. I went to a small average-rep State school, the average Step 1 was 230ish, everyone matched in every specialty. The very best maybe miss out on the tip-top programs, but certainly top-15 programs were do-able, even in things like ENT, derm, plastics, etc. I don’t think anyone has been held back in their career aspirations due to our med school rep. Maybe my school was an outlier though. I went to a top-15 program, my co-residents came from all types of med schools, from Harvard to no-name schools, all were superb and went on to have excellent careers. Maybe if I had gone to harvard I would have had a chance at a top-5 program with my stats, but I’m happy where I’ve ended up and it was worth the lower tuition. Most people I run into care where I did my training, whenever I’m in discussing another doctor, their med school never comes up.

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