Early July is an exciting time in teaching hospitals across the country. A new batch of medical students suddenly makes the transition from debt accumulators to debt repayors. According to some statistics, the average medical student now has over $180,000 of debt when they graduate from medical school, and they are woefully unprepared to manage it. Debt management is not covered in medical school, and sound financial advice for new residents is rarely found on the agenda of new resident orientations. Even if it was on the agenda, most new residents I work with are not worried about their debt; they are concerned about being on call for the first time!.