The tool

Run your numbers.

PSLF vs refinance vs aggressive payoff, side-by-side. 16 specialty presets. Charts redraw the moment a number changes.

Runs in your browser

Med School Debt Simulator

PSLF vs refinance vs aggressive payoff · 16 specialty presets

Live
StrategyCustom

All settings below are manually controlled. Adjust any input to build a custom scenario.

Your data never leaves your device. We don't store, track, or sell anything you type in.

Your best strategy

Pursue PSLF.

PSLF saves you an estimated six figures vs standard repayment given your $250K debt and lower-paying specialty.

via Marit Health 2026 + AAMCvia studentaid.gov
Estimated timeframe

Debt resolved in ~10 yrs

Monthly payment range

$220 – $298

Key assumption

Assumes continued employment at a 501(c)(3) non-profit or government employer for 10 qualifying years.

How we chose this

Quick scenarios

Strategy comparison

All three paths, side by side.

Same inputs — three different repayment philosophies. The recommended row is the one our engine picked for your scenario.

via studentaid.govvia IRS guidance

PSLF (forgiveness)

Recommended
True total cost
$235K
Time to done
10 yrs
Total paid
$235K
Monthly
$2K/mo

Forgiven (~$175K tax-free)

Standard repayment

True total cost
$485K
Time to done
13 yrs
Total paid
$403K
Monthly
$3K/mo

Fully paid off

Aggressive payoff

True total cost
$587K
Time to done
9 yrs
Total paid
$358K
Monthly
$5K/mo

Fully paid off

Get monthly doctor-finance tactics

Join physicians getting PSLF, IDR, and refi breakdowns in plain English. One digest a month — unsubscribe anytime.

Time to payoff

13 yrs

Standard 10-yr amortization

Monthly payment

$3K

Residency ≈ $259

Total interest

$153K

Total paid $403K

Net-worth crossover

Yr 6

First year back in the black

Loan balance

What you owe, year by year

Standard repayment plotted against the PSLF projection when enabled.

Net worth

When you turn the corner

After 32% tax · minus living expenses · minus loan payments.

Opportunity cost

$82K

If the $50K you paid above IDR minimums had been invested instead, it would grow to roughly this over the payoff horizon.

Assumes monthly contribution of the “extra” and compound growth at your assumed market return.

Audit trail

Year-by-year snapshot

YearIncomePaidBalanceNet worthPhase
Start$250,000-$250,000residency
Year 1$65,000$3,111$263,139-$258,050residency
Year 2$67,958$3,407$275,981-$264,989residency
Year 3$71,050$3,716$288,515-$270,748residency
Year 4$300,000$39,312$267,332-$155,952attending
Year 5$316,725$39,312$244,731-$30,142attending
Year 6$334,382$39,312$220,616$107,368attending
Year 7$353,024$39,312$194,886$257,302attending
Year 8$372,705$39,312$167,433$420,429attending
Year 9$393,484$39,312$138,142$597,562attending
Year 10$415,420$39,312$106,889$789,564attending
Year 11$438,580$39,312$73,542$997,347attending

Email me my results

Save your results

Create a free account to save this scenario and revisit it anytime.