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PODCAST

Docs Outside The Box

Hosts Dr. Nii (Ghanaian) and Dr. Renee (Haitian) are first-generation physicians who paid off $662,000 in student loans in 3 years - while figuring out contracts, career moves, and money management that their colleagues learned at home.Every episode covers what first-gen docs need to know:Contract negotiation and career decisionsPaying off debt without family financial guidanceBuilding wealth from scratchThe questions you don"t know to ask (but your colleagues already knew)Real strategies from

business careers

All Episodes

80:08

7% of Med Students Don't Match. Do These Things...

Docs Outside The Box ·

2026/04/06

SEND US A TEXT MESSAGE!!! Let Drs. Nii & Renee know what you think about the show! You didn't match. Now what? Every year, roughly 7% of U.S. medical students don't match into residency. If you're one of them, you're not alone—and this isn't the end. Reddit Question We're Answering: "M4 here. Didn't match into the only specialty I cared about. No backup plan. Would it be insane to just get off the hamster wheel? Years of sacrifice, crushing debt, and the light at the end of the tunnel is...

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48:41

I Couldn't Run a Mile in Residency. #477

Docs Outside The Box ·

2026/03/30

SEND US A TEXT MESSAGE!!! Let Drs. Nii & Renee know what you think about the show! In this episode, we share our honest struggle with fitness as first-generation doctors - from not being able to run a mile in residency to building a consistent 5-6 day per week workout habit using the Atomic Habits framework. You'll hear: Why Nii couldn't run a mile by year 3 of surgery residency (and the McDonald's breakfast ritual)The Atomic Habits identity shift: "I am an athlete"How to make working ou...

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57:03

Is 40 Too Old For Med School? Here's The Truth. #476

Docs Outside The Box ·

2026/02/23

SEND US A TEXT MESSAGE!!! Let Drs. Nii & Renee know what you think about the show! Two first-gen doctors answer your real questions: How to open a business bank account, and whether starting Medical school at 40 is still possible. This week's Q&A covers two questions that represent completely different stages of the first-gen doctor journey: a neurology resident finishing training and building her business, and a 40-year-old premed, wondering if the dream of becoming a doctor i...

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27:49

How We Paid Off $662K With No Family Help #475

Docs Outside The Box ·

2026/02/02

SEND US A TEXT MESSAGE!!! Let Drs. Nii & Renee know what you think about the show! In this episode, we share our complete story - how we went from $662,000 in medical school debt to completely debt-free in just three years, as first-generation doctors without any family financial blueprint. You'll hear: Why we accrued over $100,000 in interest (and how to avoid it)The exact moment we decided to pay off our debt aggressivelyOur real budget: $200/month groceries, $50/month fast foodThe sac...

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27:35

DOE Says Nursing Isn’t a Professional Degree?! #474...

Docs Outside The Box ·

2025/12/16

SEND US A TEXT MESSAGE!!! Let Drs. Nii & Renee know what you think about the show! This episode hits EVERY corner of healthcare. Medical students, residents, nursing students, and attendings. We’re diving deep into: 1. The Department of Education’s classification of nursing as not a professional degree ● What does this actually mean? ● Does it affect student loans? ● Will this change the future of nursing? ● Why EVERY healthcare worker should pay attention&n...

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16:51

Wale’s New Album “Everything Is A Lot” + HSA Deadline...

Docs Outside The Box ·

2025/12/16

SEND US A TEXT MESSAGE!!! Let Drs. Nii & Renee know what you think about the show! In this episode, we’re diving deep into: 1. Wale’s new album. Is it worth playing in the OR? A quick, fun review: focus, vibe, and OR compatibility. 2. HSA Deadline Reminder. LAST MONTH to contribute We’re making ours… are you? If you’re a med student, resident, or attending in a high deductible plan, this is the best tax tool available. This episode hits home for:&n...

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16:06

Are You Ready for Locums? #474 Part 4

Docs Outside The Box ·

2025/12/16

SEND US A TEXT MESSAGE!!! Let Drs. Nii & Renee know what you think about the show! We answer a listener who asks how to know if locums is the right move and whether they’re truly ready for independence. We break down confidence, clinical readiness, and the mindset shift needed to succeed as a 1099 physician. This episode hits home for: ● Medical students ● Residents & fellows ● Attending physicians ● 1099 & locums doctors ● Anyone interested in healthcare ...

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17:28

Life With a Tenant Upstairs + Kitchen Renovation #474...

Docs Outside The Box ·

2025/12/16

SEND US A TEXT MESSAGE!!! Let Drs. Nii & Renee know what you think about the show! In this episode we're discussing a life update which is renting out part of our home + kitchen renovations we are doing. We are breaking down the financial lessons we’re learning as a physician household with tenants. FREE DOWNLOAD - 7 Considerations Before Starting Locum Tenens - https://darkos.lpages.co/7-considerations-before-locums SIGN UP FOR OUR NEWSLETTER! WATCH THIS EPISODE ON YOU...

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34:05

ACA Premium Spike 2026: What Doctors, Residents &...

Docs Outside The Box ·

2025/12/08

SEND US A TEXT MESSAGE!!! Let Drs. Nii & Renee know what you think about the show! The Affordable Care Act marketplace is facing a massive premium spike in 2026 — and Congress is running out of time to stop it. In this episode of Docs Outside The Box, Dr. Nii and Dr. Renee break down exactly why ACA premiums are increasing, what happens if Congress does nothing, and how this will impact: Medical studentsResidents & fellowsEarly-career doctors1099 independent contractorsLocums physici...

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18:11

PSLF Guilt, Family Expectations, and Financial...

Docs Outside The Box ·

2025/12/08

SEND US A TEXT MESSAGE!!! Let Drs. Nii & Renee know what you think about the show! We tackle a raw listener question about carrying $520k in med school debt, feeling guilty about pursuing Public Service Loan Forgiveness, and navigating first‑gen family expectations. We break down what PSLF really is, why it exists, and how to compare it against traditional and accelerated payoff paths. FREE DOWNLOAD - 7 Considerations Before Starting Locum Tenens - https://darkos.lpages.co/7-cons...

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47:29

Top 5 Financial Moves That Actually Changed Our...

Docs Outside The Box ·

2025/11/18

SEND US A TEXT MESSAGE!!! Let Drs. Nii & Renee know what you think about the show! Send us a Voice Message - https://www.speakpipe.com/docsoutsidethebox Have a question for the podcast? Text us at 833-230-2860 In this episode, we pull back the curtain on the five financial moves that created real change in our lives....no fluff, no hype, just the systems and decisions that actually stuck. We discussed the importance of going all in on a few moves instead of ten half‑started projects. ...

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29:21

Honoring D’Angelo: What Brown Sugar Meant to Me...

Docs Outside The Box ·

2025/11/18

SEND US A TEXT MESSAGE!!! Let Drs. Nii & Renee know what you think about the show! Send us a Voice Message - https://www.speakpipe.com/docsoutsidethebox Have a question for the podcast? Text us at 833-230-2860 In this episode, we paid a tribute to D’Angelo whose albums like Brown Sugar and Voodoo shaped our teenage years. We also talked about how slow jams are no longer there, and the split between what people say online and how we actually treat each other off screen. FREE DOWNLOAD...

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14:28

Q&A Locums And Life Between U.S.A & Ghana With $478K...

Docs Outside The Box ·

2025/11/18

SEND US A TEXT MESSAGE!!! Let Drs. Nii & Renee know what you think about the show! Send us a Voice Message - https://www.speakpipe.com/docsoutsidethebox Have a question for the podcast? Text us at 833-230-2860 We help a graduating resident weigh a bold plan of using locums to pay down $478k in student loans while planning a sustainable U.S.–Ghana travel rhythm. If you’re a physician considering locums, global living, or a career design that puts family and culture first, this conversat...

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60:26

REPLAY: What is a 1099? Non-traditional pre-med...

Docs Outside The Box ·

2025/10/28

SEND US A TEXT MESSAGE!!! Let Drs. Nii & Renee know what you think about the show! Drs. Nii and Renée do a semi-ok job at explaining the difference between 1099 independent contracting and W2 employment. Dr. Renée runs down the ways in which we give up control of our careers to others. Then the docs meet long-standing listener, Jamar Cromwell, to give him advice as a non-traditional pre-med. Things you'll learn in this episode: The difference between 1099 and W2How to take control over ...

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45:37

REPLAY: Sharing finances as a physician couple #428 ,...

Docs Outside The Box ·

2025/10/21

SEND US A TEXT MESSAGE!!! Let Drs. Nii & Renee know what you think about the show! 0:01 Should Married Couples Combine Finances?8:50 Financial Planning in Relationships16:32 Financial Transparency in Marriage20:54 Financial Involvement in Relationships28:29 The Benefits of Combining Finances32:27 Navigating Financial Disparities in Marriagehttps://www.doximity.com/articles/736a778f-eba2-41e8-a6e6-c6a3f082d19b Locumstory. Learn how locum tenens helps doctors make more and have the life...

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38:50

A Recap Of Our Wonderful Trip To Ghana. #471 Part 1

Docs Outside The Box ·

2025/09/23

SEND US A TEXT MESSAGE!!! Let Drs. Nii & Renee know what you think about the show! Send us a Voice Message - https://www.speakpipe.com/docsoutsidethebox Have a question for the podcast? Text us at 833-230-2860 In this episode, we share our experiences from our recent medical mission trip to Ghana. We also discussed a medical resident who was caught performing unauthorized genital ultrasounds in his apartment and concluded with giving career advice to residents who are transitioning t...

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21:59

Can Busy Moms Really Do Locum Work Without Having Mom...

Docs Outside The Box ·

2025/09/23

SEND US A TEXT MESSAGE!!! Let Drs. Nii & Renee know what you think about the show! Send us a Voice Message - https://www.speakpipe.com/docsoutsidethebox Have a question for the podcast? Text us at 833-230-2860 In this episode, we answer a question from our listener who is considering a locums position but is having mom guilt and wants to know how other women do it. Dr. Renée opens up about her journey working exclusively as a locums doctor while still maximizing her presence at home....

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60:42

REPLAY: Money Trap #4 - Debt is not a substitute for...

Docs Outside The Box ·

2025/09/19

SEND US A TEXT MESSAGE!!! Let Drs. Nii & Renee know what you think about the show! In this episode, Renee & Nii discuss how the common forms of debt (student loans, consumer debt, mortgage) keep you stuck in the rat race and burnt out! Things to expect in this episode: Renee clarifies how much she really owed the IRSThe Top 10 Medical Schools that keep their students in the highest debtsWhy you should consider refinancing your loansWhy the Darkos don’t co-sign loans for anyone Reso...

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41:50

REPLAY: Starting a Locums Company, Navigating...

Docs Outside The Box ·

2025/08/27

SEND US A TEXT MESSAGE!!! Let Drs. Nii & Renee know what you think about the show! What if you could reshape your career and lifestyle with the freedom and flexibility you’ve always dreamed of? In this episode, we explore the exciting world of locum tenens work, sharing insights on how to start your own locums company, medical malpractice insurance and why every doctor should consider doing locums. Timeline 0:00 Introduction 2:47 What y'all say Friday! Ask us anything y'all. 3:29 Working...

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49:41

How to Pay for Med School After Loan Changes! #470

Docs Outside The Box ·

2025/08/22

SEND US A TEXT MESSAGE!!! Let Drs. Nii & Renee know what you think about the show! Send us a Voice Message - https://www.speakpipe.com/docsoutsidethebox Have a question for the podcast? Text us at 833-230-2860 In this episode, we discuss a question from a pre-med student from a lower income background who is worried about pursuing medicine with the new student loan caps. We also offer advice on how to navigate these new financial obstacles, and whether becoming a doctor is still a vi...

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