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    Business

    Doctors Building Wealth

    Doctors Building Wealth is for physicians drowning in student debt and working endless hours, wondering if your medical career will ever bring true freedom. Despite your six-figure income, the path from successful doctor to financially independent professional feels impossibly complex.

    We get it—balancing patient care and financial planning is overwhelming when no one taught you how to invest during medical school. Lucky for you, you don’t have to figure it out alone.

    Meet Drs. Letizia Alto and Kenji Asakura, physicians who’ve built a multi-million dollar real estate portfolio while maintaining their medical careers. They’ve helped hundreds of fellow doctors replace clinical income with passive cash flow—without sacrificing patient care.

    Join Leti and Kenji each week as they interview physician investors who’ve escaped the burnout cycle, share step-by-step strategies to analyze deals, and provide actionable blueprints to build your real estate portfolio with your busy schedule. Learn how to leverage your high income, create tax advantages most doctors miss, and build the time freedom you deserve.

    It’s time to stop trading your time for money and start building generational wealth. Your patients need you at your best—not burned out and counting the years to retirement.

    Advertise
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    Latest Episodes:
    Decide and Move: Overcoming Analysis Paralysis and Embracing Uncertainty Aug 10, 2025
    Show notes

    Are you stuck on the sidelines, waiting for the “perfect” moment to make your next big move in real estate or life?

    Is analysis paralysis keeping you from taking action, costing you growth, opportunity, and progress?

    It’s time to stop letting fear and uncertainty dictate your future. Discover a proven framework to make decisions confidently—so you can move forward, learn faster, and achieve more, even when the outcome isn’t guaranteed.

    BY THE TIME YOU FINISH LISTENING, YOU’LL LEARN:

    • Why the fear of making the “wrong” decision is holding you back—and why inaction is often the worst outcome
    • How to embrace uncertainty, pivot quickly, and turn every result into either a win or a valuable lesson
    • The simple, practical steps Leti and Kenji use to break free from overthinking and start seeing results now

    RESOURCES MENTIONED:

    • https://semiretiredmd.com/decide-framework/

    READY FOR REAL ESTATE SUCCESS? Book your call HERE for your next move.


    RESOURCES + LINKS
    Work w/ SRMD: HERE
    Join our FREE Facebook Groups: HERE
    Join our Newsletter: HERE
    FOLLOW + CONNECT
    Connect with SRMD: Website | Instagram | Facebook
    Liked this episode? Share it on social and tag me @semiretiredmd
    Love the show? Leave a 5-star review and let me know!


    How this Couple Cut their Taxes, Beat Burnout, and Built Wealth—While Working as Doctors Aug 03, 2025
    Show notes

    Are you letting fear or overwhelm stop you from starting your real estate investing journey?

    Too many doctors and high-income professionals wait, overanalyze, and let “analysis paralysis” keep them on the sidelines—missing out on wealth, time, and freedom.

    If you keep waiting for the “perfect” moment, you’ll miss the biggest opportunities and never build the life you truly want. But the good news? Getting started, even if it’s messy or imperfect, is the first step to everything you’re seeking.

    BY THE TIME YOU FINISH LISTENING, YOU’LL DISCOVER:

    • How Dr. Zee and Dr. Asfa went from accidental landlords to intentional investors—while both working full time and raising two kids
    • The powerful tax strategies (like REPS) they used to keep more of their hard-earned income
    • The lessons they learned from taking on a “big, scary” first project—and how facing challenges built their network, confidence, and cashflow

    READY FOR REAL ESTATE SUCCESS? Book your call HERE for your next move.


    RESOURCES + LINKS
    Work w/ SRMD: HERE
    Join our FREE Facebook Groups: HERE
    Join our Newsletter: HERE
    FOLLOW + CONNECT
    Connect with SRMD: Website | Instagram | Facebook
    Liked this episode? Share it on social and tag me @semiretiredmd
    Love the show? Leave a 5-star review and let me know!


    The Truth About Private Practice with Dr. Karleen Su: Leadership, Legacy & Letting Go of W-2 Life Jul 27, 2025
    Show notes

    Have you ever wondered what it really takes for doctors to become successful entrepreneurs and build something from scratch—even when the odds are stacked against them?

    Are you feeling overwhelmed by the idea of starting your own practice or business, and worried that you don’t have the business skills or resources to succeed?

    Many doctors make the mistake of trying to “figure it out” alone, hiring expensive consultants or missing out on the power of community—and end up feeling lost, isolated, or even burned out. But there’s a better way.

    BY THE TIME YOU FINISH LISTENING, YOU’LL DISCOVER:

    • The biggest lessons Dr. Karleen Su learned in launching and scaling her own private practice (and what she wishes she’d done differently)
    • The real challenges (and rewards) of building a thriving physician community and running successful medical conferences
    • How culture, leadership, and the right network can make or break your entrepreneurial journey as a doctor

    READY FOR REAL ESTATE SUCCESS? Book your call HERE for your next move.


    RESOURCES + LINKS
    Work w/ SRMD: HERE
    Join our FREE Facebook Groups: HERE
    Join our Newsletter: HERE
    FOLLOW + CONNECT
    Connect with SRMD: Website | Instagram | Facebook
    Liked this episode? Share it on social and tag me @semiretiredmd
    Love the show? Leave a 5-star review and let me know!


    Should You Settle for Lower Cash-on-Cash Returns in Today’s Market? Jul 20, 2025
    Show notes

    Are you wondering if you should lower your standards for cash-on-cash returns just because interest rates are high?

    Many investors are settling for lower returns or even accepting properties with negative cash flow in today’s challenging market.

    But lowering your standards can put your investment goals—and your financial freedom—at risk. Instead, learn how to maintain your criteria and get creative to achieve your desired returns.

    BY THE TIME YOU FINISH LISTENING, YOU’LL DISCOVER:

    • Why maintaining strict cash-on-cash return criteria is crucial, even when interest rates rise
    • How to get creative with expenses, rents, and deal structure to keep your investments profitable
    • Specific strategies to negotiate better prices and find hidden value in today’s market

    Resources Mentioned:

    • Cash-on-cash Calculator: semiretiredmd.com/coc-calculator/
    • STR COC Calculator: semiretiredmd.com/str-coc-calculator/

    READY FOR REAL ESTATE SUCCESS? Book your call HERE for your next move.


    RESOURCES + LINKS
    Work w/ SRMD: HERE
    Join our FREE Facebook Groups: HERE
    Join our Newsletter: HERE
    FOLLOW + CONNECT
    Connect with SRMD: Website | Instagram | Facebook
    Liked this episode? Share it on social and tag me @semiretiredmd
    Love the show? Leave a 5-star review and let me know!


    Prepare, Probe, Propose: The 3Ps That Can Make or Break Your Next Deal with Jeff Cochran Jul 13, 2025
    Show notes

    Are you unknowingly leaving thousands on the table in your real estate deals because you don’t understand the art of negotiation?

    Most high-income earners—especially doctors—make the critical mistake of jumping straight to “the numbers” without preparing, probing, or proposing strategically.

    If you don’t master the right negotiation mindset and techniques, you risk settling for less, feeling burned out, or even dreading negotiations altogether. But when you learn Jeff Cochran’s “Three Ps” method and shift your approach, negotiating becomes not only more profitable but actually fun.

    BY THE TIME YOU FINISH LISTENING, YOU’LL DISCOVER:

    • The “Three Ps” of successful negotiations—and why skipping even one can cost you big in real estate and life
    • How to turn negotiations from a dreaded, adversarial task into a collaborative, creative process that gets everyone what they want
    • Simple mindset shifts that transform you from a people-pleaser into a confident, results-driven dealmaker

    READY FOR REAL ESTATE SUCCESS? Book your call HERE for your next move.


    RESOURCES + LINKS
    Work w/ SRMD: HERE
    Join our FREE Facebook Groups: HERE
    Join our Newsletter: HERE
    FOLLOW + CONNECT
    Connect with SRMD: Website | Instagram | Facebook
    Liked this episode? Share it on social and tag me @semiretiredmd
    Love the show? Leave a 5-star review and let me know!


    What Happened When This Psychiatrist Turned a Duplex Into a Real Estate Empire Jul 06, 2025
    Show notes

    What if simply being the backup offer on a property could set you on the path to financial freedom?

    Many doctors give up on a deal after their first offer isn’t accepted, missing opportunities right in front of them.

    By staying patient, being the backup offer, and using creative 1031 exchanges, you can continue to build your portfolio even while working full-time in medicine.

    BY THE TIME YOU FINISH LISTENING, YOU’LL DISCOVER:

    • How Nicole Shirvani secured her first duplex by staying in as the backup offer until it came back to her
    • The way she used 1031 exchanges to build momentum and acquire multiple properties without heavy tax burdens
    • How to find and close off-market deals by building connections, calling local agents, and leveraging for-sale-by-owner opportunities

    READY FOR REAL ESTATE SUCCESS? Book your call HERE for your next move.


    RESOURCES + LINKS
    Work w/ SRMD: HERE
    Join our FREE Facebook Groups: HERE
    Join our Newsletter: HERE
    FOLLOW + CONNECT
    Connect with SRMD: Website | Instagram | Facebook
    Liked this episode? Share it on social and tag me @semiretiredmd
    Love the show? Leave a 5-star review and let me know!


    Can Your Financial Advisor Help You Buy Real Estate? If Not, Listen to This. Jun 29, 2025
    Show notes

    Do you feel trapped in your medical career, overwhelmed by debt and the weight of your workload?

    Many doctors struggle with the feeling of being stuck in a never-ending cycle of work and financial stress, believing that the only way to break free is by waiting decades for retirement.

    But what if there was a way to achieve financial independence much sooner, using a strategy you may not have been taught in medical school?

    BY THE TIME YOU FINISH LISTENING, YOU’LL DISCOVER:

    • How financial advisors can help you build a comprehensive financial plan beyond just stocks.
    • Why real estate investing is often overlooked by traditional financial advisors—and how to make it work for you.
    • The benefits of being a fiduciary and the questions you should ask financial advisors to ensure they’re working in your best interest.


    READY FOR REAL ESTATE SUCCESS? Book your call HERE for your next move.


    RESOURCES + LINKS
    Work w/ SRMD: HERE
    Join our FREE Facebook Groups: HERE
    Join our Newsletter: HERE
    FOLLOW + CONNECT
    Connect with SRMD: Website | Instagram | Facebook
    Liked this episode? Share it on social and tag me @semiretiredmd
    Love the show? Leave a 5-star review and let me know!


    How Much Cash Do You Really Need to Start Investing in Real Estate? Jun 22, 2025
    Show notes

    Are you letting your bank account decide your future in real estate?

    Too many doctors believe they need tens or even hundreds of thousands of dollars to begin building a real estate portfolio. This belief not only delays your financial freedom—it may completely derail it.

    In today’s episode, Leti and Kenji bust the myth that you need a massive savings cushion to start investing and show you how creative strategies and the right mindset can unlock doors you didn’t know existed.

    BY THE TIME YOU FINISH LISTENING, YOU’LL DISCOVER:

    • The #1 limiting belief that stops high-income professionals from starting their real estate journey
    • Real-life examples of how doctors invested with as little as $6,000
    • Multiple creative financing strategies that can get you into your first deal faster than you think

    READY FOR REAL ESTATE SUCCESS? Book your call HERE for your next move.


    RESOURCES + LINKS
    Work w/ SRMD: HERE
    Join our FREE Facebook Groups: HERE
    Join our Newsletter: HERE
    FOLLOW + CONNECT
    Connect with SRMD: Website | Instagram | Facebook
    Liked this episode? Share it on social and tag me @semiretiredmd
    Love the show? Leave a 5-star review and let me know!


    Give More, Earn More: The Surprising Secret to Building Wealth as a Doctor with Bob Burg Jun 15, 2025
    Show notes

    Are you feeling burned out by your career in medicine?

    Many doctors face the daunting challenge of burnout while juggling patient care, administrative tasks, and mounting responsibilities. You may be working harder, but you’re not seeing the personal or financial freedom you deserve. What if there was a way to achieve financial freedom without sacrificing the practice you love?

    In today’s episode, Leti and Kenji welcome Bob Burg, author of The Go-Giver, to discuss how shifting your focus from "getting" to "giving" can transform your personal and professional life. Bob explains how this philosophy can be applied to leadership, real estate investing, and more.

    BY THE TIME YOU FINISH LISTENING, YOU’LL LEARN:

    • How giving more value to your team members can build lasting, profitable relationships.
    • The role of authenticity in leadership and its power in real estate investing.
    • The importance of becoming the best version of yourself to succeed in both life and business.

    READY FOR REAL ESTATE SUCCESS? Book your call HERE for your next move.


    RESOURCES + LINKS
    Work w/ SRMD: HERE
    Join our FREE Facebook Groups: HERE
    Join our Newsletter: HERE
    FOLLOW + CONNECT
    Connect with SRMD: Website | Instagram | Facebook
    Liked this episode? Share it on social and tag me @semiretiredmd
    Love the show? Leave a 5-star review and let me know!


    How to Get the Tax Benefits When You Buy a STR at the End of the Year Jun 08, 2025
    Show notes

    How Can You Maximize Tax Benefits When Buying a Short-Term Rental at Year-End?

    Are you struggling to figure out how to take advantage of tax benefits when purchasing a short-term rental towards the end of the year?

    Many people are motivated to use real estate tax loopholes, especially for short-term rentals. But when you're buying towards the end of the year, how do you make sure you get your required hours in?

    BY THE TIME YOU FINISH LISTENING, YOU’LL DISCOVER:

    • How to make sure you complete your 100 hours of material participation by year-end
    • Creative ways to accumulate hours quickly—even if you’re managing the property remotely
    • How to leverage these hours to unlock significant tax benefits like bonus depreciation

    RESOURCES MENTIONED:

    • https://semiretiredmd.com/material-participation/

    READY FOR REAL ESTATE SUCCESS? Book your call HERE for your next move.


    RESOURCES + LINKS
    Work w/ SRMD: HERE
    Join our FREE Facebook Groups: HERE
    Join our Newsletter: HERE
    FOLLOW + CONNECT
    Connect with SRMD: Website | Instagram | Facebook
    Liked this episode? Share it on social and tag me @semiretiredmd
    Love the show? Leave a 5-star review and let me know!


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