06/16/2026
If you graduated optometry school with six figures of debt, you already know that your loans don't stay in a neat little box. They show up when you're trying to save for a down payment. They show up when you're thinking about parental leave. They show up when you start looking at practice buy-in timelines.
For early-career ODs, the real challenge isn't just 'pay it off.' It's figuring out how to make steady progress on debt without completely stalling everything else you're trying to build.
A few things that actually move the needle in those first years:
Target your highest-rate loans first, and make sure any extra payments go to principal, not just next month's bill. Your servicer won't always apply them correctly unless you tell them to.
If you're on an income-driven repayment plan, watch for capitalization triggers, like ending a grace period or switching plans. Paying off accrued interest before it gets added to your principal can save you a surprising amount over time.
Look at your budget the same way you'd look at a patient's treatment plan. Start with the fixed obligations (rent, minimum payments, insurance), add intentional savings for your emergency fund and retirement, and then give every remaining dollar a purpose. 'Future practice ownership' deserves its own line item too.
Refinancing can lower your rate, but it removes federal protections like income-driven plans and forbearance options. If your income is stable and your emergency fund is solid, it might make sense. If you're still in the unpredictable early years, flexibility can be worth more than a lower rate.
You don't need a perfect plan. You need a clear one that matches where you actually are in your career right now.
Read more: https://www.foresightfinancialplanning.com/optometrist-financial-advice/student-loan-repayment-strategies
For educational purposes only. Not investment advice. Foresight Financial Planning is a trade name of Day Financial Group, LLC, a registered investment adviser in the State of Georgia. See the full article link for important additional disclosures.