GigHz › Financial Clarity for Physicians › Module 4

    Module 4 of 6 · free course

    Investing Basics for Physicians

    The Buffett/Graham rule, real estate, stocks and angel investing, and how to evaluate a deal.

    3 video lessons Notes and worksheets included No signup By Pouyan Golshani, MD

    Lesson 4.1The Buffett/Graham Rule of Investing

    Open on YouTube

    Use this tool: 👉 Graham–Buffett Margin of Safety Calculator

    What it does:

    • Computes a quick “fair P/E” anchor from the current 10-year Treasury yield
    • Lets you compare that anchor to a stock’s current P/E
    • Helps you frame a margin of safety before buying

    Helpful data sources to pair with the calculator:

    • Company P/E & EPS: Yahoo Finance, Google Finance, Nasdaq company pages
    • 10-Year Treasury Yield: U.S. Treasury daily yield curve or FRED “DGS10”

    Reminder: The fair-P/E anchor is a frame, not a law. Growth and tech stocks often trade above it because of forward expectations. Use the margin-of-safety idea to protect peace first.

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    Notes to Remember

    • P/E Ratio = Price ÷ Earnings per share → shows how many dollars you pay for $1 of company earnings.
    • Risk-Free Rate Anchor = Use the 10-year U.S. Treasury yield as baseline.
    • Buffett/Graham Formula:

    Fair P/E ≈ 1 ÷ (2 × Risk-Free Rate).

    • Example: If 10-year Treasury = 4%, fair P/E ≈ 12.5.
    • Margin of Safety: Always buy at a discount to your estimate of fair value (e.g., pay $60–70 for a stock you think is worth $100).
    • Discipline Over Hype: High-growth/tech often trade at 30–60× earnings — but without margin of safety, you rely on “perfect” execution, which is rare.
    • Track Records Matter: Buffett favored companies with durable earnings across multiple cycles.
    • Calculator: Use the Margin of Safety Calculator to quickly anchor fair P/E and test margin of safety

    Downloads:

    Lesson 4.2Real Estate, Stocks, and Angel Investing 101

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    In this lesson, we explore three pillars every physician should understand: real estate, public markets, and angel investing.

    1. Real Estate

    • Strengths: Leverage, depreciation, cash flow, tangible assets.
    • Underwrite carefully:
    • Cap Rate – Net Operating Income ÷ Purchase Price.
    • IRR – Time-weighted return including cash flows and exit.
    • DSCR – Debt Service Coverage Ratio (≥ 1.25).
    • Exit Timeline – When and how you get capital back.
    • Depreciation is powerful in rentals and syndications, but not in hard money lending.
    • Most tax-efficient ownership: via an LLC, especially if you qualify as a Real Estate Professional under IRS rules.
    • Loan options range from DSCR loans (property income-based) to conventional mortgages, portfolio loans, SBA, or hard money depending on use case.

    2. Public Markets (Stocks & ETFs)

    • Liquid, tax-efficient, low maintenance.
    • Dollar-cost averaging (investing the same amount regularly) beats trying to time the market.
    • Long-term winners are usually broad index funds (e.g., VTI, SPY).
    • Speculative plays can pay off but carry high risk. Buffett-style investing = **margin of safety, compounding, patience.

    3. Angel Investing

    • High risk, high reward: ~90% of startups fail.
    • Limited to accredited investors ($200k+ income or $1M net worth, excluding home).
    • Only risk what you can lose.
    • Due diligence questions:
    • Who are the founders? Track record?
    • Is there real traction/MVP?
    • What’s the moat (IP, partnerships, regulation)?
    • What’s the exit path?
    • Your medical insight can add real value in medtech or healthtech deals.

    Tools & Links

    Notes to Remember

    • Real Estate: Cash flow + depreciation + leverage = strong foundation. Underwrite every deal.
    • Stocks: Dollar-cost averaging > market timing. Stick with broad, diversified funds.
    • Angel Investing: 90% fail — invest only what you can lose. Founders matter more than ideas.
    • Use LLCs and tax-efficient structures where possible.
    • Match asset class to your risk tolerance and long-term goals

    Downloads:

    Lesson 4.3How to Evaluate a Deal

    Open on YouTube

    Good investing isn’t about predicting the future perfectly. It’s about asking better questions and making sure your upside outweighs your downside.

    Core Principle: Your downside should always be smaller and more contained than your upside. That doesn’t mean zero risk — it means the payoff, if right, more than compensates for the losses if wrong.

    Examples:

    • Startups: Roughly 90% fail. If you back 10, nine could go to zero — your winner must return 10x+ just to balance the math.
    • Real Estate: Even if a deal underperforms, you still hold an asset that can be refinanced, restructured, or sold. Collateral reduces downside.

    Seven Key Questions Before You Invest:

    • What’s the real risk — not the pitch?
    • What must go right for this to succeed?
    • When and how will capital be returned?
    • Who else is in the deal, and why?
    • If it underperforms, is there collateral or a recovery path?
    • Do I actually understand the model?
    • Does this align with my goals and risk tolerance?

    Context Matters:

    • Funding Rounds:
    • Pre-Seed/Seed = prototype + traction
    • Series A = prove repeatable product-market fit
    • Series B = scale ops
    • Later = expansion, pre-IPO
    • MedTech & Pharma:
    • Devices → 510(k), De Novo, PMA
    • Drugs → Phase I (safety), Phase II (efficacy), Phase III (large-scale)
    • Exits: IPO, M&A, dividends, buybacks. No clear exit = no clear return.

    📂 Supporting Tools & Downloads

    • Deal Evaluation Checklist (DOCX) → Pressure-test any real estate, startup, or private equity deal before committing.
    • VC Rounds & Milestones Cheat Sheet (DOCX) → Understand what each funding round is designed to achieve, typical dilution, and investor expectations.
    • Regulatory Pathways Quick Guide (DOCX) → Quick reference for device and drug approval stages, timelines, and risks.
    • Interactive Calculator → VC & MedTech Upside vs Downside Investment Calculator — model portfolio hit rates, IRR, and risk scenarios.

    Notes to Remember

    • Upside must outweigh downside — always.
    • Real assets = partial recovery; startups = often zero salvage.
    • Ask the seven key questions before saying yes.
    • Match risk, timeline, and exit to your personal goals.
    • Use the checklist and calculator — never invest blind

    Downloads:

    Apply it: free calculators

    Every number in this course can be run on your own figures. Browser-based, no login, nothing stored.

    All physician calculators →

    Go deeper on investing

    Two GigHz data sites that extend what the course teaches. Both are built for learning, not for making a specific trade or purchase.

    Your practice, visible: Guide.MD

    The course is about what you keep. Guide.MD is about what you earn: a physician profile that explains what you treat and how patients reach you, with listings for the professional services many physicians never advertise.

    Educational content only. Not financial, tax, legal or investment advice. Written in a personal capacity by a practicing physician. Repit, Savng and Guide.MD are GigHz family sites; the course is free regardless of whether you use them.

    Written and reviewed by Pouyan Golshani, MD, Interventional Radiologist — Last updated June 12, 2026

    Part of the GigHz library: systems doctors were never taught.