Depending on the status of your federal student loan, you may end up losing your tax refund. If you’re not making payments becuase you have a deferment or forbearance, do yourself a favor and double check the status of that.
I had a slow night shift a few months ago, so I put together this sweet flowchart which I’ll update if things change again (as they did in December 2015 with the institution of Re PAYE.) Pretty sweet huh.
So start at the upper left, with medical school graduation.
Almost all residents will want to go into Re PAYE with their federal loans.
If you are eligible for PSLF (meaning you are employed by a non-profit throughout and after your training) you’ll want to take advantage of that with as much of your debt as possible.
If you’re now an attending (or soon will be) you can start at the bottom left, with residency graduation.