Working as a Travel PT in the US Virgin Islands

We love to share unique travel therapist stories, so today we’re bringing you Marcela’s story about working as a Travel PT in the US Virgin Islands! We’d like to note that it’s not very common to see travel therapy contracts in the Virgin Islands, and most travel staffing companies do not staff in the Virgin Islands. But on rare occasion you might see a job opportunity pop up there! If so, hopefully Marcela’s insights can help you learn what to expect from a contract there!


Good day, you guys!

My name is Marcela and I’ve been a Physical Therapist for 7 years and a Travel PT for 5 years. I went to PT school in Virginia– the same school that Whitney went to actually! I’ve worked in multiple settings including acute care, skilled nursing facilities, home health, and outpatient. So far, I’ve worked in Virginia, Texas, and St Thomas. In this article, I want to share the details about my assignment in St Thomas, US Virgin Islands with you all since it’s a unique contract location!

How Did I Land an Assignment in the US Virgin Islands?!

It was pretty simple really, but mostly by luck and good timing! One day while scrolling on Facebook, I saw a job posting on the Facebook group Travel Therapy Job Opportunities for an outpatient PT assignment in St. Thomas. It was with a company and recruiter that I had never worked with before. I reached out to the recruiter, set up a phone interview with the clinic manager a few days later, and got the assignment!

The Licensure Process

My next step was to get my USVI PT license, which I didn’t know at the time is infamous for taking a really long time. I’ve heard of one PTA that took 6 months to get his license! Upon signing the contract for the assignment, I was given the contact information of an island PT, Erin, who has a side business of helping people expedite their USVI PT licensure. At the time, Erin charged $1,000 — but it was absolutely worth every penny! She helped me get my license in only 4 weeks. At different times in the process, she was able to go into the licensing office and figure out what was slowing down my licensing application. She truly did shorten the whole ordeal, as I had a few snags which were totally out of my control. Without her help, it easily would have taken 6+ weeks, and the clinic in St Thomas was holding a spot for me which I did not want to miss out on! If you need help getting your USVI license expedited, you can contact Erin at: erindavidson13@gmail.com.

Housing on Island

While Erin was working hard for 4 weeks to help me with the licensure process, I then turned my attention to finding housing. I usually find cheap furnished housing by renting a room in a home for my travel assignments. I am okay with cheap housing and living with others, as I’d rather spend my money in other categories. Well, unfortunately for this assignment, I quickly found out the islands are not a place for cheap housing. Almost all places cater towards tourists, so you’re going to get tourist prices. Expect to pay about $2,000/month or more if you want a clean place with the amenities you’re used to on the mainland. My landlady is currently not renting rooms anymore, so I sadly don’t have any current housing leads to share.

I want to add something else about housing that will be very important to know. The USVI has one utility company and its infrastructure is dated. In 2017, two category 5 hurricanes, Irma and Maria, hit the islands and further damaged the already struggling infrastructure of the utility company. Because of this, it’s very common to lose power on island. One week I was there, we were without power for 30 hours. If you’re there during hurricane season, just assume you won’t have power for a while after a storm. I grew up close to the Southern US coast and have experience living through hurricanes and without power before. You either have to be okay with living like this or willing to pay extra to stay at a place that has a backup generator.

My PT Contract

I ended up working for 4 months on island at this contract. It was a private practice outpatient PT clinic. I had the opportunity to work a schedule of 4, 10 hour days each week, which was great for having 3 day weekends and being able to explore. As far as pay, the pay tends to be a bit on the lower end than what I’ve seen for mainland contracts. But it’s kind of like taking an assignment in Hawaii: you don’t go there for the pay, you go for the experience! And contracts in Hawaii usually tend to pay on the lower end as well. In addition to my weekly pay, I did also receive reimbursement for my flight to the island.

Insights on Island Living

Public Transportation

St Thomas does have public transportation, but the route is limited. The type of public transport is called a “safari” which is essentially a diesel pickup truck with covered open-air benches in the back.  It’s a great way to assimilate with the local culture and enjoy the wind. But like with all public transportation: be patient (haha)! The hours are limited and so are the locations to which they travel. St Thomas is very rocky, so the safaris don’t go up the hills. If you plan to live up a hill, you’ll have to get a car or walk a distance to get to a safari. I did not want to have a car on island, so I relied heavily on safaris, walking, and taking taxis.

Resources

Another thing to take into consideration is that you’re living on an island that does not have the same resources that the mainland does. Lots of things are imported and therefore the cost of food and other supplies reflects that. The islands also don’t have the same variety that the mainland does in terms of resources. But, you should totally enjoy the food that the islands do have to offer. If you eat local food, it greatly helps! Plus, you get to eat all kinds of tasty fruits, juices, and sea food!

The People

Many people in the Caribbean like to call themselves West Indians. West Indians are probably the nicest people I have ever encountered. Once you learn the proper way to greet in the Caribbean, people will easily give you directions, help you with a ride, and share food with you. It’s truly a village mindset. Everyone’s also on “island time” there, so don’t expect anyone to be prompt. Haha. As patients, they have been the best population I’ve ever worked with. They are respectful and hard working. I often found myself telling them to stop doing extra sets to allow their bodies to rest.

The good stuff!

Now onto the super fun stuff about living and working in the Virgin Islands!

The beaches are to die for! Sand so white it glitters, water you can see straight down into for yards, sunsets you can frame, waves so calm you can soak and float, and water activities for everyone! Snorkeling, kayaking, waterskiing, parasailing, regular sailing, yachting, scuba diving, sea planes, and hiking! (I know, not a water activity but would be a shame to not list). Each island has its own vibe, so visiting all three major USVI islands is required. And many more islands in the archipelago are also worth visiting! Depending on which island you’d like to visit, most can be reached by boat/ferry, but some of the further islands require private boat or a flight.

If you think you can handle life in the islands, then I recommend trying to get an assignment there. If interested, I can give you the name of the recruiter I used. You can reach me here via Facebook.


We’d like to thank Marcela for sharing her insights with us about her travel therapy contract in the US Virgin Islands! Please feel free to contact Marcela via Facebook or message us with any questions!

Retiring Very Early as a Physical Therapist (Yes, even as early as in your 30’s)

Written by Jared Casazza, PT, DPT

Retiring from your career as a physical therapist earlier than “traditional” retirement age may be a goal you’re seeking, or something you’ve at least thought of in the back of your mind at some point. What if I told you that it’s possible not only to have a comfortable retirement before the age of 65, but possibly even as early as in your 30’s depending when you began your career and how you choose to structure your life? If this is something that’s piqued your interest, let’s dig a little deeper to understand how a very early retirement (or at minimum a transition to part time or optional work) has become a reality for me and could be a real possibility for you as well.

Background

Over the past five years, I’ve written dozens of articles on personal finance, investing, and financial independence. Almost all of these articles have been on the blog I started back in 2016, Fifth Wheel Physical Therapist, where I’ve consistently tracked my progress toward financial independence since that time. Over the past couple of years I haven’t felt as motivated to write about these topics though. That’s mostly because usually I feel that either I’ve already covered things I would potentially think about writing, or it’s already been covered elsewhere in the finance space. It’s also because I’ve had gradually decreasing interest in personal finance and financial independence since I reached my ultimate financial goal in May of 2019. In reality, the decrease in interest started even before then, when I realized that I’d saved more than enough to “Semi-Retire” (transition to only working part of the year) back in 2018, after only working full time for 3 years as a physical therapist. Once I was certain that my financial future was secure, my interest in personal finance took a backseat to other interests.

Every now and then though, I’ll get a particularly moving email or message from a follower who was inspired by my articles to improve their own financial situation and is now on their own path to financial independence. The excitement that emanates from those communications reminds me of the excitement that I felt when I first discovered that financial independence and early retirement (known as the “FIRE” movement) was possible and achievable for me, and it reminds me why I started writing about FIRE and working toward it in the first place. For the right person, like me, being introduced to the idea of financial independence and the math behind it is intoxicating.

After all, who in their right mind wouldn’t want to reach financial independence and have nearly unlimited options for their future?

With so much negativity regarding finances and workload after graduation in various therapy groups where I’m involved, I realize now the value in at least occasionally putting out content to introduce those that are receptive to the idea that a 30+ year career seeing 20+ patients per day isn’t a foregone conclusion. With some planning, optimization, and foresight: it’s possible to achieve financial independence and effectively make work optional much earlier than most think is possible.

Making my job as a Physical Therapist (PT) optional financially was my ultimate goal from my very first day working as a PT. From my clinicals, I knew that I enjoyed working as a physical therapist, but that it was probably something that I wouldn’t want to do 40+ hours per week indefinitely. It’s becoming clear from the conversations being had online that a large number of current therapy students and new graduates have had, and are currently having, this same realization.

In my opinion, actively working toward financial independence is the answer. This was one of the best decisions that I’ve ever made personally. I like to think of working toward financial independence as a game, with every net-worth milestone being one step closer to buying lifestyle freedom and optionality.

If you think this sounds crazy, or is just a pipe dream, below I’ll explain how I was able to leave my career as a full time physical therapist at the age of 30, after only working full time for less than four years, with enough saved and invested to support my expenses indefinitely — and have since used that freedom to design a lifestyle full of adventure, international travel, and plenty of leisure.

The Journey to Financial Independence

As I mentioned above, I discovered financial independence along with the math behind it prior to graduating physical therapy school, in 2015. I instantly knew that this was a goal that I wanted to reach as quickly as possible and started sketching out potential scenarios and thinking about options to supercharge my path. Below I’ll detail some of the key strategies that helped me to achieve financial independence, and some ways that you could utilize similar strategies to reach your own financial independence.

Maximizing Income

Based on research I’d done while considering options after PT school, I knew that it was possible to make significantly more money as a Traveling Physical Therapist. That combined with a desire to venture outside of my hometown made Travel PT a no-brainer and led me to pursuing it immediately after graduation. To my delight, my girlfriend (and now business partner, with whom many of you are familiar on this site) Whitney who was graduating at the same time as me saw the potential benefit and was quickly onboard with Travel PT as well. And thus began our Travel PT journey as new grads.

By no means is travel therapy the only way to maximize income as a physical therapist though. There are many therapists that I’ve communicated with over the years that make as much or more than I do as a Travel PT by working in home health, cash based outpatient practices, or by working a PRN physical therapy job outside of their full time job. Travel therapy was just the path that I personally chose to maximize my income as a new grad PT.

Knowing that maximizing income is vital to reaching a goal of financial independence, in addition to working as a Travel PT, I also started working on some side hustles to further increase my monthly earnings. To my surprise, these side hustles actually helped me earn enough that I was able to cover all of my expenses with them and save 100% of my travel therapy income each month during my first 3 years as a PT.

Minimizing Expenses

Another vital component of reaching financial independence and early retirement is minimizing expenses. As a traveler, keeping expenses low can sometimes be more difficult due to the need to duplicate living expenses in order to maintain a tax home, but it’s possible to still keep expenses low with some strategic planning.

I decided to rent a room in a house for my tax home instead of renting an apartment or entire house, which helped me to save a lot of money. Whitney and I also decided to buy a fifth wheel camper to live in while on travel assignments, which not only saved us money each month but also made finding housing in assignment locations much less of a hassle. We bought both our fifth wheel and the truck to pull it with used in order to reduce how much we’d lose in depreciation costs when it came time to sell them later on.

Besides keeping housing and transportation costs as low as possible, we chose to limit how much we spent on things like meals out, electronics, and subscription services to further reduce the expenses side of the equation.

Savings Rate

By maximizing income and minimizing expenses, I was able to maintain a high savings rate. Throughout my three years of full time work as a travel therapist, my savings rate stayed in the 80-90% range. More specifically, around 88% in 2016, 85% in 2017 and 72% in 2018 — even despite working for only half of the year in 2018 and spending the second half of the year traveling around the world!

As a side note, most people believe that traveling for long periods of time internationally would be very expensive, but that doesn’t have to be the case. In fact, I keep track of all of my expenses during our long international trips to show that traveling internationally can cost the same or less than it costs to live a median lifestyle in the US, with some strategic planning. It cost me less than $37/day to travel for 5 months through Europe and Asia in 2018 and less than $46/day to travel for 4 months all over Europe in 2019! These were both trips of a lifetime for us, and being able to take them while still saving money was a massive bonus!

Investing

Having a high savings rate is wonderful and a key component to achieving financial independence, but utilizing that money saved each month wisely is just as important. Being able to cover your yearly expenses with 4% or less of your invested assets (known as the 4% rule) is what most people in the personal finance community define as “financial independence.” This is where making intelligent investing decisions comes into play. Investing as much as possible early in your career is ideal in order to allow compound interest to work in your favor for as long as possible.

There are endless ways that people choose to invest, but what worked best for me and probably makes sense for the majority of people is a simple passive index fund investing approach with a reasonable asset allocation**. For me, that meant sticking primarily to Vanguard passive domestic equity index funds. Passive index fund investing not only costs less in terms of fees but also requires significantly less time to implement, which means more time to earn extra income or for leisure.

**Please note that I am not a licensed financial advisor and this is not meant to be specific financial advice for your situation. It’s important that you do your own research and if necessary consult a licensed financial advisor to assist you with investing and finance decisions.

Managing Debt

Besides investing, money saved each month should also go toward paying down debt. I believe that avoiding high interest rate debt at all costs is imperative for achieving financial success, but often some debt is unavoidable. For most of you reading this, that would include student loan debt.

There are generally two main approaches to managing student debt. Either pay the debt off as quickly as possible, or make minimum payments on an income driven repayment plan for 20-25 years until the debt is forgiven, while saving/investing the money saved along the way. Initially, I planned to pay my debt off as quickly as possible, which is what the majority of travel therapists will take the opportunity of having higher income to do; but, after a lot of time spent learning and making projections, I instead decided to go the income driven repayment plan route. You can find the considerations and math behind my decision here. This certainly isn’t the best option for everyone, but for me this choice has saved me tens of thousands of dollars over the last six years and supercharged my path to financial independence!

Early Retirement or “Semi-Retirement”

Since reaching “semi-retirement” in 2018 after only working full time as a PT for three years, and full financial independence in 2019, I’ve significantly reduced how much I’ve worked as a physical therapist, while instead choosing to spend more time traveling the world and working on hobbies and entrepreneurship.

I’ve only worked a total of 200-300 hours/year in each of the last two years, mainly to maintain my physical therapy license and keep my evaluation and treatment skills from getting rusty. This amount of work seems about ideal for me personally, as I’m still able to help patients, which brings me joy, for part of the year, while still having plenty of time to do other things that I want to do including travel the world. I’ve found that working on and growing our websites Travel Therapy Mentor and Fifth Wheel Physical Therapist is something I really enjoy, and I value the ability to impact the lives of others who find and read the articles I write.

The hours I work as a physical therapist combined with income earned from the websites and from my investments have caused my net worth to continue to increase each year, despite not working full time since 2018. At this point, I have over 35x my anticipated future yearly expenses saved and invested, which means an even more secure financial position. I plan for this to continue for the foreseeable future as I continue to keep my expenses relatively low.

Is Retiring Very Early Possible as a PT?

Retiring very early as a physical therapist is not only possible, but I believe that the path I took to get there isn’t unique and is replicable for many students and new grad therapists who are interested in pursuing this goal. In fact, since first writing about this years ago, there are many other therapists well on their way to achieving similar financial success. Here is one such story and here is another!

The wonderful thing about financial independence and personal finance is that it truly is personal. No two individuals have the exact same situation, and therefore no two paths will be exactly the same. I hope that you can find some aspects of my path that will work for you to improve your own financial situation and allow you to achieve financial independence more quickly — and in doing so, be able to design your lifestyle and future to look how you want it to!

If you’re a student, new grad, or current clinician interested in utilizing travel therapy to improve your own finances, here’s a great place to start. If you need helping finding reputable travel companies and recruiters we can help you with that as well! Please don’t hesitate to message us with any questions!