2021 dental school grad - need advice

Needed some advice on whether to switch to IBR or RAP in the coming months once I’m officially kicked off of the SAVE plan.

Current student loan debt: $475K

Haven’t made much of a dent due to forbearance

Current income as an associate: $185K

Spouse has 0 student loans and makes about the same.

Worried about the tax bomb with IBR but also don’t want to make overly aggressive payments and put my life on hold over the next few years (i.e. planning to buy a house/start a family in the next few years).

Any advice would be appreciated thanks!