If you're a medical professional shopping for a home, you'll likely choose between a physician (medical professional) home loan and a standard conventional loan. This guide compares them and shows you how to decide.

The quick comparison

Down payment

A conventional loan typically wants a larger down payment to avoid private mortgage insurance. A physician mortgage can finance up to $1,000,000 with 0% down on a primary residence, with low-down options on higher amounts.

Private mortgage insurance (PMI)

Put less than 20% down on a conventional loan and you'll usually pay PMI every month. Physician mortgages typically waive PMI entirely, which keeps your payment lower at the same down payment.

Student debt

Conventional underwriting can count a large student-loan payment against you even on an income-driven plan. Medical professional programs count your actual payment and allow debt-to-income ratios up to 45%.

Loan limits

Physician programs handle the higher loan amounts medical professionals often need, including jumbo options above $1.5M, often with no PMI.

Employment history

Conventional loans usually want established income. A physician mortgage can use a signed employment contract, so incoming residents and attendings can close before their first paycheck.

When a conventional loan still makes sense

If you have a large down payment saved, little or no student debt, and you're buying a lower-priced home, a conventional loan can be competitive and sometimes carries fewer restrictions. The right choice depends on your numbers.

When a physician mortgage wins

If you want to keep your cash invested, you're early in your career, you carry student debt, or you need a higher loan amount, a medical professional mortgage is usually the stronger fit.

Frequently asked questions

Is a physician loan always better than conventional?

Not always. The answer depends on your down payment, your debt, and the home price. A licensed loan officer can compare the numbers for your situation.

Does a physician mortgage have a higher rate?

This site does not quote rates, and terms vary by lender and borrower. The defining benefits are the down-payment, no-PMI, and student-debt advantages.

Can I switch from a conventional loan to a physician loan later?

You may be able to refinance using your medical professional profile. See the Medical Refinance program for details.

Your next step

Ready to compare for your situation? Explore the Ascending Physician program, see all programs, or talk to a licensed loan officer. There is no cost and no obligation.

MedLoan Advisor is an informational and advertising service, not a lender or broker. Equal Housing Opportunity.