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. Here's how they compare — and 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 — keeping 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 treat student debt more realistically, allowing debt-to-income ratios up to 45%.

Loan limits

Physician programs are designed for the higher loan amounts medical professionals often need, including jumbo options above $1.5M — frequently without PMI.

Employment history

Conventional loans usually want established income. A physician mortgage can use a signed employment contract, letting incoming residents and attendings 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 — sometimes with 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 — it depends on your down payment, 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 our refinance options.

Your next step

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

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