Manny Oloyede | NMLS 1824463

Mortgage Programs

Physician Mortgage Loans

How physician loan programs treat student debt, employment contracts and down payment, and when a conventional loan is the better choice.

Updated 2026-08-17| Applies to: Physicians, dentists and, on some programs, other licensed medical professionals.

The short answer

Physician programs are designed for doctors and certain other licensed professionals, often allowing a low down payment without mortgage insurance and treating student loan debt and a signed employment contract more flexibly than conventional guidelines.

What makes these programs different

  • Low down payment options without monthly mortgage insurance on many programs
  • Student loan payments treated using an income driven or deferred figure rather than a full amortized payment
  • A signed employment contract may be used to document income before the first paycheck
  • Higher loan amounts than standard conventional limits on some programs

Eligibility varies more than borrowers expect

Each lender defines eligible professions differently. Some include dentists, veterinarians, pharmacists or attorneys; others limit the program to MD, DO and DDS designations. Time since residency and specialty can also matter.

When conventional financing wins

A physician loan is not automatically the cheapest option. If you have 20% to put down and manageable student debt, conventional pricing may beat the physician program's rate. The right comparison is total cost over the years you expect to hold the loan, not the down payment alone.

SituationOften better
Starting residency, minimal savingsPhysician program
Large student balances on income driven plansPhysician program
20% down, low debtConventional
Loan above conforming limits with strong reservesCompare physician and jumbo

Program availability, eligible professions and terms vary by lender and change over time.

Common mistakes to avoid

  • Assuming the physician program always has the lowest rate
  • Buying at the top of the approval during the first year of a new position
  • Overlooking relocation timing and occupancy requirements when starting a contract

Related loan programs

Frequently Asked Questions

Many programs allow residents and fellows, often with a signed contract for upcoming employment. Requirements vary by lender.

Physician programs commonly use an income driven payment or exclude deferred payments, which is more flexible than standard conventional treatment.

Many physician programs avoid monthly mortgage insurance even with a low down payment, which is a large part of their appeal.

Generally no. These programs are for primary residences.

Sometimes. Dentists and veterinarians are common; other professions depend on the specific lender's program.

People also ask

Can I buy a home with no money down?

It is possible through VA loans for eligible veterans and service members, or USDA loans for eligible properties and household incomes, though qualification requirements apply.

Read: How Much Down Payment Do I Need to Buy a Home?

Can I switch from FHA to conventional later?

Many borrowers refinance from FHA to conventional once they have enough equity and qualifying credit, which can remove ongoing mortgage insurance, though refinancing has its own costs to weigh.

Read: FHA vs Conventional Loans: How Do They Compare?

What is the conforming loan limit in Ohio?

Conforming loan limits are set annually and can vary slightly by county, so it is best to confirm the current limit for the specific county where you are purchasing.

Read: Jumbo Mortgage Options in Ohio: What to Know

Is an ARM riskier than a fixed-rate mortgage?

An ARM carries more uncertainty about future payments since the rate can change after the introductory period, while a fixed rate removes that uncertainty entirely.

Read: Fixed-Rate vs Adjustable-Rate Mortgage: Which Fits You?

Do all mortgage programs treat student loans the same way?

No. Different programs have different rules for calculating a qualifying payment, especially for loans in deferment, forbearance, or on income-driven repayment plans.

Read: Can You Get a Mortgage With Student Loan Debt?

Can a green card holder get a conventional loan?

Often yes, subject to the same income, credit, and asset requirements as other conventional loan applicants, along with proof of permanent resident status.

Read: Mortgage Options for Immigrants and Non-Citizens in Ohio

Written by

Manny Oloyede, Mortgage Broker

NMLS #1824463 | Ultimate Mortgage Brokers LLC NMLS #2619461 | Licensed in OH | KY | NC | PA | SC | TN | TX

I have worked in mortgage lending since 2018 out of the Akron / Cuyahoga Falls Branch, helping buyers, homeowners and investors across Northeast Ohio and every state where I am licensed. These guides reflect the questions I answer most often, written the way I would explain them on a call.

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