Mortgage Myth #19: Your medical school debt is too high—you can’t buy.

Michael Creed • November 17, 2025

Why doctors, residents, and other medical professionals can qualify for homeownership even with six-figure student loans.

The Myth


If you’ve got six figures of medical school debt, you can’t qualify for a mortgage.


The Truth


Lenders expect doctors to carry student debt—and there are loan programs designed specifically for medical professionals. Having student loans doesn’t automatically disqualify you from buying a home.


Why People Believe This


Medical school debt often looks intimidating on paper—$200,000, $300,000, even $400,000 or more.


Combine that with residency income that hasn’t yet caught up to your long-term earning potential, and it’s easy to assume homeownership is out of reach. Many borrowers hear generic advice like “your debt-to-income ratio is too high,” without realizing special guidelines exist.


Detailed Breakdown


Here’s what most people miss:

  • Doctor Loans (Physician Mortgages): Many lenders offer programs specifically for doctors, dentists, pharmacists, and veterinarians. These often allow higher debt-to-income ratios, reduced (or no) down payment, and no private mortgage insurance (PMI).
  • Income-Based Repayment (IBR): Lenders may count only your reduced student loan payment (not the full balance) toward qualifying.
  • Future Income Consideration: Some programs accept an employment contract as proof of income—even before you’ve received your first paycheck.
  • Long-Term Outlook: Underwriters know that your income trajectory as a doctor is different than most other professions.


Real-World Example


One of our clients, a new anesthesiologist with nearly $300,000 in student loans, thought she’d have to rent for another 5 years. Instead, we used a physician mortgage that required just 5% down, counted her IBR loan payment, and accepted her signed contract as proof of income. She closed on her first home a month before starting her new job.


The Bottom Line


Medical school debt is not a dealbreaker. In fact, lenders have built programs to make sure highly skilled professionals like you can buy a home earlier in your career—not decades later.


Ready to See What’s Possible?


Don’t let student debt stop you from building wealth through real estate. Let’s talk through your options and create a personalized plan. Download our Physician Loan Guide today, or reach out.

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