Buying a Home as a Physician? What No One Tells You About the Mortgage Process, Ep 33
Release Date: 07/16/2025
Doctors, Are You Tipping Uncle Sam? Avoid These Common Errors, EP 34
Physician Cents
Many physicians don’t realize they’re leaving extra money on the table by “tipping” Uncle Sam through simple, avoidable tax mistakes. While it’s easy to assume your accountant has everything covered, the truth is even experienced professionals (and software) often miss key physician-specific issues. This episode shines a light on common errors doctors make, from mishandled Backdoor Roth contributions to missed 1099 forms and state tax complications. If you’ve never double-checked these items, you might not even know you’re paying more than you should. Recognizing these pitfalls...
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Buying a Home as a Physician? What No One Tells You About the Mortgage Process, Ep 33
Physician Cents
Most physicians assume qualifying for a mortgage is straightforward; after all, you’re highly educated, creditworthy, and well-compensated. But buying a home as a doctor comes with hidden pitfalls that can leave you paying way more than you should, getting rejected unexpectedly, or locking in a rate you’ll regret. Many don’t realize that standard mortgage rules aren’t designed for your unique career arc, training debt, or 1099 income, leading to confusion and frustration in an already stressful process. Today, we get into those problems head-on with mortgage expert Josh Mettle, who...
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Before You Sign Anything: What Docs Need to Know About Disability Insurance, Ep 32
Physician Cents
If you’re a freshly minted physician just stepping out of residency or fellowship, the last thing you need is another decision demanding your urgent attention. But there’s a flurry of emails, conversations in hospital cafeterias, and ads in your inbox pushing one message hard: “Get disability insurance now, or else.” It’s intense, it’s relentless, and it’s not the full story. What’s often left unsaid is that while disability insurance is crucial, potentially one of the most important financial decisions of your early career, you’re not on the clock in the way you’ve been...
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How Big Life Changes Wreck, or Rescue, Your Student Loan Strategy, Ep 31
Physician Cents
You might think that making more money solves more problems, but early-career physicians know it can have the opposite effect. The moment you or your partner graduate, sign a contract, or even get engaged, your financial world shifts. And if one of you has massive student loans tied to forgiveness programs like PSLF, those life events don’t just change your lifestyle; they can completely upend your loan strategy. In this episode, we examine how a personal decision like marriage can lead to substantial changes in your repayment plan, tax filing decisions, and long-term financial outlook. And...
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What If Your Paycheck Disappeared Tomorrow?, Ep 30
Physician Cents
Imagine waking up tomorrow and not being able to work, no more surgeries, clinic, or call shifts. For most physicians, your ability to earn an income is your single greatest financial asset, yet few stop to consider how vulnerable it is. If you’ve never heard of “own occupation” disability insurance or assumed your employer coverage is enough, this episode is your wake-up call. Hosts Chad and Tyler explain why disability insurance isn’t just another box to check; it’s a cornerstone of financial security, especially early in your career. Whether you're still in medical school,...
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Why Your Disability Insurance Might Not Work When You Need It Most, Ep 29
Physician Cents
It’s not like physicians wake up thinking about disability insurance. But you might wish you had. Today, Dr. Stephanie Pearson shares a raw, firsthand account of the career-ending injury that forced her to trade the OR for the insurance world. Her story doesn’t just highlight the importance of coverage, it exposes the hidden traps in policies that too many doctors assume are solid. The goal here isn’t fear; it’s preparation. And her lived experience lays out a compelling case for why most physicians walk around with a false sense of security. We also get into what “true...
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Why Smart Docs Still Stress About Money (Even When They're Set), Ep 28
Physician Cents
Physicians assume that once their income stabilizes and their savings plans are in place, they will have peace of mind. But what if that peace never shows up? What if, despite doing everything “right,” they still feel anxious, distracted, or perpetually behind? In this episode, we explore a surprising culprit: the emotional toll of financial noise - the relentless stream of news, updates, social media posts, and peer chatter that quietly chips away at your well-being. Today, we’ll walk through real-world examples of clients with rock-solid plans who nonetheless feel like the sky is...
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Simple Steps, Serious Protection: Asset Protection 101, Ep 27
Physician Cents
Physicians don’t realize they’re financially exposed — not just to malpractice, but to everyday events like fender benders, lawsuits, or even divorce. Asset protection sounds like something complex or reserved for the ultra-wealthy, but in reality, there are basic, easy-to-implement steps that can make a big difference. This episode starts by opening your eyes to just how vulnerable your assets might be right now — especially if you haven’t taken any proactive measures to protect them. As the conversation unfolds, hosts Chad Chubb and Tyler Olson break down four practical and...
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You’ve Been Matched with a Residency, Now What? Ep #26
Physician Cents
You’ve matched—congrats! But now what? As you transition from med school to residency, financial decisions are about to get real, and the steps you take now can make a huge difference in your financial future. Many new residents don’t realize how much financial planning matters at this stage—things like student loans, budgeting, and even insurance may seem like details you can handle later, but getting ahead now can save you serious money (and stress) down the road. Federal student loans, private refinancing, and income-driven repayment plans all come with deadlines and fine...
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Why ‘Standard Contracts’ for Physicians Are Anything But, Ep #25
Physician Cents
Most physicians assume their first contract is a “standard agreement” that everyone signs without question. But as Kyle Claussen, CEO of Resolve, reveals in this episode, there’s no such thing as a truly standard physician contract. From compensation structures to non-compete clauses and tail coverage, every detail can significantly impact your financial future and career flexibility. Yet, many doctors accept these contracts at face value, unknowingly leaving money on the table or committing to restrictive terms that could hinder them down the road. By the time a physician realizes...
info_outlineMost physicians assume qualifying for a mortgage is straightforward; after all, you’re highly educated, creditworthy, and well-compensated. But buying a home as a doctor comes with hidden pitfalls that can leave you paying way more than you should, getting rejected unexpectedly, or locking in a rate you’ll regret.
Many don’t realize that standard mortgage rules aren’t designed for your unique career arc, training debt, or 1099 income, leading to confusion and frustration in an already stressful process.
Today, we get into those problems head-on with mortgage expert Josh Mettle, who explains why physicians are often at a disadvantage in conventional lending and what mistakes cost them thousands.
We unpack the difference between negotiating price vs. concessions, strategies for buying down high interest rates, and how to safely navigate adjustable-rate or “stepped” loans without getting burned. Josh also sheds light on the challenges self-employed or partnership-track doctors face, and what to do about it.
Josh offers concrete solutions that go far beyond “find a physician loan.” He and his team specialize in helping doctors across nearly every state understand their true options, run custom analyses, and move quickly in competitive markets.
By the end of this conversation, you’ll know what questions to ask, what traps to avoid, and how to set yourself up for financial security, not surprise headaches, when buying your next home. If you’re serious about making the smartest move possible, this episode is your blueprint.
Looking for help with Disability Insurance, Physician Banking, Student Loan Refinancing, Physician Mortgages, Contract Reviews, and more? Check out our "Best of the Best" sponsors page to find a list of the professionals Chad & Tyler team up with for their clients.
You will want to hear this episode if you are interested in...
- (00:00) Intro.
- (01:00) Why elevated rates aren’t a 30-year problem and how to negotiate seller concessions.
- (08:50) Risks and downsides of stepped or subsidized mortgage payment strategies.
- (17:10) Solving self-employed and 1099 income challenges for physician borrowers.
- (23:00) Physician mortgage 101: what it is and how it really works.
- (26:30) Fake physician mortgages and how to vet lenders.
- (33:40) Comparing physician loans to conventional loans with total cost analysis.
Why Physicians Need to Rethink the Mortgage Process
Buying a home as a physician isn’t as straightforward as most people think. So many doctors assume they’ll just walk in and get approved thanks to their income, only to run into problems unique to their field. Between student debt, training contracts, and even being self-employed or 1099, there are roadblocks that a typical lender won’t understand.
That’s why it’s so important to have these conversations about negotiating smarter, anticipating payment changes, and understanding the real cost of a mortgage beyond the interest rate you see advertised.
Negotiating Smarter in a High-Interest Rate Market
Many clients are worried about buying at today’s higher rates. The reality is, it’s not a permanent 30-year sentence. There are real strategies, like negotiating seller concessions to buy down the rate temporarily, that can create meaningful monthly savings right when you need them most.
By understanding how to work with local market data and partner with a lender who knows these tactics, you can offset a lot of the pain of a high-rate environment.
But there is also the risk of stepping into payment plans that increase over time. You need to plan for the worst-case payment and make sure it still fits. It’s like a built-in stress test for your budget.
If you’re not comfortable with that future payment, it’s better to know now than get squeezed later. This approach isn’t about gambling on rates falling; it’s about making sure you have a safe, predictable plan no matter what happens in the market.
How to Choose the Right Mortgage Strategy for Your Situation
It’s not enough to just hear “physician loan” and assume it’s the best option. That name alone doesn’t guarantee a good deal. Always compare the physician mortgage terms with conventional options, analyzing total costs over time, making sure they’re leaving room for savings, student loans, and life expenses.
It’s also critical to vet your lender carefully, look at reviews, ask for referrals, and make sure they know physician-specific pitfalls. When you get that right, you’re not just buying a house, you’re securing your overall financial plan.
The best of the best list is a paid sponsorship, but these are professionals/companies that Tyler and Chad collaborate with within their own practices or have been vetted to earn a spot on this list. By supporting our sponsors, it allows Chad & Tyler to dedicate more time to you and the Physician Cents community. If you ever have a question (or not a great experience, which we don’t expect!) about a sponsor, please let us know. We call it the “best of the best” for a reason, and we will maintain that standard for our listeners & viewers.
Resources & People Mentioned
- https://www.neohomeloans.com
- https://www.whitecoatinvestor.com
- https://www.bcuscaptial.com
Connect with Josh Mettle
- https://joshmettle.neohomeloans.com/
Connect With Physician Cents
- WealthKeel LLC
- Olson Consulting LLC
- Tyler Olson on Twitter
- Chad Chubb, CFP®, CSLP® on Twitter
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