In This Article Which Lenders Actually Offer Physician Mortgage Programs? How Projected Income Qualification Works The PLOC Problem — and Why It Matters More Than You Think Residents vs. Attending Physicians: Different Strategies for Each Stage If You're Still in Residency If You're an Attending Physician Table of Contents You spent a decade in school. You matched into residency, survived call schedules that would break most people, and you're on your way to earning a strong income for the rest of your career. Yet when you sit down with a mortgage lender, they look at your T4 from last year — $65,000 as a PGY-3 — and tell you that you can barely qualify for a condo. It's a frustrating paradox that nearly every physician, dentist, and veterinarian in Canada runs into. Your earning potential is enormous, but your current documented income, student debt, and professional line of credit make you look like a high-risk borrower on paper. The good news? Several Canadian lenders have built mortgage programs specifically for medical professionals. They understand that a third-year surgical resident with a signed fellowship contract is not the same risk as someone earning $65,000 with no career trajectory. The trick is knowing which lenders offer these programs, how they differ, and which one fits your specific situation. Which Lenders Actually Offer Physician Mortgage Programs? Not every bank advertises these programs publicly. Some are only available through their private banking divisions, and others are broker-channel only. Here's what's currently available as of February 2026: Lender Program Who Qualifies Max LTV Projected Income? PLOC Treatment Scotiabank Healthcare+ / MD Financial Physicians, residents 95% (insured) Yes — signed contract 1% of balance (not limit) TD Canada Trust Healthcare Professionals Physicians, dentists, residents 95% (insured) Yes — with signed contract Limit-based, but exceptions available RBC Healthcare Advantage Physicians, dentists 80% (conventional) Income-growth modelling Limit-based, case-by-case exceptions National Bank Medici Program Physicians 95% (insured) Yes 1% of balance (not limit) CIBC Banking for Physicians Physicians 80% (conventional) Limited Standard calculation CMLS Financial Medical Professional Program Physicians, dentists, vets 95% (insured only) Yes — tiered by residency year N/A (insured only) MERIX Financial Medical Professionals Physicians, dentists, vets 95% (insurable) Yes Broker-negotiated The differences matter more than you'd think. A resident with $180,000 drawn on a $350,000 professional line of credit will qualify for dramatically different amounts depending on whether the lender calculates debt using the full limit or just the outstanding balance. Compare current rates across all physician programs How Projected Income Qualification Works Traditional mortgage underwriting looks at your current income — what you earned last year, documented on your T4 or Notice of Assessment. For a resident earning $65,000 to $85,000, that's a problem. Projected income programs flip the approach. Instead of looking backward, these lenders look forward: they qualify you based on a signed employment contract, a verified fellowship placement, or a standardised income schedule tied to your profession and training stage. Here's how it works in practice: Dr. Sarah Chen is a PGY-4 surgical resident in Toronto. She has a signed contract to start as a staff surgeon at a teaching hospital in July 2026, with a guaranteed base salary of $320,000. She wants to buy a $750,000 home with 5% down ($37,500). Under a standard lender, Sarah qualifies based on her current resident salary of $78,000. After accounting for her PLOC payments and the stress test, she can't even qualify for a $400,000 mortgage. Under CMLS's Medical Professional Program, Sarah qualifies at a projected income of $281,000 (their tier for listed specialties in final year or newly practising). That's enough to comfortably carry a $712,500 insured mortgage on a $750,000 home. CMLS's projected income schedule (from their current program sheet): Training Status Qualifying Income Veterinary medicine (final year or newly practising) $86,000 Dentistry — general and specialty $118,000 Medical residents, 1st or 2nd year $183,000 Medical residents, 3rd year+ (listed specialties) $210,000 Family medicine, final year of study $216,000 Listed specialties, final year or newly practising $281,000 Scotiabank and TD take a slightly different approach — they use your actual signed contract amount rather than a standardised schedule. If your contract says $280,000, that's what they use. National Bank's Medici program works similarly for physicians. Read our full guide to projected income mortgages The PLOC Problem — and Why It Matters More Than You Think Almost every physician in Canada has a professional line of credit. Limits of $275,000 to $350,000 are standard during residency, and many doctors draw on them for living expenses, licensing fees, or relocation costs. Here's where it gets painful: most lenders calculate your PLOC debt obligation based on the limit, not the balance. They assume 3% of your total authorised credit as your monthly payment — even if you've only used a fraction of it. The math: Standard Lender National Bank (Medici) PLOC limit $350,000 $350,000 Amount drawn $180,000 $180,000 Monthly debt used in qualification $10,500 (3% of limit) $1,800 (1% of balance) Impact on borrowing power Devastating Manageable That's a difference of $8,700 per month in phantom debt. At a 5.25% stress-test rate, that's roughly $400,000 to $450,000 in lost purchasing power — just from how the lender counts your line of credit. Scotiabank's MD Financial division and National Bank's Medici program both use the balance rather than the limit. TD and RBC technically use the limit, but their physician programs can negotiate exceptions on a case-by-case basis. Should you reduce your PLOC limit before applying? It depends. If you're applying to a lender that uses the limit, lowering it from $350,000 to $200,000 could unlock hundreds of thousands in extra borrowing room. But you can't always get the limit back easily — and if you still need the funds for fellowship or practice startup costs, cutting your limit prematurely could create problems down the road. Deep dive: How your PLOC affects your mortgage approval Residents vs. Attending Physicians: Different Strategies for Each Stage Your mortgage strategy should look different depending on where you are in your career. If You're Still in Residency Your priority is finding a lender that accepts projected income and treats your PLOC favourably. That narrows the field to Scotiabank (MD Financial), TD, National Bank (Medici), CMLS, and MERIX. Insured mortgages (5% to 19.99% down) are often your best bet as a resident. The mortgage insurance premium adds to your balance, but insured rates are typically 10 to 20 basis points lower than conventional rates — and you preserve cash that you'll need during the transition to practice. If You're an Attending Physician Once you're earning a full attending salary and have two years of documented income, your options open up considerably. You're no longer limited to physician-specific programs — any A-lender will want your business. At this stage, the play is often a conventional mortgage with 20% down (no insurance premium), combined with rate negotiation. Banks compete aggressively for physician clients because they want the full banking relationship — investments, insurance, and practice banking. Some lenders offer bundled rate discounts when you bring your practice accounts, personal banking, and mortgage under one roof. Scotiabank's MD Financial and RBC's Healthcare Advantage both offer this kind of packaging. Ready to Get Started? Contact us today for personalized mortgage advice and competitive rates. Get Pre-Approved Call (416) 822-7357 Frequently Asked Questions Which Lenders Actually Offer Physician Mortgage Programs? Not every bank advertises these programs publicly. Some are only available through their private banking divisions, and others are broker-channel only. Here's what's currently available as of February 2026: The differences matter more than you'd think. A resident with $180,000 drawn on a $350,000 professional line of credit will qualify for dramatically different amounts depending on whether the lender calculates debt using the full limit or just the outstanding balance.