Physician loans are their own category, and the package you describe is reasonable for that profile. Banks compete hard for doctors early in their careers because of the income trajectory, so these programs carry perks a normal loan cannot match, like ignoring student loan debt in qualifying and waiving mortgage insurance even with little or nothing down. Zero down, no mortgage insurance, and a rate in the range you were quoted add up to a solid package for a high-income-trajectory borrower. The 7/1 ARM structure fits your plan. Seven fixed years is real runway to finish training, grow into your income, build equity, and refinance into a longer-term fixed loan before the adjustment arrives if you want to. Since you expect to pay the loan down aggressively, a lower fixed rate in the early years works in your favor. A marginally better deal could exist somewhere, so compare one or two other physician-loan offers on the full terms rather than the rate alone. Nothing about what you laid out looks off, though. Before you lock, read the ARM's margin, index, and caps so you know exactly how the rate can move after year seven, and make sure your payoff or refinance plan lines up with that timeline. We are happy to sanity-check the offer against alternatives if you would like.