Hello Medical Community Family!
Congratulations on starting your residency journey! I know firsthand the challenges of relocating for medicine—my husband is a physician, so I’ve lived this life too. One of the biggest decisions you’ll face when moving to a new city is housing. Let’s break it down so you can make an informed choice.

Know Your Real Estate & Financial Goals
Before deciding whether to rent or buy, take a step back and ask yourself:
- How long will I be in this city? If your residency or fellowship is four years or less, renting is usually the easiest and most flexible option.
- What are my financial goals? Consider your savings, debt, and budget. Do you want to minimize upfront costs, or are you planning for long-term investment?
- Do I want to buy as an investment? If you buy a property but plan to leave after training, will you keep it as a rental for passive income? Or would you sell?
- How do my lifestyle and career plans influence this decision? Rotations, moonlighting opportunities, and potential moves should all factor in.
Getting clear on these questions will help you make a housing choice that aligns with both your financial goals and your training timeline.

Renting During Residency
Renting is often the practical choice, especially for shorter programs:
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Flexibility is key: Residency schedules and rotations can change quickly. Renting keeps you mobile.
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Upfront costs: Consider security deposits, renters insurance, and any broker fees.
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Plan for increases: Some cities see annual rent hikes, so factor that into your budget.
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Professional advice: Talk with someone familiar with physician housing needs to weigh pros and cons before signing a lease.
For Nashville-specific guidance, if your program is four years or less, renting is usually the smartest route—unless you’re planning a long-term investment strategy.
Buying During Residency
Buying can make sense if you have longer-term plans or want to invest:
- Physician-friendly loan programs: Many lenders offer special programs for residents and fellows, often with low down payments or deferred payments.
- Investment potential: If you plan to stay in the area long-term—or want to rent the property after leaving—homeownership can be a smart investment.
- Upfront costs: Beyond the mortgage, remember closing costs, insurance, and property taxes.
- Community support: If you’re new to town, having a network of fellow physician families can help you navigate neighborhoods and local resources.
Physician-Spouse & Partner Perspective
If you’re a physician spouse or partner, moving can feel isolating. Here’s what helps:
- Connect early: Join local physician spouse networks or social groups. Facebook groups are full of locals sharing events and recommendations. If you are moving to Nashville, search “Nashville newcomers,” “Nashville families,” or “Nashville professionals.” You can also join our Facebook community for physicians’ spouses, a space to share stories, ask questions, and make friends, and Lives of Doctor’s Wives Unscripted as well.
- Ask questions: Other families can share insights about neighborhoods, childcare, and hidden gems in your city.
- Resources: In Episode 38 and Episode 3 of my podcast, Behind the White Coat, we walk through the rent versus buy decision with real-life insights, practical filters, and guidance to help you make a confident, informed choice during relocation. My Physician Relocation Guide is also a great starting point for learning the ropes.
My Personal Advice
Whether you decide to rent or buy, clarity is key. Knowing your real estate goals, financial needs, and training timeline will make your decision much easier. And remember, support and community are just as important as housing.
I’ve created a free PDF guide: Rent vs. Buy During Medical Training, with tips specifically for physicians. It’s an easy way to compare your options, understand costs, and plan your next steps.
[Download Your Rent vs. Buy Guide Here]
Nashville has been home to me for 17 years, and I’d love to help you find your place—both physically and socially—in the city. Whatever path you choose, I wish you success, joy, and a smooth residency journey!

Next Steps for Residents:
- Clarify your program length, financial goals, and real estate priorities.
- Research your budget, including all hidden costs.
- Decide if renting or buying aligns with your timeline and goals.
- Connect with a trusted physician lender or local real estate resource.
- Join a local physician spouse or professional community for support.
- Download the Rent vs. Buy PDF for a detailed, side-by-side comparison.