I would sell and cash out everything, start a LLC, build business credit via an EIN instead of SSN, and wait for a downturn to get into the commercial real estate game while paying down all personal debt or transferring it to the LLC.

My question is it more benificial to save up more money to pay for a second home and accumulate more debt or pay off this first one asap?

Pulling 12-16 hours a day as a doctor is a huge benefit to society, but all anyone sees is their high student debt or bad work life balance. 

To the people mentioning no debt the debtor filed a chapter 13 according to the original poster.

In short, you need to file papers asking the court to shorten time for the debtor to make up his mind whether he is going to cure the default or not.   

When we have sufficient funds in any of these accounts, we tap the excess to pay down debt or purchase more real estate!

I've heard that sometimes, years after the judgment, the debtor will track you down and pay the judgment so they can sell a piece of property or get a mortgage or other type of loan. 

At 43% debt to income if your salary out of college was $50,000 you would have to have $21,500 of debt or less to qualify. 

@Tyler MundyHow is the private money loan being structured, debt or equity?

I'm only concerned about rental history, criminal background and if there is ant past due debt or judgments.