What Types of Jobs Can I Get After Completing an International Medical Training Program?

International medical graduates seeking entry into U.S Graduate Medical Education programs must obtain a visa that allows clinical training in order to provide medical services legally in America.

What Types of Jobs Can I Get After Completing an International Medical Training Program?

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What Types of Jobs Can I Get After Completing an International Medical Training Program?

International medical graduates seeking entry to U. S. Graduate Medical Education (GME) programs must obtain a visa that allows clinical training to provide medical services.

Nearly a quarter of the U. medical workforce is comprised of foreign graduates and international medical graduates (IMG). Non-immigrant or immigrant visas are needed for IMG doctors to legally practice in the U. S.

See the full toolset for information on visas, how to find a residency, mentoring, and more. The Department of State's Office of Consular Affairs provides a table that defines the different types of visas. The table lists the various purposes of temporary travel and the related categories of non-immigrant visas available. The H-1B visa is for temporary workers in specialty occupations that have professional-level degrees.

You don't have the two-year home residence requirement. The H-1B visa allows a foreign national to enter the U. For professional-level jobs for up to six years. Since the early 1990s, Congress has allowed doctors to access an H-1B visa for clinical practice when academic qualification and licensing requirements are met.

Academic and practical requirements include successful completion of all three universities U. Steps for the medical licensing exam (USMLE), state medical board licensing requirements, and certification from the Educational Commission for Foreign Medical Graduates (ECFMG). This visa also requires compliance with the current wage requirements of the Department of Labor and the Request for Working Conditions (LCA). The H-1B visa is available to graduates of foreign medical schools who have passed the necessary exams, hold a license or other authorization required by the state of practice, and have an unrestricted license to practice medicine, or have graduated from abroad or from U.

Certain specialties and work environments may have difficulty satisfying the wage and specialized occupational criteria for obtaining a new H-1B status or renewing an existing H-1B status to allow IMG doctors to continue their training or practice. To make the transition to practicing with an H-1B visa, an IMG doctor would need a nonprofit organization or university system to sponsor his H-1B visa so that it would be counted as “exempt from maximum limit” so that he would not have to participate in lottery for 85,000 H-1B visas each year. Every time they change jobs, they would need to have a sponsor with similar capabilities to get their H-1B visa “exempt from maximum limit”. During training, Graduate Medical Education program and immigration office are responsible for renewing this visa.

However, as IMG doctor transitions to practice, employer will hire immigration attorney to work with doctor in most cases. Renewal of this visa depends on prevailing wage determination by Department of Labor, LCA process has several steps often needs eight to twelve months. Once renewal request is submitted doctor can work up to 240 days in pending status. After this period doctor must leave country wait for pending request be approved.

This period has been even longer during pandemic legal status many IMG doctors could be affected. H-1B status IMG doctor depends on country birth immigrant visa application status. As IMG doctors fill job gap in rural underserved areas most employers would sponsor immigrant (or permanent) visa these doctors. Request can be submitted under several different categories employment based immigration most common employment based immigration category doctors EB-2 which employer would have file PERM application i-140 application.

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