The Implications of the Current Visa System for Foreign Medical Graduates During and After Graduate Medical Education Training

Ashry, Haitham S. Al; Kaul, Viren; Richards, Jeremy B.

doi:10.1007/s11606-019-05027-1

Cited by 31 publications

(29 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…38 Access to pediatric subspecialists, particularly in medically underserved areas, may be hindered if there are fewer individuals with J-1 visa service requirements. 39,40 There are fields including Child Abuse, Developmental Behavioral, Infectious Disease, Nephrology, Pulmonology, and Rheumatology with smaller numbers of first-year fellows, lower fill rates, and higher proportions of first-year fellows in small programs. The future of fellowship training programs such as these may be challenged by the financial strain experienced by children's hospitals in the setting of lower patient volumes during the COVID-19 pandemic.…”

Section: Discussionmentioning

confidence: 99%

Growth and changes in the pediatric medical subspecialty workforce pipeline

et al. 2020

View full text Add to dashboard Cite

Background To inform discussions of pediatric subspecialty workforce adequacy and characterize its pipeline, we examined trends in first-year fellows in the 14 American Board of Pediatrics (ABP)-certified pediatric medical subspecialties, 2001–2018. Methods Data were obtained from the ABP Certification Management System. We determined, within each subspecialty, the annual number of first-year fellows. We assessed for changes in the population using variables available throughout the study period (gender, medical school location, program region, and program size). We fit linear trendlines and calculated χ 2 statistics. Results The number of first-year pediatric medical subspecialty fellows increased from 751 in 2001 to 1445 in 2018. Fields with the growth of 3 or more fellows per year were Cardiology, Critical Care, Emergency Medicine, Gastroenterology, Neonatology, and Hematology Oncology ( P value <0.05 for all). The number of fellows entering Adolescent Medicine, Child Abuse, Infectious Disease, and Nephrology increased at a rate of 0.5 fellows or fewer per year. Female American Medical Graduates represented the largest and growing proportions of several subspecialties. Distribution of programs by region and size were relatively consistent over time, but varied across subspecialties. Conclusions The number of pediatricians entering medical subspecialty fellowship training is uneven and patterns of growth differ between subspecialties. Impact The number of individuals entering fellowship training has increased between 2001 and 2018. Growth in the number of first-year fellows is uneven. Fields with the greatest growth: Critical Care, Emergency Medicine, and Neonatology. Fields with limited growth: Adolescent Medicine, Child Abuse, Infectious Disease, and Nephrology. Concerns about the pediatric medical subspecialty workforce are not explained by the number of individuals entering the fellowship.

show abstract

Section: Discussionmentioning

confidence: 99%

Growth and changes in the pediatric medical subspecialty workforce pipeline

et al. 2020

View full text Add to dashboard Cite

show abstract

“…Upon completion of training, graduates on an H-1B visa have no geographical restrictions on where they may practice within the United States or on the timing of their application for permanent residency. 32 In comparison, J-1 visa trainees must return to their country of origin for two years after completion of training or request a J-1 visa waiver from the DOS. 33 Most importantly, IMGs on J-1 visas are ineligible to apply for permanent U.S. residency until completion of their J-1 visa waiver period.…”

Section: The Complex World Of Visasmentioning

confidence: 99%

“…Unauthorized reproduction of this article is prohibited designated medically underserved area for 3-years. 32 There are several pathways to achieve this objective. The Conrad 30 program is the most popular waiver program, 34 and allows each state to fill a maximum of 30 positions each year, irrespective of specialty.…”

Section: A C C E P T E Dmentioning

confidence: 99%

“…Finally, the Department of Veterans Affairs can grant J-1 waivers, but only to hospitals that can demonstrate a 6-month period of active unsuccessful recruitment of U.S.-graduate physicians. 32,36,37 A J-1 visa trainee may only apply to one position at a time, and in the case of application rejection, may be searching for a suitable "back-up " position urgently. Other legal pathways to waive the 2-year home requirement include hardship 38 and persecution 39 waivers, which are granted by the USCIS and DOS on demonstration of hardship for an applicant and/or family and fear of persecution on returning to the home country, respectively.…”

Section: A C C E P T E Dmentioning

confidence: 99%

See 1 more Smart Citation

Immigrant Neurologists in the United States

et al. 2021

View full text Add to dashboard Cite

International Medical Graduates (IMGs), individuals who graduated from medical school outside of the United States or Canada, constitute 31.3% of active neurologists and one-third of current neurology trainees. While three-fourths of IMG neurology trainees are not U.S. citizens, they are an integral part of our trainee and practice workforce. IMGs play a vital role in providing greater access to healthcare for millions of patients, particularly in traditionally underserved regions and in the face of a current global healthcare crisis.With this article, we outline some of the unique challenges faced by immigrant, U.S.-trained neurologists as they seek to provide neurological care across the country, including preparing and applying for residency, securing authorization to remain in the U.S. to practice, and positioning themselves for successful careers in academic and private practice. We also call for advocacy and legislation to help reduce these barriers as a means to address the increasing physician workforce gap.

show abstract

“…We read with much interest the article by Ashry et al "The Implications of the Current Visa System for Foreign Medical Graduates During and After Graduate Medical Education Training" published on 8th May, 2019 in The Journal of General Internal Medicine. 1 In this article, the authors discuss difficulties faced by the matched applicants who hold H1B and J1 visas in starting their residencies and in job search after training. The authors also note the effects of recent changes in the immigration policies on the international medical graduate (IMG) physicians' job situation.…”

mentioning

confidence: 99%