Visa for residency : J1

There’s J1 for residency and J1 for research. This post refers to the J1 visa as it applies to an international medical graduate (IMG) seeking a residency program. For residency J1, an IMG needs to meet certain criteria. Details can be found on the ECFMG site. But briefly, an IMG must have:

  • passed USMLE steps 1, 2CK and 2CS. (Step 3 is not required for J1 visa.)
  • ECFMG certificate.
  • a contract or letter of offer from the residency program.
  • and, “Statement of Need” from Ministry of Health or equivalent.

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The J1 research visa

This post is for those foreign / international medical graduates who are considering applying for a J1 ‘research’ visa, or came to the United States as research scholars on J1 visa and now want to switch to a residency program on the same visa.

Let’s get one major issue out of the way at the very outset – there is no J1 research visa. There’s just the J1 visa. Period. (waiting for the howls of protest to die down!)

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Moonlighting for residents and IMGs on H1B or J1 visa

Here is a succinct definition of moonlighting:

to work at an additional job after one’s regular, full-time employment, as at night.

Many institutions in a typical city need round-the-clock physician coverage but don’t have residency programs and find it too expensive to hire full-time physicians to provide such coverage. Such institutions would typically include hospitals, nursing homes etc. These places often find it financially more viable to hire residents or fellows to cover shifts during nights or weekends. These residents are “moonlighting”. It is a well established and acceptable practice, provided some rules and regulations are adhered to.

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Visa for residency : H1B, employment and the ‘green card’

The most critical difference between H1B and J1 visas remains the issue of jobs and applying for green card. On a J1 visa, at the end of your residency / fellowship training, you must either, return to the country of last legal permanent residence for 2 years, or do a “waiver” job typically in a medically underserved area. You must do one of these things before you can apply for a green card, and that too via an H1B visa! (This aspect of J1 will be explored in a seperate post – coming soon).

On the H1B visa however, you are free to apply for green card at the end of your residency. You are also free to seek jobs at “regular” places.

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Visa for residency : H1B and fellowships

It is debatable whether getting a fellowship on H1B visa is any more difficult than on J1. While it is widely acknowledged that people on J1 visa experience little or no difficulty moving on to fellowship training after residency, some folks on H1 can find the going a bit tougher.

Most big, university programs have no issues when it comes to sponsoring visas. Programs at large universities are looking for excellent candidates and they don’t care about visa issues in general – they have the resources, both human and financial. If they find a great candidate on J1, they’d take him. Ditto for H1B.

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Visa for residency : H1B

The H1B visa is issued to “temporary workers” and falls under the nonimmigrant visa category. A lot of information technology folks come to the US on H1B visa and so do a lot of foreign / international medical graduates. Let’s look at how an H1B visa applies to an IMG seeking residency in the United States.

According the Department of State:

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When Dummy applied for a visa extension

If you are thinking of applying for an extension to your tourist visa stay permit, you will need to provide a reason to the USCIS. You might think you have a good reason, but sometimes you need a little more.

Or, you may need to present the reason a little differently.

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How to ‘extend’ tourist visa?

If you came to the United States on a B2 (pleasure) tourist visa for USMLE Step 2CS and/or residency interviews, you should pay attention at the immigration desk at the airport as described here. If however, you were busy admiring the surroundings and the officer stamped your I-94 with a two month stay, you might find yourself in a bit of time crunch. You need about four months to do the Step 2 CS and the interviews you say!

Well, you need to extend your stay in the United States then, isn’t it? And here, in short, is how to extend your tourist visa or, to be more accurate, your stay in the United States.

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Interviewing for residency – at the airport!

Your first interview in the entire residency process really occurs as soon as you first land in the USA – at the airport!

That’s the interview with the immigration officer. It can have a profound effect on your interviews in the USA especially if you are also planning on taking Step 2CS during the same trip (that’s the most economical strategy as described here).

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Which visa : J1 or H1? An overview

When an international medical graduate decides to apply for a residency in the USA, he is basically making a conscious decision to spend the next several months (sometimes, years) of his life running on a treadmill of the application process, reading a gazillion books at the same time. Decisions and strategies constantly occupy some lobe of the frontal cortex at all times.

One of several decisions the IMG must make is which visa to apply for – J1 or H1B? Which visa is better – J1 or H1? Arriving at the answer can be a no-brainer for some and extremely difficult for others.

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