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IMG Residency Match Forum International Medical Graduates (IMGs) discussing the residency matching process.


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  #1  
Old 03-04-2016
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Default Visa breakdown

So I was debating whether or not I should take step 3 to apply for residency this year just for the sole purpose of obtaining H1b visa or not give step 3 and take my chances with the famous J1 visa. I have been doing some research on this.

Thinking prematurely at this stage, my goal is to pursue IM residency followed by cardiology fellowship and sub specialize in cardiac electrophysiology. (Total 8 or maybe 9 years)

J1 visa sponsored by ECFMG has a maximum limit of 7 years. An extension of training beyond 7 years is possible but I would need a letter of exceptional need from my home country (which I hear is not as easy to obtain as the statement of need for the inital J1 visa). Also J1 has the very pretty 2 year HRR rule and if I want to continue medicine in the US, as Indian govt no longer issues NORI, I would have to try for a J1 waiver (for 3 years in medically underserved areas) and then 2 more years under NIW to apply for permanent residence. If one somehow manages to get the letter of exceptional need for the sub speciality training and get an extension of training approved beyond 7 years, the chances for waiver are esentially screwed.

Now if you are lucky enough to get one these days, H1b has a limit for 6 years. From what I have heard, its tougher to find fellowships on H1b and even if you do, I have not heard of anyone who has had H1 sponsorship for sub specialization. So if you are from India or China, after H1b residency if you can't find a fellowship (though unlikely) or want permanent residence, you are stuck in primary care or hospitalist jobs willing to sponsor green card which takes 4-6 years (maybe more) or try NIW in medically underserved area for 5 years, apply for permanent residence and then apply for fellowship or sub specialization.

Phew.

Would appreciate it if anyone wants to correct anything or add additional info?
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azetronam (03-05-2016), chanduM (02-16-2017), lizard (08-11-2016), saxo (04-22-2016)


  #2  
Old 03-04-2016
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Don you know by any chance that if one gets step 3 score on May 25th, will it still be possible to get an H1b ?! Or it's too late and the chance is zero?!
Does it depend on the program's policy?! Cause I've heard that some programs start applying to H1b in early june.

Quote:
Originally Posted by Durisetister View Post
So I was debating whether or not I should take step 3 to apply for residency this year just for the sole purpose of obtaining H1b visa or not give step 3 and take my chances with the famous J1 visa. I have been doing some research on this.

Thinking prematurely at this stage, my goal is to pursue IM residency followed by cardiology fellowship and sub specialize in cardiac electrophysiology. (Total 8 or maybe 9 years)

J1 visa sponsored by ECFMG has a maximum limit of 7 years. An extension of training beyond 7 years is possible but I would need a letter of exceptional need from my home country (which I hear is not as easy to obtain as the statement of need for the inital J1 visa). Also J1 has the very pretty 2 year HRR rule and if I want to continue medicine in the US, as Indian govt no longer issues NORI, I would have to try for a J1 waiver (for 3 years in medically underserved areas) and then 2 more years under NIW to apply for permanent residence. If one somehow manages to get the letter of exceptional need for the sub speciality training and get an extension of training approved beyond 7 years, the chances for waiver are esentially screwed.

Now if you are lucky enough to get one these days, H1b has a limit for 6 years. From what I have heard, its tougher to find fellowships on H1b and even if you do, I have not heard of anyone who has had H1 sponsorship for sub specialization. So if you are from India or China, after H1b residency if you can't find a fellowship (though unlikely) or want permanent residence, you are stuck in primary care or hospitalist jobs willing to sponsor green card which takes 4-6 years (maybe more) or try NIW in medically underserved area for 5 years, apply for permanent residence and then apply for fellowship or sub specialization.

Phew.

Would appreciate it if anyone wants to correct anything or add additional info?
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  #3  
Old 03-05-2016
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Quote:
Originally Posted by chv0stek View Post
Don you know by any chance that if one gets step 3 score on May 25th, will it still be possible to get an H1b ?! Or it's too late and the chance is zero?!
Does it depend on the program's policy?! Cause I've heard that some programs start applying to H1b in early june.
I guess it depends on the program's policy. For H1b most programs require you pass step 3 before the program submits its ROL to upto middle of March. Guess the best thing to do would be to directly contact the program you would have matched at and find out if they could apply after you recieved your score (though there might be an issue with time even if its done through premium processing because state licensure takes time).
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  #4  
Old 03-05-2016
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You are absolutely right. Besides, it is very hard to find a J1 wavier job for cardiac EP. You may have to do hospitalist for 3 years

We are foreigners and that is how the reality goes, sadly.

Quote:
Originally Posted by Durisetister View Post
So I was debating whether or not I should take step 3 to apply for residency this year just for the sole purpose of obtaining H1b visa or not give step 3 and take my chances with the famous J1 visa. I have been doing some research on this.

Thinking prematurely at this stage, my goal is to pursue IM residency followed by cardiology fellowship and sub specialize in cardiac electrophysiology. (Total 8 or maybe 9 years)

J1 visa sponsored by ECFMG has a maximum limit of 7 years. An extension of training beyond 7 years is possible but I would need a letter of exceptional need from my home country (which I hear is not as easy to obtain as the statement of need for the inital J1 visa). Also J1 has the very pretty 2 year HRR rule and if I want to continue medicine in the US, as Indian govt no longer issues NORI, I would have to try for a J1 waiver (for 3 years in medically underserved areas) and then 2 more years under NIW to apply for permanent residence. If one somehow manages to get the letter of exceptional need for the sub speciality training and get an extension of training approved beyond 7 years, the chances for waiver are esentially screwed.

Now if you are lucky enough to get one these days, H1b has a limit for 6 years. From what I have heard, its tougher to find fellowships on H1b and even if you do, I have not heard of anyone who has had H1 sponsorship for sub specialization. So if you are from India or China, after H1b residency if you can't find a fellowship (though unlikely) or want permanent residence, you are stuck in primary care or hospitalist jobs willing to sponsor green card which takes 4-6 years (maybe more) or try NIW in medically underserved area for 5 years, apply for permanent residence and then apply for fellowship or sub specialization.

Phew.

Would appreciate it if anyone wants to correct anything or add additional info?
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  #5  
Old 06-10-2016
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Question

Is the gov still not issuing NORI? Being a democratic country shouldn't there be a bond as well just in case the Gov refuses to grant NORI like you pay the bond and waive off the HRR rule? I'm totally confused about this.
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  #6  
Old 06-11-2016
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Quote:
Originally Posted by saxo View Post
No way to waive HRR rule in my country as well. Its a horrible way to keep doctors home even against their will. I don't think it matters though as everyone does all it takes to get a waiver job if they really want to work in US.
Are there enough waiver jobs available? Like it must be difficult to find one, or are there plenty available right after your residency?
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  #7  
Old 06-11-2016
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Quote:
Originally Posted by andygill View Post
Are there enough waiver jobs available? Like it must be difficult to find one, or are there plenty available right after your residency?
Everyone I know who completed residency on j1 got a waiver job. The key is apparently to apply early (end of 2nd year or begining of 3rd, unless you are really confident to get a fellowship). Many get waiver jobs, just not in the place they like or want.
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  #8  
Old 06-11-2016
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Quote:
Originally Posted by saxo View Post
Everyone I know who completed residency on j1 got a waiver job. The key is apparently to apply early (end of 2nd year or begining of 3rd, unless you are really confident to get a fellowship). Many get waiver jobs, just not in the place they like or want.
Thanks for the info, cooled down my nerves a bit.
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  #9  
Old 06-11-2016
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Yes, you have correct info. I know 2 guys who got their result in mid may. One guy's program agreed to process H1b, where as other guy's program refused and gave him J1.


Quote:
Originally Posted by chv0stek View Post
Don you know by any chance that if one gets step 3 score on May 25th, will it still be possible to get an H1b ?! Or it's too late and the chance is zero?!
Does it depend on the program's policy?! Cause I've heard that some programs start applying to H1b in early june.
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