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Hi, I have currently applied to the programs and waiting for the interviews.
At first, I had planned to study for step 3 in this time till we get our interviews but now i am able to read less and less everyday...

So my question is how big is the difference between the two visas? Should i definitely go for step 3 even if it means low scores?

Is there any major disadvantage with J1- specially regarding fellowships?

If you get residency under J1, can you do fellowships under H1 then?
 

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The major disadvantage of J1 visa is the two year home country obligation.

You cannot do fellowship on H1 visa after J1 residency. However, you can do H1 waiver job after J1 residency.

USMLE Step 3 scores are not very important, just a pass is enough.

I suggest you do it, so that you can both options (J1 and H1) open for you.

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I got a sponsor from university of alabama to do an elective there.....but the university is asking for a j1 visa.....would anyone clearly tell me the disadvantages of going on a j1 visa.....pls guys it ld help me to decide whether or not i should go for that elective...
 

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I also have exactly the same question if I go for elective at J1 visa will I be able to apply for residency for h1b and also do this 2 yr rule applies if I go for elective because then I will not be able to apply for residency for 2 yr if I come back to my country after electives.
Pls help me out on it :confused:
 

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Exactly my question too. What exactly is the disadvantage of the J1? If you're on a H1 and do your residency, then you don't need to work in between before you start your fellowship? or you still need to work in underprivileged areas?
 

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J1 vs. H1b

Exactly my question too. What exactly is the disadvantage of the J1? If you're on a H1 and do your residency, then you don't need to work in between before you start your fellowship? or you still need to work in underprivileged areas?
Okay, here is the deal: J-1 visa would have a "2 year home stay rule" attached to it. I mentioned "would" as some times, for some countries they may not give you this 2YHS rule but given the nature of your occupation, i.e., medical science, you can be pretty sure that you will have that.

Second, once you have a J-1 visa (meaning you are in the US for residency/ research/ whatever), you have to go back to your home country "at the end of the program" for 2 years. Now, there are few options to get waiver for the 2YHS rule such as exceptional hardship etc. But the only viable option is to serve for an Interested Government Agency (IGA) in the rural areas (which are few). For example, in rural Arizona for the Indian Health Services mostly in primary care. The maximum duration of a J1 visa is 5 years which means you could do a 3 year residency and then go on to do a 2 years approved fellowship but that's how far you go. You must return to your country for 2 years unless you get a waiver. While on J1 or even on waiver for a few years, you can not apply for green card/ h1b or any other visa.

Another disadvantage for J-1 visa is you can not do "moonlight" jobs while on J-1. On h1b visa, however, you can do this. You do not have any obligation to go back to your own country in h1b and can apply for green card/ other immigrant intent visa. H1b can be given for a maximum 6 years. After 6 years, they may extend your visa on a yearly basis and on a "case by case basis." With an h1b visa, you can accept employments that have high wage provided that company sponsors your h1b.

Hope this helps. If you have any question, please ask.
 

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Thanks for the info...I have got a prematch offer and the hospital is offering a H1b visa. Can u please tell the details of the h1 sponsorship process and what all i have to do from my end..
 

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Thanks for the info...I have got a prematch offer and the hospital is offering a H1b visa. Can u please tell the details of the h1 sponsorship process and what all i have to do from my end..
Well, there isn't much you need to do. H1b is a sponsored visa, i.e, your residency organization will have to apply to the State department for this. All you need to do is send your documents (signed offer letter, passport photocopy etc.) to the residency organization. Based on their preferences, they could apply for a "regular" processing which may take up to 6 months or apply for a "premium processing" for a one time cost of $1200 (I think, on top of all other fees) which will be processed within 15 days. Now, you could offer to pay this $1200 from your own pocket for making the process faster. But whatever you do, you just can not apply for an h1b visa by yourself.

Hope this helps.
 

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Well, there isn't much you need to do. H1b is a sponsored visa, i.e, your residency organization will have to apply to the State department for this. All you need to do is send your documents (signed offer letter, passport photocopy etc.) to the residency organization. Based on their preferences, they could apply for a "regular" processing which may take up to 6 months or apply for a "premium processing" for a one time cost of $1200 (I think, on top of all other fees) which will be processed within 15 days. Now, you could offer to pay this $1200 from your own pocket for making the process faster. But whatever you do, you just can not apply for an h1b visa by yourself.

Hope this helps.
to do residency, followed by fellowship & later work as specialist, which visa better for nonus fmg?
 

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to do residency, followed by fellowship & later work as specialist, which visa better for nonus fmg?
It depends on the program like it has been said above. Most programs prefer J1 for IMGs as it costs them less.

J1 - competitive programs usually only sponsor J1 (especially in the NE), you will have to go back to your home country for 2 years after residency+fellowship or do a 3 year waiver job in underserved areas (isn't always places like Nebraska. I know someone doing a hospitalist waiver job at Uconn. You need to apply early if you want to get a specialist job at a good place. It's relatively hard but not impossible), you can be sponsored green card after you've completed the waiver job or 2 year HRR rule.

H1B - better if you aim to ultimately practice in the US, may be relatively hard to find competitive fellowships in the North East.
 

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Any idea about travelling to home country during residency.

I understand you need a valid DS2019 and j1 visa. DS 2019 can be renewed on a yearly basis but what about the j1 visa. I have read somewhere that J 1 is stamped for one year and after one year if you visit your home country, you need to stamp it again to re enter?

Do the same travel restrictions apply to a spouse on J 2 visa?

Forgive if I am naive
 

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The major disadvantage of J1 visa is the two year home country obligation.
H1B visa more difficult to get, Some residency programs refuse to sponsor H visas because of all of the work involved. In order to get an H, you will need to pass all THREE steps of the USMLE.

The most common visa international medical graduates use to participate in U.S. GME programs is the J-1 visa to do residency.
 
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