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H1B for Physicians
19 October 2001

The H1B is a temporary nonimmigrant work permit that allows an H1B holder to work at a sponsoring U.S. employer for an initial period of 3 years, renewable up to six years (sometimes longer in certain circumstances). It is often considered preferable to the J-1 visa because it carries no two year home residency requirement (this requirement always attaches to J-1 physicians providing direct patient care, and is difficult to waive).

The H1B is available to eligible physicians entering the U.S. to perform teaching/research or to provide direct patient care.

Physicians entering the U.S. to provide direct patient care that is not merely incidental to teaching or research must meet the following requirements to be eligible for the H1B:

  • must have license or other authorization required by U.S. state of intended employment to practice medicine, or is exempt by law therefrom if the state requires such a license or authorization to provide direct patient care.
  • must have full and unrestricted license to practice medicine in a foreign state, or has graduated from a medical school in the U.S.
  • must have passed all steps of the USMLE, or be a graduate of a US medical school.
  • must demonstrate competency in oral and written English by passing ECFMG English proficiency test; OR, show that s/he his a graduate of a US-accredited medical school (many Canadian medical schools are US-accredited).

An exception to the above requirements is made for physicians who are of national or international renown in the field of medicine.

Physicians entering the U.S. to perform teaching and/or research with direct patient care that is only incidental to such teaching and/or research may also be eligible for the H1B. Again, the H1B is preferable to entering on the J-1 because the H1B has no 2 year home residency requirement, which often attaches to J-1 holders, and always attaches to physicians who provide direct patient care.

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Visitors please note that information on this Web site is subject to constant changes in U.S. law, regulations and policy. It is general and not case-specific in nature.  Gathering information from this Web site should not be construed as receiving legal advice, and does not establish an attorney-client relationship with Kirberger PC. Issues presented on this site are extremely complex, and require analysis by a qualified immigration attorney on a case-by-case basis.

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