New York
Pennsylvania
Illinois
Michigan
New Jersey
Florida
Ohio
Texas
Massachusetts
Connecticut
Other
17.0%
7.9%
6.5%
Exhibit 7: ERAS 2016—Top States
6.4%
of Programs for Applications by
International Medical Students/
5.8%
Graduates
5.5%
5.1%
5.1%
3.4%
2.6%
Percentages may not equal 100% due to rounding.
34.7%
Source: ERAS database. Data current as of February 25, 2016.
Internal Medicine
Family Medicine
Psychiatry
Pediatrics
General Surgery
Neurology
Obstetrics and Gynecology
Anatomic and Clinical Pathology
Emergency Medicine
Anesthesiology
Other
43.8%
23.6%
6.7%
Exhibit 8: ERAS 2016—Top Specialties
for Applications by International Medical
6.7%
5.0%
Students/Graduates
2.3%
2.2%
2.1%
1.5%
1.4%
Percentages may not equal 100% due to rounding.
4.8%
Source: ERAS database. Data current as of February 25, 2016.
20
In 1974, the U.S. Department of State (DOS) designated ECFMG
as the sole visa sponsor of J-1 physicians enrolled in U.S. programs of
To learn more about EVSP, visit
graduate medical education or training. Te J-1 visa is a temporary
www.ecfmg.org/evsp/.
nonimmigrant visa reserved for participants in the Exchange Visitor
Program, which facilitates educational and cultural exchange among
people of the United States and other nations. Te J-1 remains the most common visa ofered to foreign
national physicians for participation in U.S. GME. Te rules of participation in the Exchange Visitor Program
are defned in the U.S. Code of Federal Regulations (22 CFR § 62.27).
As a DOS-designated J-1 sponsor, ECFMG’s Exchange Visitor Sponsorship Program (EVSP) is
required to maintain specifc personal and training data on all J-1 physicians for the duration of their stay in the
United States. Annual sponsorship renewal is generally required in conjunction with the GME contract.
Te J-1 sponsorship application process requires direct coordination between teaching hospitals, J-1
applicants, and EVSP. Each teaching hospital designates a training program liaison (TPL) to serve as the ofcial
representative to communicate with ECFMG on behalf of the J-1 applicants who hold contracts for training at
the institution.
During the 2014–2015 academic year, ECFMG’s EVSP sponsored 9,206 J-1 physicians for clinical
training in U.S. residency and fellowship programs. Te sponsorship of an additional 320 J-1 physicians
was extended for the purpose of sitting for American Board of Medical Specialties member specialty board
examinations. ECFMG also sponsored 50 physicians in the J-1 “research scholar” category for participation in
programs of observation, consultation, teaching, and/or research.
Exhibits 9, 10, and 11 provide a profle of the J-1 Exchange Visitor physicians sponsored by ECFMG
for the 2014–2015 academic year.
Information Resource and Outreach
EVSP plays a major role in educating U.S. teaching hospitals, academic medical organizations, and government
on the current credential and immigration requirements for foreign national physicians seeking U.S. clinical
training positions. Included among these eforts is EVSP’s ongoing training of TPLs. TPLs are required to
understand and adhere to all J-1 regulations and EVSP guidelines and procedures. To ensure strict compliance
and open communication between ECFMG and TPLs, EVSP ofers learning opportunities for TPLs.
Additionally, EVSP maintains ongoing communication with J-1 physicians to advise, assist, and educate them
on specifc issues related to their participation in the Exchange Visitor Program. During 2015, EVSP conducted
instructional webinars and workshops for TPLs and J-1 physicians and presented at national GME and
immigration meetings.
2014–2015 J-1 Physician Fast Facts
• J-1 physicians from approximately 130 countries received U.S. training.
• Approximately 61% of J-1 physicians were men; 39% were women.
• J-1 physicians engaged in training in 49 of the 50 United States, as well as in Puerto Rico.
• More than 30% of J-1 physicians were sponsored for internal medicine base residency positions.
suPPor
ting u
.s. gMe And internA
tionAl PhY
siCiAns entering u
.s. gMe
21
India
2,369
Canada
1,855
Exhibit 9: Top 10 Nations of Origin
Pakistan
567
for J-1 Physicians, 2014–2015
Lebanon
401
Academic Year
Saudi Arabia
309
Jordan
264
Egypt
173
Philippines
168
Syria
165
Peru
164
New York
1,595
Michigan
Texas
Ohio
Massachusetts
692
605
569
521
Exhibit 10: States with Highest
Numbers of J-1 Physicians, 2014–2015
Academic Year
Illinois
513
Pennsylvania
500
Florida
460
New Jersey
401
Maryland
306
Internal Medicine
4,441
Pediatrics
1,064
Exhibit 11: Top
Specialty Fields
Family Medicine
651
(Specialty and Subspecialty) Pursued
General Surgery
622
by J-1 Physicians, 2014–2015
Neurology
557
Academic Year
Psychiatry
429
Anatomic and Clinical Pathology
227
Anesthesiology
168
Obstetrics and Gynecology
164
Diagnostic Radiology
146
Source for Exhibits 9–11: ECFMG database. Data current as of January 29, 2016.
Non-Standard Training Update
EVSP also sponsors J-1 physicians in non-standard clinical training programs. The term “non-standard
training” refers to advanced clinical subspecialty disciplines or training pathways for which neither
Accreditation Council for Graduate Medical Education (ACGME) accreditation nor American Board of
Medical Specialties (ABMS) member board certification is available. All non-standard disciplines must be
endorsed by the appropriate ABMS member board and be approved by the institution’s Graduate Medical
Education Committee (GMEC) in order to be considered for J-1 sponsorship by ECFMG.
During 2015, EVSP sponsored 732 J-1 physicians in non-standard programs. Non-standard programs most
frequently fall under the specialties of internal medicine, pediatrics, general surgery, and neurology.
22