Ecfmg 2015 Annual Report



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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. 

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Exchange Visitor Sponsorship Program 

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. 

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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. 

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