A significant portion of the nephrology workforce has traditionally consisted of non-United
States (US) citizen international medical graduates and international research trainees.
Although international medical graduates are offered opportunities for training and
professional growth that are beyond those available in their countries of origin,
they typically encounter barriers to transition from training to practice and early-stage
career development. In this article, we describe the exchange visitor and temporary
worker visas granted to foreign trainees in the United States, focusing on the transition
from training to nephrology practice and/or research. While we provide general recommendations
on how to navigate this tedious and unpredictable process for both programs and trainees,
consultation with immigration attorneys is indispensable for a successful outcome.
Trainees are therefore encouraged to seek continuous support from their programs/sponsors
and assistance from immigration representatives at their training institutions. We
provide a positive message to emphasize that there are many pathways to arrive at
the desired post-training destination.
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Published online: August 02, 2020
In Press Journal Pre-Proof
Financial Disclosure: All authors considered themselves international medical graduates and entered the US for training on either J-1 or H-1B visas. All authors have no conflicts of interest to disclose.
Support: See Acknowledgment(s) on page 8.
© 2020 by the National Kidney Foundation, Inc. All rights reserved.