THE TWO-YEAR FOREIGN RESIDENCE REQUIREMENT
          
PERTAINING TO EXCHANGE VISITORS ON THE J-1 VISA
    Information from the State 
  Department about J-1 waiver is available here
    
      Exchange visitors may be subject to the two-year foreign residence
requirement    of Section 212(e) of the Immigration and Nationality Act,
as amended, for    one or more of the following reasons:
          
        - They received funding from the United States Government, their
 own   government, or an international organization in connection with their
 participation   in the Exchange Visitor Program.
- The education, training, or skill they are pursuing in this country 
   appears on the Exchange 
   Visitor Skills List (1997 Amendment) for their country.
- They acquired J-1 status on or after January 10, 1977, for the
 purpose   of receiving graduate medical education or training.
      Exchange visitors who are subject to, but do not wish to comply with,
 the   two-year home country residence requirement, may apply for a waiver
 of that   requirement under any one of the five applicable grounds provided
 by the  United States immigration law.
  
         
1. "No Objection" statement from the home government
      Note: The law precludes use of this option by medical doctors listed
 in   "c" above.
      The exchange visitor's government must state that it has no objection
 to   the exchange visitor not returning to the home country to satisfy the
 two-year   foreign residence requirement of Section 212(e) of the Immigration
 and Nationality   Act, as amended, and remaining in the U.S. if he or she
 chooses to do so.
    
      
2. Request by an interested (U.S.) Government agency, or IGA
      If an exchange visitor is working on a project for or of interest to
 a  U.S.  Federal Government agency, and that agency has determined that
the   visitor's  continued stay in the United States is vital to one of its
programs,   a waiver  may be granted if the exchange visitor's continued
stay in the   United States  is in the public interest.
      Note: For applications on behalf of foreign physicians who agree to 
serve    in medically underserved areas, please refer to Federal Register 
Volume   62,  No. 102 of May 28, 1997.
 
        
3. Persecution
      If the exchange visitor believes that he or she will be persecuted
upon    return to the home country due to race, religion, or political opinion,
 he   or she can apply for a waiver.
    
       
4. Exceptional hardship to a United States citizen (or permanent resident) 
   spouse or child of an exchange visitor
       If the exchange visitor can demonstrate that his or her departure
   from the United States would cause extreme hardship to his or her United
 States  citizen or lawful permanent resident spouse or child, he or she
may  apply  for a waiver. (Please note that mere separation from family is
not  considered  to be sufficient to establish exceptional hardship.)
  
       
5. Request by a designated State Department of Health, or its equivalent
      Note: The law permits only medical doctors to apply for a waiver on 
this    basis.
      
      Pursuant to the requirements of Public Law 103-416, of October 25,
1994    and Public Law 107-273, of November 2, 2002, foreign medical graduates
who   have an offer of full-time employment at a health care facility in
a designated   health care professional shortage area, and who agree to begin
employment   at the facility within 90 days of receiving such waiver, and
who sign a  contract  to continue to work at the health care facility for
a total of  40 hours per  week and not less than three years, may apply for
a waiver.
Resources for Foreign Physicians
J-1 Alien Physician program for foreign physicians:
http://j1visa.state.gov/programs/physician
Overview of the J-1 visa waiver program:
http://assets.opencrs.com/rpts/RS22584_20080605.pdf
H1-B visas for foreign doctors:
www.workpermit.com/us/medical_h1b_foreign_doctors.htm
Educational commission for foreign medical graduates:
www.ecfmg.org/about/index.html
Practicing medicine in the United States:
www.ama-assn.org//ama/pub/about-ama/our-people/member-groups-sections/international-medical-graduates/practicing-medicine.page
U.S. state-by-state physician licensing requirements:
www.chicagoimmigrationattorney.net/index.php?option=com_content&view=article&id=389:foreign-medical-graduates-fmgsimgs-us-state-by-state-physician-licensing-requirements&catid=33:immigration-articles&Itemid=26
Contemporary challenges and opportunities for international medial graduates in American medicine:
www.ama-assn.org/resources/doc/img/international-medical-graduates-in-american-medicine.pdf
Requirements for international medicinal graduates at UCDHS:
www.ucdmc.ucdavis.edu/internalmedicine/cardio/pdf/IMGRequirementsRevised11.02.09.pdf
UCLA international medicinal grduate program:
http://fm.mednet.ucla.edu/IMG/img_program.asp