Immigrant physicians play an important role in the health care system throughout the United States. Recent estimates find that immigrants make up almost 25% of all physicians in the nation. This translates to approximately 325,000 doctors born and trained elsewhere but living and providing medical care here in the United States.
Unfortunately, the current climate regarding immigration is not the most supportive. Between the increased expense for H1B visas, widely used by highly educated immigrants like physicians, and uptick in ICE enforcement efforts, experts are concerned that immigrant physicians may consider leaving. If this comes to fruition, our already strained medical system could face serious issues providing care to patients.
Immigrants who are watching this unfold and find themselves considering whether to take an opportunity in the medical field in the United States likely have many questions. The following will touch on two of the most common.
How do these changes impact residency programs?
Many hospital programs rely on international medical graduates who are enrolled in residency training programs within their facilities. Between the increased expense to get a visa and the State Department’s suspension of applications last year, many of these programs have found their operations at risk. Without these students, the system cannot provide care to patients.
Some facilities have taken to contracting immigration attorneys to help assist residents. Those who are looking to join a residency program are wise to review visa applications and make sure everything is in order before moving forward.
What is the impact on attending physician staff?
A recent article in the Journal of the American Medical Association (JAMA) estimates that 11,000 currently practicing doctors are here on H1B visas. The dramatic increase in fees associated with this visa could have a significant impact on these practitioners. The American Medical Association has voiced concern, asking the government to exempt physicians from these fees. Whether considering an offer with additional compensation or bonuses from an employer to help cover the increased expense or reviewing other immigration options to remain in the United States, there are options for attending physicians to continue in the practices they have built here in the United States. It is important to move forward carefully and review all options to better ensure compliance with application immigration laws.