(from the April 2020 ACP Hospitalist)
By Stacey Butterfield
Concerns about visas and residency add to pressures of hospitalist practice.
Many of the hospitalists ace an additional challenge: their lack of permanent residency or citizenship in the U.S.
鈥淭he community hospitalists or rural hospitalists are mostly international physicians, physicians on a J-1 or a H-1B visa. The majority of the physicians are from countries of backlog that have been waiting for permanent residency for many years, like myself; this will be my 10th year on a work permit,鈥 said Varun Malayala, MD, FACP, chair of medicine at Bayhealth Sussex Campus in Milford, Del.
Sixty-nine percent of international medical graduate (IMG) physicians practicing on visas were working in rural areas, according to a recent survey by Dr. Malayala and colleagues. Their analysis, which was accepted as a poster at Internal Medicine Meeting 2020, included 1,232 physicians, almost all of whom reported that their visa status affected their career options.
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