Foreign Medical Graduates (FMGs)
22 C.F.R. § 62.27 distinguishes between two kinds of alien physicians:
- 22 C.F.R. § 62.27(b) . Physicians who are coming to participate in a clinical exchange program such as a medical residency or clinical fellowship, involving patient contact and care, within a program of graduate medical education or training conducted by accredited U.S. schools of medicine or scientific institutions. The only exchange program sponsor authorized to bring exchange visitors for this purpose is the Educational Commission for Foreign Medical Graduates (ECFMG).
- 22 C.F.R. § 62.27(c) . Physicians who are coming to participate in a non-clinical exchange program at a U.S. university or academic medical center, either with no patient contact or care, or where patient contact is only incidental to the physician's primary activity of teaching, research, consultation, or observation.
No patient care 22 C.F.R. § 62.27(c)(1)(i)
No patient care means that the J-1 applicant is coming to Temple University solely for the purpose of observation, consultation, teaching, or research and that no element of clinical /patient care services is involved.
Incidental patient contact 22 C.F.R. § 62.27(c)(1)(ii)
If incidental patient contact is involved in the J-1 program description/research, your department must attach a statement to the Visitor's Record that is signed by the Dean of the School or the Dean's Designee, certifying the following 5 points, verbatim:
(A) The program in which [name of physician] will participate is predominantly involved with observation, consultation, teaching, or research.
(B) Any incidental patient contact involving the alien physician will be under the direct supervision of a physician who is a U.S. citizen or resident alien and who is licensed to practice medicine in the state of Pennsylvania.
(C) The alien physician will not be given final responsibility for the diagnosis and treatment of patients.
(D) Any activities of the alien physician will conform fully with state licensing requirements and regulations for medical and health care professionals in the state in which the alien physician is pursuing the program.
(E) Any experience gained in this program will not be creditable toward any clinical requirements for medical specialty board certification."