J-1 visa is the most common for IMG residents. H-1B requires employer sponsorship and is less common for residency. After residency, J-1 requires a 2-year home country return or waiver before permanent US practice.
The visa choice for residency has long-term career implications. Understanding J-1 waiver programs (Conrad 30, VA, etc.) is critical for IMGs planning to stay in the US after residency.
J-1 Visa + Conrad 30/VA Waiver
Timeline: 3-year service requirement for waiver · Cost: No additional cost
H-1B Sponsorship
Timeline: Employer-dependent · Cost: Attorney fees $3,000-$5,000
What is a Conrad 30 waiver?
The Conrad 30 J-1 waiver program allows IMGs to waive the 2-year home residency requirement by committing to work in an underserved area for 3 years. Each state has 30 waiver slots per year.
How PhysicianOS Can Help
PhysicianOS Match guidance includes visa strategy and waiver pathway planning for IMG residents.
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