Do not outsource American jobs when Americans qualify for them
  • Petitioning Florida Health Department

This petition will be delivered to:

Florida Health Department
AMA president
Robert M Wah, MD
VETERANS AFFAIRS ACTING SECRETARY
Robert McDonald
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Do not outsource American jobs when Americans qualify for them

    1. Neviana Dimova
    2. Petition by

      Neviana Dimova

      Louisville, United States

Create similar to SB 716 MO for every state without limitation on graduation date and time since passing USMLE exams. Increase the number of GME Residency Slots for US Citizen & Resident IMGs (International Medical Graduates).
1.Require Residencies to give positions to qualified US citizens and Permanent Resident IMGs, before bringing in visiting physicians on J1 and H1B visas
2. Use federal money set aside for worker training to fund additional residencies that are earmarked for IMG’s who are US citizens or PR.I would like to bring to your attention documented discrimination in applying, interviewing and ranking of many US Citizens/Permanent Residents Physicians.

I am a US Citizen myself and a fully trained physician from Bulgaria. I myself and the members of my organization, Residency Ready Physicians are ECFMG certified and completed all required licensing exams, but cannot practice in the US because we cannot complete a required residency. There are thousands of us, International Medical Graduates (IMG’s), living in the great country, who want to help people and alleviate the physician shortage, but two things keep us out of the system: not enough residencies and thousands of visiting residents on J1 and H1B visas taking these taxpayer funded positions. No matter how much education we have, we cannot practice without this last step. These Medicare funded position are given to thousands of doctors from abroad who have not paid taxes in the US or have any commitment to this country, while thousands of US citizens and permanent residents are left wasting their education and talents.

In 2014, 3639 of the 26,678 available residency positions went to NON US International Medical graduates while 975 American graduates (each with approximately 200,000 dollars in student loans) and 4882 International Medical Graduates who are US Citizens and permanent residents who have passed the required licensing exams and who applied, were unable to find a position. Additionally 2729 US citizens and permanent residents withdrew from the match. And since all medical residencies are paid for by taxpayers, is congress going to do anything to ensure that these new, and existing, positions go first to taxpaying US citizens and permanent residents?

The above numbers by the way only count the IMGs that applied to the match. It costs an IMG about $1500 or more to apply so most only try two or three times before giving up. That is after taking the required exams, which cost about $800 for each step (there are 3 steps). We do not get student loans for these expenses.

The cost of physician shortage is a major problem. Not enough doctors means that hospitals and practices must compete for those available, offering higher pay and benefits. My organization, Residency Ready Physicians, has several recommendations for using the estimated 6000 International Medical Graduates who are currently underemployed. IMGs mainly from India and Pakistan make the major numbers of J1 visa applicants for medical residency. While they are supposed to go back to their home countries after their training, they actually never do and find ways to immigrate to USA because of the better pay compared to their countries of origin. Therefore is also unethical to admit doctors on J1 visas and “close our eyes” knowing that majority of them will never go back and drain the medical taskforce of their countries of origin. In addition (see papers attached) the numbers of J1 visas issued closely approximates the numbers of US IMGs applying for residency but being unmatched.

I would like to make it clear that even the Indian government has recently acknowledged the “brain drain” of its doctors who come for residency training on J1 visa, but actually never go back to India. According to recent publication Indian government pays estimated $60,000 per year/per medical student for Medical School and supplies, while all those doctors never return any revenue or services to their home country.
So far I have been personally lucky not to have to go into too much debt, taking student loans for my medical education. However we have many members who are Caribbean or American Medical graduates with an average of $200,000 in student loans. Unfortunately, as they are denied residency positions and subsequently medical license several of our members after years of applying to the residency Match and not being matched have defaulted on their student loans and went into bankruptcy and their families are currently living on “food stamps”.

We do not want special treatment, but just the opportunity to join the system and help those most in need. I would willingly serve in the poorest Appalachian town, the inner-city, or wherever my talents are needed. I trained all my life to serve as a doctor, to heal. All I am asking; all our group is asking for, is for the opportunity to serve. Please consider our requests.
Neviana Dimova

Recent signatures

    News

    1. Reached 750 signatures

    Supporters

    Reasons for signing

    • Ahsan Siddiqui SUGAR LAND, TX
      • 3 days ago

      My doctor son is waiting on medical residency yet sees foreign qualified non-US resident or citizens have a better chance of getting a residency.

      REPORT THIS COMMENT:
    • Sadaf Rahman CENTREVILLE, VA
      • 3 days ago

      because I am ECFMG certified, US citizen but because of year of graduation and attempts which were due to family circumstances......I have not been called for an interview. I have great PR skills and no language barriers which are important for patient care but it seems like they rather take 99's from a non-english speaker than us!

      REPORT THIS COMMENT:
    • Nadia Taklan CHICAGO, IL
      • 3 days ago

      I am signing because I was a double board certified in OB/GYN in Iraq & now applying for residency for the 3rd year without getting anything. I was forced to leave Iraq because of the impossible life over there. I was threatened to leave my house & my father was kidnapped from his dental office. My husband had cancer & my father had life threatening conditions, but I insisted to pass the USMLE steps. I am also a mother of two gifted kids. All I want is a residency position anywhere in the USA. BTW, I am an American citizen. Please consider my request, I need help.

      REPORT THIS COMMENT:
    • Roy Thomson RICHLANDS, VA
      • 4 days ago

      I am a practicing physician, I understand the pain of these IMG's both US Citizen and Legal residents. Save our own children before saving others. Limit the positions for J1 or increase the available position. This problem will quadruple in the next few years when more students complete school and come out.

      REPORT THIS COMMENT:
    • ibrahim shakak FLINT, MI
      • 4 days ago

      am usmle certified and usa citizen am still looking for a job in hospital

      REPORT THIS COMMENT:

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