Do not outsource American jobs when Americans qualify for them
  • Petitioning Seiji Hayashi, MD

This petition will be delivered to:

Acting Director, Division of Medicine and Dentistry
Seiji Hayashi, MD
Sloan Gibson
Florida Health Department
AMA president
Robert M Wah, MD
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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


    1. Reached 750 signatures


    Reasons for signing

      • 3 days ago

      I am also waiting for residency since 6 years, I have completed all my exams and have lot of US clinical experience, no match till now

    • Boriana Nikolova PHOENIX, AZ
      • 4 days ago

      I am an American citizen, ECFG certified. I took $15000 loans to be able to pass all USMLE steps. I was an ER physician in Bulgaria. Unfortunately I could not get into residency. All these years of preparing for the exams and applying for residency I worked two-three jobs as a technician to be able to support my children. I started taking prerequisite classes to get into a nursing or physician assistant program to be able to utilize my knowledge and skills to some extend. I know more than my teachers in the college. I keep asking myself what did I do wrong that I could not practice my profession in my country? I studied very hard all my life so I would be able to practice medicine. I know that I can practice medicine, because I saved a lot of lives practicing in ER. I still can not comprehend why I am not able to treat American patients when I passed all the board examinations and I am hearing all the time about physician shortage? Would you, please, give us the possibility to practice the profession we devoted all our lives to!!!

    • Ciria Mercy Trujillo GARDENDALE, TX
      • 4 days ago

      Because There are doctors with excelent curriculum vitae without job.

    • Son Nguyen MONTEREY PARK, CA
      • 5 days ago

      I'm also an IMG, but was fortunate enough to find a residency position.

    • Anjum Anwar SAN JOSE, CA
      • 5 days ago

      I need a job


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