1 Nikhil Agrawal is transplant nephrology fellow at Beth Israel Deaconess Medical Center/Harvard Medical School, Boston, Massachusetts. Harini Bejjanki is a clinical nephrology fellow at the University of Florida, Gainesville, Florida.
The percentage of international medical graduates (IMGs) is higher in nephrology than in any other major subspecialty in internal medicine. IMGs accounted for 62% of nephrology fellows in 2017, compared with a nearly even split with American medical graduates (AMGs) in 2007.
Thirty-one percent of nephrology fellows, or half of IMGs in nephrology, are dependent on visas. This means that 1 in every 3 nephrology fellows requires an employer who can sponsor a work visa, either H1b or J1. Thus, the issues outlined here are not limited to a handful of nephrologists, and they have a