Medical Graduates, the Immigration Backlog, and Nephrology

  • 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.
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Nikhil Agrawal

Harini Bejjanki

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