International medical graduates (IMGs) have long played a vital role in the U.S. healthcare system. With recent policy changes, including the introduction of a $100,000 H-1B petition fee, many IMGs are understandably anxious about their future career paths. This includes concern about their ability to find work, as well as how they might be accepted as immigrants and valued as medical professionals.

 It’s important to know healthcare leaders and policy advocates are actively working to secure an exemption for international physicians, medical residents, APPs and nurses. In the meantime, both job seekers and employers can take meaningful steps to move forward.

The essential role of international physicians in the U.S.

Healthcare in America has long depended on international medical graduates. Between 2016 and 2022, more than 76,000 physician H-1B applications were processed — averaging nearly 10,900 annually. This underscores how deeply U.S. hospitals and clinics rely on IMGs, particularly in underserved communities.

These numbers also provide reassurance: the system recognizes the necessity of international physicians, making it highly likely exemptions or workarounds will continue to be developed.

Why patience matters for physicians and employers

Uncertainty about immigration policy can feel discouraging. Many IMGs worry whether they will be able to pursue their calling or whether employers will see them as worth the investment. 

Both job seekers and employers should remember:

• The exemption process for physicians is actively being considered.
• Many organizations are keeping sponsorship options open as guidance evolves.
• Historically, the U.S. has prioritized access to skilled healthcare providers in immigration policy.

Remaining patient while preparing for opportunities is the best way forward.

How PracticeLink supports international medical graduates

For IMGs navigating this challenging moment, PracticeLink offers key advantages:

1. Discover H-1B-friendly healthcare employers

Use PracticeLink to find employers who regularly work with international physicians and support H-1B sponsorships.

2. Access visa information and other career resources

Stay informed with regularly updated articles, career tips and immigration policy updates tailored to physicians and advanced practice providers.

3. Build lasting recruiter relationships

Once you identify a potential fit, reach out to recruiters through PracticeLink. These connections allow you to ask questions about visas, sponsorship and career growth while building trust for long-term success.

The path ahead for IMGs

International medical graduates remain essential to U.S. healthcare. While the $100,000 H-1B fee has raised concerns, exemptions for physicians are on the horizon. In the meantime, IMGs should continue to pursue opportunities, connect with recruiters and demonstrate the value they bring to patient care.

With tools like PracticeLink, IMGs and employers can stay connected, navigate policy shifts and build relationships that sustain the future of medicine in America.