Wednesday, October 1, 2008

Towns Need Doctors, and the Doctors Need Visas - NYTimes.com

Glossy chamber of commerce brochures from small towns and rural areas along Lake Ontario and the St. Lawrence River and in the Adirondack Mountains beckoned on tables in the Sheraton New York Hotel in Midtown Manhattan. But it was not the allure of hiking, fishing or wineries — or even the free cookies and coffee — that attracted scores of novice doctors to a job fair on Sunday.

It was the possibility of a green card.

Many of the doctors, residents at New York City hospitals, had come from abroad on visas, including the restrictive J-1 "exchange visa," which requires them to return home for two years once they finish their studies unless they can get a waiver to work in a medically underserved area. New York State recommends about 30 doctors for J-1 visa waivers annually; typically half of the visas go to doctors working in neighborhoods like Washington Heights or the South Bronx and half to upstate communities that do not have enough physicians.

Getting such a waiver is akin to winning the lottery, and to apply for a ticket, doctors must have a signed employment contract, said Caleb C. Wistar, a State Health Department planner who was at the job fair to give advice. "This is the shining prize of working in underserved areas for people who are not citizens," he said.

Visa politics helped turn the job fair into a matchmaking exercise. The 30 upstate hospitals that sent representatives, whose expenses were covered by the Greater New York Hospital Association, promoted their towns' friendly neighbors and good schools. The immigrant doctors, willing to relocate for economic and professional opportunities, listened politely, then worked up the courage to ask what for many of them was the most pressing question: "Do you sponsor visas?"

Dr. Ranka Bulajic, a Serb, analyzed the job market by ethnicity: Eastern Europeans, she explained, were willing to work in colder climates like northern New York State or Oregon, while those from Africa or the Caribbean tended to prefer Alabama or Virginia. Dr. Jiwu Sun, who graduated from China's prestigious Third Military Medical University, said that, at the age of 40 — and with a wife, two children and limited English — he was in no position to make demands of potential employers. Dr. Nadia Ferder, 34, who was born in the United States but grew up in Buenos Aires, said she did not want to return to Argentina because the economy was so bad that "lawyers, economists, doctors, architects, they are all driving cabs."

More ...