Department of State, Bureau of Consular Affairs Waiver Review Division (DOS) | The Federal agency that reviews the recommendations submitted by interested state agencies on behalf of J-1 physician applicants. In turn, they submit their own recommendation to the Immigration and Naturalization Service for final determination of approval/disapproval. |
Emergent Need | An emergent need is one that demonstrates an unusual and critical need for the placement of a J-1 physician, such as the death, unexpected departure, or sudden retirement of a clinical physician providing a majority of medical care needs at the sponsoring site. |
Health Professional Shortage Area (HPSA) | An area defined by the Department of Health and Human Services as having a shortage of health care providers. |
J-1 Physician | An international medical graduate physician completing graduate medical education in the United States under a J-1 Visa. These physicians are required to return to their country of nationality for at least two years before reentering the United States unless a J-1 Visa waiver is granted. |
Medically Underserved Area | An area, as defined by the Department of Health and Human Services, as not having an adequate supply of health care providers. |
Practice Site | Actual physical location(s) at which the J-1 physician will provide medical services. This location can be different from the sponsoring site location if, for example, a satellite office is used. |
Primary Care Fields | The following four fields are identified as primary care: family practice, general internal medicine, general pediatrics and obstetrics/gynecology. |
Processing Fees | The Delaware Division of Public Health shall charge a non-refundable processing fee of $200 to each sponsoring site submitting a Site Application at the time the application is submitted. A non-refundable processing fee of $250 shall be charged to each pre-approved site to process the waiver request application for each J-1 physician that the site plans to employ. The check will be made payable to the State of Delaware. |
Recruitment Contact | Primary point of contact to be used by Delaware Health and Social Services Conrad State 30 Program Manager. |
Service Area | Geographic area in closest proximity to the practice site, from which the majority of patients are derived. |
Sponsoring Site | Medical practice through which the J-1 physician will provide medical services (i.e. the hiring organization). |
16 Del. Admin. Code § 4104-14.0
17 DE Reg. 233( 8/1/2013)(Final)