Exchange Visitor Sponsorship Program (EVSP)


The ECFMG|FAIMER Exchange Visitor Sponsorship Program (EVSP) continues to review and process J-1 visa sponsorship applications, including those of foreign national physicians seeking initial sponsorship to enter the United States to begin a training program on July 1, 2020. Please submit your applications as early as possible to help prevent delays. We will contact Training Program Liaisons (TPLs) and current J-1 physicians about any new developments, including updates on visa issuance at U.S. embassies and consulates, directly via e-mail and will post updates on our website. ECFMG|FAIMER is actively pursuing solutions to support training programs and foreign national physicians through this challenging time.

For J-1 Applicants/Physicians

Statement of Need

U.S. Public Law 94-484, effective January 10, 1978, requires that J-1 physician applicants provide a letter of need from the Ministry of Health of the country of most recent legal permanent residence. Such a letter must provide written assurance, satisfactory to the Secretary of the United States Department of Health and Human Services, that there is a need in that country for persons with the skills the alien physician seeks to acquire.

If the applicant is a permanent resident of a country other than that of citizenship, the Statement of Need (SoN) must come from the Ministry of Health of the country of most recent legal permanent residence.

In cases in which a new or updated SoN is required, an original, official SoN issued directly from the Ministry of Health in the country of most recent legal permanent residence must be submitted directly to ECFMG. To be accepted by ECFMG, the original SoN must be received in the original, sealed envelope of the Ministry of Health. In addition, the Ministry of Health official issuing the letter must place it in a Ministry of Health envelope and stamp the outside flap with the issuing government seal. The document should be forwarded directly to ECFMG; if the sealed envelope is opened, ECFMG will not accept the SoN. Electronic or scanned copies of the SoN will not be accepted by ECFMG.

SoNs in sealed Ministry of Health envelopes must be mailed directly to ECFMG either by the Ministry of Health or the applicant. Use of a courier service is recommended. The mailing address is: EVSP/ECFMG, 3624 Market Street, Philadelphia, PA 19104 USA.

Additionally, per the U.S. Code of Federal Regulations (CFR), the SoN must:

Any SoN that does not meet all of the above-specified requirements will not be accepted. If the original SoN is not issued in English, the Ministry of Health may provide a copy of the SoN to the applicant for the purpose of obtaining an English translation. The certified English translation may either be submitted in the sealed envelope with the original SoN or it may be submitted to ECFMG separately. Both the original SoN and a certified English translation, if applicable, are required as part of the application.

Statement of Need Instructions for Ministry of Health Officials

Required Statement of Need Text

The following is the precise wording that has been approved by the U.S. Secretary of Health and Human Services for the Statement of Need:


Name of Applicant for Visa:_________________________

There currently exists in (country) a need for qualified medical practitioners in the specialty of ______________________. (Name of Applicant for Visa) has filed a written assurance with the government of this country that he/she will return to this country upon completion of training in the United States and intends to enter the practice of medicine in the specialty for which training is being sought.

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