Exchange Visitor Sponsorship Program (EVSP)

Non-Standard Training

About Non-Standard Training | Program and Institutional Roles and Responsibilities | Program and Institutional Requirements | Exchange Visitor Applicant Requirements | Frequently Asked Questions | Application Process | Non-Standard Subspecialty Disciplines | Summary of Discussions | Fact Sheet for Host Institutions
About Non-Standard Training

Link to PDF FileView a presentation on non-standard training by EVSP staff.

Definition of Non-Standard Training
The term non-standard training refers to advanced clinical subspecialty disciplines or pathways for which there is no Accreditation Council for Graduate Medical Education (ACGME) accreditation and/or American Board of Medical Specialties (ABMS) member board certification available. The member boards of the ABMS are viewed as the subject matter experts on educational developments within their respective specialties. All non-standard disciplines must be endorsed by an appropriate ABMS member board to be considered for J-1 sponsorship.

Sponsorship Process
Consistent with ECFMG general sponsorship procedures, applications for non-standard training require the coordinated efforts of training institutions and foreign national physician applicants. ECFMG’s primary role is to verify that the foreign national physician meets J-1 eligibility requirements. The teaching hospital is responsible for providing the J-1 physician with an approved clinical training experience. Each teaching hospital designates a Training Program Liaison (TPL) who serves as the official representative to communicate with ECFMG. This communication ensures regulatory compliance and provides the required administrative oversight for J-1 physicians. Communication regarding all aspects of J-1 sponsorship must be conducted through the TPL.

Duration of Participation
In general, visa sponsorship for J-1 physicians is limited to the “time typically required” to complete the program. For non-standard programs, the training duration refers to the length defined in the pre-approved program description, consistent with ABMS member board approval and national trends.

Subspecialists who enter the United States to participate in advanced non-standard training programs should not presume to be eligible to participate in multiple non-standard programs or to repeat their entire base residency in the United States. The physician’s Statement of Educational Objectives must outline the long-term plan for U.S. training and duration of stay. J-1 physicians who pursue advanced non-standard training after completing a U.S. board certification track should plan to complete any additional non-standard program within the seven-year regulatory maximum.

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