International Medical Graduates (IMGs) make up a significant portion of the U.S. healthcare workforce. Recent federal visa policy changes have introduced new challenges to their entry into residency programs. Immigration attorney Denise Gavica Perez and STFM's Director of Government Relations Nina DeJonghe, MPP, discuss the personal, financial, and logistical implications of these changes, with a focus on differences between J-1 and H-1B visas. They examine the importance of current visa status for medical students and consider how these policies may influence the Match. They also review current advocacy efforts within an evolving federal policy environment. This episode is for informational purposes only and does not constitute legal advice. Please consult a qualified attorney for specific guidance for your situation. The episode was recorded on March 26, 2026. Hosted by Omari A. Hodge, MD, FAAFP and Jay-Sheree Allen Akambase, MD Copyright © Society of Teachers of Family Medicine, 2026 Resources: Education commission for Foreign Medical Graduates International Medical Graduates (IMG) Toolkit - AMA Guest Bio: Denise Gavica Perez Denise Gavica Perez provides cutting-edge and creative legal counsel to companies and institutions throughout the U.S. She has extensive experience managing employment-based immigration cases for non immigrant and immigrant visas, and immigration planning and compliance programs for entities engaged in a wide range of industries, including: hospitals and healthcare institutions, construction, engineering, architecture, technology, entertainment, food service, hospitality, publishing, retail, education, financial services and banking, export and import, and other sectors. She also advises entrepreneurs and high net-worth individuals regarding investment-based U.S. immigration, including the EB-5 Immigrant Investor Program. Denise handles a wide range of nonimmigrant visas and petitions, and also provides advanced and strategic advice to clients on a variety of immigrant visas and labor certifications (PERM) for numerous occupations. She also handles family-based cases and U.S. citizenship matters, and regularly represents companies in connection with the U.S. Department of Homeland Security (DHS), U.S. Department of Labor (DOL), U.S. Department of State (DOS), and Immigration and Customs Enforcement (ICE) Form 1-9 (Employment Eligibility Verification) audits. In addition, Denise has successfully processed many J-1 waivers, including those issued under the Conrad 30 program, and has assisted several employees worldwide in qualifying for national interest exceptions (NIE) and other exceptions at U.S. consulates and embassies abroad to travel to the U.S. In representing several large entities nationwide, Denise always partners with and assists her clients to ensure they remain compliant with government regulations. She routinely counsels hospitals and healthcare institutions seeking to obtain non immigrant and immigrant visas for employees worldwide, including: physicians, residents, fellows, nurses, pharmacists, medical technologists, and other healthcare experts and professionals in all medical practices. She also represents recruitment and staffing agencies tasked with recruiting healthcare professionals. For several years, she served as an Adjunct Professor for the paralegal program at Florida International University, and has lectured at local seminars on immigration topics. Nina DeJonghe, MPP Nina DeJonghe, MPP, is a seasoned public policy professional with several years of leadership, legislative, and non-profit experience. As the Director of