NewsFlash
August 4, 2004
Aug 4, 2004
Vol 3, Issue 8
Inside This Issue:

QuickFlash – Important Info you need to Know!

2004
Fall Fly-In

Memo from Membership

Senate Committee Approves FAX Bill

Hot Topics for Foreign Medical Graduates

Ask Miss Deed - Ethics

NAPR Services August Opportunities

Future NAPR Meeting Sites

National Conferences of Interest

Contact Us:

NAPR Website

E-Mail NAPR Headquarters


QUICKFLASH

  • The Recruiter News is interested in receiving newsworthy information about our members. Please email Susan Edson, editor of the Recruiter News, at sedson@nehs.net with announcements, awards, promotions, or anything else that is fit to print!

  • The 2004 Fly-In is scheduled for November 11-12 in Ft. Lauderdale.

  • The 2005 Annual Convention is scheduled for New Orleans.


Are you planning to attend the NAPR 2004 Fall Fly-In?

If so, you need to know:

  • The 2004 Fall Fly-In will be in Ft. Lauderdale, November 11 & 12. The meeting starts Thursday, November 11, with a reception and dinner at 7:00 p.m. The Fall Fly-In ends Friday, November 12, with adjournment at 5:00 p.m.

  • The hotel for the Fall Fly-In is the Hard Rock Hotel. The Hard Rock Hotel is conveniently located only 10 minutes from the airport. The cost is $155.00 Single/Double plus tax.

  • Plan now to attend this hands-on program. Watch your mail for forthcoming information.

SCHEDULE
THURSDAY, November 11, 2004
4:30 p.m. – 6:30 p.m.: Registration Open
The President's Reception and Dinner
7:00 p.m. – 7:30 p.m.: Reception
7:30 p.m. – 9:30 p.m.: Dinner & Entertaining speaker

FRIDAY, November 12, 2004
6:00 a.m. – 7:30 a.m.: Exhibit Hall Set-Up
7:30 a.m. – 3:30 p.m.: Exhibit Hall Open
7:30 a.m. – 3:30 p.m.: Registration Open
7:30 a.m. – 8:00 a.m.: Continental Breakfast with Exhibitors
8:00 a.m. – 5:00 p.m.: Educational Sessions
5:00 p.m.: Conference Adjourns


Memo from Membership

NAPR is growing! From 2001 to 2002, NAPR membership increased by 19%. The upward trend continued in 2003 as membership grew by 25%. Looking at membership growth from a historical perspective, from 1998 to 2003 overall membership increased by 91%!!

Why? Perhaps because more clients are choosing to work with recruiting firms that belong to NAPR. Or maybe it is because over 300 physicians register each month on the World Job Bank. Better yet, it could be because of our other NAPR benefits such as our various services mailings or the products and services offered by our fine vendor members.

If you are reading this newsflash, you are one who already realizes the benefits of being a NAPR member. Why not enhance the value of your membership by volunteering on a NAPR Committee and networking with others in your industry? The Membership Committee is seeking volunteers. Interested members should contact Jo-Ann Toldt at 856-686-4351. If you have an interest in another committee, please contact headquarters at 407-774-7880.


Senate Committee Approves FAX Bill

Last week, the full House and the Senate Commerce, Science and Transportation Committee both approved the Junk Fax Prevention Act of 2004, (H.R. 4600/S. 2603). The legislation would eliminate a rule set to take effect next year requiring businesses to obtain written permission before sending faxes to those with whom they have existing business relationships (EBRs). The bill would restore a previous EBR provision governing FAX communications by effectively preempting an FCC rule set to go into effect next January 1, 2005.

In addition to restoring the EBR language to fax laws, the legislation would require a mandatory “opt-out” for unsolicited faxes sent under the auspices of the reestablished EBR. Another provision allows the Federal Communications Commission (FCC), after receiving public comment, to waive the opt-out provision for tax-exempt organizations faxing members on issues related to their exempt purpose.

The final step for approval of the legislation is approval by the full Senate. As Congress has adjourned until after both national political conventions, the earliest Senate approval could occur is September. Congress returns September 7.

The congressional session is set to end October 1. Lengthy extensions to the session are unlikely given the upcoming national elections in November.

Reprinted from the Internet.


Hot Topics for Foreign Medical Graduates:
Obtaining a Waiver of the Two-Year Foreign Residency Requirement

by Lawrence M. Lebowitz, Esq. and Alexander R. Castrodale, Esq.

With the return of the annual cap on H-1B visas and the additional scrutiny now given to all U.S. visa categories, the “J” visa has become increasingly popular, especially for foreign medical graduates (“FMGs”). However, and for most J visa holders (and especially FMGs), the two-year foreign residence requirement ("FRR")1 imposes a serious obstacle to any long-term U.S. immigration strategy.

Pursuant to the Immigration and Nationality Act ("INA"), exchange visitors2 may be subject to the FRR for one or more of the following reasons:

  1. They received funding from the U.S. government, their own government, or an international organization in connection with their participation in an Exchange Visitor Program;
  2. The education, training, or skill that they are pursuing in the United States appears on the Exchange Visitors Skills List for their country; or
  3. They acquired J-1 status on or after January 10, 1997 for the purpose of receiving graduate medical education or training.

Exchange visitors who are subject to but who do not wish to comply with the FRR may apply for a waiver of that requirement under any one of the following five grounds:

  1. The exchange visitor obtains a "no objection" statement from her home government stating that it has no objection to her not returning to her home country to satisfy the FRR. Please note that the INA precludes use of this option by medical doctors.
  2. An exchange visitor who believes that she will be persecuted upon return to the home country due to race, religion, or political opinion.
  3. The exchange visitor demonstrates that her departure from the United States would cause extreme hardship to her U.S. citizen or lawful permanent resident spouse or child. The INA is clear that mere separation from family is not sufficient to establish extreme hardship.
  4. The exchange visitor is working on a project for (or of interest to) a U.S. federal government agency, and that agency has determined that the visitor's continued stay in the United States is vital to one of its programs and, on that basis, will pursue a waiver application on her behalf.
  5. The exchange visitor obtains a request by a designated State Department of Health (“DOH”) or its equivalent. Although only medical doctors can apply for a waiver on this basis, this is still the most commonly sought waiver of the FRR. Please also note that a state DOH almost always requires that an applicant work in primary care in a medically underserved area ("MUA") or health care professional shortage area ("HPSA") in that state. Such waivers are issued through the State 30 Program, which operates under this name because it is limited to 30 exchange visitor waivers per state per year.

Although each state’s requirements differ, obtaining a waiver of the FRR through a DOH is generally a four-step process. First, an applicant must complete and send a Data Sheet Application (“DSA”), along with a check and various other documents, to the U.S. Department of State (“DOS”) Waiver Review Division (“WRD”).

Second, and when the WRD has received the DSA, it will send the applicant a Case Number and instructions on how to proceed. This information will include a list of information/documentation that must be submitted to complete the waiver application, such as copies of all of the applicant’s Forms DS-2019 (formerly IAP-66), her resume, etc.

The third step in the FRR waiver process involves a submission directly to the DOS of all of the items listed on the instruction sheet from the WRD. It is advisable to submit all of the requested documents at the same time. Also, and although some items must be submitted directly to the WRD by the DOH and/or a third party, it is the applicant's responsibility to ensure that all requested documentation arrives at the WRD.

At the conclusion of the DOS review process (which typically lasts four to six weeks), the WRD will forward its recommendation directly to the U.S. Citizenship and Immigration Services (“CIS”). The applicant will receive a copy of the WRD's recommendation and will be instructed to await notification from the CIS concerning the final decision on the waiver application. The CIS typically takes another six to eight weeks to review the file and issue its final decision. As noted above, both the DOH’s and DOS’s findings are merely recommendations to the CIS. The CIS, in fact, maintains overall authority to grant/deny any waiver of the FRR regardless of the DOH’s or DOS’s support. In that regard, and while the CIS can certainly overrule a determination by either the DOH or DOS, it normally concurs with the findings of the other parties.

After the CIS issues the waiver, the applicant can apply for a new U.S. immigration status/benefit, which is often an H-1B visa. Ideally, an FMG could obtain H-1B status at the outset of her training, and thereby avoid the FRR altogether. However, and for a variety of reasons, this is often not possible and the DOH waiver is required.

For obvious reasons, waivers of the FRR are highly prized and, for FMGs, a DOH waiver is often the only option. As noted, each state requires an applicant to meet different requirements to obtain a favorable recommendation. Unfortunately, Pennsylvania is one of the more difficult states in which to obtain such a waiver. That being said, DOH waivers are available for FMGs in Pennsylvania and should be pursued by those wishing to remain in the United States after the completion of their J visa program.

1 The FRR mandates that, in order to be eligible for H-1B or permanent residence status, certain J visa holders (most notably, foreign medical graduates) must reside and be physically present in the country of their nationality or last foreign residence for an aggregate of at least two years following completion of their J visa program and departure from the United States.

2 For purposes of this article, exchange visitors are J-1 or J-2 nonimmigrant visa holders.

Lawrence M. Lebowitz is chair of and Alexander R. Castrodale is a member of the Immigration Group at Cohen & Grigsby, P.C., a full-service law firm headquartered in Pittsburgh, Pennsylvania. They can be reached at 412.297.4900 or llebowitz@cohenlaw.com and acastrodale@cohenlaw.com.


Ask Miss Deed

Dear Miss Deed:

I read your column religiously and find your advice enlightening. A situation arose in which I fear I may have gone astray.

I presented a candidate to a client and learned several days later from the in-house person that my referral was being disputed by another firm which presented my candidate a day or two earlier. Because I felt I established a bonafide relationship with the candidate, I asked her to sign a Right of Representation document which I then presented to the in-house person showing that the doctor was working exclusively with me. The client awarded the referral to the other recruiter. How can that be? The doctor agreed that I was the one who is entitled to represent her. I am…

Feeling Down and Disappointed

Dear Feeling:

Thanks for your kind words, but I am afraid I am not going to be able to elevate your mood.

The overwhelming majority of in-house recruiters are competent and knowledgeable, so I am going to assume that the in-house person made sure that the candidate was properly referred by the other firm. (If that turns out to be inaccurate, I will address that in a subsequent column.) I know that doctors are approached by a significant number of recruiters and cannot always remember with whom they spoke. So the fact that your doctor did not remember she was presented by another firm is not unusual.

It’s my opinion that you ran amuck of the Ethics Code in two areas. It is acceptable to use a signed Right of Representation from a candidate at the onset of your discussions with the doctor. However, asking the doctor to sign the Right of Representation in an attempt to resolve a referral dispute is a no-no. This leads to the second misdeed (sorry about that). Once you learned that a proper prior referral had been made, you should have graciously withdrawn your claim to the doctor.

I think it is time to devote some of your summer reading to the NAPR’s Standards of Practice and Procedures, which is part of the Code.

Cordially yours,

Miss Deed

Miss Deed is an expert on all things ethical, and is ready to answer your questions. All questions to Miss Deed must be accompanied by the individual's name, telephone and e-mail address. If the individual does not want his or her name published, we will publish the question with the statement: "Name Withheld By Request." No questions will be considered without verifying who the sender is. Send your questions to Miss Deed at the following e-mail address: MissDeed@kmgnet.com and your question may appear in an upcoming NewsFlash!


NAPR Services Coop Mailings: Two Opportunities

We’ve redesigned our physician mailer for the 2nd time this year. Our newest 4-color mailing piece will go to the following specialties:

Sizzling Specialty
Join our August Sizzling Specialty Mailer for 2004

INTERNAL MEDICINE
7,000 Pieces For Only $750.00!!

This mailing will be sent to 7,000 Internist (MD’s & DO’s, AMG’s – and only to those who declare their specialty as general Internal Medicine, not subspecialties) all across the United States. Internists are some of the most versatile physicians in practice today. Reach them out by advertising your JOB LISTINGS. Each participating member may advertise jobs, 10 Internal Medicine positions, totaling no more than 250 words for all your listings combined.

August Total Specialty
THE EXTREMELY MARKETABLE SPECIALTY OF

CARDIOLOGY
17,343 Pieces For Only $1,750!!

Nowhere else can you mail to the majority of Cardiologists at this savings.

ADVERTISE your JOB LISTINGS – NEW: You can advertise up to 20 Jobs!

Each participating member may advertise jobs using up to 500 words combined. This includes up to 20 Cardiology positions, totaling no more than 500 words for all of your listings combined. You can mix and match your 500 words into ten 50-word ads, two 250-word ads, or whatever you wish, provided you do not exceed a total of 500 words and 20 listings. What a great, cost effective way to obtain candidates!

Don’t Miss this two important mailers; register NOW! .Click on the button below for the sign-up sheets.


Future NAPR Meeting Sites

2005 Convention New Orleans
2005 Fall Fly-In Baltimore, Minneapolis, or St. Louis
2006 Convention San Antonio
2006 Fall Fly-In Nashville
2007 Convention Washington, D.C.
2007 Fall Fly-In Atlanta


National Conferences of Interest

2004

RBMA Fall
September 12 – 15, Miami Beach, FL

NAMSS
September 19 – 22, Miami Beach, FL

Osteopathic College of Anesthesia
October 3 – 6, Tucson, AZ

MGMA
October 3 – 6, San Francisco, CA

IPS
October 7 – 9, Atlanta, GA

ACEP
October 17 – 19, San Francisco, CA

ASA
October 23 – 27, Las Vegas, NV

American Heart Association
November 7 – 9, New Orleans, LA

NCCHC
November 13 – 17, New Orleans, LA

Psych. Congress
November 18 – 21, San Diego, CA

RSNA
November 28 – December 3, Chicago, IL

Websites that offer upcoming conference information:

www.nejm.org/meetings You can get most dates from this web site.

The Journal of the American Medical Association lists monthly meetings as well.


If you have questions or comments about NewsFlash, please contact: Bill Kautter at bkautter@kmgnet.com (800-726-5613) or Public Relations Chair John Daniel at john_daniel@daniel-yeager.com

Please note that letters and comments sent to the publisher are automatically considered for use in upcoming issues unless you expressly request that they not be used. You may request that you remain anonymous in the case that your letter or comments are used. We reserve the right to edit for brevity and/or clarity.

This eNewsletter is automatically sent to all NAPR members as an added, free benefit of membership. Non-NAPR Members are invited to subscribe to this newsletter by contacting Judy Clark at jclark@kmgnet.com.

The National Association of Physician Recruiters (NAPR), headquartered near Orlando, FL was founded in 1984, for the purpose of creating a national organization through which professional physician recruiters could work together to maintain standards of excellence within the industry and ensure the highest degree of quality in recruitment services. Today, the NAPR represents over 425 members, including recruitment firms, in-house staff physician recruiters, as well as contract staffing and management, trying to make a difference in the physician recruiting industry.

NAPR, P.O. Box 150127, Altamonte Springs, FL 32715-0127, 800-726-5613.