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How exactly does a H1-B work for physicians?

Hi!

This is more of a question for the IMGs in residency in the states, I was wondering, in layman's terms how would the H1-B eventually turn into your green card, in terms of timeline and how did it work for you?

Let me explain, say I do a 3 year IM residency, then I choose to do a 3 year fellowship, then I choose to do an extra 1 year of sub-fellowship.

Where in that timeline would I be able to apply for a green card? I ask this because, with the maximum stay being 6 years - how would I attempt a sub-fellowship? Also, would I not be allowed to ask my employer during my 3 year IM residency to start on my green card application, or does it not work like that? I can't seem to find any information regarding residency programs starting the transition to a green card soon after you have joined.

This is all purely theoretical, I'm just trying to put together the visa situation + training in the states, I really would be appreciative of any information.

Thanks.

submitted by /u/relocatingdoc1
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source https://www.reddit.com/r/immigration/comments/ia4mql/how_exactly_does_a_h1b_work_for_physicians/
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