January
2009 Newsletter
MBBS NOW RECOGNIZED AS EQUIVALENT TO MD
January 19, 2009
DEAR CLIENTS AND FRIENDS:
I had sent out a Newsletter just over two weeks
ago advising our clients and other interested parties of a disturbing
new development in immigration adjudications in which the MBBS
Degree was not being recognized as an advanced degree credential
equivalent to the MD. As a direct consequence of this line of
adjudication, MBBS holders were facing substantial disruptions
and interminably long delays in attaining permanent resident
status. This unprecedented policy created an illogical and unnatural
distinction among International Medical Graduates (IMGs) based
not on their licensure, medical knowledge, or advanced training,
but based solely on whether their medical degree was their initial
higher-education certificate (i.e., MBBS, MBBCh, etc) or was
issued following completion of a liberal arts course of study.
Owing to our extensive legal practice in immigration
matters for IMGs, I certainly felt compelled to bring this MBBS
development promptly to the attention of our Readership. In the
concluding section of my Newsletter, I also made the following
statement:
My own expectation is that this whole MBBS issue
will soon get resolved favorably owing to the underlying absurdity
of relegating a certain class of IMGs (i.e., those holding
MBBS Degrees) to a special, unfavorable preference classification.
Any such outcome would simply fly in the face of logic so as
to create an unfounded distinction between equally qualified
physician applicant pools based upon the fortuity of whether
or not the medical education system in their home country occurs
as a first-tier degree or only after the completion of a baccalaureate
course of study. What our immigration laws are intended to
do are to dispense benefits in full recognition of professional
qualifications. A policy that would draw an artificial distinction
based on a formal degree credential that is otherwise recognized
fully by the medical establishment for medical practice privileges
would seem to run contrary to logic and law.
I am pleased to announce that an administrative
tribunal of U.S. Citizenship and Immigration Services (USCIS)
issued a decision dated January 9, 2009, giving full recognition
of the MBBS as the equivalent to an MD. This restores the rightful
stature of an MBBS as providing a physician with a suitable level
of professional medical education to fall within the Advanced
Degree (EB-2) Preference classification for immigration purposes.
While it is true that the MBBS represents a basic university
degree credential, the decision cited the fact the MBBS equates
to “a first professional degree in medicine in the United
States,” which is a Doctor of Medicine (MD). In addition,
this decision focused on the fact that in cases for permanent
residence, an IMG has either obtained or is eligible for a state
medical license and has pursued advanced Graduate Medical Education
(GME) at an accredited post-graduate training program.
Under our system of immigration jurisprudence,
this decision is not automatically binding on all USCIS examiners,
since it has not yet been designated as a Precedent or even an
Adopted Decision. But it does have significant probative value
in processing cases involving similar issues. As a functional
matter, it is inconceivable given this decision that we will
again see the MBBS Degree relegated to a subservient, disadvantaged
degree credential. Rather, this decision is quite adamant in
recognizing that by definition the MBBS should be regarded as
a degree equivalent to an MD.
So, what does this mean for permanent residence
cases for MBBS holders and, more broadly, for IMGs and their
employers?
Given the deepening recession, I expect that the
U.S. Department of Labor will become more vigorous in protecting
job opportunities for U.S. workers, meaning that it will more
stringently analyze Labor Certification Applications. We are
already seeing a steady lengthening of processing times at the
Labor Department. To some extent, the documented shortage of
physicians in the domestic workforce and the relative recession-proof
nature of the medical profession should encourage the U.S. Government
to continue to process and approve immigration cases for IMGs.
Thus far, in our own cases, we continue to see a consistent pattern
of approvals in our filings for physicians. But I do believe
that in drafting Labor Certification Applications and the subsequent
Immigrant Visa Petitions, we need to be increasingly vigilant
in defining the duties of the position so as to establish the
legitimate, job-related requirements that can objectively test
the U.S. labor market to determine the availability of fully-qualified
applicants for the announced position.
But what this decision presumably has taken off
the table is an artificial distinction between MBBS holders and
physicians holding other designated professional degree credentials.
They will all uniformly – and appropriately – be
processed under the EB-2 classification as Advanced Degree Professionals,
and the drafting of the underlying applications and petitions
for immigration purposes can focus on the legitimate, job-related
requirements rather than doing legal acrobatics to account for
whether the IMG’s medical degree is a first- or second-tier
university credential.
As always, please feel free to distribute this
Newsletter to other interested recipients and by all means, please
bring any questions or comments to our attention. It is always
a pleasure to hear from those whom we serve.
Cordially,
ROBERT D. ARONSON
This memorandum is one of a series
of communications prepared as a general public service to our
clients and friends. The information herein presented is not
intended nor should it be utilized as legal advice on any specific
situation. Furthermore, given the rapid pace of change, the
veracity of this information is constantly subject to modification
and/or reversal. Rather, this piece represents a good faith
attempt to orient clients and other interested parties served
byAronson& Associates to current immigration developments.
This piece in no manner supercedes the need to seek competent
legal advice when engaged in activities carrying possible immigration-related
consequences.
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