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Question about doing IM residency in U.S. on J1 visa


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Hello all,

I am currently a second year Canadian student at a U.S. medical school with interests in Internal Medicine. If I were to do a 3-year IM residency in the U.S. on a J1 visa, what would happen afterwards? I know that, since I would be on a J1 visa, I would have to come back to Canada after residency, but the IM residency in Canada is 4 years. So, would I be able to work right away, or would I have to do something to match the "4 year" training since by that time I would only have 3 years of training. (Also, what if I am interested in doing a Canadian or U.S. fellowship? How would that work?)

Any insight would be very much appreciated!

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