If you are considering mid-career opportunities in the United States, this section will address some of your concerns: how to find information about training, research or temporary positions; factors to consider when weighing options; and living conditions.

The first part of the booklet discusses the professional environment that a temporary academic or professional visitor will encounter, some varieties of short-term academic experiences that are available, and considerations for planning your stay. The second part gives special information for physicians, nurses, dentists, veterinarians and lawyers. A third section discusses personal considerations that will be important in your planning. A bibliography lists sources of further information, including references for a large number of professions.

Another valuable source of information will be the educational advising centers in your country: United States Information Service (USIS) offices or libraries, U.S. educational exchange commissions (Fulbright Commissions) and binational centers. These centers provide information free of charge and may also offer predeparture orientation programs or other services.

THE ACADEMIC ENVIRONMENT IN THE UNITED STATES
Academic and research institutions in the United States differ in many respects from those in other countries. As a visiting scholar, researcher or lecturer, you may find that many aspects of faculty procedure, interaction with students, research arrangements and responsibilities differ from your expectations.

Higher Education in the United States
Higher or postsecondary education in the United States builds on 12 years of education at the primary and secondary level. After completion of high school at about age 18, students may enter a college or university to work toward a baccalaureate degree, or they may enter two-year community colleges or technical schools for other training. The bachelor's degree, which takes a minimum of four years to complete, can stand alone or can serve as the prerequisite for graduate work.

At the graduate level, students may enter into a one- to three-year master's program, or enter directly into predoctoral programs which lead after a minimum of three years to a doctoral degree. Some students complete a master's degree and then enter a doctoral program in the same or in a different field. 

After earning a doctorate, many students pursue further research under a postdoctoral fellowship before seeking a permanent position with a university, research center or business.

Faculty
In working on a temporary basis with faculty or researchers at universities in the United States, you will need to be aware of constraints and pressures on academics, as well as the underlying structure of the faculty system.

In almost every academic institution, faculties are organized into departments based on academic field, or occasionally into multidisciplinary centers for focus on a certain academic area. Each department operates independently, headed by a department chair, under broad university guidelines. Faculty members of a department usually choose their own department chair, either a senior member of the department, or occasionally someone from outside the university. In many cases, the position of department chair rotates from one department member to another, changing every three to four years. In other cases, the department chair remains as long as other faculty members agree. The department acts as a democratic body, by participation of all members, who determine requirements for degrees (within broad limits set by the university), admit graduate students, decide whether degree candidates qualify, choose teaching assistants, determine curriculum and hire new faculty. In some departments, real power lies with the department as a whole, more than with the chair as an individual. In others, the chair is more powerful.

Faculty titles denote academic rank. In ascending order, they are "lecturer" (or "instructor"), "assistant professor," "associate professor" and "professor." Except in the case of very distinguished senior professors, most faculty members address each other by first names and do not use these titles in conversation.

Lecturers and assistant professors have a full teaching load -- usually two classes that meet three times a week with a laboratory, or perhaps three classes without a laboratory. In addition, they may have one or more committee assignments (the curriculum committee, the honors committee, etc.), which take several hours per week. Add to this grading time, as well as conference time and office hours for students, not to mention the many hours of research or writing necessary to build a reputation for scholarly research.

Under the system of promotion current in most university departments, an assistant professor has five to seven years to gain "tenure." At the end of this time, a committee of peers (other university faculty) votes whether or not to recommend tenure. One of the most important considerations is the faculty member's research and publication record. Tenure is a guarantee that he or she will remain employed by the university until retirement, unless, for example, the institution suffers extreme budget cuts leading to the elimination of the department or the person commits a serious moral offense.

The purpose of the tenure system is to preserve academic freedom, to prevent an institution from firing a professor for making unpopular or radical statements or advocating unorthodox ideas. Today, with tight university budgets, the effects of the tenure system have put strong pressure on assistant professors to succeed early.

What difference does this system make to visiting scholars and researchers? If you are given a year's appointment as a visiting assistant professor or lecturer, you will be expected to make similar commitments of time and to fulfill similar teaching loads. Similarly, if your faculty collaborator is working toward tenure, you may find that he or she has little extra time available for collaboration. In centers or institutions devoted entirely to research, however, visiting scholars often have fewer distractions from research.

Faculty in the United States tend to identify first with colleagues in their academic field and second with their institution, except in smaller colleges at which teaching is the primary activity. This is perhaps a consequence of the emphasis on research and publication record as a measure of success.

Faculty salaries are often lower than salaries at comparable levels of business or industry, ranging from an average of approximately $30,000 for a lecturer to about $65,000 for a professor. Faculty salaries in fields like engineering are higher than the average.

Many faculty members serve as consultants to business, industry and government, both as a source of outside income and as a stimulus for professional development. Senior faculty members sometimes hold joint appointments with part-time teaching responsibilities and part-time administrative responsibilities. Often administrative duties reduce the time and energy available for effective research.

Students
In the university setting, faculty interactions with students are informal. Often graduate students and faculty become close friends and work together almost on an equal basis. Since U.S. educational philosophy stresses analysis and critical thinking in addition to mastery of information, class formats stimulate exchange of ideas. Students, both graduate and undergraduate, do not hesitate to challenge professors in class; in fact, most professors encourage it as a sign of intellectual independence. Encouragement of questioning, however, does not mean that professors lack respect from students. Despite informality, students and faculty maintain a certain personal distance, with students deferring to faculty members. Faculty members usually construct their own examinations, and students expect that examinations will be given frequently. In most cases, faculty grade examinations and papers for their courses, unless the course has a very high enrollment. 

Research Institutions
Some universities are devoted to research; others are not. Research and scholarly activity take place in many kinds of institutions besides universities. Often visiting scholars, researchers and faculty come to private or public research centers or hospitals.

Most research institutions are organized by field, with both an administrative and a scientific/technical head for each department (in some cases, the same person). Researchers may work together as part of a team, or they may work alone; all have some administrative relationship to the department. Grants-management staff monitor expenses on the grant, and the principal investigator is usually responsible for an annual grant report.

Quite often a foreign researcher establishes an arrangement with a particular research center that focuses on his or her area of research and then obtains a grant from public or private sources (see Obtaining Funding) to work as the principal investigator for the grant.

FINDING AND ARRANGING ACADEMIC OPPORTUNITIES
There are many avenues by which scholars, researchers and faculty can come as temporary academic visitors to the United States. Those described below are among the most common.

The Fulbright Visiting Scholars and Scholar in Residence Programs
Under the auspices of the Fulbright Program, foreign senior scholars can come to the United States to do a year of research or to lecture at U.S. academic institutions. Senator J. William Fulbright introduced legislation in the U.S. Congress in 1946 establishing the Fulbright Program to increase mutual understanding between the people of the United States and of other countries.

The United States Information Agency (USIA) funds and administers the Fulbright Program overseas; in some countries, the host country shares in the funding. Different aspects of the Fulbright Program are operative in each country; not all countries participate. Check with the U.S. embassy or consulate to determine Fulbright opportunities.

Scholars may obtain information about the program, which is an open competition, and an application through the local Fulbright Commission or U.S. Educational Foundation, or if there is no Fulbright Commission, through the United States Information Service (USIS) office located in the U.S. embassy or consulate. After preliminary screening by the Fulbright Commissions/U.S. Educational Foundations or by the USIS posts, recommended applications are forwarded to the United States Information Agency in Washington, D.C. and to the J. William Fulbright Foreign Scholarship Board for final selection by its members which are appointed by the president of the United States.

The Council for the International Exchange of Scholars (CIES) assists with the implementation of the program by arranging university affiliations for senior Fulbright scholars at U.S. academic institutions. Once scholars are in the United States, CIES assists in program administration and support. CIES has prepared a comprehensive publication explaining privileges and obligations under the Fulbright Program. Fulbright grantees receive this booklet at the time they receive their grant documents.

The Hubert H. Humphrey Fellowship Program
The Hubert H. Humphrey Fellowship Program, also administered by USIA, provides opportunities in the United States for academic study and professional development at selected institutions to mid-career professionals from developing countries around the world. The Humphrey Program awards fellowships on a competitive basis in the fields of agriculture, public health, planning and resource management, and public administration. USIS posts, Fulbright Commissions and binational centers nominate candidates. The Institute of International Education (IIE) reviews nominations with the assistance of independent selection committees and makes recommendations to the J. William Fulbright Foreign Scholarship Board, which approves final selections and awards fellowships.

In contrast to many fellowship opportunities, the Humphrey Program does not have as its goal the attainment of a degree. Rather, in cooperation with Humphrey Program coordinators on college and university campuses, fellows devise individually tailored plans for a year-long program of academic work balanced with professional development and internship activities.

University Affiliations Program
USIA's University Affiliations Program makes three-year grants to partnerships formed by higher education institutions in the United States and abroad to conduct exchanges for faculty members in the humanities, social sciences, communications and education.

United States Agency for International Development
In participating countries, United States Agency for International Development (USAID) missions arrange short- and long-term training, both in-country and in the United States, in technical and applied areas requested by the host country. Usually the host-country government selects trainees. Participants spend several months to several years either on U.S. campuses or in training institutes. Alternatively, they attend short study tours or courses concentrating on applications in their field. Typical fields are agriculture, business, health, banking and engineering. Although academic programs usually require English-language proficiency, courses or tours are sometimes conducted with the aid of an interpreter.

University Invitational Positions
University departments often have invitational positions, usually a year in length, for visiting scholars, researchers or lecturers. To be invited as a visiting scholar or visiting lecturer a candidate must be a recognized authority in the field. If you have an outstanding reputation as a researcher or have personal or professional contacts with U.S. faculty, you may be able to arrange a special invitational position. The U.S. university normally provides a salary and in addition, may provide research facilities. In some countries, there are agencies which claim to be able to find invitational positions for scholars, but these are rarely effective.

Short-term Training Programs and Seminars
Continuing education has become increasingly important in American education in recent years. Universities, hospitals and professional associations offer seminars and short courses for mid-career professionals in all fields: however, these are usually a week or less in length and therefore impractical for someone from overseas. The vast majority of commercially available seminars for mid-career professionals are also one to three days in length.

Semi-independent training institutes affiliated with universities or government entities, however, are beginning to offer short-term training in business, agriculture and other topics of interest to overseas professionals, with courses of three months to a year in length. Consult the bibliography, Sources for Further Information, as well as advisers at an educational advising center in your country, for possibilities.

Other Arrangements
Scholars and researchers anticipating a sabbatical or wishing to conduct research in the United States often learn of opportunities through speaking or corresponding with colleagues in the same field or by attending professional meetings. Professors may also learn of colleagues with similar research interests through former students who are in the United States, from U.S. university faculty or administrators visiting in their country, or from papers in scholarly journals. Sometimes scholars and researchers negotiate directly with a department or research center. In business, scientific and technological fields, the probability of arranging a research sabbatical in the United States is higher than for humanities, social sciences and the performing arts.

OBTAINING FUNDING
Take every step possible to secure adequate funding for research. Arrangements for funding visiting researchers and scholars vary greatly. Often the scholar's home institution pays regular salary while the scholar is on sabbatical. Occasionally, scholars come to the United States on their own funds.

Scholars considering a sojourn to the United States should know that the budget situation in most universities and research centers is currently tight. U.S. government funding for research has been curtailed. Careful and realistic financial planning will be crucial for the success of your program.

Some foundations and organizations provide grants to support scholarly research in the arts, sciences, humanities and health-related fields. Although competition is intense, foreign nationals as well as U.S. citizens are often eligible to apply. Consult sources listed in the bibliography at the end of this booklet, as well as additional resources available at the nearest educational advising center in your country. Usually the grant is for a specific amount and supports research at a particular facility or center.

Many grant applications specify that you present not only a research plan, but also an agreement with a research institution before they will fund a grant. It is your responsibility to find an institution that will agree to provide research facilities, employ you and monitor grant expenditures if you are awarded a grant. A committee of peers reviews grant proposals.

If you do receive a grant, determine whether the grant is to you as an individual or to the institution who then agrees to employ you with the funds from the grant. If you leave before the grant is completed and the grant is to the institution, it will remain with the institution.

Perhaps the ideal situation is to find an academic department in the United States with a research grant allowing employment of additional researchers. Usually such arrangements arise through personal correspondence between the people involved. There is no central source for information of this type.

OTHER IMPORTANT CONSIDERATIONS

Negotiating Terms of Your Academic Stay
In negotiating a position as a visiting scholar or researcher, you can avoid many painful misunderstandings by obtaining clear agreement, in writing, about a number of important issues regarding your stay. If you are corresponding with a researcher (and not an administrator), try to ascertain diplomatically whether the key administrator who will be responsible for your arrangements is aware of your needs and interests, and is willing to assist in meeting them. In universities, this key person is usually the department chair.

In your preliminary correspondence, find out how much time the principal faculty-contact person, as well as others in the department, will actually be able to devote to collaboration or consultation with you. Also, find out how directly involved your faculty contact will be in the specific research project in which you are interested. This is important, since a scholar often expects that the faculty host will see him or her for 10 to 20 hours per month, whereas the host may not be prepared to spend more than three or four hours a month.

Discuss what form the collaboration might take. Request a copy of your host's curriculum vitae and become familiar with the scope and background of his or her work, as well as educational background, travel and languages. Make sure that you share proficiency in at least one language with the person with whom you will be working. Finally, arrive at a mutual understanding about the length of time you will be visiting or working.

Departments may extend courtesies to visiting scholars, such as an office with a desk and telephone, a university identification card that allows access to the university library and recreational facilities, authorization to apply for a parking permit and perhaps secretarial help. These privileges are by no means guaranteed. You should make sure before you come that your expectations match those of the department in detail, not just in broad outlines.

Universities and research centers in the United States are not as highly subsidized as they are in many other countries. Funds for research must be carefully budgeted within the department or research program. If you need access to a personal computer or time on a mainframe computer, or if you need specific laboratory equipment or facilities, negotiate with the department (or, for a research center, with key administrators) about how these will be provided and funded.

There are a number of research areas where, for reasons of national security, there are government restrictions to information access. If the research center with which you are negotiating has been awarded sensitive U.S. government contracts, the institution may require a security clearance. If you are not a U.S. citizen, this requirement might pose problems.

Sometimes visiting scholars wish to attend classes. Some universities extend this option as a courtesy without charge; some do not. The demand on faculty time and the tight budgets of many institutions make this issue a sensitive one. If you think that you might be interested in courses, whether for credit or not, correspond with the university before beginning your stay, so that everyone has a clear understanding, in writing, of the policy.

Corresponding With the Office of International Services
On some university campuses, particularly the large research universities, an Office of International Services (variously called Office of International Educational Services, International Program Office, Office of International Students and Scholars, etc.) offers a valuable liaison between visiting scholars, researchers or faculty and the campus community. On other campuses such an office may exist, but its focus may be directed primarily to students. Even in the latter case, however, this office may be a helpful source of general and visa information. Among other things, it can provide information about many aspects of living and working in the United States and the particular institution you have chosen.

Because these offices were originally established primarily in response to the needs of international students, the office that assists scholars, researchers and visiting faculty may even be called the International Student Services Office. This is not meant to be derogatory or demeaning to scholars and international faculty members; it is simply a historical remnant. Most campuses, in fact, have been changing the name of these offices to reflect current realities in international exchange.

As soon as you begin to negotiate with a department or granting body, it would be helpful to send a copy of your correspondence to the Office of International Services. This office can advise the department, in light of the information that you send them about your situation, regarding the most appropriate visa to request, both for you and your family. In a research center or training hospital, a training liaison officer performs this function.

Visa Information
As you finalize your arrangements with an institution or organization, you should be sure that you have received clear information and have given clear information to the university or organization about the following:

• The terms of your appointment, how long the appointment is for, the type of appointment and what field the appointment is in; 
• Visas you have previously held for the United States and their dates; 
• Your qualification for the position; 
• How soon you plan to depart your country and how long you will stay in the United States; 
• Your professional standing; 
• Whether or not your family will accompany you, and if so, whether your spouse would like to work; 
• Funding arrangements and any tax implications; and 
• Your plans after completion of the appointment. 

Professional Meetings, Conferences and Training Events
While you are in the United States, correspond with professional associations to determine dates and locations of professional meetings, seminars, conferences and short-term training programs in your field. These can be costly; attending a week-long conference can cost over $1,000, but the benefits usually justify the expense. If you have a grant or fellowship, ask if there is a provision for attending conferences or for other professional development activities.

PROFESSIONAL TRAINING
This text covers medicine, nursing, dentistry, veterinary medicine and law in some detail. Information about a large assortment of additional professions is available through references cited in "Sources for Further Information" at the end of this booklet.

Medicine
First Professional Degree
In the United States, admission to medical school is very competitive. It is rare for students from other countries to be admitted to a first professional-degree program in medicine. To be eligible to apply for medical school, students usually complete the equivalent of a bachelor's degree (four years beyond the 12 years required to finish secondary school).

The cost of educating a medical student is much more than the cost of tuition. Because many medical schools are funded largely by taxes raised in the state where they are located (e.g., Wisconsin or Pennsylvania), they naturally give preference to state residents. There are no spaces reserved for foreign students in U.S. medical schools. Although anyone is eligible to apply, foreign students rarely gain admission to a U.S. medical school without pre-medical study in the United States and even then, very rarely.

U.S. students, too, feel the effects of the high level of competition for a limited number of spaces; less than half of U.S. applicants are accepted. Because of the extremely high level of competition, only 150 of the 15,867 students who entered medical school in a recent year were foreign nationals. Of these, all but a few had graduated from a college or university in the United States.

Medical school usually lasts four years, combining classroom experience with observation and patient care in the areas of internal medicine, obstetrics and gynecology, pediatrics, psychiatry, surgery and often family practice. Classroom study includes basic medical science, basic clinical science (both therapy and technology), preventive medicine and social sciences pertinent to the practice of medicine: ethics, behavioral science and human values.

To be eligible to practice medicine, a physician who attended medical school in the United States must: 

• Attain the doctor of medicine (M.D.) degree from a medical school accredited by the Liaison Committee on Medical Education, consisting of representatives of the American Medical Association, the Association of American Medical Colleges and representatives of the public; 
• Complete a period of residency or graduate medical education; and 
• Pass state licensure examinations.

To obtain residency positions, clinical fellowships or other training involving patient contact, foreign medical graduates must meet certification standards. The Educational Commission for Foreign Medical Graduates (ECFMG) conducts a program of certification of foreign medical graduates to assure the people of the United States and the directors of residency programs accredited by the Accreditation Council for Graduate Medical Education (ACGME) that applicants meet minimal standards of eligibility. Graduates of foreign medical schools, including U.S. citizens who have graduated from medical schools not accredited by the Liaison Committee on Medical Education, must meet requirements for ECFMG certification. In order to qualify for application to residency training involving patient contact, a medical school graduate must:

• Submit documents (and translations if necessary) showing graduation from a medical school listed at the time of graduation, in the then-current World Directory of Medical Schools; 
• Submit documents showing completion of all educational requirements to practice medicine in the country where medical education was completed. (nationals of the country must provide a license to practice in that country); 
• Pass the ECFMG English test; 
• Pass both the clinical and basic medical science sections of the U.S. Medical Licensing Examination (USMLE) Step 1 and Step 2, or the former Foreign Medical Graduate Examination in the Medical Sciences (FMGEMS) or Visa Qualifying Examination (VOE), (no longer given) or the Federation Licensing Examination (FLEX) as given prior to June 1985. (Note: The FLEX as currently administered by individual state medical boards differs from the examination as given before June 1985 and is not acceptable for ECFMG certification.); and 
• Present a clear ECFMG financial record for payment of testing fees.

The number of applicants for ECFMG certification far surpasses the number who attain it. In addition to ECFMG certification, some states require that prospective foreign residents or clinical fellows pass the licensing examination, currently the Federation Licensing Examination (FLEX). The FLEX test covers basic medical science and clinical practice. State medical boards administer the FLEX examination, usually in the state capital city in June and December of each year. FLEX will be replaced by the USMLE program which consists of Step 1, Step 2 and Step 3. For further information, contact:

Locating A Residency or Clinical Fellowship
The supply of qualified physicians in the U.S. has exceeded demand in recent years. At present, the number of available residency positions or clinical fellowships is less than the number of qualified applicants. In some cases, U.S. physicians trained in accredited U.S. medical schools have been unable to find residency positions. In some years, only small percentages of foreign medical graduates who attained ECFMG certification were placed in residency positions.

Residents receive a salary from the participating hospital. Clinical fellows see patients under the supervision of licensed physicians just as residents do, however, they may or may not receive a salary but rather have funding from other sources, perhaps from an institution in their home country or from their own resources. The term "fellowship" does not imply funding from the hospital for clinical fellows.

Foreign medical graduates applying for residencies or clinical fellowships must have ECFMG certification before beginning their program, but they may initiate correspondence with a hospital before they receive certification. If they participate in the National Resident Matching Program, they must pass the ECFMG examination sequence by January 1 of the year in which they plan to enter and must submit proof of certification by the start of the residency. Physicians may apply directly to accredited residency programs or clinical fellowships in a specialty listed in theDirectory of Residency Programs (published annually), or they may elect to enter the computerized National Resident Matching Program (the avenue chosen by most applicants). This program allows each applicant to submit a list of preferred residencies, and the requests are matched with available programs. For information, see the bulletin of the ECFMG, or write:

For an order form for the Directory of Residency Programs, write to:

In corresponding with hospitals, be sure that you have clear information about salary, length of employment or appointment, elements of the residency program, hours of duty and responsibilities, and whether or not the hospital will provide health and professional liability insurance.

ECFMG-certified foreign physicians who are matched with residency positions usually are eligible to receive sponsorship from the ECFMG as Exchange Visitors. The period for which their Exchange Visitor (J-1) status may be valid varies with the medical specialty chosen and must be renewed annually. Each specialty board determines the appropriate length of time for postgraduate clinical training in that specialty. After completion of the stipulated training period, Exchange Visitor status expires and the Exchange Visitor physician must leave the United States. The Exchange Visitor physician is not eligible to petition to apply to return to the United States in immigrant status, "H" temporary worker or trainee status, or as an intracompany transferee until he or she has resided in the home country or country of last permanent residence for two years.

Some Alternatives That Do Not Require ECFMG Certification

• Postgraduate Academic Education

Foreign medical graduates may apply directly to graduate academic programs in medically related fields which do not involve patient care. Because there is only incidental patient contact, academic or research programs do not require ECFMG certification. Application procedures are similar to those for graduate or postgraduate programs in non-medical fields. Some programs require admissions examinations such as the Graduate Record Examination (GRE). Consult individual program announcements for requirements, and apply directly to the individual graduate program. Fields of academic study and research include radiology, immunology, molecular biology, genetics, neurosciences, pathology and physiology, to name a few. Foreign medical graduates also may apply for research grants in the health sciences (see Financial Planning, Grants and Fellowships, in the bibliography) Hospitals, universities and independent research centers are possible sites for research.

Physicians who come to the United States on this basis will not be able to change to ECFMG Exchange Visitor (J-1) status (with the opportunity for clinical experience and patient contact) without undergoing the ECFMG certification process. Do not plan to arrive on a "B" (tourist or business) visa with the thought of entering either an academic or a clinical program; the Immigration and Naturalization Service will not grant the necessary change of immigration status. You must have prior admission to an academic program and documentation as a student prior to entry into the United States. 

• Short-term Opportunities for Continuing Education

Medical centers and hospitals offer short-term courses, lasting from several days to several months. Although these are often too short to be attractive to physicians abroad, they are open to foreign medical graduates without ECFMG certification as long as they do not involve direct patient contact. The Journal of the American Medical Association (JAMA) lists available short-term courses twice a year, in January and July. Check for listings in U.S. educational advising centers and libraries overseas or contact:
American Medical Association 
525 North State St. 
Chicago, IL 60610 USA 
Telephone: (312) 464-5000

• ECFMG International Medical Scholars Program

This program provides educational opportunities in the United States or foreign scholars who will contribute to academic medicine or the development of health services in their home countries. The program provides support for training in medicine, public health or health care administration for periods of three months to one year. Applicants must be proficient in English, have a graduate or professional degree related to their chosen field and demonstrate professional achievements. The fellowships are not intended to support research or a formal curriculum leading to a degree. For further information about either of ECFMG's fellowship programs, contact:
ECFMG Washington Office 
2000 Pennsylvania Ave., N.W., Suite 3600 
Washington, D.C. 20006 USA 
Telephone: (202) 293-9320
• Immigrant Physicians

Since the United States now has more qualified physicians than demand warrants, foreign medical doctors are no longer given automatic labor certification leading toward immigrant visas. A physician who wishes to immigrate to the United States is not given priority treatment, but must qualify for an immigrant visa either through an individual labor certification showing that no qualified U.S. physician is available for the position being offered the alien applicant, or through family relationship to a U.S. citizen or permanent resident. A foreign medical doctor who obtains an individual labor certification may qualify for an immigrant visa under third preference (members of the professions). One who qualifies for an immigrant visa because of family relationships may do so as an immediate relative (spouse or unmarried minor child of a U.S. citizen or parent of a U.S. citizen who is over 21-years-old), or as a first, second, fourth or fifth preference alien (son or daughter of a U.S. citizen or permanent resident, spouse of a permanent resident, or brother or sister of a U.S. citizen). In any case, a graduate of a foreign medical school must obtain ECFMG certification in order to practice medicine in the United States.

Nursing
In the United States, professional "registered" nurses (RN) must be licensed in the state of employment. Each state has its own Board of Nursing which issues RN licenses on the basis of individual, state-mandated regulations. However, every state uses the same licensing examination known as the NCLEX-RN which must be passed before a license can be given. Most states require nurses educated outside of the U.S. to have a Certificate from the Commission on Graduates of Foreign Nursing Schools (CGFNS) as a prerequisite to taking the NCLEX-RN.

The CGFNS is further important when applying for either a temporary non-immigration visa (H-1A) or a permanent visa. When applying for the H-1A visa, you will be asked to prove that you will be employed in a U.S. healthcare facility that is qualified to hire nurses with H-1A visas and that you already have either a full and unrestricted RN license in the state where you will be employed or a CGFNS Certificate. When applying for a permanent immigrant occupation preference visa, you will need a U.S. Labor Certificate from the Department of Labor. You need a CGFNS Certificate to be issued a labor certificate.

To obtain a CGFNS, first submit documents to the CGFNS credentials review. You will be registered for the CGFNS Exam if you:

• Are currently registered as a first-level general nurse in the country where you were educated; 
• Have completed an upper secondary school education, separate from nursing education; 
• Have graduated from a government-approved general nursing program of at least two years; and 
• Have received theory and clinical practice in medical, surgical, obstetric, pediatric and psychiatric nursing.

There are only 27 schools of veterinary medicine in the United States, all associated with universities. Of these, 25 are largely state-financed; that is, tax money raised by the individual state (e.g., Minnesota) supports the school. Hence, it is not surprising that applicants from the home state are given first preference and that there are few opportunities for students from other countries. The American Veterinary Medical Association reports that in 1991 and 1992, of the 2,225 students admitted to veterinary schools, 16 were foreign nationals.

In the United States, many students who enter veterinary school have completed at least four years of education past the secondary level and attained a bachelor's level in universities, although a few universities have pre-veterinary majors similar to pre-medical studies, and vocational colleges have programs to train veterinary assistants.

Veterinarians begin practice in the United States after four years of study in veterinary schools and attainment of the first professional degree, doctor of veterinary medicine, D.V.M. or V.M.D. Before beginning practice, veterinarians must be licensed by the state in which they plan to work.

Admission to U.S. Veterinary Schools
There is no central admissions service for veterinary schools as there is for law schools and medical schools. Students apply directly to veterinary schools; chances are somewhat better at private than at state-supported schools. The primary consideration for admission is the quality of the undergraduate record. Of the 27 schools, more than half require the Veterinary Aptitude Test for admission; four require the Medical College Admissions Test (MCAT); a few require parts of the Graduate Record Examination (GRE). Another alternative to veterinary school is to enter a graduate academic program in animal studies. Competition is less intense, since these programs do not lead to professional certification. 

Postgraduate Training
For foreign-trained veterinarians with the equivalent of the D.V.M., there are two alternatives for postgraduate training in the United States. Veterinary schools offer postgraduate academic programs leading to the master's degree in veterinary science or to the Ph.D., in conjunction with associated universities. These programs do not lead toward clinical practice, but rather toward teaching in veterinary schools, employment by pharmaceutical companies or research. The proportion of foreign graduate students in these programs (on the average, about 10 to 20 percent of total enrollment) is higher than in programs leading to the D.V.M. 

Another postgraduate option is residency training leading toward board certification in a specialty, such as veterinary ophthalmology or veterinary pathology. Residency training, also associated with veterinary schools, takes three years; it involves a combination of academic and clinical experience. Most U.S. veterinarians do not elect to enter a specialty; rather, they go into general practice. Foreign veterinarians are occasionally accepted into residency training. Apply to the individual veterinary school which offers the specialty of interest. 

Immigrant Veterinarians
To practice in most states in the United States, immigrant veterinarians must gain certification from the American Veterinary Medical Association's (AVMA) Educational Commission for Foreign Veterinary Graduates (ECFVG). In all states, veterinarians must pass state licensure before they are eligible to practice. For additional information, contact:

Dental school curricula leading to the first professional degree, doctor of dental surgery (D.D.S.) or doctor of dental medicine (D.M.D.) require four years of study_two years with an emphasis on basic medical sciences as it applies to dentistry, and two years emphasizing a clinical orientation. Upon attaining the D.D.S. or D.M.D., dentists must pass both the National Licensing Examination and the State Board Examination in the state of intended professional practice. 

Admission to First Professional Degree Programs
Those who apply to dental schools should remember that the level of competition is very high, for U.S. citizens as well as for foreign nationals. There are no spaces reserved for foreign students in U.S. dental schools. Chances of obtaining admission to a private dental school are somewhat higher than those of admission to a state-supported dental school. The cost of educating a dental student far exceeds tuition payments, because many dental schools naturally give preference to state residents. For this reason, students who are state residents are admitted to state dental schools before U.S. students who live in other states and foreign nationals.

Although anyone is eligible to apply, foreign students rarely gain admission to a school of dentistry in the United States without having completed at least two years of pre-dental study in a U.S. university. Other requirements for admission are:

• An excellent undergraduate academic record; 
• Proficiency in the English language; and 
• A score on the Dental Admissions Test (DAT) judged satisfactory by the individual dental school.

Postgraduate Dental Training
After receiving the equivalent of the D.D.S., dentists may apply for postgraduate training at hospitals or dental schools. Some programs lead to a master's degree in advanced dentistry. Others offer specialty training. Upon completion of specialty training programs, licensed dentists may apply for board certification in that specialty. These programs admit foreign dental graduates, particularly in fields such as dental public health, more frequently than do first professional degree programs. 

There is no certifying examination administered worldwide for postgraduate dental students comparable to the FMGEMS for medicine. Some specialty programs, such as oral surgery and periodontics, require that foreign dentists complete at least the last two years of prudent studies in a U.S. university, as well as complete the D.D.S. at a dental school in the United States that is accredited by the American Dental Association. Some may also require state licensure and national board certification. Dental schools are more likely to consider unlicensed foreign applicants for postgraduate training than are hospitals.

Short-term Educational Opportunities
Dental schools and hospitals offer postgraduate continuing education courses lasting from a few days to a few weeks. These courses provide updates on the latest information about specific topics and are open to foreign dentists. Current listings of continuing education courses appear in the June and December issues of The Journal of the American Dental Association ordered from the address given above for the American Dental Association.

Law
The legal system in the United States on the federal level and in most states derives from the British system of common law; however, one state, Louisiana, has a legal system modeled on the French legal code. 

Postgraduate Legal Education
The most appropriate U.S. degree programs for foreign national lawyers are the master of comparative law (M.C.L.) and the master of comparative jurisprudence (M.C.J.). Recognizing that legal systems in many other countries differ from common law as practiced in the United States, these programs acquaint lawyers from other countries with U.S. legal institutions and relevant specialties of U.S. law. Another possibility is the master of laws (LL.M.). Consult the prospectus of individual law schools for programs. These programs, one year in duration, are flexible and can be planned according to the interests of the student. During the period of study, foreign lawyers receive opportunities to observe courts and governmental agencies in the United States. Law schools arrange for foreign lawyers entering graduate study to attend an orientation on American law given by: 

Similar programs are given by several U.S. universities on a short- term basis, often in the summer. Foreign lawyers may also find graduate programs in international law or international business law of interest.

Short-term Legal Education
Lawyers in many countries may participate in short-term programs, usually about 30 days in length, which provide visits to U.S. legal institutions. For information about these programs, contact the United States Information Service (USIS) or the U.S. Agency for International Development (USAID).

The First Professional Degree
Law schools in the United States prepare students for the juris doctor (J.D.) degree (considered equivalent to a doctoral degree). Since the curriculum provides general basic legal education directed toward the practice of law in the United States, foreign nationals will find other degrees more appropriate. Although law schools offer individual courses which emphasize particular subject areas such as environmental law, taxation or business law, there are no specific J.D. programs for any single specialty except at the postgraduate level. Law school requires three years of full-time study.

Admission to Law School
Although some law schools will admit students with only three years of undergraduate study, almost all applicants to law school complete a bachelor's degree before entering. Other requirements for application include:

• An excellent undergraduate academic record; and 
• Taking the Law School Admission Test (LSAT).

Most students apply through the Law School Admission Service. Competition for spaces in law school is intense for U.S. citizens as well as foreign nationals. For information about being a law student, contact:

Admission to Legal Practice
To practice law in the United States, an applicant must pass the bar examination for the state where he or she intends to practice. While there is no national bar examination, part of the state bar examination usually consists of a national, standard multiple-choice examination. The other half of the bar examination is state-specific. Each state has different requirements for admitting candidates to the bar. Immigrants are eligible to take state-bar examinations.
 

PERSONAL CONSIDERATIONS FOR SCHOLARS AND PROFESSIONALS
COMING TO THE UNITED STATES
Consult the Office of International Services, the training liaison officer, or other administrative officer to ask for further information about aspects of living and working in the United States. Before you go, you may find valuable advice in the references listed in the bibliography below or from other sources in the nearest U.S. educational advising office, USIS library or U.S. educational exchange commission.

Cost of Living
Ask for an estimate of the total cost of living in the community and at the institution where you will be working. Usually, the Office of International Services or the training liaison officer will have cost ranges. Find out if the estimate was prepared for students or for mid-career professionals; if for students, you will find that estimates are low. Actual living costs will depend heavily on housing and transportation options available, and on whether you are bringing your family. Be sure to include in your estimate costs of health insurance, rent, travel, purchase of publications, clothing required because of climate differences, and automobile purchase and maintenance, if you will need a car. It is common for foreign scholars and professionals to find that all costs exceed what they had anticipated.

Housing
In some instances, you may be eligible for special housing provided by the institution. The Office of International Services may be aware of possibilities and options, and sometimes will be in a position to help you find housing. Establish by correspondence before you leave whether you will be finding housing on your own, or whether the department, the research center, the Office of International Services or some individual will be willing to help you. It is unrealistic to expect that someone will help unless you have established this in advance.

Bringing Your Family
Whether or not you bring your family will depend on the cost of living, the educational level of your dependents, opportunities for your spouse and the level of support you can expect. You may want to consider coming by yourself at first and then bringing your family after you are settled.

Schooling for Children
School-age children will be eligible to attend public or private schools as your dependents. The Office of International Services or training liaison officer can advise you about documents, medical requirements and immunizations for the local school district. Bring academic records for each of your children, translated if necessary, to aid in placement. Instruction is in English (except in a few areas with large populations of other ethnic groups). Large cities or diplomatic centers such as New York and Washington, D.C. may have special schools that teach in the language of your home country or according to particular religious preferences.

Opportunities for Spouses
There are a variety of opportunities for cultural, educational and professional enrichment for a spouse accompanying a foreign scholar, researcher or professional. Individuals with appointments at a U.S. college or university may find active support programs for spouses and dependents, including English-language classes, student and support groups, and outings. Depending on the community and the organization at which you will be placed, similar opportunities may be available in noncampus settings.

If your spouse has an advanced degree, or has distinguished merit and ability in some field, or a high degree of professional or artistic skill, he or she may be able to qualify for one of several temporary-worker visas. If your spouse is qualified and interested in pursuing academic training in the United States, he or she may be able to enroll at a college or university as an F-1 non-immigrant student. In most cases, however, your spouse will not be permitted to work. Permission to engage in employment is granted by the U.S. Immigration and Naturalization Service and involves an application process which may take several months to process.

If you are admitted to the United States as a J-1 Exchange Visitor, your spouse is eligible for work permission as a J-2 visitor. For specific information about this employment eligibility, ask for information from your Exchange Visitor program sponsor.

Banking
Inquire locally, as well as from sources in the community to which you will be travelling, about the best method for transferring funds from your country, and about establishing a bank account in the United States. The Office of International Services may have suggestions about who should transfer funds, how they should be transferred, how long it will take (sometimes up to six weeks) and when you should begin.

Taxes
All visiting scholars and professionals are subject to federal and state income tax on U.S.-source income, as well as on most grants and scholarships. In certain cases, particularly if your stay in the United States exceeds a certain number of years, you may be subject to income tax on your worldwide income. The extent of that tax liability for that income, however, varies significantly depending on numerous factors, including your tax status as either a resident or nonresident taxpayer. Please note that tax status is different than immigration status; you may find that you are treated as a nonresident for immigration purposes and a resident for tax purposes. The nonimmigrant status you have in the United States will have an impact on what tax treatment you receive, but it is not the only consideration in determining that treatment. Inquire about your tax treatment before you leave your home country so that you can make adjustments as necessary. Be sure to find out if there is a tax treaty between your country and the United States, and what provisions might affect your tax status. Bring the necessary records and keep copies of any documents involved in tax records. Depending on your immigration status, you may also be subject to U.S. Social Security taxes.

Health Insurance
In the United States, medical treatment, especially hospital care, is extremely expensive, and the government does not provide free or subsidized medical care. You must make adequate provision for possible emergencies and health care by buying health insurance for you and your dependents, as do most Americans. If you have a policy already that offers international coverage, inquire whether it will be valid for medical costs incurred in the United States. Also check whether your coverage is adequate for U.S. costs. If not, ask the Office of International Services or your sponsor about any available low-cost group policies. If you are ineligible for some reason (for example, sometimes scholars exceed the age limit imposed on policies that are primarily designed for foreign students), you will still need to purchase health insurance.

Before buying a policy, read it carefully to see what is and is not covered. Usually, routine office visits, dental care and eye care are not covered. Most policies state that pre-existing conditions are not covered until a certain time has elapsed after the purchase of the policy. If pregnancy is a possibility, read the policy carefully to see what proportion of prenatal, delivery and postnatal costs is actually covered.

Religion
The United States encourages religious freedom for all faiths. In most U.S. cities, even small ones, you will be able to locate others who share your faith. The Office of International Services will have information about local religious activities.

Sources for Further Information
The following references may be available in your country at a U.S. educational advising office, U.S. educational exchange office, binational center or USIS library. This is only a sampling of available resources and does not imply endorsement. For additional references, consult other booklets in this series. 

Directories
Directory of Graduate Programs 4 vols. Published biennially. Warner Books, Education Department, Time and Life Building, 1271 Avenue of the Americas, New York, NY 10020. 

Volume A: Natural Sciences;
Volume B: Engineering and Business;
Volume C: Social Science and Education; and
Volume D: Arts, Humanities and Other Fields.
Institutions listed by fields of study, cross­classified by number of students in each department; useful for assessing relative size and emphasis of departments.

Encyclopedia of Associations: Volume I, National Organizations of the United States. Published annually. Gale Research Co., 835 Penobscot Building, Detroit, MI 48226.
Cross­classification of associations by field, with contact address, telephone and major services of national organizations which can be helpful in locating particular types of research or short­term learning opportunities.

Guide to International Education. 1994. David S. Hoopes. Gale Research Co., 835 Penobscot Building, Detroit, MI 48226.
Educational exchange organizations; associations and agencies concerned with international studies in the professions; source books and directories; resource and service organizations for foreign visitors.

Peterson's Annual Guides to Graduate Study. 6 vols. Published annually. Peterson's Guides, 202 Carnegie Center, P.O. Box 2123, Princeton, NJ 08543­2123.
Volume I: Graduate and Professional Programs: An Overview;
Volume II: Graduate Programs in the Humanities and Social Sciences;
Volume III: Graduate Programs in the Biological and Agricultural Sciences;
Volume IV: Graduate Programs in the Physical Sciences and Mathematics;
Volume V: Graduate Programs in Engineering and Applied Sciences; and
Volume VI: Graduate Programs in Business, Education, Health and Labor.
Short capsular descriptions and detailed information about research interests of faculty, with overall descriptions of the graduate program of the department. Contains useful information about research centers as well. 

Research Centers Directory. Published annually. Gale Research Co., 835 Penobscot Building, Detroit, MI 48226.
Name, contact persons, types of research and sponsorship of research centers in the United States, cross­classified by type of research. 

Academic Fields
There are hundreds of references for particular fields; it is impossible to include more than a sampling. Consult the advising center nearest you for additional information. 

American Studies
American Quarterly. Johns Hopkins University Press, 2715 North Charles St., Baltimore, MD 21218. 

Architecture
Accredited Programs in Architecture. Published annually. National Architectural Accrediting Board, 1735 New York Ave., N.W., Washington, D.C. 20036. 

Landscape Architecture, Accredited Programs. American Society of Landscape Architecture, Accreditation Board, 4401 Connecticut Ave., N.W., Suite 500, Washington, D.C. 20008. 

Business Management/Public Administration
Annual Roster of Accredited Programs. National Association of Schools of Public Affairs and Administration, 1120 G St., N.W., Suite 730, Washington D.C. 20005. 

Members of the Accreditation Council (Accredited Schools) of the American Assembly of Collegiate Schools of Business. Published annually. American Assembly of Collegiate Schools of Business (AACSB), 605 Old Ballas Rd., Suite 220, Attn: Publications, St. Louis, MO 63141­7077. 

Communication/Journalism/Mass Media
Accredited Journalism and Mass Communications Education. Published annually. Accrediting Council on Education in Journalism and Mass Communications, University of Kansas, School of Journalism, Stauffer­Flint Hall, Lawrence, KS 66045. 

Computer Science
Administrative Directory of College and University Computer Science Departments and Computer Centers. Published in even­numbered years. Computing Sciences Accreditation Board, Two Landmark Square, Suite 209, Stamford, CT 06901. 
This organization also publishes a directory of graduate assistantships in computer science. 

Economics/Agricultural Economics
Guide to Graduate Study in Economics, Agricultural Economics, Public Administration and Doctoral Degrees in Business Administration in the United States and Canada. 1989. Economics Institute, Publications Center, 1030 13th St. Boulder, CO 80302.
Description of graduate programs and courses, including special information for foreign students and scholars. 

Education
Annual List of Accredited Institutions. National Council for Accreditation of Teacher Education, 2010 Massachusetts Ave., N.W., Suite 200, Washington, D.C. 20036­1023. 

Engineering
Accredited Programs Leading to Degrees in Engineering. Published annually. Accreditation Board for Engineering and Technology (ABET), Inc., Publications Office, 345 East 47th St. New York, NY 10017­2397. 

Directory of Engineering Graduate Studies and Research. American Society for Engineering Education, Publication Sales, 11 Dupont Circle, Suite 200, Washington, D.C. 20036.
Annual publication details research emphasis, describes graduate departments and lists grants for research in various fields. 

Fine Arts
National Association of Schools of Art and Design Directory. Published annually. NASAD, Publications Department, 11250 Roger Bacon Dr., Suite 21, Reston, VA 22090. 

Health Education
Allied Health Education Directory. Published annually. Division of Allied Health Education and Accreditation, American Medical Association, 515 North State St., Chicago, IL 60610. 

Library Science
Graduate Library Education Programs Accredited by the American Library Association. American Library Association, Accreditation Commission, 50 East Huron St. Chicago, IL 60611. 

Linguistics
Directory of Programs in Linguistics in the U.S. and Canada. Linguistics Society of America, 1325 18th St., N.W., Suite 211, Washington, D.C. 20036­6501. 

Mathematics
Mathematical Sciences Professional Directory. Annual. American Mathematical Society, P.O. Box 5904, Boston, MA. 02206. 

Sciences
American Chemical Society Directory of Graduate Research. Published biennially. American Chemical Society, 1155 16th St., N.W., Washington, D.C. 20036. 

American Chemical Society List of Approved Schools. Published annually. American Chemical Society, 1155 16th St., N.W., Washington, D.C. 20036. 

Directory of Geoscience Departments­North America. American Geological Institute, 4220 King St., Alexandria VA 22302. 

Guide to Graduate Study in Botany in the United States and Canada. Botanical Society of America, Office of Publications, American Journal of Botany, 1735 Neil Ave., Columbus, OH 43210­1293. 

Social Sciences
Directory of Accredited Programs in Planning. American Institute of Certified Planners, Iowa State University Research Park, 2501 North Loop Dr., Suite 800, Ames, IA 50010. 

Directory of History Departments and Organizations in the United States and Canada. Published annually. American Historical Association, 400 A St., S.E., Washington, D.C. 20003. 

Graduate Faculty and Programs in Political Science. Published every three years. Latest edition, 1992­1994. American Political Science Association, 1527 New Hampshire Ave., N.W., Washington, D.C. 20036. 

Graduate Study in Psychology and Associated Fields. Published annually. American Psychological Association, Publication Sales Department, 750 First Street, N.E., Washington, D.C. 20002­4242. 

Guide to Departments of Geography in the United States and Canada. Published annually. Association of American Geographers, 1710 16th St., N.W., Washington D.C. 20009­3198. 

Guide to Graduate Departments of Sociology. American Sociological Association, 1722 N St., N.W., Washington, D.C. 20036. 

Financial Planning, Grants and Fellowship
Consult current bulletins and special brochures for scholars and researchers published by the universities, research centers or foundations you are considering. 

Annual Register of Grant Support: A Directory of Funding Sources. Published annually. Reed Reference Publishing, 121 Chanlon Rd., New Providence, NJ 07974. 

The Foundation Directory. Published annually. The Foundation Center, Department HC, 79 Fifth Ave., New York, NY 10003.
Guide to research and other grants offered by the largest foundations. 

Grants, Fellowships and Prizes of Interest to Historians. Published annually. American Historical Association, 400 A St., S.E., Washington, D.C. 20003. 

The Grants Register. Published biannually. St. Martin's Press, Inc., 175 Fifth Ave., New York, NY 10010. 

National Directory of Arts and Education Support by Business Corporations. Updated every two to three years. Latest edition, 1991. Allied Business Consultants, Inc., P.O. Box 12010, Des Moines, IA 50312. 

National Directory of Grants and Aides to Individuals in the Arts. Updated every two to three years. Allied Business Consultants, Inc., P.O. Box 12010, Des Moines, IA 50312. 

A Selected List of Fellowship Opportunities and Aids to Advanced Education for U.S. Citizens and Foreign Nationals. The National Science Foundation, Forms and Publications, 1800 G St., N.W., Washington, D.C. 20550. 

Study Abroad 1992­93. 1991. Unipub, 4611­F Assembly Dr., Lanham, MD 20706­4391. 

Professional Fields

American Dental Association Annual Report, on "Dental Education, Advanced Dental Education and Allied Dental Education." American Dental Association, Commission on Dental Accreditation, 211 East Chicago Ave., Chicago, IL 60611.
Contains annual statistics about dental education in the United States. 

Dentistry in the United States: Information on Education and Licensure. Published annually. American Dental Association, Division of Educational Measurements, 211 East Chicago Ave., Chicago, IL 60611. 
Presents information on dental licensure requirements and opportunities for dental education and employment in the United States. 

List of Current Accredited Programs in "Dental Education, Advanced Dental Education and Allied Dental Education." Published annually. American Dental Association, Commission on Dental Accreditation, 211 East Chicago Ave., Chicago, IL 60611.

Health Sciences Administration
Health Services Administration Education. Published biennially in even­numbered years. Association of University Programs in Health Administration, 1911 North Fort Myer Dr., Suite 503, Arlington, VA 22209.
Institutions offering education including non­traditional programs in health sciences administration. 

Medicine
Directory of Graduate Medical Education Programs Accredited by the Accreditation Council for Graduate Medical Education. Published annually. American Medical Association, Order Department, P.O. Box 109050, Chicago, IL 60610. 

Encyclopedia of Medical Organizations and Agencies. 1991. Gale Research Co., 835 Penobscot Building, Detroit, MI 48226
Lists 12,000 associations, agencies and research centers concerned with all aspects of medicine and health. Listings include name, address, phone numbers, activities, and research and contact persons. 

Medical and Health Information Directory. 3 vols. 1990. Gale Research Co., 835 Penobscot Building, Detroit, MI 48226. 
Volume I: Lists 16,000 associations, agencies, foundations,research centers, medical and allied health schools.
Volume II: Lists 10,800 libraries, publishers, researchers and databases.
Volume III: Lists 23,400 clinics, treatment centers and other health institutions. 

Medical Education in the United States. American Medical Association. Published annually in the Journal of the American Medical Association (JAMA). American Medical Association, Order Department, P.O. Box 109050, Chicago, IL 60610. 
Lists selected characteristics of educational programs in U.S. medical schools; graduate medical education in the United States; allied health education and accreditation; continuing medical education; and medical students, residents and faculty. 

Medical Research Funding Bulletin. Published three times a month. Science Support Center, Box 587, Bronxville, NY 10708. 

Medical School Admission Requirements, United States and Canada. Association of American Medical Colleges, 2450 N St., N.W., Washington, D.C. 20037 
Description of medical school curricula, tuition and requirements with addresses of accredited U.S. and Canadian medical schools. 

NRMP Directory: Hospitals and Programs Participating in the Matching Program. Published annually. National Resident Matching Program, 2450 N St., N.W., Suite 201, Washington, D.C. 20037­1141. 

Nursing
The CGFNS Story. Commission on Graduates of Foreign Nursing Schools (CGFNS), 3600 Market St., Suite 400, Philadelphia, PA 19104­2651. 

Facts About Nursing 1992­93. American Nurses Association, Publications Distribution Center, P.O. Box 90660, Washington, D.C. 20090­0660
Describes the status of nurses in the United States, educational paths towards nursing careers and types of employment. 

List of Accredited Programs in Nursing. National League for Nursing, Boards of Review for Baccalaureate and Higher Degree, Associate Degree Diploma, and Practical Nursing Programs, 350 Hudson St., New York, NY 10014. 

State­Approved Schools of Nursing, LPN/LVN. Published annually. National League for Nursing, 350 Hudson St., New York, NY 10014. 
Tabular listings of approved training programs toward the LPN (licensed practical nurse) and LVN (licensed vocational nurse) degrees. 

State­Approved Schools of Nursing, RN. Published annually. National League for Nursing, 350 Hudson St., New York, NY 10014
Tabular descriptions of training programs and bachelor's degree programs toward the RN (registered nurse) degree. 

Optometry
Optometry: A Career with Vision. Issued annually in the Fall. American Optometric Association, 243 North Lindbergh Blvd., St. Louis, MO 63141.
Admission requirements, financial aid and student profiles for accredited optometry schools. 

Pharmacy
For information contact: American Association of Colleges of Pharmacy, 1426 Prince St., Alexandria, VA 22314­2841. 

Accredited Professional Programs of Colleges and Schools of Pharmacy. American Council on Pharmaceutical Education, 311 West Superior St., Suite 512, Chicago, IL 60610. 

Approved Providers of Continuing Pharmaceutical Education. The American Council on Pharmaceutical Education, 311 West Superior St., Suite 512, Chicago, IL 60610. 

Foreign Pharmacy Graduate Equivalency Examination Information Booklet. Published annually. National Association Boards of Pharmacy, 700 Busse Highway, Park Ridge, IL 60068.
Explains examination procedures for graduates of foreign pharmacy schools who wish to apply for state licensure in the United States. 

Physical Therapy
Listing of Accredited Programs in Physical Therapy. American Physical Therapy Association, Department of Accreditation, 1111 North Fairfax St., Alexandria, VA 22314. 

Veterinary Medicine
For information about professional certification and licensure, contact: Educational Commission for Foreign Veterinary Graduates (ECFVG), American Veterinary Medical Association, 1931 North Meacham Rd., Schaumburg, IL 60173. 

Information for Graduates of Colleges of Veterinary Medicine Outside the U.S. and Canada. American Veterinary Medical Association, Scientific Activities Division, 1931 North Meacham Rd., Schaumburg, IL 60173.
Explains qualifications for specialty practice and licensure in veterinary medicine, as well as information about the ECFVG National Board Examination and Clinical Competency Test necessary for licensure application in most states. 

Living and Travelling In the U.S.

Professional Integration: A Guide for Students from the Developing World. NAFSA: Association of International Educators, 1875 Connecticut Ave., N.W., Suite 6000, Washington, D.C. 20009.
A valuable orientation for the foreign scholar concerning research and publication skills (including proposal writing and the review process), developing a resource library, preparing for return home and interacting with professionals at home. 

Taxes
Foreign Scholars and Educational and Cultural Exchange Visitors. Available from any U.S. Internal Revenue Service office.
Regulations affecting the tax obligations of foreign scholars and educational and cultural exchange visitors. 

Social Security Coverage of Foreign Students and Exchange Visitors. Available from any U.S. Social Security Administration office. 

Travel, Living and Working
See the booklet in this series, Predeparture Orientation. 

Living in the U.S.A. 4th edition. Alison Lanier, Intercultural Press, P.O. Box 700, Yarmouth, ME 04096.
A useful guide for foreign nationals on basic aspects of living in the United States.