I've been doing some research into the different visas which are available. My husband (a non-medic) and I hope to move to the US permanently when I start my residency. We therefore would like visas which do not require us to go back home (to England) for any period of time. I understand that there is a J1 visa and an H1-b. The H1-B seems much better but I've read on a few websites now, for residencies, that they don't accept these. Brown for example, say: "An H-1B1 will be considered if the IMG holds an H-1B1 visa through another institution, or is a graduate of a U.S. medical school." They want you to have a green card or a J1. Why is this? Surely they don't wnat to train you and then have to send you home? I would have thought the H1B which would allow you to apply to stay would be far better. No? How difficult is to apply for permanent residency at the same time as applying for residencies? Do any IMGS (from the UK, in particular, would be particularly useful!) get granted this prior to starting their residency? How 'easy' is it to get an H1B changed into a green card? (And, whilst we're at it, what's the proper name for a green card?) Thanks for all the advice and information.