dismissed EB-1A

dismissed EB-1A Case: Medicine

📅 Date unknown 👤 Individual 📂 Medicine

Decision Summary

The Director initially found the petitioner met two criteria (judging and authorship), but not the required three. On appeal, the AAO agreed with the Director's assessment, concluding that the petitioner failed to demonstrate eligibility for additional criteria, such as memberships in associations requiring outstanding achievement. Because the petitioner did not meet the minimum of three evidentiary criteria, the appeal was dismissed.

Criteria Discussed

Memberships In Associations Published Material About The Alien Original Contributions Of Major Significance Judging The Work Of Others Authorship Of Scholarly Articles

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U.S. Citizenship 
and Immigration 
Services 
Non-Precedent Decision of the
Administrative Appeals Office 
Date: OCT. 20, 2023 In Re: 28425175 
Appeal of Texas Service Center Decision 
Form 1-140, Immigrant Petition for Alien Workers (Extraordinary Ability) 
The Petitioner, a physician with specialized trammg in orthopedics and traumatology, seeks 
classification as an individual of extraordinary ability in the sciences. Immigration and Nationality 
Act (the Act) section 203(b)(l)(A), 8 U.S.C. § 1153(b)(l)(A) . This first preference classification 
makes immigrant visas available to those who can demonstrate their extraordinary ability through 
sustained national or international acclaim and whose achievements have been recognized in their 
field through extensive documentation. 
The Director of the Texas Service Center denied the petition, concluding the record did not establish 
the Petitioner met the initial evidence requirements for this classification, either through his receipt of 
a major, internationally recognized award, or, in the alternative, by submitting evidence that satisfies 
at least three of the ten evidentiary criteria at 8 C.F.R. § 204.5(h)(3). The matter is now before us on 
appeal. 8 C.F.R. § 103.3. 
The Petitioner bears the burden of proof to demonstrate eligibility by a preponderance of the evidence. 
Matter ofChawathe, 25 I&N Dec. 369, 375-76 (AAO 2010). We review the questions in this matter 
de novo. Matter of Christo 's, Inc., 26 l&N Dec. 537, 537 n.2 (AAO 2015). Upon de novo review, 
we will dismiss the appeal. 
I. LAW 
Section 203(b)(1 )(A) of the Act makes immigrant visas available to individuals with extraordinary 
ability in the sciences, arts, education, business, or athletics which has been demonstrated by sustained 
national or international acclaim and whose achievements have been recognized in the field through 
extensive documentation, provided that the individual seeks to enter the United States to continue 
work in the area of extraordinary ability, and the individual's entry into the United States will 
substantially benefit prospectively the United States. 
The term "extraordinary ability" refers only to those individuals in "that small percentage who have 
risen to the very top of the field of endeavor." 8 C.F.R. § 204.5(h)(2). The implementing regulation 
at 8 C .F.R. § 204.5(h)(3) sets forth a multi-part analysis. First, a petitioner can demonstrate 
international recognition of their achievements in the field through a one-time achievement (that is, a 
major, internationally recognized award). If a petitioner does not submit this evidence, then they must 
provide sufficient qualifying documentation that a petitioner meets at least three of the ten criteria 
listed at 8 C.F.R. § 204.5(h)(3)(i)-(x) (including items such as awards, published material in certain 
media, and authorship of scholarly articles). 
Where a petitioner meets these initial evidence requirements, we then consider the totality of the 
material provided in a final merits determination and assess whether the record shows sustained 
national or international acclaim and demonstrates that the individual is among the small percentage 
at the very top of the field of endeavor. See Kazarian v. USCIS, 596 F.3d 1115 (9th Cir. 2010) 
( discussing a two-part review where the documentation is first counted and then, if fulfilling the 
required number of criteria, considered in the context of a final merits determination); see also 
Visinscaia v. Beers, 4 F. Supp. 3d 126, 131-32 (D.D.C. 2013); Rijal v. USCIS, 772 F. Supp. 2d 1339 
(W.D. Wash. 2011). 
II. ANALYSIS 
The Petitioner is a medical doctor who completed a post-graduate specialization and residency in 
orthopedics and traumatology in 2016. His professional experience includes both clinical practice as 
a hospital-based consulting physician in this specialty, and academic experience as a lecturer and 
associate professor. At the time of filing, he was also enrolled in a joint masters/Ph.D. program in 
molecular oncology at a Turkish university. 
Because the Petitioner has not indicated or established his receipt of a major, internationally 
recognized award, he must satisfy at least three of the alternate regulatory criteria at 
8 C.F.R. § 204.5(h)(3)(i)-(x). The Petitioner claimed eligibility under five of the ten criteria. 
In denying the petition, the Director acknowledged that the Petitioner met the criteria relating to judging 
the work of others in his field and authorship of scholarly articles at 8 C.F.R § 204.5(h)(3)(iv) and (vi), 
respectively. The record supports this determination based on evidence that the Petitioner has provided 
his services as a peer reviewer for several scientific journals in the medical field, and evidence that he 
has co-authored and published scholarly articles in professional publications such as medical journals 
and conference proceedings. 
The Director concluded that the Petitioner did not submit sufficient evidence to support his claim that 
he can satisfy the evidentiary criteria relating to memberships in associations in his field, published 
material about him and his work, and original contributions of major significance. See 8 C.F.R. § 
204.5(h)(3)(ii), (iii) and (v). On appeal, the Petitioner maintains that he meets all three of these criteria 
and is otherwise eligible for the classification sought. 
After reviewing all the evidence, we conclude the Petitioner has not shown that he satisfies the 
requirements of at least three criteria. 
Documentation of the individual's membership in associations in the field for which 
class[fication is sought, which require outstanding achievements of their members, as 
judged by recognized national or international experts in their disciplines or .fields. 
8 C.F.R. § 204.5(h)(3)(ii) 
2 
The Petitioner has consistently claimed that he is a member of several associations in his field and 
that such memberships satisfy the plain language of this criterion. These memberships include: 1 
• Turkish Educational Council of Orthopedics and Traumatology (TOPEK) 
• Turkish Orthopedics and Traumatology Association (TOTBID) 
• TOTBID -I IBranch 
• Medical Malpractice Association .-----------------, 
• Turkish Medical Association - ~-----------~ 
With respect to his membership in TOPEK, the Petitioner provided a certificate indicating that he 
became a member of the association in October 2021 after completing the "TOTBID-TOPEK Board 
Examination" in September 2016 and June 2021. The record also contains a document titled "TOTEK 
Directive" which describes TOTEK as a "sub-working group ofTOTBID," which has its own council 
assembly, board of directors and working groups. This directive sets forth the structure of the TOTEK 
council assembly and board, the duties they perform, and the minimum qualifications for positions on 
these governing bodies but does not expressly state the general requirements or process for admitting 
regular members to TOTEK. 
Section IV, Articles 13 and 14 of the TOTEK Directive discuss the TOTEK Certification Examination, 
noting that the exam is given in two stages, and those that successfully complete the examination 
receive the TOTEK certificate. While this directive indicates that candidates need to provide certain 
information to be admitted to the certificate exam, it does not specify what other information is 
collected and considered, nor does it indicate that receipt of the TOTEK certificate alone conveys 
membership. Even if we were to conclude that every candidate who passes the examination is 
admitted as a member of TOTEK, the record provides insufficient support for the Petitioner's claim 
that passing a standard examination in one's medical specialty is an "outstanding achievement" in and 
of itself. It is unclear what, if any, other factors are considered as a condition of membership and 
whether a candidate's achievements must otherwise be judged as "outstanding" by recognized national 
or international experts in the field. 
The Petitioner also provided evidence of his membership in TOTBID along with this association's 
bylaws, which directly address its membership requirements and procedures. The bylaws indicate that 
principal members are "those who adopt the subject and purpose of the association and provide 
material and moral support to its activities[;] those who want to be present; orthopedic and 
traumatology specialists with legal capacity to act .... " The bylaws state that candidates must submit 
a written application and are accepted "with the proposal of the member and the decision of the board 
of directors." The Petitioner emphasized that, based on these requirements, "only an expert working 
in the field of Orthopedics and Traumatology" can successfully apply, and, given that applicants must 
have a reference and be endorsed by the board of directors, "it is evident that TOTBID requires 
outstanding achievements from their members." 
1 The Petitioner initially claimed eligibility under this criterion based on his membership in thel IHealth Workers 
Association and thel I Sport Club but did not pursue this claim in response to the Director's RFE. Neveitheless, 
we note the record does not contain evidence of the requirements for membership in these associations and therefore the 
Petitioner did not establish that his membership satisfies the plain language of this criterion. 
3 
The record does not provide sufficient support for the Petitioner's claim that TOTBID requires 
outstanding achievements, as judged by recognized experts in the field, as an essential condition for 
membership. Although the submitted evidence reflects that TOTBID membership applications are 
ultimately reviewed by the association's board of directors, it does not indicate what specific criteria 
the board considers, what, if any, achievements are required, and whether such achievements must be 
judged as outstanding in order for a favorable determination to be made on a membership application. 
The Petitioner also documented his membership in the '.____________ __. branch of 
TOTBID and provided a copy of the member registration form for this branch listing the documentary 
requirements for registration. Prospective branch members must document that they have worked in 
this orthopedic specialization for at least two years, participated in at least two scientific meetings in 
the field ofl Ipublished two journal articles in this field ( or had two manuscripts 
accepted by journals), and provide references from two existing branch members. The record reflects 
that membership in this TOTBID branch has additional requirements beyond those for membership in 
TOTBID, and that such requirements ensure that accepted members are active in thel II I specialty and have published or presented some research in the field. However, the 
evidence does not document the association's process for reviewing membership applications or 
establish that only prospective members who are judged by nationally or internationally recognized 
experts as having outstanding achievements in the field are admitted. We cannot conclude based on 
the evidence submitted that participating in two scientific meetings or publishing two articles rises to 
the level of "outstanding achievements" in the field. 
The record includes evidence of the Petitioner's membership in the Turkish Medical Malpractice 
Association, along with a copy of the association's charter, with an English translation. The 
association is described as "an association of doctors and other allied health professionals within the 
medical and pharmacy profession." The association's charter describes the "Right to Become a 
Member and Membership Procedures" at Article 5; however, the English translation of this portion of 
the document is truncated at the bottom of the page, with some information missing. The missing 
information appears to be the section discussing the conditions for membership, as the following page 
begins with the statement: "Every natural and legal person who meets the conditions has the right to 
become a member of the association. No reference is required, individual application is sufficient." 
Based on the submitted documentation, the Petitioner has not demonstrated that the Turkish Medical 
Malpractice Association requires outstanding achievements as a condition of membership. 
Finally, the Petitioner provided evidence of his membership in the .___________ __,of the 
Union of Turkish Physicians which is part of the Turkish Medical Association, along with the laws of 
the association. The Petitioner emphasized that members must be medical school graduates authorized 
to practice medicine within the borders of Turkey, and notes that the membership registration form 
requires details about the applicant such as medical school graduation date, specialist degree details, and 
details about their employment. However, an association that admits members based solely on factors 
such as a minimum level of education or employment in a specific occupation is not considered to be an 
association that admits members based on outstanding achievements. See generally, 6 USCIS Policy 
Manual F.2(B)(l), https://www.uscis.gov/policy-manual (discussing evaluation of evidence submitted 
in support of the criterion at 8 C.F.R. § 204.5(h)(3)(ii)). 
4 
Without evidence indicating that the associations that granted him membership require outstanding 
achievements and that admission to membership is judged by recognized national or international 
experts, the Petitioner has not established that he meets this criterion. 
Published material about the individual in professional or major trade publications or 
other major media, relating to the individual's work in the field.for which class[fication 
is sought. Such evidence shall include the title, date, and author of the material, and 
any necessary translation. 8 C.F.R. § 204.5(h)(3)(iii) 
In support of this criterion, the Petitioner provided evidence that he was a guest on programs aired on the 
Turkish television channels STAR TV and CNN Turk TV and that he was interviewed for articles 
published online by the Turkish newspapers~--------------------~ and on the website of CNN Turk TV. 
The Director acknowledged that the evidence reflects that the Petitioner has been interviewed about bone 
pain, bone tumors and pathological fractures, and that he provided information about carpal tunnel 
syndrome in a short, televised segment. The Director determined, however, that the subject of the articles 
and televised segments was to inform readers and viewers about these specific medical issues, not to 
discuss the Petitioner and his work in the field. On appeal, the Petitioner maintains that he submitted 
"several published materials" that are about him and relate to his work in orthopedics, traumataology and 
cancer research. However, he does not address the Director's specific reasons for concluding that he did 
not meet this criterion. 
We agree with the Director's conclusion that the submitted published materials and televised segments 
are about the symptoms, origin o±: and treatment for conditions such as bone cancer, carpal tunnel 
syndrome and pathological bone fractures, as opposed to published materials about the Petitioner. While 
these informative articles and interviews identify the Petitioner by name, identify his medical specialty, 
and quote him, do not discuss him, his background, his clinical practice or research, or otherwise address 
his work in the field. Any materials a petitioner submits must demonstrate the value of their work and 
contributions. While published materials submitted under this criterion need not be solely about the 
individual and their work, any material covering a broader topic should include a substantial discussion 
of the person's work in the field and mention the petitioner in relation to the work. See generally 6 USC IS 
Policy Manual, supra, at F.2(B)(l ). The fact that the Petitioner was invited to speak as an expert on topics 
related to his medical specialty is noted and may be relevant in a final merits determination, where we 
consider whether the individual has sustained acclaim and has been recognized for their achievements. 
However, the published materials provided do not satisfy the plain language of the regulation at 8 C.F.R. 
§ 204.5(h)(3)(iii). 
Because the Petitioner has not submitted evidence that he has been the subject of published material 
about him and his work in his field, he did not establish that he meets this criterion. 
Evidence ofthe individual's original scientific, scholarly, artistic, athletic, or business­
related contributions ofmajor sign[ficance in the field. 8 C.F.R. § 204.5(h)(3)(v) 
As evidence under this criterion, the Petitioner submitted his published research articles and book 
chapter, citation evidence for his published work, evidence of his participation in conferences 
5 
(including evidence that he received a 1 taward in 2016), evidence of university classes he 
has taught, training certificates, and letters of support from experts in the field. The Director 
considered this documentation but found that it was not sufficient to demonstrate that the Petitioner 
has made original contributions of major significance in this field. On appeal, the Petitioner maintains 
that the previously submitted evidence was sufficient to establish that he satisfies this criterion. For 
the reasons discussed below, we agree with the Director's determination. 
In order to satisfy the regulation at 8 C.F.R. § 204.5(h)(3)(v), a petitioner must establish that not only 
has he made original contributions, but that they have been of major significance in the field. For 
example, published research that has provoked widespread commentary on its importance from others 
working in the field, and documentation that it has been highly cited relative to others' work in the 
field may be probative of the person's contributions to the field of endeavor. 
The Petitioner references his completion of training and certificate programs in his field and asserts 
that "all these certificates have made original scientific contributions of major significance to his field 
of expertise." Specifically, the Petitioner notes that "training certificates can provide researchers with 
valuable skills and knowledge that can contribute to their scientific work and the broader field," by 
improving their research methodology, introducing new techniques and technologies, expanding their 
knowledge basis, and providing networking and career advancement opportunities. While we do not 
dispute the value of ongoing professional training and development, the focus of this criterion is on 
the significance of an individual's existing original contributions and evidence that such contributions 
have already demonstrably influenced or impacted the field in a manner indicative of their major 
significance. Completion of specialized training with the goal of expanding one's knowledge and 
advancing one's career is not an original contribution in of itself. 
Regarding his teaching activities as a lecturer and associate professor, the Petitioner asserts that 
lecturers "provide a contribution to the academic field in which they work as they educate young 
people that are modem, inquisitive and equipped with all the qualifications." He provides evidence 
that he has taught courses intended for second year undergraduate students in physiotherapy and 
rehabilitation and fifth year medical students, noting that he "contributes to his academic field by 
raising medical students." While the evidence shows the Petitioner has contributed to his field by 
teaching advanced academic content and clinical skills to upper level medical students, the evidence 
does not establish how his teaching activities represent an original contribution of major significance 
in his field, or how such activities had an impact that reached beyond the students who enrolled in his 
courses. 
The Petitioner also emphasizes that he has published journal articles and an academic book chapter 
and delivered poster and paper presentations at conferences in his field, noting that such activities "are 
crucial to the advancement of research in any field." We agree that these activities provide researchers 
with platforms to disseminate their original research findings to a wider audience and potentially 
encourage farther research that advances the broader field. However, the Petitioner has not 
demonstrated that publication of his articles in notable journals or textbooks or presentation of work 
at reputable medical conferences necessarily demonstrates that the field has recognized the major 
significance of his original contributions. For example, the Petitioner stated that "writing an academic 
book chapter is a significant undertaking that can have a major impact on a field of study," but he did 
not articulate how the specific book chapter that he authored, which appeared in a 2016 academic 
6 
textbook titledl Iis a significant contribution of major significance in his field. Publications 
and presentations satisfy the criterion at 8 C.F.R. § 204.5(h)(3)(vi), but these activities alone are not 
sufficient to establish a researcher's eligibility under 8 C.F.R. § 204.5(h)(3)(v); not every article 
published in a distinguished journal or conference automatically indicates a scientific contribution of 
major significance in the field. 
The record includes the Petitioner's Google Scholar profile showing that his published research 
articles had received 31 cumulative citations as of January 2023. The information from Google 
Scholar farther indicated that the Petitioner's three highest cited articles, published in 2020, 2018 and 
2021, received 7, 6, and 5 citations, respectively, and that he had eight additional publications that 
received at least one citation.2 Generally, citations can serve as an indication that the field has taken 
interest in an individual's research or written work. However, the Petitioner has not sufficiently shown 
that the number of citations for any of his published work is commensurate with contributions of major 
significance in the field. He did not articulate the significance or relevance of the citations to his 
articles, nor has he shown that the number of citations is unusually high in his field or how they 
compare to other articles that the field views as having been majorly significant. Without comparative 
statistical evidence indicating the frequency at which other articles in the Petitioner's field are cited, 
for example, he has not demonstrated that the number of citations received by his published and 
presented work is indicative of a contribution of major significance in the field. 
We acknowledge the Petitioner's submission of evidence that his paper titled'! d 
' received th~1----.------------------------------~~-~Award at the 26th National Turkish Orthopedics and Traumatology Congress. The award 
undoubtedly recognized the quality and originality of the research, but the record does not contain 
sufficient evidence to support the Petitioner's claim that it recognizes the work as an original 
contribution of major significance in the field. This awarded paper does not appear on the Petitioner's 
Google Scholar profile and the record does not otherwise show that it has been highly cited or 
provoked widespread commentary among others performing research in the field. Further, the 
Petitioner does not specifically articulate how the research that earned him aI I award has 
been recognized as a contribution of major significance in the field. Rather he broadly states that 
receiving such an award "can have a profound impact on [a researcher's] personal and professional 
development as well as on their field as a whole." 
Additionally, the Petitioner points to his submission of several recommendation letters from experts 
in the field. 3 These experts discussed the Petitioner's specialized training and research in the field of 
orthopedics, oncology, and traumatology, but their statements do not demonstrate that his original 
work is of major significance in the field. As discussed below, the reference letters do not offer 
sufficiently detailed information, nor does the record include adequate corroborating documentation, 
to show the nature of specific "original contributions" that the Petitioner has made to the field that 
have been of major significance. 
For example, Dr. G-M-, a medical school professor who served as the Petitioner's academic supervisor 
for his specialization degree, indicates that he worked with the Petitioner on four different research 
2 The Petitioner did not specify how many citations for each of these individual articles were self-citations. 
3 While we discuss a sampling of the letters of support, we have reviewed and considered each one. 
7 
projects which were "published in high-quality academic journals and presented at the prestigious 
congress." Dr. G-M- briefly describes these projects but does not explain how the Petitioner's 
published work has impacted the field in a substantial way or otherwise constitutes a contribution of 
major significance. We recognize that research must add information to the pool of knowledge in 
some way to be accepted for publication, presentation, or funding, but not every research study that 
broadens knowledge in a particular field constitutes a contribution of major significance in that field. 
Dr. G-M- further praises the Petitioner's research skills, states that he continues to work on "a very 
important project on orthopedics and traumatology," and opines that his work is "excellent, novel and 
unsurpassed," in part due to its "direct practical applications to the health of many." However, his 
letter does not elaborate on the Petitioner's "very important project" and its "direct practical 
applications" and the significance of these contributions to their shared field of endeavor. 
Dr. E-U-, who serves as the director of a molecular cancer research center at a Turkish university, 
states that the Petitioner has made significant contributions to the field of cancer research. 
Specifically, he notes that the Petitioner's 2018 article published in Hand and Microsurgery Journal 
in 2018 represents "a very important contribution in the field" because he found that most hand tumors 
are benign and should not be treated prior to receiving biopsy results. Dr. E-U- states that this article 
"has been cited by many researchers in the field," and generally asserts, without offering specifics, 
that the Petitioner has authored "many other significant research articles and has conducted 
outstanding research with extraordinary findings, contributing to the field in a variety of ways." The 
Petitioner's Google Scholar profile indicates that the referenced 2018 article had been cited six times 
as of 2023, but this evidence alone does not provide sufficient support for Dr. E-U's statement that it 
has been cited at a level indicative of a contribution of major significance in the field. 
In addition, Dr. K-O-, head of orthopedics and traumatology surgical sciences at a Turkish medical 
school, discusses the breadth of the Petitioner's academic and clinical activities, noting his receipt of 
al Iaward, his publication of a book chapter, his participation in national and international 
conferences and workshops, his teaching role as an associate professor, and their co-authorship of two 
articles published in 2022. With respect to these articles, he states that he believes their studies "will 
be beneficial for the field of orthopedics and traumatology" but does not further elaborate. While Dr. 
K-O- further states that the Petitioner "has made and continues to make significant ... contributions" 
to the field, he did not offer specific examples indicating that his published or presented work or 
teaching activities have provoked widespread commentary from others working in the field or have 
otherwise been impactful to the extent that they are of major significance in his field. 
The record includes additional recommendation letters from Drs. P-R-, J-J- and S-S-. Although these 
letters praise the Petitioner's work and expertise in the orthopedics and traumatology medical 
specialty, they do not demonstrate how his original contributions are "of major significance in the 
field." Instead, the letters reference the importance of the Petitioner's works as indicated by their 
publication in professional journals and presentation at medical conferences. While the selection of 
the Petitioner's articles for publication in professional journals and conferences verifies the originality 
of his work, it does not necessarily reflect that his research and findings are considered of major 
significance. As discussed above, the Petitioner has not shown through his citation history or other 
relevant evidence that his work, once published or presented, has been highly cited or provoked 
widespread commentary. 
8 
I 
For example, Dr. J-J- highlights the Petitioner's 2021 article'~------------~
Ias "one of the most comprehensive and important research to prove that 
the ilium is the most common metastatic bone region of the pelvis." However, the record reflects that 
the referenced paper had only one citation as of 2023 and contains no other evidence that would 
corroborate Dr. J-J-'s statement regarding the importance or influence of this paper in their shared 
field. Dr. P-R- similarly highlights two of the Petitioner's 2021 publications as representing important 
and "very impactfol research contributions," but the referenced articles had received only one or two 
citations and he did not otherwise elaborate on how the Petitioner's published work represented 
original contributions of major significance. 
Overall, the submitted letters do not contain specific, detailed information explaining the unusual 
influence or high impact that the Petitioner's work has had in the overall field. Detailed letters from 
experts in the field explaining the nature and significance of the person's contribution may provide 
valuable context for evaluating a claimed original contribution of major significance. However, such 
letters are more persuasive when they specifically describe the person's contribution and its 
significance, and when the record contains documentation corroborating the claimed significance. See 
6 USCIS Policy Manual, supra, at F.2(B)(l). While some of the submitted letters are lengthy, they do 
not specifically describe the significance of the Petitioner's original contributions and are not 
sufficiently corroborated by other evidence in the record. 
Without sufficient information and evidence demonstrating that he has made original contributions of 
major significance in the field, the Petitioner has not established he meets this criterion. 
III. CONCLUSION 
The Petitioner has not submitted the required initial evidence of either a one-time achievement or 
documentation that he meets at least three of the ten criteria at 8 C.F.R. § 204.5(h)(3)(i)-(x). As a 
result, we need not provide the type of final merits determination referenced in Kazarian, 596 F.3d at 
1119-20. Accordingly, we reserve the final merits determination. 4 Nevertheless, we advise that we 
have reviewed the record in the aggregate, concluding that it does not support a finding that the 
Petitioner has the acclaim and recognition required for the classification sought. 
The Petitioner seeks a highly restrictive visa classification, intended for individuals already at the top 
of their respective fields, rather than for individuals progressing toward the top. See Matter ofPrice, 
20 I&N Dec. at 954 ( concluding that even major league level athletes do not automatically meet the 
statutory standards for classification as an individual of "extraordinary ability,"); Visinscaia, 4 F. 
Supp. 3d at 131 (internal quotation marks omitted) (finding that the extraordinary ability designation 
is "extremely restrictive by design,"). Here, the Petitioner has not shown that the significance of his 
work is indicative of the required sustained national or international acclaim or that it is consistent 
with a "career of acclaimed work in the field" as contemplated by Congress. H.R. Rep. No. 101-723, 
59 (Sept. 19, 1990); see also section 203(b )(l)(A) of the Act. Moreover, although the Petitioner has 
achieved professional success as a clinical physician, professor, and academic researcher, the record 
4 See INS v. Bagamasbad, 429 U.S. 24, 25 (1976) ("courts and agencies are not required to make findings on issues the 
decision of which is unnecessary to the results they reach"); see also Matter ofL-A-C-, 26 I&N Dec. 516,526 n.7 (declining 
to reach alternative issues on appeal where an applicant is otherwise ineligible). 
9 
does not demonstrate that he has garnered sustained national or international acclaim in the field, and 
that he is one of the small percentage who has risen to the very top of the field of endeavor. See section 
203(b)(l)(A) of the Act and 8 C.F.R. § 204.5(h)(2). 
For the reasons discussed above, the Petitioner has not demonstrated his eligibility for classification 
as an individual of extraordinary ability. The appeal will be dismissed for the above stated reasons, 
with each considered as an independent and alternate basis for the decision. 
ORDER: The appeal is dismissed. 
10 
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