dismissed EB-2 NIW Case: Medicine

U.S. Citizenship 
and Immigration 
Services 
MATTER OF A-M-
APPEAL OF TEXAS SERVICE CENTER DECISION 
Non-Precedent Decision of the 
Administrative Appeals Office 
DATE: DEC. 23, 2015 
PETITION: FORM I-140, IMMIGRANT PETITION FOR ALIEN WORKER 
The Petitioner, a physician in pulmonary and critical care medicine, seeks classification as a member of 
the professions holding an advanced degree, and asserts that an exemption from the requirement of a 
job offer, and thus of a labor certification, is in the national interest of the United States. See Section 
203(b)(2) of the Immigration and Nationality Act (the Act), 8 U.S.C. § 1153(b)(2). The Director, Texas 
Service Center, denied the petition. The matter is now before us on appeal. The appeal will be 
dismissed. 
I. LAW 
Section 203(b) of the Act states, in pertinent part: 
(2) Aliens Who Are Members of the Professions Holding Advanced Degrees or 
Aliens ofExceptional Ability.-
(A) In General. - Visas shall be made available ... to qualified immigrants who 
are members of the professions holding advanced degrees or their equivalent or 
who because of their exceptional ability in the sciences, arts, or business, will 
substantially benefit prospectively the national economy, cultural or educational 
interests, or welfare of the United States, and whose services in the sciences, arts, 
professions, or business are sought by an employer in the United States. 
(B) Waiver of Job Offer-
(i) Subject to clause (ii), the Attorney General may, when the Attorney 
General deems it to be in the national interest, waive the requirements of 
subparagraph (A) that an alien's services in the sciences, arts, professions, or 
business be sought by an employer in the United States. 
(ii) The Attorney General shall grant a national interest waiver pursuant to 
clause (i) on behalf of any alien physician with respect to whom a petition for 
preference classification has been filed under subparagraph (A) if-
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Matter of A-M-
(I) ( aa) the alien physician agrees to work full time as a physician in an 
area or areas designated by the Secretary of Health and Human Services as 
having a shortage of health care professionals or at a health care facility 
under the jurisdiction of the Secretary of Veterans Affairs; and 
(bb) a Federal agency or a department of public health in any State has 
previously determined that the alien physician's work in such an area or at 
such facility was in the public interest. 
The Petitioner qualifies as a member of the professions holding an advanced degree. The sole issue 
in contention is whether the Petitioner has established that a waiver of the job offer requirement, and 
thus a labor certification, is in the national interest. 
Neither the statute nor the pertinent regulations define the term "national interest." Additionally, 
Congress did not provide a specific definition of "in the national interest." The Committee on the 
Judiciary merely noted in its report to the Senate that the committee had "focused on national 
interest by increasing the number and proportion of visas for immigrants who would benefit the 
United States economically and otherwise .... " S. Rep. No. 55, lOlst Cong., 1st Sess., 11 (1989). 
Matter of New York State Department of Transportation, 22 I&N Dec. 215, 217-18 (Act. Assoc. 
Comm'r 1998) (NYSDOT), set forth several factors which must be considered when evaluating a 
request for a national interest waiver. First, a petitioner must demonstrate that he or she seeks 
employment in an area of substantial intrinsic merit. !d. at 217. Next, a petitioner must show that 
the proposed benefit will be national in scope. Id. Finally, the petitioner seeking the waiver must 
e·stablish that he or she will serve the national interest to a substantially greater degree than would an 
available U.S. worker having the same minimum qualifications. Id. at 217-18. 
While the national interest waiver hinges on prospective national benefit, a petitiOner must 
demonstrate a past record justifies projections of future benefit to the national interest. !d. at 219. A 
petitioner's assurance that he or she will, in the future, serve the national interest cannot suffice to 
establish prospective national benefit. The term "prospective" is included here to require future 
contributions by the petitioner, rather than to facilitate the entry of a foreign national with no 
demonstrable prior achievements, and whose benefit to the national interest would thus be entirely 
speculative. !d. 
II. PERTINENT FACTS AND PROCEDURAL HISTORY 
The Petitioner filed the Form I-140, Immigrant 
Petition for Alien Worker, on July 14, 2014, at which 
time he was working as a clinical fellow in pulmonary and critical care medicine at the 
in New York. In an introductory letter, he indicated that his current and ongoing work 
involves clinical treatment, medical research, and teaching duties. He stated that his research, which 
focuses on the treatment of respiratory diseases, has had a national impact on his field. 
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Matter of A-M-
Documentation supporting the Form I -140 included evidence regarding the Petitioner's credentials, 
professional memberships, awards, research activities, and service as a peer reviewer in his field. 
The record indicates that he had authored six articles and several conference presentations at the 
time of filing, and that his work had been cited once. The Petitioner also submitted letters from 
current and former supervisors and independent professionals attesting to his clinical expertise and 
the significance of his medical research. 1 
is a professor at the Florida, where the Petitioner completed an 
elective rotation in pulmonary and critical care medicine during his residency. In a June 16, 2014, 
letter, praised the Petitioner's research contributions to the medical field, noting a study 
in which the Petitioner correlated clinical features of chronic obstructive pulmonary disease (COPD) 
with the bacteria causing the exacerbation. He stated that "[ s ]uch an analysis has never been 
conducted in the past and will have bearing on our clinical management [of] COPD exacerbation." 
The same study was discussed in a June 20, 2014, letter from associate 
professor at attested that the Petitioner is "well-known" 
for this research, and that the findings "will have implications on our clinical management of this 
disease such [as] use of appropriate antibiotics." 
, professor at the 
indicated in a June 8, 2014, letter that the Petitioner's research "has unequivocally improved 
methods of COPD assessment," and that he has also contributed to the "fledgling field of 
interventional pulmonary." He stated that the Petitioner published the first description of a lung 
abscess with bronchial fistulation found during an endobronchial ultrasound, and that the 
accompanying image "will provide pulmonologists with a visual reference." He also described a 
study that has been "accepted for publication," in which the Petitioner offers a new minimally 
invasive diagnostic approach to diagnosing "previously difficult-to-reach" substernal thyroid lesions. 
Several of the letters asserted that the Petitioner's influence on the field is evidenced by the prestige 
of the journals and conferences through which he has disseminated his work. For instance, in a June 
13, 2014, letter, fellowship director for pulmonary/critical care specialist 
training at stated that the importance of the Petitioner's research is 
reflected by his publications in "premier medical journals," his presentations at "top-ranked, high­
impact conferences," and his invitation to co-author a review article for the journal 
In addition, noted that the Petitioner has won awards for his 
presentations at multiple conferences. As supporting evidence, the Petitioner provided information 
about the ranking and impact factor of journals in which he published work, and documentation 
relating to awards he has received, including: a from 
~ 'fum~ 
Poster Presentation" from the 
' from the 
1 While we discuss only a sampling of these letters, we have reviewed and considered each one. 
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(b)(6)
Matter of A-M-
a award from anda2011 
Junior Resident of the Year from the 
The Director issued a request for evidence (RFE) on December 17, 2014, requesting additional 
documentation to establish the Petitioner's eligibility under the analysis set forth in NYSDOT. He 
was asked, in part, to confirm that his work "will impart national'-level benefits," and to show that he 
has a past record of specific prior achievement with some degree of influence on the field as a 
whole. 
In response, the Petitioner submitted an additional support letter, documentation regarding his recent 
peer review and research activities, and evidence that he was hired in December 2014 as a clinical 
assistant professor of pulmonary, critical care, and sleep medicine at 
associate division chief of pulmonary, critical 
care, and sleep medicine at stated in a January 22, 2015, letter that after a 
year-long national recruitment process, the Petitioner was selected for the position based on his 
"tremendous track record in research" and his expertise in Obstructive Lung Disease. 
letter and an accompanying employment contract indicated that the Petitioner would continue to 
perform research in addition to clinical care and teaching duties. 
In a March 2, 2015, letter responding to the RFE, the Petitioner provided detailed information about 
his areas of clinical and procedural expertise. He also summarized each of his past and present 
research studies and, in some instances, described the impact it has had on the field. For example, he 
asserted that one ongoing study "has redefined the role of Streptococcus in COPD and this will have 
implications on COPD immunization recommendations." Regarding his publication of an article 
investigating a new treatment modality for obstructive sleep apnea, he indicated that 
"[r]ecommendations of second line treatment options can be made based on our study." In addition, 
he discussed his publication on a new substernal thyroid biopsy technique and stated, "As this 
technique gains popularity providers will turn to our publication for guidance." · 
The Director denied the petition on May 12, 2015, finding in part that the Petitioner did not establish 
that he meets the second prong of the NYSDOT national interest analysis. The Director stated that 
the Petitioner is primarily engaged in clinical practice rather than research, and that such work is not 
national in scope. The decision also stated that the Petitioner did not demonstrate sufficient impact 
and influence on his field to meet the third prong of the NYSDOT analysis. 
On appeal, the Petitioner contends that the previously submitted evidence establishes his eligibility 
for the benefit sought. He states that the record demonstrates that his work has been featured in 
"prominent forums" and has been incorporated into the clinical practice. of other physicians. He 
provides copies of his recent publications and presentations, and additionally submits a copy of a 
report to congress by the U.S. Department of Health and Human Services about the increasing 
demand for critical care physicians. 
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Matter of A-M-
III. ANALYSIS 
The record, including documentation from his current employer, indicates that the Petitioner will 
continue conducting medical research in addition to his clinical practice and teaching duties. The 
benefit from medical research has national scope, as the results from such research are disseminated 
to other practitioners through conferences and journals. · Accordingly, we find that the prospective 
benefits of the Petitioner's work are national in scope, and we withdraw the Director's finding on 
this issue. We conduct appellate review on a de novo basis. See Soltane v. DOJ, 381 F.3d 143, 145 
(3d Cir. 2004). 
As stated above, the analysis set forth in the third prong of NYSDOT requires a petitiOner to 
demonstrate that he or she will serve the national interest to a substantially greater degree than would 
an available U.S. worker having the same minimum qualifications. To do this, a petitioner must 
establish "a past history of demonstrable achievement with some degree of influence on the field as a 
whole." NYSDOT, 22 I&N Dec. at 219, n. 6. 
The Petitioner provided letters attesting to the importance of his work, and many of these letters 
describe the potential of his findings to affect clinical practice. For instance, stated that 
the Petitioner's research correlating bacteria and COPD "will have implications on our clinical 
management of this disease such [as] use of appropriate antibiotics," and stated that his 
study on substernal thyroid lesions will offer physicians a new diagnostic approach. However, these 
prospective statements do not indicate that the Petitioner's findings have already influenced clinical 
treatments of such conditions. While also stated that his work "has unequivocally 
improved methods of COPD assessment," the record does not include documentary evidence to 
support a finding that his research has been widely implemented in clinical settings or has otherwise 
affected the field as a whole. Statements made without supporting documentary evidence are of 
limited probative value and are not sufficient for purposes of meeting the burden of proof in these 
proceedings. Matter of Sojjici, 22 I&N Dec. 158, 165 (Assoc. Comm'r 1998) (citing Matter of 
Treasure Craft ofCalifornia, 14 I&N Dec. 190 (Reg'l Comm'r 1972)). · 
As noted previously, several of the submitted letters attested to the prominence of the journals in 
which the Petitioner has published articles and the conferences at which he has been invited to 
present his work. Selection of the Petitioner's work for presentation or publication shows that his 
research may be acknowledged as original and has been shared with others, but it does not establish 
that his findings have had an impact on the field. A journal's ranking and impact factor can provide 
an approximation of the prestige of the journal, but they do not demonstrate the influence of every 
article published in that journal. In this case, the Petitioner has not presented a record of citation or 
·other evidence reflecting that his work has had a widespread impact pn his field. While particularly 
significant awards may serve as evidence of influence on his field, the· Petitioner did not demonstrate 
that his awards are indicative of such influence. For these reasons, we find the record insufficient to 
establish that the Petitioner has had some degree of influence on the field as a whole. 
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Matter of A-M-
Regarding the evidence submitted on appeal about the demand for critical care physicians in the 
United States, we note that Section 203(b )(2)(B)(ii) of the Act describes an alternative waiver for 
certain physicians who agree to work in an area designated by the Secretary of Health and Human 
Services as having a shortage of health care professionals or at a health care facility under the 
jurisdiction of the Secretary of Veterans Affairs. To qualify for that waiver, it is not sufficient for a 
petitioner to submit evidence regarding a shortage of physicians in his or her field of practice. 
Rather, the waiver is limited to certain physicians who follow specific requirements set forth in the 
regulation at 8 C.F.R. § 204.12. The Petitioner has not addressed or attempted to meet these 
regulatory requirements. 
IV. CONCLUSION 
A plain reading of the statute indicates that it was not the intent of Congress that every advanced 
degree professional or individual of exceptional ability should be exempt from the requirement of a 
job offer based on national interest. In this instance, the Petitioner has not shown that his past record 
of achievement is at a level sufficient to waive the job offer requirement which, by law, normally 
attaches to the visa classification sought by the petitioner. While a petitioner need not demonstrate 
notoriety on the scale of national acclaim, the national interest waiver contemplates that his 
influence be national in scope. NYSDOT, 22 I&N Dec. at 217, n.3. More specifically, a petitioner 
"must clearly present a significant benefit to the field of endeavor." Id. at 218. See also id. at 219, 
n.6 (the individual must have "a past history of demonstrable achievement with some degree of 
influence on the field as a whole"). Considering the evidence submitted, the Petitioner has not 
established by a preponderance of the evidence that a waiver of the requirement of an approved labor 
certification will be in the national interest of the United States. 
In visa petition proceedings, it is the petitioner's burden to establish eligibility for the immigration 
benefit sought. Section 291 ofthe Act, 8 U.S.C. § 1361; Matter ofOtiende, 26 I&N Dec. 127, 128 
(BIA 2013). Here, that burden has not been met. 
ORDER: The appeal is dismissed. 
Cite as Matter of A-M-, ID# 14863 (AAO Dec. 23, 2015) 
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