Employment authorization Physicians who are enrolled in a SIU School of Medicine residency or fellowship program, who are not United States citizens must have one of the following: permanent resident status appropriate employment authorization documentation J-1 visa through ECFMG (see below) VISAS SIU School of Medicine accepts exchange visitors sponsored through the Exchange Commission for Foreign Medical Graduates (ECFMG). For information regarding J-1 Visas, and the application process, please visit the following links: General Information about basic J1 requirements and an application