Instructions (Department Admins) - Five Point Letter
22 CFR 62.27(c)

If a J-1 Short-Term Scholar, Research Scholar, or Professor program will involve any medical observation, the hiring unit will need to provide the International Faculty and Staff Services (IFSS) office with a Five Point Letter with the scholar's other application materials. The text of the Five Point Letter can be found in quotations below and must appear verbatim on the letter. The Five Point Letter must be printed on letterhead and signed by either the Dean of the School of Medicine and Public Health or the Dean's designee (such as the department chair, for example). 

"The dean of the involved accredited United States medical school or his or her designee certifies to the following five points and such certification is appended to the Form DS-2019 issued to the perspective exchange visitor alien physician:

(A) The program in which (name of physician) will participate is predominantly involved with observation, consultation, teaching, or research.

(B) Any incidental patient contact involving the alien physician will be under the direct supervision of a physician who is a U.S. citizen or resident alien and who is licensed to practice medicine in the State of ___.

(C) The alien physician will not be given final responsibility for the diagnosis and treatment of patients.

(D) Any activities of the alien physician will conform fully with the State licensing requirements and regulations for medical and health care professionals in the State in which the alien physician is pursuing the program.

(E) Any experience gained in this program will not be creditable towards any clinical requirements for medical specialty board certification."