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DismissedNational Interest Waiver · Appeal

Physician and researcher specializing in neurology

Clinical & health · decided 2018-06-05 · TSC · JUN052018_01B5203

Official PDF on uscis.gov

How each part of the test was decided

Read from the appeals office's own sentences by fixed rules, not from the Director's findings or the petitioner's arguments. Each result shows the sentence it came from. The official PDF controls.

  • Step 0Eligible for EB-2Not decided

    No finding on this in the appeals office's own words.

  • Prong 1Merit and national importanceNot met
    Why
    Accordingly, without sufficient documentary evidence of their broader impact, the Petitioner's clinical work as a neurologist and activities as a medical instructor do not meet the "national importance" element of the first prong of the Dhanasar framework. p. 4
  • Prong 2Well positioned to advance itNot met
    Why
    As the record is insuff1cient to. demonstrate that the Petitioner is well positioned to advance his proposed endeavor, he has not established that he satisfies the second prong of the Dhanasar framework. p. 8
  • Prong 3Worth waiving the job offerNot decided

    No finding on this in the appeals office's own words.

The decision in brief

Sentences picked out of the text automatically. Read them in context below; the official PDF controls.

Summary sentence

The Director of the Texas Service Center denied the Form I-140, Immigrant Petition for Alien Worker, finding that the Petitioner qualified for classiflcation as a member of the professions holding an advanced degree, but that he had not established that a waiver of the required job offer, and thus of the labor certification, would be in the national interest. See in text

What the AAO decided

Main reasons given

  • As the Petitioner has documented both the substantial merit and national importance of his proposed research and telestroke product development, we find that the record 5 supports the Director's determination that he meets the first prong of the Dhariasar framework. See in text
  • As the record is insuff1cient to. demonstrate that the Petitioner is well positioned to advance his proposed endeavor, he has not established that he satisfies the second prong of the Dhanasar framework. See in text
  • Dhanasar framework, he is not eligible for a national interest waiver and further discussion of the balancing factors under the third prong would serve no meaningful purpose. See in text
Show 3 more
  • As the Petitioner has not met the requisite three prongs set forth in the Dhanasar analytical framework, we lind that he has not established he is eligible for or otherwise merits a national interest waiver as a matter of discretion. See in text
  • The sole issue to be detennined is whether the Petitioner has established that a waiver of the requirement of a job offer, and thus a labor certification, would be in the national interest. See in text
  • We find that the Petitioner's proposed work as a neurology researcher, physician, telemedicine product developer, and health care educator has substantial merit. See in text
Read the full decision (8 pages)

Objections found (7)

Automated tags. Each shows the sentence that triggered it.

  • The Petitioner submitted documentation of his published articles, conference presentations, professional memberships, academic credentials, peer review for journals, statT evaluations, and internal 4 We note that, while infonnation about the nature of the Petitioner's proposed endeavor is necessary for us to detennine whether he satisfies the Dhanasar framework, he need not have a job offer from a specitic employer as he is applying for a waiver of the job offer requirement. . .5 With respect to the Petitioner's proposed care and treatment ofpatients and educational duties, while these endeavo… See in text (p. 4)
  • Accordingly, without sufficient documentary evidence of their broader impact, the Petitioner's clinical work as a neurologist and activities as a medical instructor do not meet the "national importance" element of the first prong of the Dhanasar framework. See in text (p. 4)
  • Accordingly, a shortage alone does not demonstrate that waiving the requirement of a labor certification would benefit the United States. 8 However, as the Petitioner has not See in text (p. 8)
  • The Petitioner has not shown that his research has been frequently cited neurologists or otherwise served as an impetus for progress in the field, that it has affected clinical 10 11 of work and a congratulatory message indicating that his article entitled "Rationale for ischemic conditioning to prevent stroke in patients with intracranial arterial stenosis" "reached 200 reads." See in text (p. 6)
  • The Petitioner has not shown that his research has been frequently cited neurologists or otherwise served as an impetus for progress in the field, that it has affected clinical 10 11 of work and a congratulatory message indicating that his article entitled "Rationale for ischemic conditioning to prevent stroke in patients with intracranial arterial stenosis" "reached 200 reads." p. 6
  • While this infonnation indicates that others have read his articles, it does not show the impact of his work or demonstrate that the interest in his work rises to a level of rendering him well positioned to advanced his proposed research. 12 The Petitioner's response to the Director's request for evidence (RFE) included an article entitled "Citation analysis may severely underestimate the impact of clinical research as compared to basic resea·rch." See in text (p. 6)
  • The Petitioner's manuscript review for membership, however, post-date the filing of the petition. See in text (p. 7)

Full decision

OCR text from the official PDF, reformatted for reading. Scan errors carry over; the PDF controls.

Highlighted: Outcome (2) AAO finding (6) Tagged objection (6)Matter of X citation
Decision header
U.S. Citizenship and Immigration Services · MATTER OF S-A-K- · APPEAL OF TEXAS SERVICE CENTER DECISION · Non-Precedent Decision of the Administrative Appeals Office · DATE: JUNE 5, 2018 · PETITION: FORM I-140, IMMIGRANT PETITION FOR ALIEN WORKER

The Petitioner, a physician and researcher specializing in neurology, seeks second preference immigrant classiflcation as a member of the professions holding an advanced degree, as well as a national interest waiver of the job offer requirement attached to this EB-2 classification. See Immigration and Nationality Act (the Act) section 203(b)(2), 8 U.S.C. § 1153(b)(2). After a petitioner has established eligibility for EB-2 classification, U.S. Citizenship and Immigration Services (USCIS) may, as matter of discretion, grant a national interest waiver if the petitioner demonstrates: (1) that the foreign national's proposed endeavor has both substantial merit and national importance; (2) that the foreign national is well positioned, to advance the proposed endeavor; and (3) that, on balance, it would be beneflcial to the United States to waive the requirements of a job offer and thus of a labor certification. Maller ofDhanasar, 26 I&N Dec. 884 (AAO 2016).

The Director of the Texas Service Center denied the Form I-140, Immigrant Petition for Alien Worker, finding that the Petitioner qualified for classiflcation as a member of the professions holding an advanced degree, but that he had not established that a waiver of the required job offer, and thus of the labor certification, would be in the national interest.

On appeal, the Petitioner submits additional evidence and contends that he is eligible for a national interest waiver under the Dhanasar framework. In addition, he contends that the Director imposed an overly high standard of proof. With respect to the standard of proof in this matter, a petitioner must establish that he meets each eligibility requirement of the benefit sought by a preponderance of the evidence. Maller o f Chawathe, 25 I& N Dec. 369, 375-76 (AAO 201 0). In other words, a petitioner must show that what he claims is "more likely than not" or "probably" true. To determine whether a petitioner has met his burden under the preponderance standard, we consider not only the quantity, but also the quality (including relevance, probative value, and credibility) of the evidence. ld at 376; Maller ofE-M-, 20 I&N Dec. 77, 79-80 (Comm'r 1989).

Upon de novo review, we will dismiss the appeal.

Matter ofS-A-K-

Law

To establish eligibility for a national interest waiver, a petitioner must first demonstrate qualification for the underlying EB-2 visa classificatior, as either an advanced degree professional or an individual of exceptional ability in the sciences, arts, or business. Because this classification requires that the individual's services be sought by a U.S. employer, a separate showing is required to establish that a waiver of the job offer requirement is in the national interest.

Section 203(b) of the Act sets out this sequential framework:

(2) Aliens who are members of the professions·holding advanced degrees or aliens of exceptional 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 ofjob offer-

(i) National interest waiver. . . . [T]he 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.

While neither the statute rior the pertinent regulations define the term "national interest," we set forth a framework for adjudicating national interest waiver petitions in the precedent decision Maller of Dhanasar, 26 I&N Dec. 884.

USCIS may, as a matter of discretion, grant a national interest waiver when the below prongs arc met. The first prong, substantial merit and national importance, focuses on the specific endeavor that the foreign national proposes to undertake. The endeavor's merit may be demonstrated in a range of areas such as business, entrepreneurialism, science, technology, culture, health, or education. In determining whether the proposed endeavor has national importance, we consider its potential prospective impact. _ In announcing this new fi-amework. we vacated our prior precedent·decision. 1\1at1er nfNew York Srate Deparrme/11 rif Transportalion, 22 I&N Dec.215 (Act. Assoc. Comm'r 1998) (NYSD07).

Dhanasar states that after EB-2 eligibility has been established, p. 3 The second prong shifts the focus from the proposed endeavor to the foreign national. To determine whether he or she is well positioned to advance the proposed endeavor, we consider factors including, but not limited to: the individual's education, skills, knowledge and record of success in related or similar efforts; a model or plan for future activities; any progress towards achieving the proposed endeavor; and the interest of potential customers, users, investors, or other relevant entities or individuals.

The third prong requires the petitioner to demonstrate that, on balance, it would be beneficial to the United States to waive the requirements of a job offer and thus of a labor certification. In performing this analysis, USCIS may evaluate factors such as: whether, in light of the nature of the foreign national's qualifications or the proposed endeavor, it would be impractical either for the foreign national to secure a job offer or for the petitioner to obtain a labor certification; whether, even assuming that other qualified U.S. workers are available, the United St"ates would still benefit from the foreign national's contributions; and whether the national interest in the foreign national's contributions is sufficiently urgent to warrant forgoing the labor certification process. In each case, the factor(s) considered must, taken together, indicate that on balance, it would be beneficial to the 2 United States to waive the requirements of a job after and thus of a labor certi lication.

Analysis

The Director found that the Petitoner qualifies as a member of the professions holding an advanced degree. The sole issue to be detennined is whether the Petitioner has established that a waiver of the requirement of a job offer, and thus a labor certification, would be in the national interest.

At the time of filing, the Petitioner was working as a neurology resident and chief of house staff at 3 A. Substantial Merit and National Importance of the Proposed Endeavor The Petitioner indicates that his work as a neurologist is aimed at providing patients with the best possible care and advancing the field through his research. He further states that he seeks to train "other care providers ... through numerous educational activities." With respect to his clinical research, the Petitioner contends that he will study the "impact of ischemic conditioning on patients with acute ischemic stroke receiving mechanical thrombectomy." He also explains that he will investigate the "sensitivity and specificity of the CT-perfusion scan in predicting ischemic See Dhmwsar, 26 l&N Dec. at 888-91, for elaboration on these three prongs.

' The initial tiling included a letter from the director of neurology residency program stating that the Petitioner was employed as a "Neurology Resident in our the educational appointment" as an accredited fellow of vascular neurology in the Department of Neurology at the 2017.'"

In 2017, he accepted "a graduate from 2016 and I anticipate him successfully completing the program on p. 4 penumbra" and perform another study "comparing the functional outcome of patients receiVIng mechanical thrombectomy during work hours to those receiving it after hours." Lastly, he asserts that he plans to improve treatment for patients in rural areas through utilization of telemedicine to provide expert stroke consultation.

The record includes the Petitioner's

Contract" for his vascular neurology fellowship from he submits a letter from the director of the an fellowship position "starting neurology fellowship here at the "

"Graduate Medical and Dental Education

2017 until 2018. In addition,

Program offering him of his ongoing involvement with

2018, following your completion of your vascular 4

The Petitioner also provides documentation to develop a prehospital stroke navigation sonware that connects ambulances with a dedicated stroke center. Fu.rthermore, he offers various articles that highlight the importance of research advancements in neurology, stroke treatment methods, and stroke telemedicine. We find that the Petitioner's proposed work as a neurology researcher, physician, telemedicine product developer, and health care educator has substantial merit.

To satisfy the national importance requirement, the Petitioner must demonstrate the "potential prospective impact" of his work. His evidence includes letters of support from colleagues discussing the potential benefits ofhis research in the neurology field and healthcare industry. For instance, director of the at the . asserts that the Petitioner's ·"planned research will improve the clinical care patients nationwide receive." In addition, the Petitioner has submitted documentation indicating that the benefit of his proposed research has broader implications, as the results are disseminated to others in the field through medical journals and conferences. As the Petitioner has documented both the substantial merit and national importance of his proposed research and telestroke product development, we find that the record 5 supports the Director's determination that he meets the first prong of the Dhariasar framework. B. Well Positioned to Advance the Proposed Endeavor

The second prong shifts the focus from the proposed endeavor to the Petitioner's qualifications. The Petitioner submitted documentation of his published articles, conference presentations, professional memberships, academic credentials, peer review for journals, statT evaluations, and internal We note that, while infonnation about the nature of the Petitioner's proposed endeavor is necessary for us to detennine whether he satisfies the Dhanasar framework, he need not have a job offer from a specitic employer as he is applying for a waiver of the job offer requirement. .Benefits limited to an employer or its clients

.5 With respect to the Petitioner's proposed care and treatment ofpatients and educational duties, while these endeavors have substantial merit, the record does not establish that his clinical and instructional work would impact the neurology field and healthcare industry more broadly, as opposed to being limited to the patients he serves and his medical trainees. Accordingly, without sufficient documentary evidence of their broader impact, the Petitioner's clinical work as a neurologist and activities as a medical instructor do not meet the "national importance" element of the first prong of the Dhanasar framework.No broader implications shown Similarly, in Dhanasar, we determined that the petitioner"s teaching activities did not rise to the level of having national importance because they would not impact his field more broadly. /d. at 893.

Malter ofS-A-K- awards. medical trammg, clinical work, and· research projects} On appeal, he provides documentation showing his involvement with telestroke product and a proposal for its implementation in North Carolina. The Petitioner maintains that his clinical experience and success in treating stroke patients, role as chief of house staff instructing other residents, and selection for the fellowship at the render him well positioned to advance his endeavor. clinical and instructional duties do not meet the first prong of the Dhanasar framework, our analysis under this prong will focus on whether he is well positioned to advance his proposed research and telestroke product development. · With respect to his neurology research, the Petitioner asserts that he has been active in "publishing medical research in leading medical journals and textbooks." In letters supporting the petition, several medical professors discussed the Petitioner's research aimed at improving the care and treatment of patients suffering from neurological diseases. For example, associate professor of neurofogy at . states that the Petitioner's "work on the new definition In addition, throughout the field," he does not otTer any specific examples of such implications. professor of neurology at mentions the Petitioner's study of the impact of the new definition of stroke on the trial. indicates that the Petitioner's "results imply an even higher benefit from medical therapy over stenting and a higher risk of symptomatic cerebral infarction in both groups than originally described in of the stroke was selected for publication by the prestigious 9 but Chief of General indicates that this article "demonstrates that stenting showed no improvement in cognitive impairment over aggressive medical management." While contends that the Petitioner's "original research has produced new and important findings that are continuously having positive global implications does not explain the significance of those tindings. Neurology Services at the Regarding the Petitioner's study·entitled associate professor at the

The Faculty Excellence awards were presented by "students of the College of Medicine" to honor exceptional resident faculty "with a Teacher of the Month nomination."

The letter from the director of the Program states that this "fellowship involves a pre-requisite year to learn basic catheter ski lis, neuroimaging, and other important "clinical aspects of cerebrovascular disease. The second year is a formal 12 month experience in NeuroEndovascular techniques ...." Selection for a clinical training program to learn basic skills relating to the treatment of cerebrovascular disease is not necessarily an indicator that the Petitioner is well positioned to advance his proposed endeavor. 9

This article is entitled

We discuss only a sampling of these letters, but have reviewed and considered each one.

·s

He also offered reference letters discussing his

Because the Petitioner's proposed p. 6 states that the Petitioner also notes the Petitioner observed that patients experienced "the greatest decline during the postprandial period and that this deCline indicates cln accelerated clearance of resulting from meal-induced oxidative stress.'· He concludes that "[t]his is a significant finding as this is the lirst study to demonstrate elevated levels among patients \Vith intracranial atherosderosis." While the a forementioned references note the importance of the Petitioner's research projects, they do not offer specific examples of how the Petitioner's.findings have generated positive interest among relevant parties, have been implemented as part of stroke treatment programs, or otherwise reflect a record of success in his area of research.

With regard to the Petitioner's telestroke product development work for he offers a letter from and the company's co-founders, stating that he co-invented a novel healthcare technology product with them which "operates to connect ambulances 10 with a dedicated stroke center" and that their company owns the patent for this device. appellate submission also includes an amended operating agreement for identifying the Petitioner as a member, information about the company's prehospital stroke navigation software, and a "to develop video telestroke capabilities" in some of its ambulances. Although EMS has developed an implementation plan for telestroke product, the record does not adequately document that the product stands to be utilized beyond this single locality.

The record demonstrates that the Petitioner has conducted, published , and presented research during his medical career and been involved with the development of telestroke product.

While we recognize that research must add information to the pool of knowledge in some way in order to be accepted for publication, presentation, funding, or academic credit, not every individual who has performed original research will be·found to be well positioned to advance his or her proposed research. Rather, we examine the factors set forth in Dhanasar to determine whether, for instance, the individual's progress towards achieving the goals of the proposed research, record of success in similar efforts, or generation of interest among relevant parties supports such a finding. 12 !d. at 890. The Petitioner has not shown that his research has been frequently cited neurologists or otherwise served as an impetus for progress in the field, that it has affected clinical of work and a congratulatory message indicating that his article entitled "Rationale for ischemic conditioning to prevent stroke in patients with intracranial arterial stenosis" "reached 200 reads."Past record does not show influence or success While this infonnation indicates that others have read his articles, it does not show the impact of his work or demonstrate that the interest in his work rises to a level of rendering him well positioned to advanced his proposed research. 12 The Petitioner's response to the Director's request for evidence (RFE) included an article entitled "Citation analysis may severely underestimate the impact of clinical research as compared to basic resea·rch."No interest from users, customers or investors Although this article discusses the limitations of popular bibliometric indicators, such as the h-index and the impact factor, and concludes that those indicators are nor reliable in making "accurate between-field comparisons," it does not undennine the value of citations as one of the tools for assessing clinical research perfonnance. For example, the article states that "[c)itation analysis is widely used in the assessment ofresearch perfonnance in the medical sciences.'' The record does not include a copy ofthis patent to support their assertion that the Petitioner was one of the inventors. On appeal, the Petitioner provides his online profile from reflecting 2,687 publication reads of his body by independent

His

Malter <?[S-A-K- practice, or that it has generated substantial positive discourse in the broader medical community. Nor does the evidence otherwise demonstrate that his work constitutes a record of success or progress in his area of research.

In the appeal briet: the Petitioner refers to an AAO non-precedent decision concerning a metallurgical engineer whose proposed endeavor involved perforn1ing services for her company's production and manufacturing projects. See Matter (!l L-R-R-, 10# 448049 (AAO Aug. 21, 2017). He contends we detennined that a letter from this engineer's employer was sufficient to meet the second prong of the Dhanasar framework. This decision ·was not published as a precedent and therefore does not bind USCIS officers in future adjudications. See 8 C.F.R. § 103.3(c). Non-precedent decisions apply existing law and policy to the specific facts of the individual case, and may be distinguishable based on the evidence in the record of proceedings, the issues considered, and applicable law and policy. Here, the Petitioner has not shown that the evidence and issues in Matter ofL-R-R- are substantially similar to the present case. Furthennore, while we found in Matter of L-R-R- that the engineer was well positioned to support her particular company's production and manufacturing operations, we specifically noted that her evidence was insufficient to show her metallurgy research constituted a record of success or progress in her tield, or had garnered degree of interest in her work from relevant parties, that would rise to the level of rendering her well positioned to advance any type of research endeavor. Id. at 6, n.8.

Regarding the Petitioner's peer review activities, he provided documentation indicating that he had completed one review each for and at the time of filing. He also offered several invitations that he received to review papers tor journal publication. The Petitioner has not documented the reputation of the aforementioned journals or oftered other evidence demonstrating that his peer review experience rises to the level of rendering him well positioned to advance his proposed research endeavor. The record does not show that the Petitioner's occasional participation in the widespread peer review process represents a record of success in his field or that it is otherwise an indication that he is well positioned to advance neurology research.

In response to the Director's RFE, the Petitioner provided an email and a letter of support from . Deputy Editor-in-Chief of indicating that he reviewed a manuscript for this journal in April 2017. He also submitted a June 2017 email from inviting him "to serve as a Member of the beginning July 1, 2017 and ending June 30, 2019." On appeal, the Petitioner contends that his service as a reviewer tor the aforementioned journal and membership in the demonstrate that he is well positioned to advance his proposed endeavor. The Petitioner's manuscript review for membership, however, post-date the filing of the petition.Not eligible at the time of filing See 8 C.F.R. § 103.2(b)(l), (12). Regardless, without further information and documentation regarding the significance of this evidence, we do not find it sufficient to demonstrate that the Petitioner is well positioned to advance his proposed research or product development.

Maller rifS-A-K-

In sum, the Petitioner has not demonstrated a record of success or progress in his f1eld, or a degree of interest in his work from relevant parties, that rise to the level of rendering him well positioned to advance his proposed endeavor of conducting clinical research and product development aimed at improving patient care in the neurology field. As the record is insuff1cient to. demonstrate that the Petitioner is well positioned to advance his proposed endeavor, he has not established that he satisfies the second prong of the Dhanasar framework.

C. Balancing Factors to Determine Waiver's Benefit to the United States

As explained above, the third prong requires the petitioner to demonstrate that, on balance, it would be beneficial to the United States to waive the requirements of a job offer and thus of a labor certif1cation. Here, the Petitioner claims that he is eligible for a waiver due to his research and clinical skills and accomplishments, and based on the impracticality of labor certilication and a "national shortage of neurologists on a nationwide level." established that he is well positioned to advance his proposed endeavor as required by the second prong of the. Dhanasar framework, he is not eligible for a national interest waiver and further discussion of the balancing factors under the third prong would serve no meaningful purpose.

Ill. CONCLUSION

As the Petitioner has not met the requisite three prongs set forth in the Dhanasar analytical framework, we lind that he has not established he is eligible for or otherwise merits a national interest waiver as a matter of discretion.

ORDER: The appeal is dismissed.

Cite as MatterofS~A-K-, ID# 1264560 (AAO June 5, 2018) W e n o t e t h a t t h e U . S . D e p a r t m e n t o f L a b o r a d d r e s s e s s h o r t a g e s o f qualifi~d w o r k e r s t h r o u g h t h e l a b o r c e r t i f i c a t i o n p r o c e s s . Accordingly, a shortage alone does not demonstrate that waiving the requirement of a labor certification would benefit the United States.Relied on a labor shortage

However, as the Petitioner has not