International Medical Graduates (IMG) who are subject to the J-1 home residency requirement, and their employers, will find that the demand for J-1 waivers has consistently exceeded supply. While federal agencies can grant an unlimited number of Interested Government Agency (IGA) waivers year-round, they have restrictions on geographical territory and practice areas. Coupled with the high demand for H-1B specialty occupation visas for cap-subject employers, physicians and their employers are left looking for alternatives to practice in the U.S.