Attorney Michael Jolic represented a healthcare system seeking to hire a foreign medical graduate who had not trained in the United States and therefore never took any USMLE exams. The physician was able to secure a medical license in the state of Ohio, however, the H-1B visa category requires foreign medical graduates to possess an ECFMG certificate and USMLE steps 1, 2 and 3. Attorney Jolic successfully argued that the client was a physician of international renown and that the ECFMG and USMLE requirements could be waived as a result of the physician’s achievements and reputation in the field of medicine. The international renown H-1B petitions are an excellent pathway for those physicians who don’t have an ECFMG certificate and completed USMLE exams but are able to secure a medical license.