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Married to US citizen when switching visas

If someone currently on a J1 visa and is not subject to two year home country requirement wants to switch to a J1 clinical visa, would marriage to a US citizen hurt them? I am a US citizen and my fiancé wants to start a residency program next year, so if we marry while he is still J1 research would that impact his chances of getting the J1 clinical even though he would have matched and have ECFMG sponsorship? Does the concept of immigrant intent matter inside the US or only at embassies? Would they turn him down for the J1 clinical because he is married to a citizen? Or are things different for physicians? If he does get the J1 clinical, would an embassy turn him down when we travel abroad and he goes to get it stamped since he would be married to a citizen?

submitted by /u/Pearl_Tree_1
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source https://www.reddit.com/r/immigration/comments/hh6e72/married_to_us_citizen_when_switching_visas/
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