"The last couple of years, all of a sudden, the demand really went down," he says. "When the economy goes bad, then these companies don't hire a lot of people for H-1B visas."
He says since this year's application period has just begun and residency programs are winding down, now is the perfect time for hospital executives to recruit international medical graduate candidates.
"They should be selecting people right now out of residencies and fellowship programs," he says.
Bossard says there are, of course, advantages to hiring U.S. graduates, who don't come with the legal processing and attorney fees associated with hiring H-1B physicians. But when U.S. grads aren't an option, H-1B doctors can be lifesavers.
"There are some strings attached to the visa candidates," Bossard says. "But for me I wouldn't have been able to maintain my business without their help. They've been a huge asset for me, and as a result, a huge asset for the hospital systems that we work with."
Alexandra Wilson Pecci is an editor for HealthLeaders.