Strict requirements, long wait times, and a limited number of visas make recruiting foreign physicians tough in a physician-strapped region, reports D magazine.

Dr. Arun Badi, a native of India, came to the United States in 1999 on a student visa. Badi already had a medical degree when he was accepted at the University of Utah to study for his Ph.D. He’d received his M.D. from the Armed Forces Medical College in Pune, India, and selected Utah to continue his ear, nose, and throat and sleep-medicine research because of the program’s advanced technology.