EB-1A Case Study: Neurocritical Care Physician From Saudi Arabia Approval in 3 Months and 20 Days Saudi Arabia Neurocritical Care PhysicianOur Saudi Arabian client recently obtained an EB-1A Extraordinary Ability visa approval reflecting exceptional achievement in the field of medicine. The case began with an I-140 petition filed by Colombo & Hurd Attorney and Partner Sal Picataggio, followed by a Request for Evidence (RFE) Response by Attorney Jason Qiu. The case was approved through premium processing in just 3 months and 20 days, highlighting our commitment to careful preparation and advocacy on behalf of extraordinary professionals worldwide. CHECK YOUR EB-1A ELIGIBILITY Client ProfileA Physician’s Journey Across Borders EB-1A VisaFrom the moment he stepped into a lecture hall at sixteen, medicine became a calling for our client. Born and raised in Saudi Arabia, he began medical school while most of his peers were still in high school. He rose to the top of his class, earning distinctions in every subject and a full scholarship. After earning his medical degree with the highest honors, our client turned his attention to the world beyond his home country. After passing the highly selective Ireland board exams, he set his sights on the United States. There, he began residency training at a major hospital affiliated with the Johns Hopkins Health System. It was a new country, a new system, and an entirely new way of practicing medicine. Yet he stood out immediately, earning recognition as “Outstanding Intern of the Year” and later “Outstanding Resident of the Year.” When the COVID-19 pandemic arrived, he was already deep into his fellowship years. Instead of stepping back, he stepped forward into leadership roles. He trained other physicians, guided care in intensive units, and earned awards for his commitment to patients and colleagues alike. Each milestone pushed him closer to a singular goal: to advance medicine in ways that could save lives long after the pandemic passed. Eventually, his journey led him to one of the most renowned medical institutions in the world, where his expertise expanded even further. There, he explored the delicate connection between the brain and kidneys, a field few had ever mastered. From a young student in Saudi Arabia to a leading physician in the United States, his story is about how relentless dedication, guided by genuine compassion, can cross borders, redefine expectations, and ultimately, earn the recognition reserved for those at the very top of their field. The Challenge Establishing the Prestige of Early-Career Awards In this case, the turning point came when the United States Citizenship and Immigration Services (USCIS) requested additional evidence about the petitioner’s professional honors. Attorney Qiu explained clearly: “The officer questioned whether the awards could be considered nationally or internationally recognized because they were given to early-career physicians,” he said. “It’s a situation we encounter from time to time, where distinctions earned early on need additional context to demonstrate their significance.” The challenge, then, was not about the merits of the petitioner’s accomplishments but about how to frame them within the evidentiary standards of the EB-1A category. These awards represented genuine excellence, granted by respected medical institutions with strong national reputations. What was needed was a way to connect that prestige to the criteria outlined by USCIS. As Attorney Qiu stated, “The case was strong. We simply needed to show, with clarity and precision, why these early awards still carried national weight.” Strategic Response Building the Case for Recognition Once the challenge was defined, our legal team highlighted the client’s awards and proved that his distinctions were legitimate and nationally recognized within the medical community. Reflecting on the challenge, Attorney Qiu explained that “The USCIS policy manual supports the idea that early-career awards can be nationally or internationally recognized. It instructs officers to look at the reputation of the organization granting the award, not just the stage of a professional’s career.” Our team gathered detailed evidence about the awarding institution’s national reputation, highlighting its longstanding excellence and history of recognition by major medical associations. They also included explanations of the selection criteria, the competitiveness of the awards, and the limited number of recipients each year. These details illustrated that the client’s honors reflected meaningful recognition by respected peers in the field. The Result EB-1A Approval Secured in just 3 Months and 20 Days In less than four months after filing, the EB-1A approval arrived. The outcome confirmed that the petitioner’s achievements met the highest standard of recognition under the EB-1A category. “It was a straightforward case at its core,” said Attorney Qiu. “The officer just needed to see the full picture, and once they did, the approval followed naturally.” For the petitioner, it marked the next chapter in a career devoted to advancing medicine. Why the Case Succeeded This EB-1A approval stood out for a few clear reasons: Focused Evidence: The response directly addressed each challenged criterion with organized, relevant, and verifiable documentation. Policy-Based Reasoning: The argument relied on USCIS’s own policy guidance, connecting early-career awards to recognized standards of national prestige. Comprehensive Support: Additional testimonial letters and correspondence confirmed the client’s judging roles, original contributions, and continued impact in medicine. Strategic Framing: Rather than overwhelming the record with excess material, our attorney drafted a clear narrative that linked achievements to the regulatory language. Case Overview Category Details Visa Classification EB-1A (Extraordinary Ability) Nationality Saudi Arabia Professional Field Medicine Education Medical degree with multiple U.S. fellowships in Internal Medicine, Nephrology, Critical Care, and Neurocritical Care Request for Evidence (RFE) Yes Final Outcome Approved I-140 Processing Timeline 3 months and 20 days Lead Attorneys Sal Picataggio (Initial Filing). and Jason Qiu (RFE). 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