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News and Updates

On May 25, 2017, the 2014 Technical Instructions for Polio Vaccination section of the Vaccination TIs were modified to reflect recent guidance from WHO regarding Polio. For more information, please see the new Addendum to Technical Instructions for Panel Physicians for Vaccinations: Technical Instructions for Polio Vaccination for Applicants for U.S. Immigration.

On January 13th, 2017, CDC published a Morbidity and Mortality Weekly Report (MMWR) article documenting a change in guidance for the assessment of poliovirus vaccination status of children who have received the poliovirus vaccine outside of the United States. The report states that documentation of poliovirus vaccination given outside of the United States is now valid only when documentation indicates receipt of either IPV or tOPV. This change applies only to those physicians assessing children within the United States and does not affect the validity of the panel physician examination. Panel physicians should continue to follow the Technical Instructions for Vaccination.

The Technical Instructions have been updated regarding the scope of the medical examination for all applicants.  For details, please see the Syphilis, Gonorrhea, and Medical History and Physical Examination Technical Instructions for Panel Physicians .

2017 Intergovernmental Panel Physicians Training Summit
The 2017 Intergovernmental Panel Physician Training Summit will be held in Panama City, Panama on March 27-31, 2017!  For more information, please see International Panel Physicians Association (IPPA).

As of March 28, 2016, chancroid, lymphogranuloma venerum, and granuloma inguinale are removed from the list of communicable diseases of public health significance. Therefore, evaluation for these three diseases is no longer required as part of the U.S. immigration medical screening process as of March 28, 2016. For additional information, please see Part 34 Final Rule issued on January 26, 2016.

CDC’s Antibiotic Resistance Solutions Initiative includes Quality Assurance Program activities to identify critical new interventions against multidrug-resistant tuberculosis (TB) and expand pre-migration TB screening beyond immigrants and refugees.

About Panel Physicians

  • Panel physicians are medically trained, licensed, and experienced medical doctors practicing overseas who are appointed by the local US embassy or consulate. More than 760 panel physicians perform overseas predeparture medical examinations in accordance with requirements, referred to as technical instructions, provided by the Centers for Disease Control and Prevention’s Division of Global Migration and Quarantine, Quality Assessment Program (QAP).
  • The Quality Assessment Program (QAP) is housed in the Immigrant, Refugee, and Migrant Health Branch. The role of QAP is to assist and guide panel physicians in the implementation of the Technical Instructions; evaluate the quality of the overseas medical examination for U.S.-bound immigrants and refugees; assess potential panel physician sites; and provide recommendations to the U.S. Department of State in matters of immigrant medical screening.

Technical Instructions

Technical Instructions Technical Instructions

Find the latest Technical Instructions for completing the medical examination.


Resources Resources

Resources for medical exams and your role as Panel Physician.

TB Medical Consultation Services

TB medical consultation service TB Medical Consultation Service

RTMCC Form is for Panel Physician or Consular Official use.

Meet Your Fellow Panel Physicians

CDC QAP is pleased to present a new feature: Meet Your Fellow Panel Physicians. Each edition will profile a new panel physician and panel site so that you can get to know your colleagues located throughout the world. Click here to read the inaugural feature on Dr. Marcus Brauer from South Africa.

Factsheets and FAQs

Factsheets and FAQs Factsheets and FAQ’s

Helpful links to factsheets and frequently asked questions.


Training Training

Useful links to resources for continuing education and additional training.

Background Information

Background Information Background Information

Find legal documents, medical waiver rules, disease lists, etc.