Does USMLE Step 2 CS Annotation on B-1/B-2 visa restrict me from doing electives?

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Because you indicate there is no date next to the exam annotation, the immigration officer is almost definitely going to ask you how long you plan to stay before giving your duration of stay.

You will thus have an opportunity to tell him at that point. Should not be a problem. They by default give the six months and in the cases where they don’t, it’s after asking you questions on your purpose for the visit.

I had a similar annotation when I was coming to play in a tournament here many years ago.

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