States rely on international medical graduates (IMGs) to fill workforce gaps in rural and urban underserved areas. This study, funded by Health Resources & Services Administration's Federal Office of Rural Health Policy, collected quantitative and qualitative information from states to assess how state policies and practices shape IMG recruitment and practice in underserved areas through Conrad 30 J-1 visa waiver programs. The first report provides quantitative data on trends in waiver usage. The second report describes findings from interviews with Conrad 30 program personnel in 32 states and includes information on J-1 waiver physician retention for states with available data.