The American Association of International Healthcare Recruitment (AAIHR) recognizes the right of international healthcare professionals to migrate and the corresponding potential benefits of such migration to healthcare professionals, their families, and their countries of origin, as well as to U.S. healthcare organizations, and U.S. patients. AAIHR believes that the legal and ethical recruitment of foreign-educated healthcare professionals to the United States to meet the needs of U.S. healthcare organizations and patients provides both individual and societal benefits.

The mission of the American Association of International Healthcare Recruitment (AAIHR) includes the assurance of high standards of ethical conduct among all of the organizations engaged in international recruitment, including recruiting and staffing companies, U.S. healthcare provider organizations, foreign recruiting agents, U.S. immigration law firms, other organizations that participate in international healthcare recruitment, as well as the foreign-educated healthcare professionals themselves.

This Code of Ethics will serve to clarify the manner in which each AAIHR member organization may fulfill its responsibilities to patients, the general public, to client organizations, to source countries, to prospective healthcare professional employees and candidates, and to one another.

As a condition of membership in AAIHR, each member pledges its support of, and adherence to, the principles, rules and practices set forth below. AAIHR members acknowledge that such compliance is in the best interests of patients, U.S. healthcare organizations, international healthcare professionals, source countries, and the international recruitment industry.


AAIHR members shall:

Recruit Responsibly – Operate by recruitment policies that are, at a minimum, considerate of the impact of such recruitment on the performance of the health systems of source countries, and ideally, contribute to the sustainability of the source country’s ability to provide adequate healthcare to its peoples.

Comply with Applicable Laws – Comply with all applicable laws and regulations in the US and in the source countries in which they recruit, including all applicable U.S. healthcare, immigration and employment laws.

Communicate Honestly and Accurately – Communicate and make representations to prospective applicants, contracted candidates, regulatory bodies, U.S. healthcare organizations and other relevant parties in an honest, forthright, and accurate manner based upon available information.

Provide Fair Treatment in Contracting – Be transparent in explaining to healthcare professionals and client organizations the material terms of their respective contractual obligations, the requirements of U.S. immigration laws and processes, the terms of the health professional’s U.S. employment, financial obligations among the parties, potential consequences for violations of contractual obligations, and other material information. Provide such information as soon as it is known and provide timely progress updates.

Honor Commitments – Employ commercially reasonable efforts to fulfill all agreements made with healthcare organization clients and healthcare professional employees and candidates, and make no promises that they have reason to believe they cannot fulfill.

Preserve Confidences –  Preserve and protect all confidential or proprietary information provided by candidates, employees, clients, vendors, and patients, unless expressly authorized by the disclosing party to reveal such confidential information.

Adhere to Credentialing Standards – Carefully review qualifications and experience of applicants and comply with credentialing standards established by the relevant credentialing organizations for the specific healthcare occupations including those of the Joint Commission.

Ensure Quality US Placement – Use reasonable efforts to place healthcare professionals in positions with US healthcare organizations that are appropriate for their qualifications, credentials, and experience. Provide resources to enable healthcare employees to be fully informed of their responsibilities and scope of practice when providing care to US patients.

Ensure Appropriate Transition to Living and Working in the U.S. – Use reasonable efforts to ensure that migrating healthcare professionals have an appropriate transition to living and working in the US including appropriate initial housing and transportation resources, and adequate clinical orientation by their employer.

Ensure Safe Employment – Use reasonable efforts to ensure that migrating healthcare professionals are assigned to work sites that are safe, that they understand the nature of their work assignments and can perform such work without harm to themselves or others.

Responsively Address Complaints – Take prompt action to address questions, concerns, or complaints regarding unsafe work conditions, discrimination, or any other matter involving the terms and conditions of the healthcare professional’s employment. 

All members are responsible for continuous review of the Association’s Code of Ethics.

*The above standards in this Code of Ethics are MINIMUM Standards, and in cases whereby specific contracts between International Healthcare Recruitment and Staffing Companies and their Clients or Healthcare Professionals include standards in excess of these minimums, the maximum standards will be honored. Any member who is bound by law or professional ethics not to participate or comply with a provision of the Code is not obliged.


AAIHR believes that international healthcare professionals have the right to be treated ethically and professionally. AAIHR believes international healthcare professionals also have a responsibility to act in an ethical and professional manner. The following represent professional practice guidelines for international healthcare professionals in their dealings with prospective employers, visa sponsors, recruiters, and regulatory bodies governing their profession.

1. Honor Commitments – Healthcare professionals shall enter into agreements with international recruiters or employers in good faith. Healthcare professionals shall employ professionally reasonable efforts to fulfill all written and verbal agreements made with prospective employers, visa sponsors, clients or potential clients and shall make no promises to any of these parties that they have reason to believe they cannot fulfill.

2. Maintain High Standards of Ethics – Healthcare professionals should learn and adhere to the Code of Ethics for their profession. Healthcare professionals should also maintain high standards of ethics and fairness in dealings with international recruiting and staffing companies, regulatory organizations, healthcare provider organizations, colleagues, patients and families. Healthcare professionals should provide only authentic, original documents for credentialing, licensure, immigration, and employment purposes. Healthcare professionals should not participate in the sharing of test questions, do work on behalf of another healthcare professional or allow others to do work on his/her behalf, take any action that would represent an unethical or unfair advantage in professional credentialing or examinations.

3. Preserve Confidences – Healthcare professionals should preserve all confidences of their employer, visa sponsor, client or a potential client concerning their proprietary information and business practices, unless expressly directed by the employer, visa sponsor or client to reveal such confidences. Specifically, healthcare professionals should not disclose the terms of their employment including compensation and benefits.

4. Communicate Accurately and Forthrightly – Healthcare professionals should not knowingly make a false statement of fact to an employer, visa sponsor, client, licensing board or other regulatory organization, and should present employment history, qualifications and competencies, as well as professional and personal goals as accurately as possible.

5. Make Full Disclosures – Healthcare professionals should apply the principle of full disclosure with employers, visa sponsors, and clients. Healthcare professionals should be forthcoming and transparent in explaining any issues or factors that may impede or limit their ability to meet the expectations of the employer, visa sponsor, or client or to fulfill any contractual obligations.

6. Comply with Applicable Laws and Regulations – Healthcare professionals should comply with all federal, state and local laws and regulations governing credentialing, licensing, immigration, and professional practice regulations for foreign-educated healthcare professionals.

7. Adhere to Credentialing Standards – Healthcare professionals should comply and remain in compliance with standards established by the relevant credentialing organizations for maintaining competency for the specific healthcare occupations including those of the Joint Commission. Healthcare professionals should assume the responsibility for educating themselves with regard to all standards and regulations surrounding patient care, documentation and privacy at both the Federal and State Levels. Healthcare Professionals acknowledge that continuing education is vital to success and high quality patient outcomes. Professional agrees that this is a personal responsibility to be coordinated with their employer.