> I could but the problem is that I would not be allowed to switch specialties
Ah, right, I forgot.
> ENT is four years. Is the max on the J-1 7 years? what if you
> need to extend? say, for fellowship or something?
You can extend for a couple of months to take your boards. Also, a friend of my wife managed to extend a 1 year fellowship by 6 months to wait for his fiancee to finish up her PhD before they returned. If the program makes the case to ECFMG, they can get the status extended beyond the 7 years (you can stay as long as you get your DS2019 extended, it might be difficult to get another J1 for re-entry at that point). But like anything that's discretionary, I wouldn't want to bank on it.
> I agree, the F-1 option might be more a problem because of the money,
> besides, it's kind of late in the year already to apply.
Well, you can allways sign up at a community college on short notice. But if you wanted to do something thats useful as a physician, e.g. going to business school, you would need some lead time.