First a little background:
UCLA B.S. Biology, AUC M.D., Currently PGY4 Anesthesiology
My experience as a caribbean grad:
Back in the mid 1990s when med school apps were at their historical highs, I was walking through the halls at UCLA a bit down about the prospects of getting into med school. GPA 3.22, MCAT 29. Didnt get a single interview. I happened upon a bulletin board and saw a few posters for graduate school, podiatry school, and then one that said "Do you want to go to medical school?". Though I had never heard of caribbean med schools, I sent out the information request and browsed through the catalog when it arrived. I decided, heck, why not apply. I applied, and as soon as my check cleared, I got an acceptance letter without any interview. I thought to myself, jeez, what kind of school is this? But since my only other option was to go to pod school, I decided to head to St. Maarten and try it out. To this day, I've never regretted that decision. When I tell people where I went to school, they say "wow, that must have been fun!". And let me tell you, it was!!! What better place to live and study medicine than down on a beautiful caribbean island? Yes, it takes some adjusting to, but the experiences I had were wonderful. I opted to go to England for my third year because I love to travel. I lived in England for almost a year and again got to experience their culture. I passed all steps of the USMLE on my first try ( I took review courses for step 1 and 2 ), and matched in a wonderful anesthesia program. Now, as I'm about to complete my residency with $120k in school loans, I am being hounded by physician recruiters offering starting salaries in the $250-275k/year. If I decided to stay an extra year and do a pain fellowship, the earning potential will more than double!! So do I regret going to AUC??? Also, one must realize that interest in certain fields of medicine cycles. For instance back in the mid 90s, no one wanted to go into anesthesia because there were no jobs. Therefore, up until a couple of years ago, you could just walk into almost any anesthesia program in the nation despite where you went to school. Now, the result is that there is a humongous shortage of anesthesiologists, thus the high salaries. Same was the case for radiology. Today, surgery and ob/gyn, are in a similar state. High malpractice insurance premiums and long work hours are driving people away from these specialties. A caribbean grad coming out now could probably land a decent spot without much problem at all given that your numbers and personality are acceptable. IM, FP, and peds are no brainers... just apply, you'll get in (harder for well known academic programs). As far as fellowships, all the caribbean grads I did my internship with all got fellowships that they applied for (cardiology, gastro, nephro, and critical care).
Overall, if the caribbean is your best alternative and you really want to be a doctor, I think it is a very viable choice. The main competition caribbean grads will have is the growing numbers of DO grads. DO schools for most part are no different than caribbean schools. They are mostly private for-profit institutions. Few have their own hospitals so they send the students to small community hospitals or to other medical school's hospitals... sound familiar? And as far as all that DO holistic stuff... OMM is a bunch a garbage... my wife even says so and she is a D.O. doing anesthesia too.
Good luck to you all. Dont let the rumor mills get you down. These are all the same rumors I heard about when I was down on the island. Most are untrue and are spread by students who want others to quit so they will have less competition.