Excuse me but there are PLENTY of reasons people go to non state side schools. It's SDN folks that have it in their heads that the ONLY reason to attend offshore schools is due to lack of academic excellence. Remove that one POV and who wouldn't want to go to a school that's on a island. I've been there for med camp and I know a couple professors who teach stateside and are from there. Your one track mind on how to get in a school is incorrect. If we all thought like you alot of progress in general would never happen. Example, not too long ago being over 30 and starting school masters or otherwise considered taboo. That is all OP, give em hell when you get accepted. The only one who can stop you from trying is yourself. While, no, an incapable person may not be able to achieve the desired outcome; the OP seems more than capable enough to do the work.
It doesn't matter how many reasons people have to go to Carib schools. Wanting to live near the beach is a great reason. Wanting to save money is a great reason. Wanting to not lose practice years. Knowing somebody who made it through. Doesn't matter
why you
want to go.
What matters is
what's most likely to happen if you choose to go Carib.
It's likely you'll be in the bottom half or two thirds of the class that gets dismissed before Step 1. The business plan of a Carib school
depends on the majority of the class not needing to be supported in clinical rotations. They literally can't place all 250+ of the starting class at clinical sites. The Carib (and other offshore) schools have very tenuous, very expensive, very controversial relationships with a very small number of US clinical sites. You may think you can just ask to do your clinical rotations at a site near home. Nope. You may think you don't have to worry about this stuff. Wrong.
And let's say you get through med school in the Carib and get what you need out of the various clinical rotation scenarios. Then you are in the match gamble. I don't need to say a word about this - you can find everything you need to know at nrmp.org.
You really need to talk to people who made it through Carib into residency, and hear the story from them. How many people were in their class at the start, how many are in it now? How long did it take to get a residency, and how did they handle the gap year(s) and their student loans? How many residencies did they apply to, how many interviews did they get, and were any of the programs on their match list anything like what they wanted?
My med school happens to host a number of residencies that take Carib grads and FMGs. I ask lots of those residents lots of questions. Can't just ask one or two people, because most residents never cared how many people were in their class at the beginning or how many made it to graduation. It's an amorphous swarm. You can infer some of the data by looking at the SGU/Ross/AUA match lists, with the understanding that each year's match list includes multiple cumulative graduating classes.
The point here isn't that there
are successful Carib grads. The point is
how many additional obstacles to success you face by going to a Carib school.
Best of luck to you.