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Currently, I'm sitting in a position where I am very competitive for US DO schools, and slightly competitive for US MD schools. The only reason I was considering the Caribbeans was because I could have saved a year of waiting, but I will take your advice on waiting an extra year to attend a US school.
I am glad that most fellowship programs do not emphasize medical school preference. Is it the same case for medical degree (MD vs. DO) if I were to attend a MD residency as a DO?