Rosalind Franklin's program is 48 credits in one year. Other true SMPs are about 36 or less. I imagine it's hard to go on interviews, work on secondaries, etc., if you're in RFU's program. If I went to RFU's program I would probably expect to go to RFU (assuming I performed well enough), not another med school. However, if you did up some of the old threads (when RFU was still Finch) you can see that some students in the program are successful getting in elsewhere. The caveat is that some of these students were borderline applicants prior to entering the MS in Applied Physiology program. So again, chances are you'll end up at RFU. One big advantage of RFU over Loyola is that Loyola MAMS is designed so that you apply after the program (i.e., the program is designed so that you participate in the application cycle during your glide year)
When I do apply, Loyola would be one of my dream schools. But honestly, Rosalind Franklin is leaps and bounds above a Caribbean school when it comes to obtaining residencies. Okay, so it's not Harvard, Wash U, or Hopkins, but it's definitely not "barely above a Caribbean school." Any Caribbean student would kill for the opportunity to go to *any* US allopathic school (hyperbolically speaking
😉 ). My best friend is at SGU right now and he's trying to transfer to a US med school that isn't exactly the first choice of most traditional applicants (not that it's a bad school though!). In fact, most people probably haven't even heard of this particular school!
Regarding residency appointments, judge for yourself:
Rosalind Franklin:
http://www.rosalindfranklin.edu/students/class/2004/matchlist.htm
St. George's:
http://www.sgu.edu/nhome.nsf/webcontent/78ACA4C6CBA8513885256E6A0079D86C?OpenDocument
Ross:
http://www.rossmed.edu/Residency_Appts_/residency_appts_.html
AUC:
http://www.aucmed.edu/students/resid_appts.htm
Saba (when it opens it goes to 2002, but you can see later years):
http://www.saba.edu/residency_match.php
The uber-competitive matches coming from the Caribbean are rare. Typically, these applicants have something great going for them (kick ass USMLE Step I and II, incredible recommendations from attendings/big wigs, excellent clinical grades, connections, etc.). People who say, "You can match ophthalmology coming from the Caribbean," are making very misleading statements. Yes, it's possible...but highly unlikely. But for less competitive--competitive matches, the Carib's still okay (obgyn, IM, peds, psych, gas, EM, etc.).
Edit: one more thing...
Loyola is better designed if you'd like more med school options (but I still think this program is flawed for a variety of reasons).
With RFU, it's hard to imagine why you would not enroll for the following year (in hopes of getting into another med school) when you've already got an acceptance in hand. I think it would be extremely risky turning down an acceptance when you've got no guarantee of success for the upcoming cycle.