Definitely - The caribbean is a more than viable option. Each year several canadian
carib grads succesfully match in the US. The greatest disadvantage is obtaining a VISA
which can limit your options come residency time since not all hospitals are willing to sponsor. Tack on the fact that you are a carib grad and that limits your options even further. However, I looked into this path and have spoken with a few canadian grads who are in residency in the US (One EM in calie, two IM in NY). Specifically, I looked into St. George's University which has impressively helped to match canadians since the late 80's. In fact this year one SGU grad matched up in a FP program in Canada (the second for the school I believe). So, yes, this option is definitely viable, albeit longer and more difficult. If you want, you can PM me and I'll give you a listing of residencies that canadian grads have matched in coming from SGU. Good luck to your friend