Caribbean disadvantage exaggerated on SDN?

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Ursa

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Lately I've jumped on the bandwagon of people saying "Never ever ever go Caribbean." However, I realized my opinion was being formed just by what I was reading on SDN, so I decided to search around a little bit and looked at the websites for "The Big 3." Unless they are providing false information, it seems like the attitude of pre-meds towards Caribbean schools might be a bit exaggerated

SGU claims to match 98% of eligible US graduates into US residencies.
http://www.sgu.edu/media/top-reasons/school-of-medicine/reason2.html

I couldn't find an exact number for Ross or AUC, but each claim to match "the majority" of graduates into US residencies.

I will be attending a school in Texas, so I have no vested interest in the argument. I just wanted to see what you guys think. Where is everyone getting the idea that the chance of landing a residency coming out of the Caribbean is super super low? Are there some statistics or numbers that I haven't seen?
 
Lately I've jumped on the bandwagon of people saying "Never ever ever go Caribbean." However, I realized my opinion was being formed just by what I was reading on SDN, so I decided to search around a little bit and looked at the websites for "The Big 3." Unless they are providing false information, it seems like the attitude of pre-meds towards Caribbean schools might be a bit exaggerated

SGU claims to match 98% of eligible US graduates into US residencies.
http://www.sgu.edu/media/top-reasons/school-of-medicine/reason2.html

I couldn't find an exact number for Ross or AUC, but each claim to match "the majority" of graduates into US residencies.

I will be attending a school in Texas, so I have no vested interest in the argument. I just wanted to see what you guys think. Where is everyone getting the idea that the chance of landing a residency coming out of the Caribbean is super super low? Are there some statistics or numbers that I haven't seen?
critical thinking skills time.
 
I believe what bleargh is trying to say is that "eligible" and "graduates" are words that are not necessarily synonymous with "matriculant". 🙄
 
Right. I'm not concluding that 98% of matriculants land US residencies, just those that pass their boards.
 
Right. I'm not concluding that 98% of matriculants land US residencies, just those that pass their boards.
that's your assumption of what their definition of "eligible" is. for all we know (this is my guess personally) eligible means they've interviewed for residencies.
 
that's your assumption of what their definition of "eligible" is. for all we know (this is my guess personally) eligible means they've interviewed for residencies.

Who really knows, right? I guess either of our assumptions could be true.
 
Right. I'm not concluding that 98% of matriculants land US residencies, just those that pass their boards.

Not many matriculants even make it as far as taking the boards. Also, a big proportion of U.S. med schools match 98% of students into one of their top 3 choices. Are SGU grads getting their top residency choices, or are they just getting....something?
 
Not many matriculants even make it as far as taking the boards. Also, a big proportion of U.S. med schools match 98% of students into one of their top 3 choices. Are SGU grads getting their top residency choices, or are they just getting....something?

Regardless, it would still be different from what SDN generally says about Caribbean schools. Getting no residency is much different than getting IM or FM instead of your #1. Like I said, I just thought it would be an interesting discussion. It doesn't matter to me either way.
 
Getting no residency is much different than getting IM or FM instead of your #1.

I think that would matter on the individual. Probably not that different if you're the one who believed the stats that got blown up your ass by DevrySOM, thinking you could do ROAD/Surg/EM in return for your unsecured $275k loan.
 
I think that would matter on the individual. Probably not that different if you're the one who believed the stats that got blown up your ass by DevrySOM, thinking you could do ROAD/Surg/EM in return for your unsecured $275k loan.

100% agree with this. But I was talking in terms of advice given on SDN, not about individual students and how they would feel about not getting their top choice. Obviously that would be hard to cope with for any medical student.
 
100% agree with this. But I was talking in terms of advice given on SDN, not about individual students and how they would feel about not getting their top choice. Obviously that would be hard to cope with for any medical student.

Yeah, but as you know, once something becomes the conventional wisdom around SDN, it becomes a fact. Just the nature of the beast.
 
Both SDN users and adcoms of Carib schools will give you exaggerated, over-dramatic, sensationalist stories of "truth" when it comes to Carib schools.
 
Also, getting a residency isn't the same as getting into a residency for your top choice or even what specialty you enjoy. While matching into fields like Derm, Integrated Plastics, ENT, Rads, etc. isn't EASY for American grads, it is much easier than for our caribbean counterparts. I know there are people who have matched into competitive specialties and/or programs from the carib, but they are really the outliers....and usually are the ones that the school will promote in their little pamphlets they send out to everyone.

I don't necessarily think they got a worse education than people on the mainland, but I do feel the quality is much more variable.
 
Also, getting a residency isn't the same as getting into a residency for your top choice or even what specialty you enjoy. While matching into fields like Derm, Integrated Plastics, ENT, Rads, etc. isn't EASY for American grads, it is much easier than for our caribbean counterparts. I know there are people who have matched into competitive specialties and/or programs from the carib, but they are really the outliers....and usually are the ones that the school will promote in their little pamphlets they send out to everyone.

I don't necessarily think they got a worse education than people on the mainland, but I do feel the quality is much more variable.

See post 11
 
Lately I've jumped on the bandwagon of people saying "Never ever ever go Caribbean." However, I realized my opinion was being formed just by what I was reading on SDN, so I decided to search around a little bit and looked at the websites for "The Big 3." Unless they are providing false information, it seems like the attitude of pre-meds towards Caribbean schools might be a bit exaggerated

SGU claims to match 98% of eligible US graduates into US residencies.
http://www.sgu.edu/media/top-reasons/school-of-medicine/reason2.html

I couldn't find an exact number for Ross or AUC, but each claim to match "the majority" of graduates into US residencies.

I will be attending a school in Texas, so I have no vested interest in the argument. I just wanted to see what you guys think. Where is everyone getting the idea that the chance of landing a residency coming out of the Caribbean is super super low? Are there some statistics or numbers that I haven't seen?


SGU claims to be able to match 98% of ELIGIBLE US graduates into US residencies without hinting on how many of their students had to take remedial classes, didn't pass the boards, or became part of their supposedly low attrition rate.


I have a friend who goes to SGU, and according to her, people who don't meet a certain cutoff in terms of their marks are simply not allowed to take the boards. It's much easier to attain a high pass rate with a sample size of say, a couple hundred than it is a full thousand.


Tl;DR: SGU artificially inflates its statistics so it can sell itself to prospective applicants.
 
Lately I've jumped on the bandwagon of people saying "Never ever ever go Caribbean." However, I realized my opinion was being formed just by what I was reading on SDN, so I decided to search around a little bit and looked at the websites for "The Big 3." Unless they are providing false information, it seems like the attitude of pre-meds towards Caribbean schools might be a bit exaggerated

SGU claims to match 98% of eligible US graduates into US residencies.
http://www.sgu.edu/media/top-reasons/school-of-medicine/reason2.html

I couldn't find an exact number for Ross or AUC, but each claim to match "the majority" of graduates into US residencies.

I will be attending a school in Texas, so I have no vested interest in the argument. I just wanted to see what you guys think. Where is everyone getting the idea that the chance of landing a residency coming out of the Caribbean is super super low? Are there some statistics or numbers that I haven't seen?

critical thinking skills time.
Fixed?
 
What percentage of students who start at SGU actually graduate? I can't find a statistic specific to MD students, only for the School of Medicine overall, and they claim 85% for that. Keep in mind that includes nursing students, vet students, MPH's, etc...
 
SGU claims to be able to match 98% of ELIGIBLE US graduates into US residencies without hinting on how many of their students had to take remedial classes, didn't pass the boards, or became part of their supposedly low attrition rate.


I have a friend who goes to SGU, and according to her, people who don't meet a certain cutoff in terms of their marks are simply not allowed to take the boards. It's much easier to attain a high pass rate with a sample size of say, a couple hundred than it is a full thousand.


Tl;DR: SGU artificially inflates its statistics so it can sell itself to prospective applicants.

Given the above would it be fair to say that Carrib schools might be a decent option for pre-meds that have a 3.95 bost bac sci gpa, but are suffering from a 2.0 GPA due to the 60+ hrs of underwater basket weaving classes they took 10 years ago long before they got serious and decided to go into medicine?

Just curious...
 
Given the above would it be fair to say that Carrib schools might be a decent option for pre-meds that have a 3.95 bost bac sci gpa, but are suffering from a 2.0 GPA due to the 60+ hrs of underwater basket weaving classes they took 10 years ago long before they got serious and decided to go into medicine?

Just curious...
If that is the only problem with their application they should do an SMP. A post-bacc may not contain particularly difficult courses, especially if they didn't major in a science in undergrad. Doing well in an SMP will allay most problems with previous GPA for application purposes. If they do decent in an SMP, they can be competitive for DO schools if not for US MD.
 
I couldn't find an exact number for Ross or AUC, but each claim to match "the majority" of graduates into US residencies.

I will be attending a school in Texas, so I have no vested interest in the argument. I just wanted to see what you guys think. Where is everyone getting the idea that the chance of landing a residency coming out of the Caribbean is super super low? Are there some statistics or numbers that I haven't seen?

A majority? Very impressive.

You want proof? I found some data that convinced me (but many others still argue about it). Go to nrmp.org and look at their data for applicants matching to programs organized by type of applicant. You'll see a high number for the us graduate column, and mostly 0, 1, or a few for the us international column. Fun times.
 
If that is the only problem with their application they should do an SMP. A post-bacc may not contain particularly difficult courses, especially if they didn't major in a science in undergrad. Doing well in an SMP will allay most problems with previous GPA for application purposes. If they do decent in an SMP, they can be competitive for DO schools if not for US MD.

SMP = Special Masters Program? Interesting.. I'll have to look into that a little more ... I'm working on the pre-reqs via a new degree at the moment, as previous degree didn't include a single pre-req. thanks for the info 🙂
 
For me the fact that we have to try to figure out how "eligible" is defined by a school makes me uncomfortable.
 
SMP = Special Masters Program? Interesting.. I'll have to look into that a little more ... I'm working on the pre-reqs via a new degree at the moment, as previous degree didn't include a single pre-req. thanks for the info 🙂
Yeah that's what SMP means, sorry I didn't specify. The fact that your post-bacc will include all your prereqs will make it significant, but I don't know enough about application evaluations of UG GPA vs. post-bacc GPA to comment on how heavily it will be considered. Others on SDN will have a better idea.
 
I have a friend who goes to SGU, and according to her, people who don't meet a certain cutoff in terms of their marks are simply not allowed to take the boards. It's much easier to attain a high pass rate with a sample size of say, a couple hundred than it is a full thousand.

qft. this is the caribbean business model, folks. does anyone really think that all these 3.0/23 matriculants are capable of succeeding?

someone mentioned nrmp stats. here they are: 1,749 PGY-1 matches for US IMGs in 2010, another 127 into PGY-2. total was 1,876 (there is some overlap here if i'm not mistaken - most of the PGY-2 total should have been counted in the prelim matches for year one, whatever.)

so, 1800 or so. Ross recently (maybe still) was taking 800 new students a term. and they have three terms a year. that's 2,400 new students a year. just at Ross.
 
qft. this is the caribbean business model, folks. does anyone really think that all these 3.0/23 matriculants are capable of succeeding?

someone mentioned nrmp stats. here they are: 1,749 PGY-1 matches for US IMGs in 2010, another 127 into PGY-2. total was 1,876 (there is some overlap here if i'm not mistaken - most of the PGY-2 total should have been counted in the prelim matches for year one, whatever.)

so, 1800 or so. Ross recently (maybe still) was taking 800 new students a term. and they have three terms a year. that's 2,400 new students a year. just at Ross.

Plus, the roughly 1800 matches are from ALL US international grads...that's the Carib plus EVERYWHERE else in the world that US IMGs come from.
 
critical thinking skills time.

I think the critical thinking skills really should have come into play when posting the thread "Caribbean disadvantage exaggerated on SDN?" ON SDN :laugh:
 
qft. this is the caribbean business model, folks. does anyone really think that all these 3.0/23 matriculants are capable of succeeding?

someone mentioned nrmp stats. here they are: 1,749 PGY-1 matches for US IMGs in 2010, another 127 into PGY-2. total was 1,876 (there is some overlap here if i'm not mistaken - most of the PGY-2 total should have been counted in the prelim matches for year one, whatever.)

so, 1800 or so. Ross recently (maybe still) was taking 800 new students a term. and they have three terms a year. that's 2,400 new students a year. just at Ross.
This is my main thought when I hear about people wanting to go to the Caribbean for medical school. If you can't handle the undergraduate work and you also can't handle the MCAT, then how could you possibly handle medical school?
 
I'm sure every pre-med knows 'that guy' who went to the caribbean and is now practicing medicine in the US, leading them to the conclusion that the caribbean isn't all that bad if you work hard. But it really is...30-60% flunk out. Is a 200K investment really worth that risk (probably many of the loans aren't subsidizied either), thinking you will be part of the minority that makes it through?

Caribbean is a great last option if you really want medicine and have some part of your application that you just can't fix to get into a US school. But far too often people will head down there right from college instead of taking 1-2 years to do a postbac/SMP or retake the MCAT. Their logic is that 'they don't have the moeny to keep reapplying' or '1-2 years is a huge opportunity cost', and yet they have no problem taking a coinflip risk on a 200K investment.
 
someone mentioned nrmp stats. here they are: 1,749 PGY-1 matches for US IMGs in 2010, another 127 into PGY-2. total was 1,876 (there is some overlap here if i'm not mistaken - most of the PGY-2 total should have been counted in the prelim matches for year one, whatever.)

Well I'm not sure how NMRP does the counting as far as repeating the PGY-1 and 2 but I'm guessing the PGY-2s are advanced programs, so they probably are double counted into the PGY-1s. Additionally, the terrifying thing about those PGY-1 numbers is that a lot of those are probably prelim programs WITHOUT an advanced spot. So no true residency, just a dead-end year of working your ass off with no promise of a full residency.

An intern year with no full residency and board licensure won't take you too far...maybe a generalist in the sticks.

That makes those numbers that much more dismal.
 
Why take the pricey risk? Just to do it the "legit" way. And if you don't get in, you try again or just go with a PhD, PharmD, etc. instead.
 
I can attest from first hand experience that these Carib places are just trying to make a buck. I applied to SGU as a backup and got in, but the twist was it wasn't even in their main island but some satellite campus in NEWCASTLE, ENGLAND that they cutely named "Global Scholars Program" which would cost me upwards of 70k still. I mean Jesus Christ, 70k for a British education? I was like WTF? Can I even practice in the US after going through this bull****? I told them hell ****ing no and decided to do a postbac instead. Now I'm an M2 at Georgetown and thank God every day that I decided to at least exhaust all possible options here in the states. So to all you who are thinking about Caribbean schools please exhaust all your options here first. Do an SMP, try DO, fellate an Adcom member, ANYTHING to get in before going to the islands.
 
Lately I've jumped on the bandwagon of people saying "Never ever ever go Caribbean." However, I realized my opinion was being formed just by what I was reading on SDN, so I decided to search around a little bit and looked at the websites for "The Big 3." Unless they are providing false information, it seems like the attitude of pre-meds towards Caribbean schools might be a bit exaggerated

SGU claims to match 98% of eligible US graduates into US residencies.
http://www.sgu.edu/media/top-reasons/school-of-medicine/reason2.html

I couldn't find an exact number for Ross or AUC, but each claim to match "the majority" of graduates into US residencies.

I will be attending a school in Texas, so I have no vested interest in the argument. I just wanted to see what you guys think. Where is everyone getting the idea that the chance of landing a residency coming out of the Caribbean is super super low? Are there some statistics or numbers that I haven't seen?

Hi,
I have been considering attending one of the well respected Caribbean med schools despite the fact that I likely would have a good shot at being accepted to a US med school.
I know that the consensus is that one should only consider attending a Carib. school if this is the only option open to an applicant, and that one should not even entertain the idea of a Carib. school until all US med school opportunities have been pursued, and one has been unsuccessful in getting accepted to any US school.

However, there are several reasons that Carib schools are appealing to me (ability to start school much sooner, begin rotations much sooner, the Carib schools can be MUCH cheaper, I really like the idea of studying in the beautiful Caribbean) and there are several other reasons why Carib schools appeal to me so much, despite the fact that I would very likely be a competitive applicant at US schools.

In fact, the only downside I see regarding attending 1 of the respected Carib schools, is the stigma that exists for those that attend these schools, and the relative difficulty Carib students encounter when attempting to land a desirable residency program after graduating from the Carib. If it were not for these unfortunate downsides, I wouldn't hesitate attending a Carib school over a US school.

However, I need to be realistic and practical, and that means accepting that stigma associated with Carib schools, and the difficulties one encounters when applying to residencies.

What Id like to know is, how much of a disadvantage is a Carib student at in terms of landing a good residency, and how much of a liability is a Carib degree when one embarks on their medical career after residency.

Again, Carib schools really appeal to me, but I dont want to go down this path if the fact is that I will likely experience substantial difficulties when trying to land a residency and when trying to find a position at a practice or hospital after my residency.

So can anyone help to answer this? How much difficulty would I encounter in terms of getting a residency/good position at a practice or hospital, compared to if I attended a decent US school (assuming all other things are equal ie grades)? Is it really going to be a big hindrance in achieving my residency and securing a desirable position at a practice/hospital?

Lastly, are there other serious downsides of attending a good Carib school which I have not considered (other then the residency/securing a good job issues)?

It just seems that everyone is very anti-Carib school if it is assumed that an applicant has options at US schools. There must be good reason for this, but I want to get some feedback before making this decision. Thanks-SH



I'm a 4th year allopathic med student. Let me just say that clearly I'm biased, but going through the residency application process right now and having a roommate who went to a carib school, I'll say a few words.

1. I've met a few dozen residents from carib schools - all were universally bad. As a brand new 3rd year med student I knew more than them. It was embarrasing. And I thought this long before I knew where they went to school.
2. Saying that it's hard to get a good residency coming from the carib is the understatement of the century. It's extremely difficult. And if you fall in love with derm, plastics, optho, ENT, etc. while in med school, forget about it. It's out of reach. Often, even if you rock step1/2!!!! Program directors know that many carib schools teach according to the boards, so people get inflated scores, but still turn out to be just the worst doctors ever. So now many don't even consider them, even with 270s. Your application goes in the shredder once they see the word "ross". Plus, it's not just IF they get a spot, it's WHERE. Look where they go. Are they getting in to sweet programs that have great teaching, treat their residents right, etc.? Nope. Even if they get into the US, they go where no american grads want to. Places that over work the housestaff and don't do very much teaching, and where people are generally unhappy. I've seen those programs. Not fun. And as others stated, you may not even get a categorical position, just a prelim. Those don't lead to board certification. I know two guys who are on their thrid year of prelim. The may just endlessly be a intern. That's hell. But sure, they got into a US position, right?
3. You'll have to live on some podunk island and wonder if you even get to do rotations in the US. Now many states are cracking down on carib students, like New York.
4. You'll live with the stigma of having gone there for the rest of your career. Think about it. That's awful.
5. Something you may not have thought of is who is teaching you medicine???? Caribbean doctors? Then you rotate here (hopefully) and you get taught by community docs that don't really want to teach. Compare that to being taught by some of the best academic physicians in the best US hospitals. It's a huge difference.
6. Some of them are very financially unstable. Watch out. And many, if not all, have the reputation of being diploma factories. Sure it's cheap, but you get what you pay for.

I wouldn't recommend it. I'm not trying to be inflammatory, I'm just trying to save people a huge mistake.
 
On the flipside, you got a girl who also went to Ross and ended up getting into a residency that she likes/wanted [psychiatry]:

http://www.islandmedstudent.com/home/ -> http://doctorpsychobabble.com/

I follow both blogs as well.

Keep in mind, however, that psych is one of the least competitive fields. While it has some perks (e.g., great hours) it also has its downsides (e.g., general lack of respect by other medical professionals, heightened potential for pt violence against doc, burn out).
 
I know two practicing docs who went to a Caribbean school but, reading that blog, it makes me think of the lower tier law schools, which accept students that should never have been accepted into such a field, take their money, and leave them with nothing to show for it but wasted years of life. I have a friend who I thought would never get into a medical school because, as hard of a worker as she is, and as passionate as she is, I didn't think she'd be smart enough to get in anywhere. I'd imagine she could pull of a 3.3 with an MCAT in the low-mid 20's though, apparently that's good enough for an acceptance, but probably not good enough to get through medical school...
 
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