Caribbean

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I have close friends who made it through the Caribbean schools (matching gen surg, IM, anesthesiology). If I had to choose between taking X years to strengthen app vs start in the Caribbean right away, knowing it worked out for them, I might’ve picked the Caribbean.
You have to know yourself and honestly evaluate why you’re in this situation and whether it’s right for you. The attrition rate is high for reason—many underestimate what it takes.
This is a perfect example of survivorship bias
 
If youre wondering how stressful and uncertain the match is for IMGs, go take a look at the ERAS thread. Then imagine you will be following 4 years later, when it will be harder. Why put yourself through that?
 
If you are all about opportunity cost, DO NOT go to Caribbean. The opportunity cost of what getting in a year earlier means is not worth the 4 +3 years of your life once accepted that will be miserable.
Living on the island is not pleasant, safe, clean, or affordable.
You will have no way to "prove" yourself now that step 1 is P/F.
You will likely end up doing your residency (IF you get one, and that is a big IF) in an undesirable hospital, in an undesirable location, in a field that you possibly did not want. All for what, one year?

Tons of people go to medical school in their thirties. And also, your stats are GREAT for DO/MD schools. You can definitely get into a US medical school with those stats. Two main pieces of advice:

Get clinical experience. You can totally get enough clinical experience to be a competitive applicant by May 2021. I got in with around 300 clinical hours. Start looking now.

Apply early. Start pre-writing secondaries in Feb/March. Have your entire application ready to send the day the app opens. You already achieved the most difficult aspects of a medical school application (GPA and MCAT). Don't let something as easy to obtain as clinical experience be the reason you ruin your life.
 
Just go ahead and apply DO this year if you're tired of wasting time.

I wasn't complete until after Thanksgiving, and out of 11 schools, I got 8 interviews and was accepted at every one I attended (3). It's definitely not too late at this point to apply DO and secure a good number of acceptances with your stats. My MCAT was only a little higher than yours.
 
Am I crazy for considering this?

Yes.

Even anecdotal evidence from this forum...DO students from low tier DO schools with poor COMLEX and no step scores, can safely match into family medicine with 30-50 applications, while an IMG with strong step scores and no red flags may need to send out a couple hundred applications just to match into family medicine.

Who knows what will happen now that step 1 is gonna be P/F
 
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