I would recommend going to an osteopathic medical school rather than attending a medical school in the Caribbean. I would, however, advise that you become comfortable with the fact that you'll be a D.O. for the rest of your life. I know far too many osteopathic medical students who complain that the D.O. is a handicap. It definitely has not proven to be a handicap for the osteopathic students I know. I've met many D.O. students over the last three and a half years and know that these guys are interviewing at high-powered programs in areas as competitive as Rays and EM. Good luck.