I have a question I haven't been able to find the answer to. I'm hoping some of you out there attending the UAG can help me. I have a pretty good understanding of the Fifth Pathway process. However, I was wondering the following: Suppose I go to the UAG to study Medicine and I want to do the 6 years there and then become ECFMG certified. However, I want to have some experience working/studying in US hospitals (and I don't want to just spend a couple of months on an elective in a US hospital). Is it possible to apply to the NYMC for Fifth Pathway, finish the 1 year, and then go back to the UAG to complete the Service obligation, do the comprehensive exam, and get the title? This way, I finish all requirements by the UAG to get my title, and I have 1 year of experience in US hospitals. Then I can become ECFMG certified and apply to residencies in the US without the limitations of a Fifth Pathway "diploma". Basically, I would be replacing the 5th year of Internado with the 1 year at the NYMC, and then returning to UAG for the 6th and last year. Can the Fifth Pathway be used in this way? Thanks for your help. By the way, I don't want to sound rude or anything, but please, I'm simply looking for an answer to my question. I don't want to hear how this or that school is superior to the UAG or how Caribbean schools are the better/worst choice, or Irish, or D.O. or whatever. Thank you.