Hey, the threads on UK and Irish med schools are cooking! So I thought that I might as well get into the mix. Have you thought about applying to Canadian med schools? Apparently, Warpath found the link and showed me that MacMaster now has up to 10 spots available for international students. So there are now at least 3 schools that are receptive to americans/internationals: McGill, MacMaster and Memorial University in Newfoundland. For more info on McGill, there is the other thread I started. http://www.studentdoctor.net/forums/showthread.php?s=&threadid=6470 For more info on MacMaster, please see http://www.fhs.mcmaster.ca/mdprog/pool.htm One thing that I have to make absolutely clear is that this thread should not be on the international forum but instead should be in the preallpathic forum (but things get buried in the preallo forum too fast). Canadian schools are accredited by the same governing body, Liaison Committee on Medical Education, as the American schools. That's why schools on both sides of the border appear in the same book (the bible of all applicants), "Medical School Admissions Requirements," published by your one and only Association of American Medical Colleges. Therefore, as a graduate of a Canadian med school, you will not be classified as an IMG/FMG (unlike the case with graduates of British, Australian, Carribean, etc. med schools). Consequently, you will not need to take any extra tests that are required of IMG's/FMG's (IMG's need to get ECFMG certification while fifth-pathway requires extra science tests). Please see: http://www.nrmp.org/res_match/special_part/inst_officals/about.html http://www.aamc.org/meded/medschls/start.htm Moreover, Canadian schools are way cheaper, with tuition (when converted) being about 12k US or LESS per year. That is less than English, Irish, Carribean or even some private US DO schools. The living expense in Canada is also much less than in Europe by far and the living condition is probably like heaven when compared to the Carribean. Lastly, MacMaster's program is three years long. I believe that they go to school/hospital 11 months every single year to finish all the coursework in that time span. MacMaster also does not requirement MCAT. It's PBL model was also what Harvard and all the rest of American schools modeled theirs on (i.e. MacMaster was the first to start it and still continues to do it with pride). However, there is some controversy regarding PBL's effectiveness. I just mentioned MacMaster's role in PBL to bring some attention to the school, not to endorse any view of superiority. A couple things though.... Canadian schools usually have worse facilities than American schools due to decrease in government funding (however, that's the norm across the WORLD. Even when I did my junior year abroad at England, I heard that complaint about British Ministry of Education). Schools in Ontario have also been increasing their tuition like crazy in the last couple years but it is still way cheaper than the private ones in the US and the diploma mills in the Carribean. Moreover, the schools' scheduling might not be optimal for you to take time off to take USMLE step 1. Instead you need to find the right time for yourself. And Montreal and Ontario can be quite cold! But I probably experienced more grey sky in England than I did while living in Canada. Finally, the way I see, since there are reserved spots already for Americans, I might as well advertise for the Canadian schools. That way, the applicant pool will only get stronger and stronger, eh?