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I am a Jamaican pharmacy (Bpharm) graduate. I am also a holder of a permanent (geen card) visa. I have always wanted to practice medicine, and now that I will soon be migrating, I am wondering what is the best route for me to take in order to become an M.D. in th US. also, will there be any detrimental implications if I take the Caribbean Med school route? Are there anyone out there who was in a similar position but have managed to overcome the obstacles?