If you are a permanent resident, you are granted a green card; thereby having a green card or being a permanent resident is the exactly same thing. MSAR 2003 states that ?the 2001 entering class at U.S. medical schools included 181 students who were not US citizens or permanent residents.? MSAR also emphasizes ?1 Many public medical schools limit enrollment to states residents [the state where you reside], 2 state residency statues require that applicants be either US citizens or permanent residents, 3 many private medical schools require international applicants to document their ability to independently finance a medical education, 4 many countries impose severe restrictions on exportation of currency, 5 federal financial aid resources generally require either US citizenship or permanent residency, 6 many medical schools require completion of premedical coursework at a US college or university?Private medical schools are more likely to accept international students than public ones.? Your best option is to call the schools where you want to apply and ask them if they accept international students and what the average grade for international student is. Make sure you do well in your classes, and have at least grades that are the average for American applicants. I am sure this has been mentioned before, but comities will look favorable upon international students who have good grades because they have to overcome so much to succeed in their studies. Getting good grades is the easiest part of the application because if one cannot succeed academically, medical schools may question how well you will do in med school- whether you are American or international student. But having a bank account with enough money to pay for your studies is definitively the hardest. If you cannot prove you have that money, INS will not grant your visa. And after 9-11 INS will be even stricter before granting someone a visa. It is not impossible. 181 made it in 2001, and that?s a lot of international students going to med school. Again I would call the schools and ask them directly. Good luck!