Bottom line fact- people from Windsor get residencies. Of course, you should go to the best school you can qualify for. The reason fewer Windsor grad get residencies is because they accept a lot of people who don't have the ability to pass the USMLE's. But that's on the student's shoulders. There are students from Carib schools that are not the big 4, in residency regularly. Medical University of America's, St. Mathew's, St. Eustatius (to a lesser degree), and Windsor (to an even lesser degree) are some of these schools, among others. I just assume that any thinking person would apply to the best school they can, or the school of their choice, not the least competitive or advantageous school that you can. But some people do apply to MUA, who are extremely high scorer's (several 245's last year), because they are actually paying cash, and the tuition is 1/3 or less of SGU or Ross. Yes, not as many open doors in residency interviews, but that can be overcome.