Hey thanks for the insight. I have thought of this somewhat. I can apply to my home state school and see what happens. I do go home often. It's expensive but I don't care. I also thought about taking a leave of absence and applying to US schools or just seeing what my options are. I'm also at a point where I should just suck it up and stay another year in this dump. The beaches are nice but the town is not. I hate the bugs. Little things are getting to me, it's ridiculous.
In my experience, one of the essential qualities that determines success in a Caribbean medical school is persistence and a determination to succeed no matter what.
The obstacles are many. Huricanes like Bret or Irma, bugs, lack of first world comforts, isolation from family, missed weddings, anniversaries, funerals, birthdays, to name a few. For some schools, issues with poor quality of instruction, the need to be a self motivated, self directed learner, ever changing curriculum, mounting debt, uncertainty about matching.
You've got to be tough to be successful at a Caribbean med school. It also helps to have solid financial and emotional support from family, friends, and colleagues.
Personally, I think the character and adaptability required to be successful in a Caribbean med school makes for great doctors. Many would agree, others don't understand the qualities needed for success and devalue Caribbean grads.
Sounds to me like you are close to getting off the island and moving on to the clinical portion of your training. Being back in the US may be easier for you. Many Caribbean schools have multiple locations for clinical training. Some may be close to home, others farther away. Its pretty normal to move several times. That is hard too.
You haven't shared what school you're at and may prefer not to to maintain anonymity. There may be legitimate concerns regarding the quality of your school, but without more detail its hard to evaluate the risks with this.
You say your school is not "fully accredited." I don't know exactly what you mean by this.
No Caribbean school is accredited in the US. Caribbean schools are normally accredited by either CAAM-HP or ACCM.
Does "not fully accredited" mean your school is provisionally accredited by one of these bodies? That may not be a major concern as long as it doesnt loose that accreditation while you're there.
However if your school is not accredited at all (full accreditation should not be necessary) by an organization recognized by WFME (such as one of the above), by 2024 you will not be able to match in the US.
That would be a big problem and may suggest the need to change to another Caribbean med school that is accredited or try applying to a US school, which, as others have said, might be a challenge. If you need to apply to another Caribbean school, best time to do so for a number of reasons is likely after finishing on the island and passing Step 1.
Ultimately, its up to you, but for what its worth, it sounds to me like you are being successful so far, but are having doubts based on the normal challenges and hardships associated with this path.
As long as your school is accredited, even if it is a lower tier or newer school, it may be worth sticking it out. Lots of grads from low tier schools are successful in matching to primary care, especially if they do well on Steps and can put together a solid application with good references.
Tough choices though. Best wishes for success whatever direction you choose.