Hi, new to the forum . I also wanted to bring up this point, that NO ONE IS EVEN TALKING ABOUT. There are a wealth of new accredited US medical schools that are or have been opening up, both MD + DO. Many of them are schools which are under existing big university names, or are sister schools of already established schools. think Florida State Arizona and an abundance of Osteopathic Schools. CHECK this out http://www.aamc.org/newsroom/reporter/march05/newschools.htm http://www.vtnews.vt.edu/story.php?relyear=2007&itemno=5 http://med.fsu.edu/AboutCOM/history.asp http://www.asufoundation.org/news/stories/101006-opening-medschool.asp http://www.primenewswire.com/newsroom/news.html?d=112522 http://www.lecom.edu/bradenton/ http://www.lmunet.edu/dcom/ http://www.atsu.edu/comm/index.htm http://www.tu.edu/departments.php?id=44 http://www.vcom.vt.edu/ So to answer the question, with an expected increase of total AMGs, (as you know, residency program directors and chairs want AMGs as their first pick --> if anyone tells you otherwise, that is bs), ...in the near future, I think it would be very wise to assume that it will get much harder for Caribbean IMGs to land a residency. The new wave of recent and soon to be inaugural class graduates will have a significant impact. Good for residencies ( with the exception of the Family Medicine 84% fill rate, I anticipate it will continue its demise). Bad for IMGs. Moral of the story, dont slack off as a premed. With so many spots available in US medical schools, if you still can't get into one US medical school, well.... I mean listen to the advice of actual Caribbean grads, they are telling premeds to go to the carib as a last resort.