I have decided to create this thread, for informational purposes, in the hopes that it will aid fellow North American applicants in their quest to become doctors.
First, I am assuming that, because you're reading this thread, you do not believe yourself to be a competitive applicant for medical school in the United States or Canada, MD or DO. Maybe you have applied a few times and came up short, or maybe you have a couple of rough years on your transcript which have damaged your application and you've decided to look abroad.
The Caribbean schools spend a lot of money advertising and often present their programs as great alternatives pathways into medicine and while that may be true I would like to present other, less well-known options.
Breaking down options by region
Europe
United Kingdom - well-regarded schools; however, they can be just as competitive as North American medical schools when it comes to admission. In short, if you can't get in here, you're going to have a lot of difficulty getting in there. The schools operate on a quota system for international students and the quota is often a single-digit number. Also, most of the programs available to international students will be 5 years in duration. Most schools are eligible for US Federal Loans. Cost is comparable to private tuition fees in the US.
Ireland - well-respected institutions; there are four 4-year graduate entry medical schools, and six medical schools overall (two only offer undergraduate entry medicine which are 5-6 years in duration). Admission is slightly less competitive than in the US. Minimum requirements are probably a 3.0 GPA and 27 MCAT, there isn't a heavy emphasis on GPA and MCAT score can be a massive booster for your application. So if you're sitting on a 3.05 GPA and 32 MCAT this could be a really good option for you. Most schools are eligible for US Federal Loans. Cost is comparable to private tuition fees in the US.
Poland - There are English-language medical school programs that are recognized by the medical boards of all 50 states. Jagiellonian University in Krakow is the oldest and generally regarded as the best. Medical University of Lublin, Medical University of Silesia, Medical University of Warsaw, and Poznan University also come to mind. Admissions criteria are a little looser for these schools. 2.5 GPA and 24 MCAT are probably 'minimum' requirements, but it certainly helps to have have higher numbers. These degrees are recognized throughout the European Union and in all 50 US states (to the best of my knowledge). On the negative side I don't believe any of the schools are still eligible for US Federal Loans, but on the positive side tuition is $15,000 - $20,000 per year at most of these schools, and the cost of living is significantly lower than in the US, but the quality of life in Poland has been steadily increasing since the 1980s and is almost on par with western Europe. I would go to Poland before going to the Caribbean. The schools offer both 4-year graduate entry programs, and 6-year undergraduate entry programs.
Czech Republic - A medical degree from Charles University First Faculty of Medicine's English-language program in Prague is recognized throughout the European Union and in all 50 US states. The program is 6-years in length, and costs about $16,000 per year. I do not believe the program is eligible for US Federal Loans.
Hungary - There are a few English-language programs in Hungary that are recognized throughout the EU and US. I do not believe they have US Federal Loan eligibility but they are reasonably priced.
The Eastern Europe advantage? Low tuition, degrees recognized throughout the entire European Union, some degrees recognized throughout the United States. In short, the Eastern European schools are what the Caribbean schools used to be before they started charging a king's ransom. Somewhere like Jagiellonian is in a vibrant city, Krakow, and tuition is $15,000/year. They post a good residency match rate and ultimately offer good value for your money. Stigma? Yes, but a smaller one than the Caribbean. If you have ethnic ties to one of those countries you can actually make a case for wanting to study there in a residency interview. Heck, you can probably make a case for wanting to study in Prague, Budapest, or Krakow without ancestral ties.
Australasia & Oceania
Australia - There are several great options in Australia and this is often overlooked by students from the United States. Admissions standards can be a bit lower than in the US at some schools, and higher than average at others. For example you can get into UQ with a 2.7 GPA and 24 MCAT.
You'll live in Australia which has a standard of living equal to that of the United States and Canada, if not better. The universities are old, well-respected, and provide a great opportunity for American students. The tuition fees are high, equal or greater than what you would expect to pay at a private US school, and the cost of living is high. However, the vast majority of the schools are eligible for US Federal Loans.
GPA is not a major factor and often a hurdle at 2.7 (meaning anything higher than 2.7 is viewed equally, e.g. 2.85 = 3.95). MCAT is important as can be the interview.
There is also a hybrid program at the University of Queensland which follows a Caribbean-style model with 2 years in Brisbane and 2 years in New Orleans at Ochsner. And I would, without question, attend this program before going to any Caribbean school.
I really would like to steer some American applicants away from the Caribbean and towards Australia. In general, if you can get yourself a spot in one of the 'Big 4' or 'Big 5' Caribbean schools you should be able to find yourself a spot in Australia. Going to the Caribbean you will spend 2 years in a developing nation (or, and I hate this term, a "third world country"), that is not the case with Australia. Furthermore, there won't be a stigma attached to the Australian degree as the schools there aren't viewed as "diploma mills" like the Caribbean schools. You will have a lot easier time explaining in a residency interview why you chose to study in Australia than you will with the Caribbean. Although they are a minority some students who go to Australia actually choose to study there over North America, Caribbean students go to the Carib because they couldn't get into a school in America, period, and everyone knows it.
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I will add to this in coming days, and I welcome additions and criticisms in an effort to improve it.
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In short, if you cannot get into medical school in the United States I highly recommend that you explore the United Kingdom, Ireland, Australia, and New Zealand. Australian schools have the most liberal admissions requirements of the group. If you have no luck there look to the English-language programs in Eastern Europe before going Caribbean. I feel like the better Caribbean schools have inflated their prices to the point where they're not worth it, there is a stigma attached because they're viewed as diploma mills, and while there may be a similar stigma attached to an English-language program in Eastern Europe at least you didn't pay $280,000 for the latter, in fact most Eastern European degrees will cost you about $60,000. Also, the standard of living is way higher in Eastern Europe than it is on any of the Caribbean islands.
First, I am assuming that, because you're reading this thread, you do not believe yourself to be a competitive applicant for medical school in the United States or Canada, MD or DO. Maybe you have applied a few times and came up short, or maybe you have a couple of rough years on your transcript which have damaged your application and you've decided to look abroad.
The Caribbean schools spend a lot of money advertising and often present their programs as great alternatives pathways into medicine and while that may be true I would like to present other, less well-known options.
Breaking down options by region
Europe
United Kingdom - well-regarded schools; however, they can be just as competitive as North American medical schools when it comes to admission. In short, if you can't get in here, you're going to have a lot of difficulty getting in there. The schools operate on a quota system for international students and the quota is often a single-digit number. Also, most of the programs available to international students will be 5 years in duration. Most schools are eligible for US Federal Loans. Cost is comparable to private tuition fees in the US.
Ireland - well-respected institutions; there are four 4-year graduate entry medical schools, and six medical schools overall (two only offer undergraduate entry medicine which are 5-6 years in duration). Admission is slightly less competitive than in the US. Minimum requirements are probably a 3.0 GPA and 27 MCAT, there isn't a heavy emphasis on GPA and MCAT score can be a massive booster for your application. So if you're sitting on a 3.05 GPA and 32 MCAT this could be a really good option for you. Most schools are eligible for US Federal Loans. Cost is comparable to private tuition fees in the US.
Poland - There are English-language medical school programs that are recognized by the medical boards of all 50 states. Jagiellonian University in Krakow is the oldest and generally regarded as the best. Medical University of Lublin, Medical University of Silesia, Medical University of Warsaw, and Poznan University also come to mind. Admissions criteria are a little looser for these schools. 2.5 GPA and 24 MCAT are probably 'minimum' requirements, but it certainly helps to have have higher numbers. These degrees are recognized throughout the European Union and in all 50 US states (to the best of my knowledge). On the negative side I don't believe any of the schools are still eligible for US Federal Loans, but on the positive side tuition is $15,000 - $20,000 per year at most of these schools, and the cost of living is significantly lower than in the US, but the quality of life in Poland has been steadily increasing since the 1980s and is almost on par with western Europe. I would go to Poland before going to the Caribbean. The schools offer both 4-year graduate entry programs, and 6-year undergraduate entry programs.
Czech Republic - A medical degree from Charles University First Faculty of Medicine's English-language program in Prague is recognized throughout the European Union and in all 50 US states. The program is 6-years in length, and costs about $16,000 per year. I do not believe the program is eligible for US Federal Loans.
Hungary - There are a few English-language programs in Hungary that are recognized throughout the EU and US. I do not believe they have US Federal Loan eligibility but they are reasonably priced.
The Eastern Europe advantage? Low tuition, degrees recognized throughout the entire European Union, some degrees recognized throughout the United States. In short, the Eastern European schools are what the Caribbean schools used to be before they started charging a king's ransom. Somewhere like Jagiellonian is in a vibrant city, Krakow, and tuition is $15,000/year. They post a good residency match rate and ultimately offer good value for your money. Stigma? Yes, but a smaller one than the Caribbean. If you have ethnic ties to one of those countries you can actually make a case for wanting to study there in a residency interview. Heck, you can probably make a case for wanting to study in Prague, Budapest, or Krakow without ancestral ties.
Australasia & Oceania
Australia - There are several great options in Australia and this is often overlooked by students from the United States. Admissions standards can be a bit lower than in the US at some schools, and higher than average at others. For example you can get into UQ with a 2.7 GPA and 24 MCAT.
You'll live in Australia which has a standard of living equal to that of the United States and Canada, if not better. The universities are old, well-respected, and provide a great opportunity for American students. The tuition fees are high, equal or greater than what you would expect to pay at a private US school, and the cost of living is high. However, the vast majority of the schools are eligible for US Federal Loans.
GPA is not a major factor and often a hurdle at 2.7 (meaning anything higher than 2.7 is viewed equally, e.g. 2.85 = 3.95). MCAT is important as can be the interview.
There is also a hybrid program at the University of Queensland which follows a Caribbean-style model with 2 years in Brisbane and 2 years in New Orleans at Ochsner. And I would, without question, attend this program before going to any Caribbean school.
I really would like to steer some American applicants away from the Caribbean and towards Australia. In general, if you can get yourself a spot in one of the 'Big 4' or 'Big 5' Caribbean schools you should be able to find yourself a spot in Australia. Going to the Caribbean you will spend 2 years in a developing nation (or, and I hate this term, a "third world country"), that is not the case with Australia. Furthermore, there won't be a stigma attached to the Australian degree as the schools there aren't viewed as "diploma mills" like the Caribbean schools. You will have a lot easier time explaining in a residency interview why you chose to study in Australia than you will with the Caribbean. Although they are a minority some students who go to Australia actually choose to study there over North America, Caribbean students go to the Carib because they couldn't get into a school in America, period, and everyone knows it.
------
I will add to this in coming days, and I welcome additions and criticisms in an effort to improve it.
----
In short, if you cannot get into medical school in the United States I highly recommend that you explore the United Kingdom, Ireland, Australia, and New Zealand. Australian schools have the most liberal admissions requirements of the group. If you have no luck there look to the English-language programs in Eastern Europe before going Caribbean. I feel like the better Caribbean schools have inflated their prices to the point where they're not worth it, there is a stigma attached because they're viewed as diploma mills, and while there may be a similar stigma attached to an English-language program in Eastern Europe at least you didn't pay $280,000 for the latter, in fact most Eastern European degrees will cost you about $60,000. Also, the standard of living is way higher in Eastern Europe than it is on any of the Caribbean islands.
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