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I'm of the opinion that you should only go to the Caribbean as a last resort--ie multiple failed admissions cycles after doing everything possible to improve your application. You aren't to that point yet.
If you get into a SMP this year, go for it. Also try to improve your MCAT score.
If you don't get into a SMP, study hardcore for several months to work on the MCAT. If you can break 35, reapply to US schools (MD and DO) next year. If no change or minimal improvement, try for an SMP next year.
The problem is the changing landscape, which isn't evident by looking at match lists for the last decade, or even last year. More and more US MD schools are opening. Very soon, there will be as many US MD graduates as there are US Residency slots. This means FMG's and DO's will be pushed out of the match. While you might have had a 40, 50, 60, 70% chance at matching from SGU or another "top" Caribbean school in years past (ignoring the huge attrition rate) that is changing, and not in the Caribbean graduates' favor. It doesn't matter if SUG is the "Harvard" of the Caribbean or the bottom of the bucket, unless they become fully accredited as a US MD school (any bets on how likely this is to occur?), anyone who can add and is willing to look at it honestly can tell things are going to keep getting harder and harder for FMG's to match in the US and therefore ever practice as a doctor in the US.I dont think SGU is near as bad as people make it out to be. People associate the word "carribean" with it and make it into some god awful wasteland when in reality there are several people from SGU currently practicing medicine in the US, so ask yourself, why cant you be one of those people? You are going to deal with headaches, but thats called life. You suck it up and keep going.
My question is though, did you apply to any DO schools at all? I feel like youd have a good shot at some DO schools.
The problem is the changing landscape, which isn't evident by looking at match lists for the last decade, or even last year. More and more US MD schools are opening. Very soon, there will be as many US MD graduates as there are US Residency slots. This means FMG's and DO's will be pushed out of the match. While you might have had a 40, 50, 60, 70% chance at matching from SGU or another "top" Caribbean school in years past (ignoring the huge attrition rate) that is changing, and not in the Caribbean graduates' favor. It doesn't matter if SUG is the "Harvard" of the Caribbean or the bottom of the bucket, unless they become fully accredited as a US MD school (any bets on how likely this is to occur?), anyone who can add and is willing to look at it honestly can tell things are going to keep getting harder and harder for FMG's to match in the US and therefore ever practice as a doctor in the US.
Right now, if you do well on the boards, it is possible to do so. I addressed this in my prior post, that things are changing. The number of seats at US MD schools is increasing, while there is no indication that residency funding will be increased (if anything, it is a constant struggle to keep it from being cut), so number of residency spots is stagnant. It doesn't matter at all that there is a shortage of doctors, since the number of residency spots determines how many doctors can be trained to practice in the US.Im pretty sure if you want to match into a half decent im or FP program it will be more than possible as an SGU grad. Theres a huge shortage of doctors, this will be rectified somehow. It will be interesting to see what happens with the new presidency and what changes are made to health care.
This is ridiculous! There is too much hating towards the caribbean schools! I really think this has gone on way too far.