Friends, Read between the lines before jumping into one of these Caribbean schools. 1. They state 99% of their students pass the USMLE, but is that after the first try or repeated attempts, I bet the percentages dip down for first time taking the USMLE. These programs dont train you for the exams as well as American school, so you may be on your own in this department.(and failing the boards does not look good for residency!) 2. They state 99% of their students receive residencies, but how many residencies are categorical or preliminaries only. The differnce is huge! Preliminary residency is a one year contract, after which, you have to either reapply elsewhere or hope to be kept on staff at the hospital. Categorical is a full 3-5 year contract which most American students get. Maybe someone from the Caribbean can answer these questions.