I would contact the state board for medical licensing in the state you intend to practice medicine in before you make a decision on any foreign school. Find out from them if the schools you are interested in are approved by them. Also, find out what your state requires for foreign grads to get licensing. For instance, some states will not allow a foreign grad to get licensed there if they did ANY of their clinical rotations in that state. Also, doing clinicals in ACGME approved facilities can be crucial in obtaining licensing. Make sure the school you chose has ACGME approved clinical sites. I don't know anything about Nevis, but I did look into IUHS a while back. I was not impressed with what their admissions folks had to say; a lot of "double talk" and general evasiveness in response to my questions. Finding out that they were not recognized by California as an approved program finalized my decision to not apply. Of course things may have changed recently, it was some months ago that I spoke with them. I decided to stick with schools that have been around a long time and have proven track records for getting students back to the USA to practice medicine. I am curious to know why you are looking at these two programs. What attracted you to them? What sort of factors are important to you in choosing a school?