What we mean is that UWI is not geared specifically toward preparation for the USMLE. You have to understand that this is a school geared toward people who want to practice in the Caribbean. Unlike med schools like SGU, Ross, etc.., the curriculum is not designed for those who want to go back to the US. Sure, a graduate from UWI could become a resident in the US. But they have to prepare for the USMLE on their own, because UWI's curriculum is not geared toward USMLE preparation.