I've read some of the other posts on this issue, but they're several years old, and I' sure things have changed. What are the current disadvantages of attending a top Caribbean school? I ask because I might be interested in applying to SGU but before I apply I want to know what I may be getting myself into. I know that the quality of the education/facilities may not be as high as domestic schools. At what point is everyone on the same level playing field (i.e. when will the school you went to become irrelevant whether your from Hopkins or SGU), is it after the USMLEs? Once I complete rotations at SGU in year 3 and 4, will the school name affect where I can match or is that just a measure of USMLEs? Any clarification is appreciated. It's a big decision and I want to know as much as I can on the issue in order to make an educated choice.