I know a few people who went that 6 year route at poland. Not sure how they ended up doing, but all i know is that its not a very good idea. There are many many drawbacks to it...although it may not seem apparent at first. The admission criteria at those programs is absolutely non-selective...provided you graduated from high school they will accept anyone if they pay the fees...Now imagine being in a class with a bunch of students who are probably not very intelligent, lack confidence since they've given up on us schools before even trying, probably not motivated to go into medicine as much as others since they are not even willing to go through 4 yrs of undergrad here and give it a shot at us schools....It would be relatively very easy to do well there compared to your classmates and it will give u a false sense of security that you are doing well in med school. Later, when its time for step I you will realize that you are competing against a much brighter group of students from all over the us med schools and better foreign med schools. I might add, you will need to extremely well on step I, that means at least better than nat'l avg. to even have a shot of getting one of the least competitive residencies in a place you may not like living...Now i realize i made a few generalizations there, but if you are really motivated to go into medicine, you should be at least willing to try. If you then don't succeed at us school, then i suggest going caribbean. They prepare better for usmles and they have decent match too.