I dont know why this is even under question.
There are a few simple truths out there.
When a strong allopathic residency program wants a candidate they will always, always, always chose in the following order:
1. MD (trained in the US)
2. DO (trained in the US)
3. MD (trained outside US)
And even at that, there is a heirarchy.
Will many of these programs take a better qualified DO over a US trained MD? Yes.
Will any of these programs take a better qualified Non-US MD over a US-trained MD or DO? Not as likely.
If you want the best of the best residencies, get yourself a nice seat at a prestigious allopathic school in the US.
If you go DO, be prepared for a few more doors to open before you are on an even keel...this has been less a problem recently and in many specialties. And then there are always osteopathic residencies as well.
If you go MD in the carribean, be prepared for many, many closed doors...despite how hard you work.
Now...do we all "know a guy" who did something? Of course.
I "know a guy" who went to school at Ross and did his residency in Radiology in New York City. But he also knows, and I know, that the other 300 people in his class were not so lucky. He was #3 in his class and even at that, he had connections.
So can you become a neurosurgeon while training in the islands? Sure. But you better be at the top of your class, rock the boards, get stateside for all your rotations and even then you need to know the right people and kiss the right ass.
I say skip the islands and go DO. Nurses love what we can do with our hands. 👍[/