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Yes, they do. They don't get just a print out of your Step scores to base their decision off of. You have to fill out large applications and they basically have access to every aspect of your academic life up until that point, including all of the institutions you've studied at. Clerkships programs are quite different from residency placement, though. Clerkship rotations aren't really "applied" for. Different Caribbean schools handle them differently. SGU and Ross, for example, have hospital agreements to place their students in various hospitals around the country. I believe AUC, Saba, and AUA still have students coordinate and schedule their own clerkships but I'm not positive about that.For example, person #1 applies from one of the Big 4 schools and person #2 is from a very low tiered Caribbean school. And they BOTH have the SAME Step 1 score and SAME Step 2 score.
Sorry if this question has been answered before. I'm just wondering why a lot of people are pro-Big 4 as opposed to any other Caribbean school.