
Finding the right medical school is one of the most important steps in your journey to becoming a doctor. For students considering Caribbean medical schools Recognized in the USA, the key is to ensure the program is recognized by the right accreditation bodies, offering a clear path to U.S. residency and medical licensure. This guide gives you all the information you need to choose an accredited Caribbean medical school, understand the application process, and compare your options to U.S. schools.
How to Identify Caribbean Medical Schools Accepted by U.S. Licensing Boards
Understanding ECFMG and CAAM-HP Recognition
If you want to secure a residency and medical license in the United States, your medical school must meet strict standards:
- ECFMG (Educational Commission for Foreign Medical Graduates): ECFMG certification is required for international graduates to apply for U.S. residency. The school must be listed in the World Directory of Medical Schools and meet ECFMG eligibility standards.
- CAAM-HP (Caribbean Accreditation Authority for Education in Medicine and Health Professions): This agency accredits Caribbean programs, evaluating curriculum, faculty, and facilities. CAAM-HP status carries significant weight for U.S. recognition.
Additional accreditors and approvals that add value:
- Accreditation Commission on Colleges of Medicine (ACCM)
- Local Ministry of Education endorsements
- National medical councils
Key Accreditation Agencies for Caribbean Medical Schools
When researching schools, look for recognition from:
- ECFMG: Mandatory for USMLE and U.S. licensure.
- CAAM-HP: Regional quality assurance for Caribbean schools.
- NCFMEA: Confirms foreign accreditation standards meet U.S. requirements.

What Accreditation Means for Your U.S. Medical License Eligibility
Proper accreditation ensures you can:
- Take the USMLE Steps 1, 2, and 3
- Apply for residency programs via ERAS
- Obtain a license in all U.S. states
- Access specialty fellowships
Without ECFMG and regional accreditation, your degree may not qualify you for U.S. licensure or federal financial aid.
Top Accredited Caribbean Medical Schools That Lead to U.S. Residency
The “Big 4” Caribbean Medical Schools
These four medical schools lead the region by U.S. residency match rates, support systems, and graduate outcomes:
Ross University School of Medicine (Barbados)
- 98% first-time residency attainment
- CAAM-HP accredited; recognized by many U.S. boards
- Hosted rotations at top U.S. hospitals
St. George’s University School of Medicine (Grenada)
- 95% residency placement rate over five years
- 89% USMLE Step 1 pass rate (first try)
- Largest provider of first-year U.S. residency doctors among IMGs
American University of the Caribbean (St. Maarten)
- 97% first-time residency match rate
- 88.5% USMLE Step 1 pass rate
- Licensure eligibility in all 50 U.S. states
Saba University School of Medicine (Saba)
- 97% residency attainment rate
- 98% first-time USMLE Steps 1 & 2 pass rate
- NVAO accredited; high educational standards
Differences Between “Big 4” and Other Caribbean Medical Schools
- Higher tuition, but better resources
- Extensive U.S. clinical rotations and support
- Strong alumni networks and higher match rates
- Dedicated USMLE prep and academic support
Other accredited options like University of Health Sciences Antigua and Texila American University offer lower tuition and retain ECFMG eligibility.
Benefits of Attending a U.S.-Recognized Caribbean Medical School
- Clear path to U.S. residency and licensure
- U.S.-based clinical training
- Diverse, supportive student body
- Rolling admissions and flexible start dates
- Lower entry barriers compared to U.S. MD programs
Matching Into U.S. Residency Programs from Caribbean Schools
Caribbean graduates match into U.S. residency programs across all specialties. Recent trends show:
- 50–60% overall match rates into U.S. residencies
- 70–80% in primary care programs
- 20–40% in competitive specialties (with strong USMLE scores)
- Better outcomes for those who do clinical rotations and electives in U.S. hospitals
Curriculum Structure and Clinical Rotations
Most U.S.-recognized Caribbean schools use a curriculum similar to American MD programs:
- Years 1–2: Basic Science education on campus (anatomy, physiology, pathology, pharmacology)
- Years 3–4: Core and elective clinical rotations in U.S. teaching hospitals
Top U.S. Clinical Affiliate Hospitals
- New York Presbyterian Hospital
- Brooklyn Hospital Center
- Richmond University Medical Center
- Multiple community and regional hospitals
Step-by-Step Guide to the Caribbean School Application Process
When to Apply:
Begin applications 6–12 months before your planned start. Caribbean schools often have three intakes each year.
Required Documents:
- Transcripts from all colleges and universities attended
- MCAT scores (often required, though sometimes flexible)
- Letters of recommendation (professors, doctors)
- Personal statement (your story and motivation)
- Proof of English language proficiency (if needed)
- Passport/visa documents for international applicants
School Selection Criteria:
- Accreditation and ECFMG eligibility
- Recent residency match and USMLE pass rates
- U.S. clinical rotation partnerships
- Student support services
- Total program costs (tuition, fees, living)
- Graduate testimonials
Comparing Tuition and Living Costs: Caribbean vs. U.S. Med Schools
Tuition Fee Structures
School Type/Name | Approx. Yearly Tuition | Notes |
---|---|---|
Affordable Options | $6,000–$15,500 | UHSA, Texila American, CEU |
Premium “Big 4” | $62,000–$87,500 | AUC, Ross, St. George’s, Saba |
Living Costs (Estimates)
- Housing: $800–1,500 per month
- Food: $400–600 per month
- Books/Supplies: $2,000–3,000 per year
- Health insurance: $1,500–2,500 per year
- Transportation: $200–400 per month
Tips for Getting a High USMLE Score as a Caribbean Med Student
- Begin Early: Start USMLE preparation during your basic science years.
- Diversify Your Materials: Use textbooks, question banks, and video lectures.
- Take Practice Exams: Identify and address knowledge gaps with regular practice.
- Form Study Groups: Use peer and faculty support as much as possible.
- Stick to a Plan: Set weekly goals and track your progress.
Residency Match Statistics for U.S.-Recognized Caribbean Schools
- Overall U.S. residency match rates: 50–60%
- Primary care specialties: 70–80%
- Competitive specialties: 20–40%
- Higher USMLE scores improve match and interview opportunities
Visa and Travel Considerations for U.S.-Bound Caribbean Medical Students
Student Visa Requirements
- School acceptance letter
- Proof of funds for tuition and living expenses
- Valid passport
- Required vaccinations and health checks
- Background check (some countries)
Travel Preparation
- Direct flight routes and safe island access
- Climatological awareness (hurricane season, heat)
- Reliable local banking, healthcare, and communications
What to Expect in the First Year of Caribbean Medical School
- Intensive basic sciences education
- Transition to life in a tropical, multicultural environment
- Formation of study groups and networks
- Regular academic and clinical skills assessments
- Early USMLE Step 1 exam preparation
Online Resources for Caribbean Med School Applicants
- ECFMG website (eligibility and certification info)
- AAMC ERAS (application and residency data)
- Individual school websites, admissions info, and virtual tours
- Student forums, pre-med societies, social media groups
- Academic advising and medical school counseling
Frequently Asked Questions
Are Caribbean medical schools accredited in the US?
Caribbean medical schools are not directly accredited by U.S. authorities, but many hold CAAM-HP or ACCM accreditation. Graduates from ECFMG-approved schools can obtain U.S. medical licensure after meeting all other requirements.
Can you practice in the U.S. with a Caribbean medical degree?
Yes—graduates of ECFMG-recognized, accredited schools who pass the USMLE and complete residency can become licensed physicians in all 50 states.
Can I transfer from a Caribbean medical school to a U.S. medical school?
Transfers to U.S. programs are rare and difficult. Most students remain at their Caribbean school for the complete MD curriculum, then match to U.S. residency.
Do U.S. hospitals hire graduates of Caribbean medical schools?
Yes—especially from well-known, Caribbean Medical Schools Recognized in the USA clinical site partnerships and a track record of high USMLE pass and match rates.
Choosing an accredited, U.S.-recognized Caribbean medical school can be your gateway to a fulfilling career as a doctor in the United States. With careful planning, strong preparation, and the right support, you can achieve your dream of practicing medicine and serving patients across the U.S.
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