Do US Hospitals Hire Graduates of Caribbean Medical Schools?
Hospitals in the United States and Canada—as well as clinics, government agencies, group practices, medical offices, nursing homes, and universities—hire physicians based on their abilities and qualifications. When hospitals need an internist or other doctor, they hire the one they think best fits the role—not the one who went to a prestigious or famous medical school. In the United States, there is a doctor shortage—not a surplus—and qualified physicians are in demand no matter the source of their qualifications.
Graduates of accredited Caribbean medical schools—such as the American University of the Caribbean School of Medicine (AUC)—have Doctor of Medicine (MD) degrees that are valid anywhere—and that is what matters. It should be remembered, however, that MD s must first complete a medical residency and attain licensure before they can practice medicine. Licensed physicians who are international medical school graduates make up 25% of all physicians practicing in the United States, according to the American Medical Association.
As long as they are accredited, there are many Caribbean medical schools accepted in the U.S. to choose from. When considering a Caribbean medical school, prospective students should first learn if it is accredited—meaning the school meets the functional and structural standards for medical education in their particular region. Many wonder: Are Caribbean medical schools LCME accredited? This means that the med school’s accreditation meets the standards of the Liaison Committee on Medical Education (LCME), the accreditation authority for medical schools in the United States and Canada that provide MD degrees.
Students of properly accredited Caribbean medical schools such as AUC enjoy the same privileges as students of medical schools in the United States and Canada. They may qualify for federal student loans through the U.S. Department of Education. They may register with the Educational Commission for Foreign Medical Graduates (ECFMG) to begin the United States Medical Licensing Examination® (USMLE®) process. They may also move on to medical residencies accredited by the Accreditation Council for Graduate Medical Education (ACGME), the residency authority in the United States and Canada.
AUC, located in Sint Maarten, the Dutch side of the island of Saint Martin, is accredited by The Accreditation Commission on Colleges of Medicine (ACCM)—an authority recognized by the U.S. National Committee on Foreign Medical Education and Accreditation (NCFMEA) as meeting LCME standards. The ACCM is also recognized by the international authority on medical school standards, the World Federation for Medical Education (WFME). The ACCM accredits eight Caribbean medical schools and one in the Middle Eastern nation of Jordan. It has accredited AUC since 1995.
The ACCM is not the only accreditation authority in the Caribbean Islands. Schools among the member states of the Caribbean Community are accredited by the Caribbean Accreditation Authority for Education in Medicine and other Health Professionals (CAAM-HP). (To see if a particular Caribbean medical school’s accreditation authority meets U.S. and international standards, check the NCFMEA and WFME approval lists.)
AFTER ATTENDING A CARIBBEAN MEDICAL SCHOOL RESIDENCY FOLLOWS
After graduating from a Caribbean medical school, residency completion is necessary to start practicing medicine. The main goal of going to an accredited medical school—aside from graduating, naturally—is the attainment of a medical residency. An MD cannot practice medicine without completing a residency, which provides three or more years of hands-on and in-depth professional training.
While in the fourth and final year of medical school, students apply to residencies and go to residency interviews. Students then create a “rank-order list” of preferred residency programs which is matched against a similar list created by the programs. In late March—on “Match Day”—students learn if they have been matched with an ACGME-accredited residency program to fill post-graduate training positions.
A Caribbean medical schools residency placement is an important attribute to know. AUC has a strong history of placing their Caribbean medical school graduates in internal medicine or other specialty residencies. In 2020, 92 percent of AUC graduates earned residencies throughout the United States and Canada.
Depending on the medical specialty, a residency may last from three to seven years. For doctors in internal or family medicine, residency is complete after three years. Such specialties as anesthesiology, dermatology, and obstetrics/ gynecology have four-year residencies. A general surgery residency lasts five years, while neurosurgery has the longest residency at seven years.
Early in residency, doctors typically take the final USMLE exam for licensure. After residency, licensed physicians may go into practice and be certified by the American Board of Internal Medicine or by the board of their residency specialty, and they may apply for membership in the American Medical Association (AMA) or other professional societies.
WHY CARIBBEAN MEDICAL SCHOOLS ARE A PROMISING CHOICE
Many students choose Caribbean medical schools because they offer opportunities to study medicine to a larger percentage of applicants. This does not mean AUC is “easy” to get into. The higher acceptance rate—which is common to Caribbean medical schools—is produced by smaller application pools for larger numbers of seats, as well as more holistic approaches to admissions. Holistic admission considers an applicant as a whole person rather than a mere set of grades and scores. This approach considers a student’s adaptability, critical judgment, intellectual and social maturity, life experiences, and volunteer work, as well as graduate school performance when applicable.
A holistic approach does not discount grades and test scores, but it does allow for more leniency in academic performance. Students who may have missed the cut on U.S. medical schools—where matriculants have a mean undergraduate grade point average (GPA) of 3.73 (out of 4.0) and an average Medical College Admission Test (MCAT) score of 511.5—may have a chance at a Caribbean school where the student averages are slightly lower.
IS IT WORTH GOING TO A CARIBBEAN MEDICAL SCHOOL?
If a student truly wants to be a physician and is ready to study and work hard, then absolutely it is worth going to an accredited medical school in the Caribbean—or any other place, for that matter. All medical schools are difficult, and all are expensive, but if they graduate an MD who attains a medical residency, and eventually a license to practice medicine, then they are worth it. Students at Caribbean medical schools, like all medical students, must always strive to be near the top of their class, and they must fulfill or exceed the requirements for medical residencies.
After entering a residency, Caribbean medical school graduates are no different from other qualified MD 's, and with medical licensure and the successful completion of residency, they are physicians ready to practice medicine.
The American University of the Caribbean School of Medicine trains tomorrow’s physicians, whose service to their communities and their patients is enhanced by international learning experiences, a diverse learning community, and an emphasis on social accountability and engagement. Take the next step toward becoming a physician: apply for admission to AUC.