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Lee Views caribbeanfeature articleJessica Freedmanmedical schoolphysicianpremedical Because the competition for admission to medical schools in the United States is extremely strong, many applicants consider attending medical school in the Caribbean.
In fact, a great many bright and talented applicants are now opting to obtain their medical education in the Caribbean. How can you decide what is the best choice for you?
What must you consider in evaluating these schools? And will you be able to obtain a residency in the United States after you graduate? To help you decide if attending a Caribbean medical school is a good choice, this article provides a framework for evaluating these schools and the success of their graduates.
A Little Background In the last four decades, the Caribbean has seen a steady increase in the number of medical schools on the islands as well as the size of their student bodies. The physicians who graduate from Caribbean medical schools play an increasingly important role in the US health care system by supplying residency programs with qualified applicants and helping to meet a well documented physician shortage, particularly in primary care medicine.
While accreditation, didactic studies first and second years of medical schooland clinical rotations third and fourth years of medical school differ among institutions, requirements for graduate certification in the United States, as outlined by the Philadelphia based Educational Committee on Foreign Medical Graduatesare the same for all students graduating from all international schools, including the Caribbean.
Caribbean Medical School Accreditation An article by van Zanten et al published in the June edition of Academic Medicine reviews some of the processes by which Caribbean medical schools undergo external quality assurance.
The World Health Organization WHO does not accredit medical schools but maintains a list of schools that are recognized by local governments. This is a voluntary process so not all schools undergo this evaluation.
Currently, only 3 schools in the Caribbean are eligible for these loans. California, Florida, New Jersey, and New York require individual school review and approval for Caribbean students to do rotations in that state.
Any deficiencies in clinical training, as determined by the state, may need to be remediated to practice in California. Also of note, New York has the largest number of international medical graduates in residency training and about one third of residency programs in the US are located in the state of New York.
It is important to know which organizations have accredited any school you consider attending. Knowing if the state in which you intend to practice recognizes your school is also important.
Caribbean medical schools proudly display these accreditations on their websites so if an accreditation is missing, be wary. Quality of Medical Education in the Caribbean Another recent study by van Zanten and Boulet published in Academic Medicine examines the quality of medical education in the Caribbean.
In evaluating this data they also took into account that some islands have more than one medical school. Countries with the lowest pass rates were Saint Lucia Basic science curriculums in the Caribbean are similar to US curriculums.
Living in the Caribbean can present many challenges for those who have never lived outside the United States.
For many students, it will be their first time away from the United States for a prolonged period of time. Many of the luxuries found in large US cities, such as restaurants, movie theaters, shopping malls, and commercial gyms, are not available on the islands, and friends, family, and religious support groups are thousands of miles away.
On the plus side, many students form strong relationships with classmates and also enjoy learning about the history and culture of the local West Indian population. Former students also have fond memories of celebrating yearly holidays such as Carnival, the colorful, festive, and historical event celebrated annually throughout the Caribbean.
When evaluating schools, it is important to ask what percentage of students who initially enroll in each class actually take and pass the USMLE Step 1 and successfully proceed to clinical rotations.
Clinical Years Core clinical rotations and third and fourth year curriculum in Caribbean schools resemble those of US medical schools. All core rotations and subinternships must be completed in hospitals with which the Caribbean medical school has an active, written affiliation agreement and which have appropriate clinical faculty members.
In addition, it is preferable that hospitals have approved residency training programs or their British equivalents in the specialties through which students rotate.
Hospitals in which electives are taken should also have approved postgraduate programs in those specialties. For example, it is best to do an anesthesia elective at a hospital that has an anesthesiology residency.
Regardless of school affiliation, however, individual hospitals still reserve the right to screen individual students for elective clerkship acceptance.
Some individual hospitals and departments do not accept international rotating students, which can limit the away electives in which students can participate.
From a competitive perspective, it is always preferable to participate in clinical rotations located in hospitals that not only have ACGME accredited residency programs but are academic teaching hospitals rather than community hospitals.
Graduates of Caribbean medical schools have tremendous success in obtaining residency positions, even in competitive specialties.
It helps to attend a well-established Caribbean school, perform well on the USMLE Steps 1 and 2, and obtain strong letters of recommendations.
See my previous articles: Before applying for the residency match and early in medical school, students should strategically plan their clinical clerkships in the US, ideally arranging rotations in the settings where they prefer to match. In recent years, Caribbean students with strong academic and clinical performances have been able to obtain competitive residency positions at an increasing rate.
However, the largest number of students pursue less competitive specialties, such as internal medicine or family practice.Methylphenidate, sold under various trade names, Ritalin being one of the most commonly known, is a central nervous system (CNS) stimulant of the phenethylamine and piperidine classes that is used in the treatment of attention deficit hyperactivity disorder (ADHD) and ph-vs.com original patent was owned by CIBA, now Novartis .
Please zip up all the marketing materials if you are submitting more than one file. Files must be less than MB. Allowed file types: gif jpg png bmp eps tif pict psd txt rtf html pdf doc docx odt ppt pptx odp xls xlsx ods xml avi mov mp3 ogg wav bz2 dmg gz jar rar sit tar zip. Adzenys XR-ODT is a central nervous system (CNS) stimulant indicated for the treatment of Attention Deficit Hyperactivity Disorder (ADHD) in patients 6 years and older [see Clinical Studies (14)]..
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Evolutionary biologists study the descent of species, and the origin of new species. Start studying AP Biology: Chapter 16, 17 and 18 SG.
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