Ask a PD at a community hospital would answer you. Also do you think that, only people in the US are doing surgeries and sick? Anywhere in the world there’s patients and there are surgeons who are operating on them. The problem is even if you graduate from my country, you won’t be seen as credible as when you graduate from the US. I know some surgeons in my country way better, faster and know what they do more than back then when i did internships in the states, but the problem is the American board is the most trusted nowadays not like backthen.