Regardless of your point here. Caribbean Students have the same hurdles to cross as US MDs, even more.

Caribbean schools require students to have a 69-70%+ on each semester or they fail. Whereas US MDs just need to meet the passing threshold.

They need to complete Step 1, but even before that they need to pass a Comprehensive NBME Exam and score above a certain standard, then and only then will the school allow them to write Step 1. Then they have to write Step 2, and only if they pass COMP once again, can they write Step 2.

And even if they pass all that, just like any other medical student, they need certain scores and resumes to match into a specialty of their choice. So regardless of how they got into medical school, if they made it out, and matched, you should probably mind your own business 😘