Sitting around an outdoor table at the Red Crab, a restaurant on the tropical island of Grenada festooned with palm trees and fiery bougainvillea, a dozen aspiring doctors bashfully conceded that they had been, at best, near misses when it came to getting into medical school in the United States.
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There are more than 70 medical schools across the Caribbean, about half of them catering to Americans. A handful — including St. George’s, Saba University, Ross University in Dominica and American University of the Caribbean in St. Maarten, all of which are for-profit — have qualified for federal financial aid programs by demonstrating that their standards are comparable to those in the United States. And they report that high numbers of their test-takers — 95 percent or more — pass the United States Medical Licensing Exam Step 1, a basic science test.

But quality is all over the map in the Caribbean.

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