The United States is currently facing a shortage of doctors, with projections suggesting a need for nearly 100,000 more physicians by 2033, as reported by the US Medical Schools Association. However, international students seeking direct admission to mainland US medical schools often encounter rejection letters. Since 2016, MBBS programs in the Caribbean have garnered attention from Indian students who initially considered the US for their medical education but faced challenges securing admission. Caribbean medical schools emerged as an alternative route, albeit with various hurdles. There are 31 medical schools across Caribbean islands to choose from based on reputation and cost. However, the experience of studying medicine in Caribbean schools may not be favorable for all. Only select medical schools in the Caribbean offer quality education. Many students completing their Basic Science (BS) from Caribbean medical schools encounter rejection from US or Canadian schools due to several reasons: 1. Lack of Quality Education: Not all Caribbean medical schools maintain the expected standard of education due to faculty shortages. When student enrollment declines, faculties are often reduced to cut costs, resulting in compromised education quality. 2. Accreditation Issues: Many Caribbean medical schools face accreditation challenges, with statuses ranging from provisional to withdrawal or not approved. This information can be verified on the CAAM-HP website. 3. Poor Residency Match Rates: Some Caribbean medical schools emphasize their USMLE passing rates rather than residency match rates, which can be misleading. While passing the USMLE exams is essential for clinical rotations in the US, residency matches are crucial for pursuing medical PG in the USA. The residency match rates at most Caribbean medical schools range from 15% to 20%, except for a few top-ranked ones. Students admitted to Caribbean medical schools, except the top ones, may struggle to secure residency positions in the US, limiting their practice opportunities to the Caribbean islands, where the demand for doctors is relatively low.