St. James pretty much lets anyone in who can pay, but don't expect anything fancy. The restrooms are outhouses between the classroom building and the elementary school behind St. James. Almost all of the teachers are from India and have very little, if any, experience. That said, St. James is cheap and it will give you the chance to take the usmle and eventually be licensed in most states. It is banned in some states, so don't pay attention to what anyone tells you, call the medical board of the state in which you which to be licensed and ask them if they will accept St. James students for licensure. Good luck.