The world does not revolve around the USMLE.
Posted this early today -- but it seems to have disappeared, or I'm just not seeing it, so here it is again without the link: The world does not revolve around the USMLE, but the 4 year program at PUMS does, or so administration has represented that it does.
"In 1993, the English Division with English as the language of instruction was created for international students starting in 1993 with the 4-Year M.D. Program based entirely on the American curriculum and the requirements of the U.S.M.L.E. system." .... "The four-year M.D. program in English at Poznan University is intended, among other things, to qualify its students to comply successfully with these procedures (ECFMG-ACGME), which are constantly under review and subject to change." ... "A 6-Year Program in English based on the Polish/European model followed this, a year later."