Royal College of Physicians and Surgeons of the United States? Hmmmph. Unless the US has recently been inondated by a wave of beaming monarchists, I'm guessing this group is not what it purports to be.
In a number of Commonwealth countries there's a government body with a similar title (e.g. Royal College of Physicians and Surgeons of Canada) that establishes and maintains standards for postgraduate medical education, among other things. I'm sure there's a similar government body in the US but I am equally sure you won't find the word "Royal" anywhere in its name. (The last time I checked, the US wasn't a constitutional monarchy.)
(Wasn't George Washington supposed to have turned down an invitation to become King of the US? And I don't think there's been any talk of Kings or Queens of the US ever since.)
The whole thing smacks of elitism and a misguided notion that anything British and "royal" should turn off any synapses that would normally recognize this for what it is: an attempt to lure people to spend money on on-line dipilomas.
The above is just my initial impression and maybe there's something about this group that I'm overlooking. But come on--Royal College of Physicians and Surgeons of the US. That's just...funny.
The trouble with the rat race is that even if you win you're still a rat.