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It's a broad question, given the fact that in the U.S. alone you have 50 different jurisdictions making up their own rules plus territories. General rule of thumb, take all pre-med courses in accredited U.S. schools if your intention is to gain licensure in the U.S. after obtaining an offshore medical degree.
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...."Beyond jealosy and betrayal; beyond hate and desire; beyond pain and death; lies the ultimate revelation; the final choice; the end; because the fate of destruction is also the joy of rebirth" Neon Genesis Evangelion
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International Foreign and Caribbean medical schools,
ValueMD provides information on medical education from premed to residency