Your forum is almost 100% correct. 95% of those considering med school should not go to UHSA. When I went only about 25% of my classmates went on to residency. Also when I went in 1998 there were no on-line programs. I stayed on the Island most of the year. Most of my classes had fine professors and my passport was stamped for 90 days at a time. I had the option of staying on the Island for the entire semester in the traditional manner or leaving but only after I remained in lectures for the amount of time as required by traditional medical schools for each of my subjects. If you missed more than three days of lectures you had to repeat the class. I dissected fresh human cadavers with 4 students per body. If I left the island, I had to be in an office, with a licensed Doc, seeing patients, doing preclinicals. I had to document every patient I saw. I did all my core rotations at teaching hospitals along side U of M, Case Western, WSU, and many other prominent US med students. My state verified this at the time of my licensing. I am totally against on-line classes although many US med schools offer on-line course alternatives but that's ok, only outside the US is forbidden. As I said I'm against on-line med school but most of these UHSA students do not plan to practice medicine. They are oral surgeons, DDS, instructors, missionaries, nurses and PAs that just want an MD degree. Many do not even take USMLE boards! I believe many PA's, NP, Nurses, and a few other motivated health care professionals could complete on-line basic science courses, pass USMLE do teaching hospital rotations, and become exceptional physicians. Look at me, although I did nothing on-line, I was a Pa for 28 years, I worked in FP and spent years in a neurosurgery ICU. I passed step 1 & 2 with minimal study. I scored 65 percentile on my residency in service for the entire US. I didn't even open a book for that one. I am exceptionally rated on all my rotation evaluations. I'll have spent seven years and $200,000 dollars to do the same thing I did before I went to medical school. The average undergrad shouldn't go to UHSA but for students like me UHSA offers something you just can't get at any other med school. I agree they should have strict admission standards and they do not. I believe they should force students to attend live lectures on the Island like they did me but I believe that passing USMLE 1 & 2 no matter how (we all know you can't fake your way through step 1), doing US teaching rotations and a certain motivation with a past health care experience is a formula for a very competent resident. So please stop bashing UHSA Antigua and put it in the special category it deserves. Those bad students will self-destruct on their own!!