Um I'd say your top 4 is probably correct. AUA has money, takes in a large amount of students hence why they got cali approval but I wouldnt necessairly say its quality of education is at par as the top 4. Hell the students there get to retake their exams and they accept transfer students. As far as SMU being better than MUA their school was disapproved by Cali so clearly i would not rank them that high and MUA is on its way of hopefully getting Cali approval after their application and site visit is cleared. Only thing holding MUA back is Cali approval cause once they get that and title IV loans it's going to open up more financial support to lure Americans in. But again Caribbean schools are after all at the end of the day.. a Caribbean school. Once you get to the states and send your app in for residency they arent going to give two pooh poohs which school you came from all they'll see is you're an IMG. And at this rate and the way things are looking in the states who knows what the future will hold for IMGs. The more US med schools that begin to open the less you'll see an IMG getting a residency spot. That's the truth unfortunately.