Caribbean medical schools have long been decried as diploma mills for the rich and undeserving; they are strictly for-profit institutions serving American kids rejected by U.S. medical schools, yet they rely on hospitals in the U.S. to provide the necessary clinical experience in the third and fourth years of a medical education. Of late, however, efforts have been afoot in New York City to preserve the limited space available in hospitals for those studying at American schools. Yet how did foreign and domestic medical schools come to be competing for the same spots in domestic hospitals?
As the foreign schools were profit-making businesses above all, they charge a lot of money to provide something of a second chance for students rejected by American medical schools. At an elite institution like Weill Cornell Medical College in New York City, donors from investment banker Sanford I. Weill to real estate developer Isaac Toussie provide a lot of money, resulting in tuition and fees of about forty-five thousand dollars each year. In contrast, a Caribbean medical school can charge as much as sixty thousand dollars!
And with so much money available, Caribbean medical schools can easily pay New York City hospitals to take on their students for the practical clinical experience required of an accredited medical education – ahead of Weill Cornell’s, or NYU’s, or that from any other New York medical school.
Thus the turf war.
You see, what hospitals do is mentor medical students in exchange for using the school’s prestige. Caribbean medicals schools have no brand name to offer, but they do have several tens of millions of dollars to pump into a hospital’s coffers, in effect paying for their students to be placed.
And what administrator is going to do without such money, especially in this economy?