Best Caribbean Medical Schools When you're researching Caribbean medical schools, remember that they're not all of equal quality or graduate success. Find out how they stack up. Caribbean Medical colleges is divided into 3 Tiers: Top Tier : Top-tier Caribbean medical schools are the ones you should seriously consider. They are the best caribbean medical schools. The U.S. Federal Direct Loan Program has also permitted top-tier Caribbean medical schools to participate (sometimes referred to as Title IV). Thousands of graduates are currently enrolled in residency or practising medicine in the United States and Canada, demonstrating the high quality of the best Caribbean medical schools. Mid Tier : Universities with CAAM-HP/ACCM accreditation but just one of the above stated state approvals or no state approvals at all may be considered mid-tier Caribbean medical schools.