Pros and Cons of Applying to International Medical Schools for US Medical Students

Last Updated on April 30, 2025 by SDN Staff

While many aspiring medical students primarily target domestic MD and DO programs, international medical schools also present a viable pathway to obtain a medical education. Some international institutions offer a six-year curriculum that integrates undergraduate studies, while others follow a four-year program similar to the medical education system in the United States and Canada. If you are completing your undergraduate degree in the U.S. and intend to pursue a four-year medical program, consider applying to international medical schools with curricula aligned to the U.S. model. Use this pros and cons list to evaluate whether applying to international medical schools aligns with your academic and career goals.

Pro—The opportunity to work with a greater number of patient populations

Medical schools typically serve the communities in which they are located, and attending an international medical school may provide valuable insights into the unique health needs and challenges of the local population. Furthermore, some international medical institutions offer clinical rotations in the United States, allowing students to gain experience with a diverse array of patient populations that they might not encounter at domestic schools.

Con—Potential difficulty matching into a US residency

While the number of domestic medical schools and medical students continues to grow, the availability of residency positions in the United States has remained stagnant. This disparity creates a surplus of medical graduates competing for a limited number of residency spots, making it increasingly challenging to secure a residency placement within the U.S. Furthermore, international students often encounter additional obstacles, such as complex licensing requirements and institutional biases, which can further complicate their application process. Before choosing to attend an international medical school, it is essential to carefully consider your willingness to pursue a medical career abroad in case the domestic match process does not proceed favorably.

Pro—More diverse classmates

Since international medical schools draw students from many countries, students at these schools may benefit from a cross-cultural perspective not present at all domestic medical schools. Appreciating these varied perspectives might help students better understand differences in healthcare administration, population health, and health challenges faced by humans on a global level.

Con—Additional expenses, like travel and visas

Attending an international medical school may come with a steeper price than a domestic school. Plane tickets, visas, and other costs associated with establishing yourself as an international student may pile on top of your tuition and living expenses. While a few extra thousand dollars on top of the hefty price of attending medical school may not seem like much now, remember that any additional loans you take out will impact your total debt upon graduation.

Pro—Acceptance of international students

Few US medical schools accept international students, so international students who completed their undergraduate education in the US and want to attend a four-year medical school have limited application options. Applying to international medical schools can help expand the number of schools to which international students may apply, thus increasing their chance of acceptance.

Con—Fewer research opportunities

Although many international schools participate in research, international schools unaffiliated with a hospital system may not offer many research opportunities for medical students. For students interested in applying to residencies that prefer research experience, limited access to participation in research projects may adversely affect residency opportunities. Be aware of medical student participation in research prior to applying to international schools.