You and most patients likely have no clue, but Caribbean schools are NOT the same opportunity when getting residencies, and that’s supposed to get worse, so a student should do their due diligence before going to one. Look at the stats and decide if one is willing to take the odds. For some things (general medicine) it’s better than others, but when my guy matched into his specialty he was feeling sorry for plenty of seemingly highly qualified Caribbean grads who did not.
From the patient’s perspective - no difference because they are only seeing the “winners.”
From the student’s perspective - perhaps a career ending or significantly changing perspective.