<p>So the UK and the US should be similar up through high school. You'll then apply to college -- you'll be looking for a four-year bachlelor's degree in a liberal arts subject: biology, chemistry, economics, sociology, etc. Something academic. I think it is okay to do this overseas so long as you spend one year in the States, but I have never actually seen it done. I have finally met one student who went to a Canadian undergrad, but that is one out of thousands of medical students I know and even then, Canada's much closer than Europe.</p>
<p>Like US citizens, you'll face the same requirements: during the course of those four years, you will need to take ten specific courses: 2 general chemistry, 2 organic chemistry, 2 physics, 2 biology, and 2 English. 2 math is also a good idea. You'll then take the MCATs. You'll sign up for the same application service and submit the same applications.</p>
<p>Without a PR, all the steps will be the same -- the only difference is that you will be at a statistical disadvantage during the process. Notice, however, that a PR or even a citizenship will not necessarily solve this problem -- federal residency (i.e. US Greencard) is necessary but not sufficient for a state residency (i.e. CA residency). It is the state residency which will give you significant advantage during the application process.</p>
<p>Let's say you gain admission without a US PR. In that case, your tuition will be tricky to negotiate, and you will (I think) be ineligible for financial aid. One of my international (Australia) classmates was asked to pay all four years' of tuition plus living expenses up front, and the school releases the funds to her as needed. The details are beyond my expertise and in any case beyond your scope of worry at this point.</p>
<p>If you are insistent on practicing within California, it will be helpful (a little) to go to medical school and then your residency within California. It is not by any means a big deal; US MD's are generally pretty flexible geographically anyway. But, I figure if you want to end up in California eventually, you'll probably appreciate being there for those few years anyway.</p>
<p>I do recommend that you try for a US undergrad if you want to practice medicine eventually in the US. Details about how to handle this process are probably available in other sections of this forum.</p>