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My current dr was trained in the Philippines, and he's a good dr. When I worked in healthcare, there used to be a thing called The 5th Pathway for people (including Americans) who attended foreign medical schools before they could enter into internship/residency in the US. Remember the invasion of Granada? The immediate pretext given the public was that Cuban soldiers had taken American medical students there hostage, and we were going in there to rescue them. I don't remember how many it was, but I think it was on the order of 80-120 students, or something like that. Anyway, all of those students were originally slated to go through 5th Pathway on return to the US before they could complete their training here. I recall several people who did their 5th Pathway ER rotations over the 5-6 years that I worked in that ER.