International medical schools that offer U.S. clinical rotations provide aspiring physicians with valuable pathways toward American residency programs and medical licensure. These programs combine rigorous academic training with hands-on clinical experience at American teaching hospitals, giving students direct exposure to the U.S. healthcare system.

For pre-med students considering alternatives to traditional U.S. medical schools, these international programs offer structured routes to achieving their medical career goals. The schools featured in this guide have established track records of preparing students for USMLE and MCAT examinations and securing competitive residency placements across the United States.

What to Look for in International Medical Schools with U.S. Clinical Rotations

When evaluating international medical schools, focus on programs that offer comprehensive U.S. clinical experiences, strong USMLE preparation, and established hospital networks. The most successful programs maintain partnerships with multiple teaching hospitals across various states, ensuring students gain diverse clinical exposure while building professional networks essential for residency applications.

Accreditation status, residency match rates, and USMLE pass rates serve as key indicators of program quality. Additionally, consider schools that provide dedicated support services for residency applications, including mentorship programs and career guidance throughout the clinical years.

Top 6 International Medical Schools with U.S. Clinical Rotations

1. American University of Antigua (AUA) – Strategic U.S. Rotations & Strong USMLE Prep

The American University of Antigua stands out for its comprehensive clinical training program that places students at over 40 teaching hospitals across the United States, Canada, United Kingdom, and India. AUA students complete core and elective rotations at teaching hospital affiliates in the United States, with additional options in the United Kingdom, Canada, and India. The school's CAAM-HP accreditation ensures graduates meet international medical education standards.

AUA's USMLE pass rates in 2022 were 75.46% for Step 1 and 96.12% for Step 2 Clinical Knowledge, demonstrating strong academic preparation. The school's holistic admissions approach focuses on increasing diversity in medical education while providing comprehensive support for residency preparation. In 2025, AUA graduates matched to more than 137 residency programs across 35 states, Canada and in a variety of primary care disciplines.

AUA's partnership with Florida International University offers unique opportunities, including clinical rotations at FIU-affiliated hospitals and access to specialized programs like the Global Health Track Certificate Program. Students benefit from small class sizes and personalized attention throughout their medical education journey.

2. St. George's University (SGU) – Leading U.S. Residency Placements

St. George's University has established itself as a major contributor to the U.S. healthcare system, consistently ranking among the top suppliers of new doctors to American residency programs. More than 1,035 SGU students and graduates obtained a residency position in the Match in 2025, marking the 11th consecutive year SGU has been the largest provider of new doctors to first-year U.S. residencies.

The school's clinical program provides extensive exposure to U.S. healthcare through partnerships with teaching hospitals nationwide. SGU maintains a 95% U.S. residency placement rate for graduates over the last five years, with students matching into competitive specialties including surgery, emergency medicine, and pediatrics across multiple states.

SGU's success stems from its comprehensive USMLE preparation program and strong clinical training foundation. The university's global recognition through continuous accreditation enables graduates to pursue medical careers in the United States, Canada, and other countries worldwide.

3. American University of the Caribbean (AUC) – Reliable New York & UK Rotations

The American University of the Caribbean offers clinical training at over 70 hospitals, with particularly strong connections to New York State medical facilities. AUC provides clinical rotations at ACGME-approved hospitals, which bolsters students' chances of obtaining residencies of their choosing. The school's approval by the New York State Education Department allows students to complete more than 12 weeks of clinical clerkships within the state.

AUC maintains an 84% USMLE Step 1 first-time pass rate, reflecting the school's commitment to academic excellence. The program's flexible start dates in January, May, and September provide multiple entry points for prospective students. AUC's small class sizes and 4:1 student-to-faculty ratio ensure personalized attention throughout the medical education process.

The school's established relationships with major U.S. medical centers, including facilities in New York, provide students with valuable clinical experience in diverse healthcare settings. This exposure proves instrumental in preparing graduates for residency applications and eventual medical practice in the United States.

4. Saba University School of Medicine – European Accreditation & Strong USMLE Performance

Saba University School of Medicine distinguishes itself through its European accreditation from the Netherlands and Flanders (NVAO), reflecting high international medical education standards. SABA boasts impressive 99% USMLE Step 1 and Step 2 Clinical Knowledge first-time pass rates over the last three years, demonstrating exceptional academic preparation.

The school's location on a Dutch Caribbean island provides students with European educational standards while maintaining focus on U.S. medical system preparation. Saba's approval by California, New York, and Florida state officials ensures graduates can pursue licensure in major U.S. medical markets.

Students benefit from eligibility for U.S. Federal Student Aid programs, making Saba one of the select international medical schools where American citizens can receive federal financial assistance. This accessibility, combined with strong academic outcomes, makes Saba an attractive option for students seeking international medical education with clear pathways to U.S. residency programs.

5. Ross University School of Medicine – Extensive U.S. Clinical Integration

Ross University School of Medicine provides comprehensive clinical training through over 90 weeks of clinical clerkships at hospitals throughout the United States. RUSM maintains an 86.8% first-time USMLE pass rate and an impressive 98% first-time residency attainment rate, demonstrating consistent success in preparing students for American medical careers.

The school's recognition by New York and California state departments ensures graduates can pursue clinical rotations and eventual licensure in these major medical markets. RUSM currently has a student network of over 15,000 graduates practicing in all 50 U.S. states, providing extensive alumni connections for current students.

Ross University's U.S. Title IV funding eligibility and substantial scholarship programs make medical education more accessible to qualified students. The school's comprehensive approach to medical school preparation includes extensive USMLE support and career guidance throughout the clinical years.

6. Saint James School of Medicine – Comprehensive U.S. Clinical Program

Saint James School of Medicine offers a structured 96-week clinical rotation program entirely within the United States, providing students with extensive exposure to American healthcare systems. The school's "pass guarantee" for USMLE Step 1 demonstrates confidence in its academic preparation programs.

The 10-semester clinical rotation plan ensures students gain comprehensive experience across multiple medical specialties while building professional networks essential for residency applications. Saint James graduates pursue medical careers throughout the United States and Canada, benefiting from the school's established clinical partnerships.

Students receive dedicated support throughout their clinical years, including guidance on residency applications and career planning. The school's commitment to U.S. clinical integration makes it an attractive option for students prioritizing American medical system exposure.

Making the Right Choice for Your Medical Career

Selecting an international medical school with U.S. clinical rotations requires careful consideration of program quality, accreditation status, and career outcomes. The schools highlighted in this guide have demonstrated success in preparing students for American residency programs through strong academic preparation, comprehensive clinical training, and established hospital partnerships.

Success in these programs requires dedication to academic excellence, strong performance on USMLE examinations, and active engagement in clinical experiences. Students should thoroughly research each program's specific requirements, clinical site locations, and support services to identify the best fit for their career goals.

Ready to explore your options for international medical education? Consider reaching out to admissions counselors at these institutions to learn more about their programs and how they can support your journey toward becoming a physician in the United States.