For a while I had a GP who did his med school in the Caribbean. He was fine. I knew he did it there.

During one exam he asked me where I did my grad school. I respond and reflexively ask him and his response was “Blah blah school of medicine in The Grenadines. But the guy who graduates last in his class there is still called ‘Doctor’”.

I would rather have the last in his class doctor from some Caribbean country that listens to his patients than the ego doctor at the top of his class at John’s Hopkins that doesn’t.

To add to that list, I’ll take the IMG doc over PA or NP mid levels that did a fraction of schooling compared to traditional medical school.