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Speaking about the peculiarities of the national character of Puerto Rican women, in except to general musicianship there always are mentioned two striking features.
The World Health Organization (WHO) does not accredit medical schools but maintains a list of schools that are recognized by local governments.
While accreditation, didactic studies (first and second years of medical school), and clinical rotations (third and fourth years of medical school) differ among institutions, requirements for graduate certification in the United States, as outlined by the Philadelphia based Educational Committee on Foreign Medical Graduates, are the same for all students graduating from all international schools, including the Caribbean.
An article by van Zanten et al published in the June 2009 edition of reviews some of the processes by which Caribbean medical schools undergo external quality assurance.
In the United States, The National Committee on Foreign Medical Education and Accreditation of the US Department of Education (NCFMEA) of the United States Department of Education determines whether the process conducted by an accrediting organization is comparable to the Liaison Committee on Medical Education (LCME) process of accreditation.
This is a voluntary process so not all schools undergo this evaluation.