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September 14, 2026Teaching and Learning in Medicine

Accreditor Shopping and a Race to the Bottom for Caribbean Medical Schools

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Authors

STSean TackettJohns Hopkins University

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Implication

Policy analysis reveals accreditor shopping and lax standards in Caribbean medical schools, highlighting risks of market-driven regulation for international medical education.

Key Points

  • To examine the evolution of accreditation practices in Caribbean for-profit medical schools and assess how regulatory competition affects institutional quality and student outcomes.
  • Policy review analyzing regulatory interventions by the National Committee on Foreign Medical Education Accreditation and the World Federation for Medical Education (WFME) from 1994 to 2026.
  • Evaluation of institutional behaviors and market oversight across six WFME-recognized accrediting bodies operating in the Caribbean.
  • Six WFME-recognized accreditors operate across the Caribbean from diverse base countries including Ireland, the Netherlands, Kazakhstan, Kyrgyzstan, and the Caribbean.
  • Medical schools engaged in accreditor shopping by transferring to agencies offering more permissive terms to evade rigorous educational standards.
  • Accrediting agencies consistently tolerated elevated student attrition rates and severe debt accumulation among enrolled students.

Cite This Study

Sean Tackett (2026) studied this question.

synapsesocial.com/papers/6aa7b3fc0926e14a848b35f5https://doi.org/10.1080/10401334.2026.2731478
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