working in the U.S. after attending Caribbean medical school.?

Many Caribbean programs are structured to meet the standards for medical practice in the United States. In fact, a vast majority of Caribbean students are Americans and Canadians who intend to practice in the US and Canada. Many programs keep students on campus for the first two or three years, then send them back to the US (or internationally) to do their rotations in university-affiliated hospitals. After you complete the program, you take the USMLE like everyone else who wants to practice in the US. As long as you place well on the boards, you can have your pick of residency programs.

http://www.sgu.edu St. George University in Grenada
http://www.rossmed.edu Ross University

If you want to become a plastic surgeon, by no means should you go to a Caribbean school.  The field is hard enough to get into from a US school.  Only the top students can get a residency for plastic surgery, and they'd probably laugh when they saw your transcript from there when they're getting top recruits from schools like georgetown.  Think about it.  Would you trust your health with someone from a Caribbean school when you could go down the street to someone from a more accredited US school?

I am thinking about doing the exact same thing.  One day it dawned on me that Puerto Rico is an American commonwealth, so after doing some research I learned that the University of Puerto Rico Recinto Rio Piedras is an AMA-accredited school and the best-rated Med school in the Caribbean and most of Latin America.  The people that I talk to tell me that just about every single one of their classes is taught in English by an American doctor.  I know a few people that graduated from there and they all run very successful practices here in the states.  

I don't believe the people that say that you will never be accepted to do residency if you go to a Caribbean school.  You will be getting a bicultural, bilingual education.  Any residency program would be stupid to pass that up.  

But the biggest perk for me would be the price.  Check the tuition rates on their website - around $10,000 per year if I'm not mistaken... FOR OUT OF STATE STUDENTS!!!!!!!