Dr Lauter's concern about the ability to judge the quality of medical education received in many foreign medical schools is becoming increasingly relevant. The students accepted through COTRANS with advanced standing at the Mt Sinai School of Medicine are chosen from a broad spectrum of foreign medical schools, including the Autonomous University of Guadalajara. In the cohort described in our study, 36% of the COTRANS students came from Mexico, all from the Autonomous University. This in itself is not surprising, since the Autonomous University of Guadalajara probably has the single largest enrollment of American citizens of any other foreign medical school. The group of students described in our study were a highly selected group, chosen in part on their ability to score well on the National Board Examinations. There was, therefore, no relation between the foreign medical school attended and the student's subsequent performance in the clinical years.
Stimmel B. COTRANS Students-Reply. JAMA. 1979;242(2):140–141. doi:10.1001/jama.1979.03300020014009