mingzhao5577 (Aspiring student) There's no universal "better," it depends on your certainty and your profile. Direct/accelerated saves time and skips the brutal MCAT-and-apply cycle, which is great if you're 100% sure medicine is your path. But the traditional premed route gives you time to build a stronger profile, change your mind, and often leads to a smoother US residency match if you do well. Caribbean direct entry can be a solid option but go in with eyes open about attrition and matching.