to answer the regional context question in the thread title, yes this is relatively common in the Caribbean and Latin America region. A number of schools that are otherwise functioning and producing licensed physicians have gone through conditional accreditation cycles with CAAM-HP. it does not automatically signal that the school is on a downward spiral. What it signals is that specific standards, often around things like curriculum documentation, faculty qualifications on paper, or administrative processes, did not fully satisfy the review committee. UNPHU as an institution has been around for decades and is not some fly by night operation. the conditional status should be monitored but not catastrophized.