henrya7701 (Aspiring student) current ms2 at xusom here. the ratio is real in the sense that class sizes are genuinely small. my anatomy cohort had around 30 students total and we had dedicated faculty for each subject who you could actually approach before or after class without it being a whole production. my anatomy professor knew every student by name by the second week. that sounds like a small thing but when you're struggling with something embarrassing to admit in a big lecture hall, being able to just walk up and ask without an audience genuinely matters. i've had professors reply to emails within a few hours which i've heard is not the norm at bigger caribbean schools.