the rate exchange is 33 dominican pesos per one dolar, and all depends on you but..if you want to be a good Doctor? you do have to study hard just like in the states,and pass the USMLE with good grades.There is a center nearby Unibe for the the USMLEpreparacion.On the ohter hand ,but if you want to do clinicals in the states,you have to study hard .as far I know you have to be on the straight A`s,besides that. It will be a short clinical ...I heard is just like 90 days.