Saint James School of Medicine (SJSM) provides students with a medical education opportunity unlike any other in the world. First and foremost, Saint James is a fully accredited medical school that emphasizes rigorous academics and provides a veteran teaching staff who bring decades of real-world experience into the classroom. Saint James School of Medicine (SJSM) was approved by the Federal Government of the Netherlands-Antilles in 1999, and became functional in 2001 as a combined project between the island government of Bonaire and a consortium of highly experienced medical educators and physicians from universities and colleges in the United States and Europe. The basic science and clinical rotation programs are fully compatible with U.S. medical school programs with special reference to the requirements of USMLE.