With more than 22,000 graduates* of the St. George’s University MD program, it should be no surprise that SGU School of Medicine alumni can be seen practicing in wide-ranging and far-reaching medical positions and specialties.

While many SGU alumni pursue careers in primary care, including internal medicine, family medicine, pediatrics, or obstetrics/gynecology, other School of Medicine-trained physicians secure residency positions in specialized fields.

In the 2024 Residency Match, more than 930 SGU students and graduates matched in more than 20 medical specialties including emergency medicine, anesthesiology, surgery, neurology, urology, and more. **

Some medical specialties tend to be more competitive than others because the number of newly-minted MDs who apply for residencies in these areas exceed the available spots open to them in very specialized fields.

5 alumni practicing in competitive medical specialties

Read on to learn about five SGU graduates who successfully secured residencies in competitive specialties.

1. Continuing an interest in emergency medicine

Though he kept an open mind during medical school, Kristopher Milland, MD ’18, always had a feeling he’d eventually end up pursuing emergency medicine. He enjoyed the volunteer work he’d done in that setting prior to attending SGU. Dr. Milland is glad he stuck with that decision.

“I’m starting to get to the point where I’m confident in what I’m doing and I’m pretty sure how to handle a lot of situations,” he says. “I’m really having a great time.”

That’s not to say it was an easy road. Dr. Milland was intimidated by the prospect of pursuing one of the most competitive medical specialties. And being from California, he was also a bit nervous about his residency program’s unfamiliar location at first.

“Once I attended the interview, got to meet the attendings, saw the hospital, and saw the area, I fell in love with it,” Dr. Milland enthuses.

Dr. Milland believes one of the biggest factors behind him securing a competitive residency was his strong United States Medical Licensing Examination (USMLE) Step 1 performance. It really comes down to being a great medical student, aiming for excellent grades, and securing even better letters of recommendation. He also felt fortunate to be able to lean on other emergency medicine physicians in SGU’s alumni network to seek out advice about the field.

“I think connecting with other physicians in this specialty made a really big difference in my success getting into emergency medicine,” Dr. Milland says.

2. Fostering a fascination with orthopedic surgery

Gaining exposure to different fields during clinical training has a way of revealing which medical specialty is right for you. Some students find out the field they once had their sights set on isn’t the right fit. Others find validation in their intended specialty, which was the case for Dr. Matthew Dawdy once he began orthopedic rotations.

“Everything pointed to orthopedics for me,” the former athlete from Canada says. “I like being in the [operating room], and the field generally attracts people who are interested in active lifestyles.”

“Everything pointed to orthopaedics for me.”

Orthopedic surgery is considered one of the most competitive residencies in the US, but even more so in Canada. Despite the limited number of residencies, Dr. Dawdy was prepared to do everything he could to secure one. He focused on his studies and secured elective rotations in Canada to help establish relationships.

“It wasn’t something I could half-heartedly pursue,” Dr. Dawdy reflects. “I was definitely all in.”

3. Helping rebuild patients’ lives through plastic surgery

While there are a few different paths available to aspiring plastic surgeons, none of them are exactly easy—every surgical residency is in-demand. Despite knowing he was up against stiff competition, John Gillespie, MD ’10, a double board-certified plastic and reconstructive surgeon, was always committed to pursuing this competitive medical specialty.

“I knew that this was a far-reaching goal,” he admits. “I was nervous about it. However, now that I’ve accomplished it, it’s just the most amazing feeling.”
His passion for performing life-altering reconstructions is apparent. But where did it come from? Dr. Gillespie’s grandmother needed a double mastectomy as part of her cancer treatment. After seeing how positively the procedure affected her, he felt a calling to pursue this specialty.

“I saw how the reconstructive surgery rejuvenated her and how it can change people’s lives for the better,” Dr. Gillespie says.

To date, Dr. Gillespie started his own private practice, Gillespie Plastic Surgery, specializing in cosmetic and reconstructive surgery, as well as building his own medical spa.

He performed well on his licensing exams and ultimately secured a residency position at his top-choice program. He thinks SGU has a lot to do with shaping both his career and who he is today.

“It was a great place to train, and I became friends with people from every walk of life” Dr. Gillespie reflects. “SGU helped me become a well-rounded doctor.”

4. Pursuing a passion for sports medicine and rehabilitation

It’s no surprise that former collegiate soccer player and SGU graduate, Ryan Kruse, MD ’13 went into sports medicine. After all, who’s better suited to treat athletes than a physician with years of experience playing competitive sports? Dr. Kruse’s background on the field really inspired his eventual choice to seek a physical medicine and rehabilitation (PM&R) residency.

“As an athlete, I was always interested not just in injuries but also how injuries affected daily life for people,” Dr. Kruse says.

Dr. Kruse says his outstanding USMLE Step 1 performance was instrumental in helping him secure a competitive residency at the Mayo Clinic in Minnesota. And he thinks his medical education had a lot to do with that.

“SGU does a phenomenal job of organizing classes and tests to mirror Step 1,” Dr. Kruse explains. “And I remember when I took Step 1, it felt like nothing more than an SGU examination, and I ultimately did very well.”

Dr. Kruse was drawn to SGU based on the school’s history of strong licensing exam scores and residency placements. But he also realized that going to school in Grenada would offer an incredible life experience.

“The opportunity to succeed just like at a US school combined with the benefit of experiencing a new culture and environment was just too much for me to pass up,” he explains.

“The opportunity to succeed just like at a US school combined with the benefit of experiencing a new culture and environment was just too much for me to pass up.”

While you might be intimidated at the thought of pursuing a competitive medical specialty, Dr. Kruse encourages you to stay focused and work hard. And if you’re thinking about attending SGU, consider this perspective:

“If I could go back and decide between SGU and the US schools that accepted me, there is no question that I would make the same decision to go with SGU,” Dr. Kruse says.

5. Guiding every step of surgery as an anesthesiologist

Anesthesiologists do a lot more than put people to sleep in the operating room. They work with a variety of patient populations and provide essential care before, during, and after procedures. Even during an operation, anesthesiologists need to be ready to adjust at any moment. Not everyone is up for the challenge, but SGU graduate, Tanner Brownrigg, MD ’07, MBA certainly is

Dr. Brownrigg started his education at SGU with the intention of going into anesthesiology. While there are a significant number of students vying for those competitive residency positions, he never lost sight of his goal. It paid off—he’s now an anesthesiologist practicing at North Kansas City Hospital in Kansas City, Mo.

Dr. Brownrigg is another big believer in the power of excellent USMLE scores. His performance on the first two licensing exams was so strong that he found himself with more residency interview offers than he could feasibly attend. He credits a lot of that success to SGU.

“The fact that I scored so well on the USMLE Step 1 and 2 exams was directly related to the quality of the professors at St. George’s and how the classes are structured,” Dr. Brownrigg says.

Start writing your own success story

Many physicians who trained at SGU have gone on to have successful medical careers because of the strong foundation they built by attending the Caribbean medical school.

If you have your sights set on a competitive medical field, you have every reason to believe you could be just as successful as one of the grads featured above. For more information about SGU’s School of Medicine, visit our request information page

“SGU brings everybody together under one solid premise: to learn and to become a well-rounded doctor.”

*Based on the number of students who have completed the Doctor of Medicine program from 1981-2023.
**Data as of March 2024.

* This article was originally published in September 2019. It has since been updated to include information relevant to 2024.