Darn, I wrote a whole essay about Xavier but hit the back button and it's gone now. Isn't that the best feeling in the world?
Anyway, I'm a current student at Xavier and I love it. The school has a lot of amazing things to offer and there are many changes being put in to effect this fall by the owners. The best thing about the school is that it's in Aruba, one of the most developed islands in Caribbean. That really makes a difference. I never feel I'm far from home, and that really allows me to feel better and perform better at school. Many people don't look in to this beforehand, but where you live makes a big difference on your overall well being and directly affects your performance in school. Several of my friends from Ross absolutely hated the island and their lifestyle there...and it really took a toll on them mentally and physically.
In addition, the school has graduates who have pre-matched and matched this year in great residency programs. The school can do for you what any other school can. I have 2 bestfriends that go to Ross, some at SGU, etc., but I still chose to come to Xavier and I'm very happy with my decision. The 'Big 4' might have better facilities, more clincial sites right now - but in the end we're going to be viewed as equal. A school from the caribbean is a school from the caribbean. The 'Big 4' vs. others plays no significant role in the eyes of residency boards. Sure it may trigger a sense of familiarity for some, but other than that, it's really your Step 1 score, GPA, Clinical grades, and letters of recommendation that will really matter when it comes to you getting an interview or not.
The school has just hired a new President of Academic Affairs who was previously on the Residency Board of the University of Florida for 15 years. I've met and spoke to him and this man is brilliant. His top goal right now is to help us obtain more greenbook clincinal sites and help us get in to the best residencies possible. I have full faith in him and his goals and the school will be seeing a lot of big things from him in the near future. A new academic curriculum is also being put in to place this fall and we should be getting NY state approval by the end of next year. Just for those confused, we can currently PRACTICE in NY without approval, the approval is for clinicals(since right now you can only do 12 weeks there). You can practice in TX, Florida, and even California as long as you finish your residency and complete a board certification for that state. This is coming straight from the President of Academic Affairs. He was previously the dean of St. Mathews for those who may know him.
I have a plethora of information so feel free to PM me. Good luck with your decision!