Actually, the first two years (pre-clinical) of Medical School may now be completed online. The 3rd and 4th year may be completed at a teaching Hospital in the U.S. (or Samoa). This both exciting and frightening to me! http://www.oceaniamed.org - Tom P.S. The first course "Introduction to Medicine" may be completed in Samoa (or an affiliated college in the U.S.). The rest of the pre-clinical courses are all conducted online.