The birth of the University of the West Indies was one of the consequences of political rebellion in the Caribbean. The British created a University model setting up clones of the University of London in the emerging British Commonwealth. The hypothesis is advanced that the British established a two-tiered system of medical leadership at the FMS Mona, producing an organizational glass ceiling at that institution that restricted Caribbean doctors to the service ranks and favoured the European-trained doctors to research and teaching facilities. More than a third of the FMS grandaunts have migrated to North America and Europe and have effectively bypassed this glass ceiling. These medical graduates now serve the global market population and in particular, the African Diaspora population in North America and Europe as an unintended consequence. Political independence fostered major cloning of the UWI resulting in the establishment of campuses in Trinidad, Barbados and Nassau. The simultaneous effects of globalization resulted in a significant competitive challenge to the UWI by the introduction of the Off Shore Medical Schools into the region. The developmental vector resulting from the glass ceiling, cloning and globalization is now providing the stimulus for further metamorphosis of the UWI for the intentional creation of new university campuses in parts of the world where large concentrations of African Caribbean and African Diaspora populations live. It is suggested that the FMS continue its flagship role by the establishment of medical faculties in London, New York and Toronto, and on the African continent, to meet the needs of the African Diaspora and the global health market.