The adult literacy rate is approximately 89.6%. Teacher training institutes, secondary schools, and technical schools provide terminal degrees. Nurses and dental technicians are trained in conjunction with the medical faculty, but standards do not equal those found in more developed countries. The Anton de Kom University in Paramaribo has faculties of medicine, law, natural resources, and social and technical sciences. However, transfer of individual course credits to and from the U.S. is difficult, if not unlikely. Enrollment is very difficult for non-Dutch speaking persons as well. Many students still attend high schools and universities in the Netherlands. A growing number study in U.S. universities.