In the submission to the Medical Council on draft regulations relating to Professional Competence the IMO again raised the issues of:

• Dual registration on the specialist and trainee specialist register
• Requirements for doctors outside the state providing services to patients within the state to be registered and maintain Professional Competence
• Only physicians on the Specialist Register should be allowed practice independently in their speciality

The IMO also recommended that there should be:

• Specific provisions for retired doctors
• Adequate funding for Professional Competence schemes
• Remediation arrangements for practitioners who fail to meet the requirements
• A Specific scheme for Community health doctors
• Medical practitioners must have a basic grasp of the lingua franca.