[1][5] This international recognition of their degrees meant that the medical education programme offered at UWI allowed graduates to register freely in the UK and many other Commonwealth countries in order to practice.
[1][5] This practice by the GMC however was ended in 2001 as it sought to replace the original two-tier system of registration of overseas qualified doctors with a single method in keeping with European Union regulations regarding academic and professional training programmes.
[1][5][6] In parallel to these events there was a raft of establishments of "offshore" medical schools in the Caribbean starting in the 1970s, which catered almost exclusively to international students mainly from the United States and Canada.
[1] As of 2019, 13 CARICOM Member States have signed up to the Agreement on CAAM-HP and are participating territories: Antigua & Barbuda, The Bahamas, Barbados, Belize, Dominica, Grenada, Guyana, Jamaica, St. Kitts & Nevis, St. Lucia, St. Vincent & the Grenadines, Suriname, and Trinidad & Tobago.
[11][12] On 20 May 2019, CAAM-HP also signed a Memorandum of Understanding (MOU) with the Ministry of Higher Education Science and Technology (MESCYT) of the Dominican Republic in Santo Domingo to provide accreditation services for medical training programmes and to facilitate their acceptance by the 11 Universities of the Dominican Republic that have medical schools.