About 3 or 4 years ago, the British Royal college of Physicians was involved in a peer review process with one of her Nigerian counterparts, the West Africa College of Physicians. The objective was to assess areas of collaboration in medical education, evaluation and practice. The intent was also to evolve a new paradigm and approach to the training of doctors generally, bringing things to par with international best practices. The success of that mission would have meant that physicians trained and accredited here as specialists could simply pack their belongings and move to the United kingdom, Australia, Singapore or Ireland for practice and vice versa. It would have meant our qualifications are unquestioned and at par with other ones out there. It would have facilitated practice across borders, greater international recognition and acceptance, a fluidity of processes and perhaps a restoration of confidence in a sector since relegated to the fringes. It would have been an elixi