The Council is a supreme body and takes all policy decisions, it meets at least once in a year or as and when there are sufficient items for the agenda, which needs policy decisions. It acts through various Committees and Secretariat. The meetings of the Council are presided over by the President and in his absence by the Vice President. The PM&DC gets no grants and aid from the Federal government. The Registrar is the principal functionary is responsible for all Secretariat work including implementation of the decision of the Council. The Secretariat keeps a close liaison with the Federal and Provincial Governments, Health Departments, Universities, Medical Colleges and allied agencies for speedy implementation and execution of the decision of the Council. It also keeps a liaison with Council and, licensing bodies in other countries to establish close contacts and develop mutual cooperation and understanding. It also initiates exchange of Medical Education Specialist with a view to studying the system of undergraduate and postgraduate medical and dental education in various countries.

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