The IMO AGM 2019 took place between 25-27 April in the Europe Hotel, Killarney. Pictured is outgoing IMO President Dr Peadar Gilligan handing the chain of office to the new President Dr Padraig McGarry. Dr McGarry said the ending of the two-tier pay system for consultants would be a priority of his presidency. Dr McGarry said the issue was one of equity and fairness, but that the continuation of the pay differential was also a key factor in explaining why 500 consultant posts in Ireland are vacant and patients are being forced to wait unacceptable lengths of time to see a consultant.