Since 1978, Members and Fellows of the College have met once or twice annually at meetings of the American and Canadian Psychiatric Association. Although small in numbers, the meetings off the North American Group have served to maintain contact with the College. The College President, Immediate Past President and Registrar have attended recent meetings. There are over 500 Fellows and Members in the USA and Canada, and with increased awareness off the existence of the North American Group, which was officially recognised by the College in 1996, expansion of activities to include educational programmes is expected. For this to occur, the membership would need to respond in greater numbers than heretofore.