The Faculty of Medical Sciences, St. Augustine, Trinidad and Tobago had its first intake of students in 1989 and graduated its first class in 1994. By 1999 there were 376 graduates. This study tracks these graduates after their internship to discern what impact they made on the medical labour market. While 90% of the graduates completed their internship in Trinidad, only 14% were employed with two of the four regional health authorities. The Faculty, in spite of its intended mission, has not been able to meet the demands of the current medical labour market.