19. (1) When, upon report by the Executive Committee, it appears to the Council that the courses of study and examinations to be gone through in any medical or dental institution in Bangladesh in order to obtain a recognised medical, or additional medical, dental, qualification or that the standard of proficiency required from candidates at any examination held for the purpose of granting such qualification is not such as to secure to persons holding such qualification the knowledge and skill requisite for the efficient practice of medicine or dentistry, the Council shall forward the report, along with such remarks as it may choose to make, to the medical or dental institution with an intimation of the period within which the medical or dental institution may submit its explanation to the Council. (2) On the receipt of the explanation or, where no explanation is submitted within the period fixed, then on the expiry of the period, the Council, after making such further inquiry, if any, as it may think fit, may, by notification in the official Gazette, direct that an entry shall be made in the Schedule against the said medical, additional medical, or dental, qualification declaring that it shall be a recognised medical, additional medical, or dental, qualification or that it shall not be a recognised medical, additional medical, or dental, qualification on and from a specified date.