 In 1962, the Irish Medical Union was established, initially, as a sub-section of the IMA and then became a break-away group under the presidency of Dr Johnny Cox, a general practitioner and farmer in Delvin, Co. Westmeath.The medical doctors' trade union was initially housed at the offices of the IMA in Fitzwilliam Place, Dublin 2, and later moved to separate offices in Northumberland Road, [Dublin 4], then Harcourt Street [Dublin 2], and finally, to Drumcondra, Dublin.Soon after this split the government agreed to engage in direct negotiations with the Irish Medical Association (IMA) without requiring it to formally register as a trade union.