text: Below is an context that describes a sql query, paired with an question that provides further information. Write an answer that appropriately completes the request.  # noqa: E501
  ### Context:
  CREATE TABLE table_name_31 (imed_avicenna_listed VARCHAR, established VARCHAR, degree VARCHAR, regional_offshore VARCHAR, country_territory VARCHAR)
  ### Question:
  What is the imed/avicenna listed for a medical school offshore in saint kitts and nevis which was established before 2000 and will give you an MD?
  ### Answer:
  SELECT imed_avicenna_listed FROM table_name_31 WHERE regional_offshore = "offshore" AND country_territory = "saint kitts and nevis" AND degree = "md" AND established < 2000