CREATE TABLE table_name_31 (imed_avicenna_listed VARCHAR(255), established VARCHAR(255), degree VARCHAR(255), regional_offshore VARCHAR(255), country_territory VARCHAR(255))
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?
    
SQL: 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