GMOA Annual Report 2011/2012

Government Medical Ofcers Association
TU No: 291
Room No.10
Organization of Professional Associations Building Complex
No.275/75,Prof.Stanley Wijesundara Mawatha
Colombo 07
Tel: 0112580886 / 0112503586 / 0714999555
Fax: 4518668 / 2503586

Web: www.gmoa.lk

E Mail: info@gmoa.lk
ofce@gmoa.lk
GMOA
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Foreword
The GMOA has a proud history of 82 years and has maintained the highest standards as a
responsible trade union as well as a prominent professional body over the decades. Even
though our primary objective is to safeguard the rights and privileges of our members, most
issues taken up by the GMOA have long term benets to patients and to the healthcare delivery
system of Sri Lanka.
Health service in Sri Lanka has reached internationally comparable standards. The health
indices of the country are a testimony to the above, keeping in mind that over 90% of
residential patient care is delivered by the state sector. The credential as one of the most cost
effective health sectors in the world was achieved by Sri Lanka due to retention of highly skilled
human resources in the state sector. GMOA has set an example to the other professionals by
retaining more than 90% of professionals in the government sector.
Our membership consists of intellectuals and academics. Therefore GMOA acts on merits of
an issue and not for popularity. This rational unbiased approach has led others to consider our
membership as an eccentric group. However all the outcomes we have achieved both improve
working conditions of doctors, while concurrently enhancing patient care services.
Going beyond the horizon of the medical sphere, we pioneered the development of the National
Wage Policy. The expertise and condence we gained while handling this issue was used to
contribute towards national interests. GMOA took the lead in developing national policies while
maintaining the stability professionals both nancially and academically.
As a Trade Union, our primary objective is to safeguard the rights and privileges of our
members. We had many salary achievements and made signicant strides in improving
members welfare. At the same time as a professional organization we handled an
unprecedented number of professional issues of long term national signicance during the past
year. We rmly believe that our contributions will not only produce benets to our members but
also uphold and safeguard rights of patients, in the best interest of the country.
We salute and sincerely thank our 16 000 strong membership who stood strong against all
adversities directed against us to safeguard the GMOA and the dignity of the medical
profession. May your devotion and perseverance guide the GMOA in the years to come.
Thank you.
Dr. Anuruddha Padeniya (President - GMOA)
Dr. Chandika Epitakaduwa (Secretary - GMOA)
Executive Summary
During the 1990s the GMOA approached many professional issues with a sense of vibrancy,
despite lacking a proper long-term vision. Nevertheless, the efforts taken to withstand external
pressures towards politicization should be appreciated. Since the year 2000, the GMOA
embraced a more responsible role as a trade union, to increase capacity building of the medical
profession and to provide insights to many professional issues.
GMOA election and its background
In July 2011, the present executive committee of the GMOA was elected with an
unprecedented majority. The dormancy as a trade union in the preceding 3 years and the
frustration by the membership due to endless political intrusions led to this historical victory of
the present GMOA. The membership looked up to us to bring an end to this deteriorating trend
and begin a new course towards improving the standards of the medical profession.
Initial phase
The present executive committee worked very hard to satisfy these demands and restore the
GMOA to its current status. Within the rst two months of taking ofce, we were able to
eliminate political interference in transfers and other activities creating a setting in which our
membership could work in dignity.
Once we stabilized the GMOA, we focused on neglected priorities of the membership.
However, we regret to note that valuable physical and intellectual resources were seized from
the GMOA ofce. This made our path much more difcult and extra effort was needed to
retrieve those valuable resources of the GMOA by approaching numerous other institutions.
Subsequently we had the opportunity to function with a far-sighted vision, with our principal
objective to achieve nancial stability of the medical profession. Since July 2011 we have
successfully addressed more than 6 salary issues and 8 critical professional issues.
Financial stability of Medical Profession
Since the year 2003, GMOA started addressing salary issue with the rationale of using scientic
principles of salary structuring. We re-started the process after 3 dormant years. Despite the
various political harassments and intimidations we could successfully address 6 salary issues.
One can appreciate the time line of these outcomes to judge the strategic approach of GMOA.
Policy issues
Many professional issues of national signicance were dealt with by the GMOA during the past
year, which expanded our capacity beyond traditional trade unionism of the past decade.
The inux of unqualied foreign doctors, has threatened the quality of health care delivery.
Foreign medical practitioners without necessary qualications are already practicing in the
private sector as Specialists exploiting the deciencies of our health regulatory mechanism.
The CEPA & SATIS agreements would only open the door for more Indian doctors to practise
without proper evaluation. The best strategy to face this threat is to strengthen the regulatory
frame work. As such the GMOA initiated the development of an evaluation procedure for foreign
doctors culminating in the establishment of a Specialist Registry at the SLMC.
The ill-conceived Private Medical College at Malabe was functioning smoothly with the
highest political backing at the time of our election. GMOA membership was divided on the
issue, and protecting our unity was also a priority. We approached the issue strategically based
on safeguarding standards of medical profession and education in Sri Lanka. We initially
published a report highlighting the deciencies of Medical College at Malabe and later it was
ratied by a panel appointed by Ministry of Health to inquire in to PMC at Malabe. We
launched an awareness campaign highlighting the deciencies and currently PMC at Malabe is
defunct and on its natural course of death.
The Service Minute was a neglected piece of unwritten law since its inception in 1991. We
shed light into this important issue, despite activities of sabotage from fractions with vested
interests to destroy our unity. Through this, corrections in the salary anomalies and promotion
anomalies of Grade Medical Ofcers and Specialist Medical Ofcers were initiated.
We focused on the lack of transparency and stagnant transfer procedures which caused many
difculties and frustration to our membership. With much effort we were able to computerize
the transfers, thus enabling them to be transparent, systematic and effective.
Out of the welfare activities taken up in this year it is noteworthy to mention that schooling of
doctors children, which was a cause of deep concern for the membership was addressed by
issuance of letters by the Secretary to the Ministry of Education, to all 280 doctors who sought
admission to popular schools.
PGIM issues were also dealt with favourable outcomes. Political interferences which threatened
the independence of the SLMC were neutralized by the GMOA by bringing together all
stakeholders of the medical profession.
Facing Intimidation
We endured a well-funded and organized external and internal campaigns operating against us,
at their level best. When we took ofce, all important documents including salary commission
reports and submissions had been taken away from us. GMOA ofce staff had resigned and all
soft and hard assets were either deleted or seized from the GMOA.
All forms of media including Facebook and rumours were used to defame the current GMOA
President. Politicians were persuaded to attack Dr. Anuruddha Padeniya, Prof. Lalitha Mendis,
Dr. Nihal Nonis & other independent medical professionals.
Nevertheless we were able to withstand these obstacles and make unprecedented
achievements for members and the profession within the past year. We will continue to march
forward in the future to uphold the dignity, nancial stability of the profession as a trade union
and a responsible professional association in the future.
Editors
Executive Committee 2011-2012
President Dr. A.B. Padeniya
Vice President Dr. S.A.S. Karunathilake
Dr. S.U.W. Wadanamby
Secretary Dr. E.D.G.C. Epitakaduwa

Asst. Secret. Dr. A.M.N. Ariyarathne
Dr. U.M. Gunasekara
Dr. K.C.P. Gunathilake
Dr. S.S. Marasinghe
Treasurer Dr. K H.D. Milroy
Editor Dr. W.M.P. Warnasuriya
Asst. Editor Dr. C.T.K. Fernando
Nom.td Member Dr. D.T.D. De Silva
Trustees
Dr. Nimal Rathnasena
Dr. Saman Abeywardena
Dr. Paba Palihawadana
Dr. Prasanna Dasanayake
Dr. Lalantha Ranasinghe
General Committee
Dr. M.D. Ajith
Dr. A.K.A.S.K. Ananda
Dr. M.S. Azeez
Dr. S.W.K.M.B. Bulankulama
Dr. D.T.D. De Silva
Dr. H.R.M. Huseeir
Dr. H.R.K.T. Dhammika
Dr. T.D.B. Illangasinghe
Dr. W.M.L.D. Jinadasa
Dr. I.L.K. Jayarathne
Dr. S.H. Kolombage
Dr. D.Y. Piyadigama
Dr. A.L. Ranasinghe
Dr. B. Sai Niranjan
Dr. W.I.N. Wijesooriya
Dr. D.M. Epa
Dr. A.M. Jayasiri
Dr. M.W. Kumara
Dr. S.U.C. Ranawaka
Dr. K. Wickramanayaka
Transfer Board
Specialist Transfer Board
Dr. Saman Wadanamby
Dr. S.A.S. Karunathilake
Dr. Lalith Perera
Dr. B.G.N. Rathnasena
Dr. Harsha Sathischandra
Dr. Kumudini Ranathunga
Dr. Saman Abeywardane
Dr. Prasanna Dassanayaka
Dr. S.M. Arnold
Dr. Channa Wedamethri
Dr. Upul Vidanagama
Dr. Lalith Gamage
Dr. Priyantha Madawala
Dr. Anidu Pathirana
Dr. Eresha Jasinghe
Grade Medical Ofcers Transfer Board
Dr. Parakrama Warnasuriya
Dr. Nalin Ariyarathne
Dr. Lasantha Jinadasa
Dr. Kanchana Bulankulame
Dr. Sainiranjan Balakrishnan
Dr. Naveen de Soysa
Dr. A. Lathaharan
Dr. Thimothe Wickramasekara
Dr. S.A. Vithanage
Dr. Nalinda Herath
Dr. Vipula Indralal
Dr. Nath Wijesooriya
Dr. Palitha Rajapaksha
Ofce Staff
Administrative Ofcer
Mr. P.L. Gunasinghe
Finance Assistant
Miss. Sashika Mallawarachchi
Administrative Assistants
Miss. C.U. Thomas
Miss. Achini Muthaiah
Miss. H.A.P.B.D. Subashinie
Ofce Assistant
Mr. H.G. Ran
GMOA Branch Unions
Akkaraipattu
Ampara DBU
Ampara GH
Anuradhapura TH
Awissawella BH
Badulla PH
Balangoda BH
Hambantota DGH
Batticaloa GH
Bibile BH
Blood Bank
Cheddikulam BH
Chilaw GH
CI Maharagama
Colombo Municipal Council
Colombo DBU
Castle Street Hospital for Women
Colombo South Teaching Hospital
Dambadeniya BH
Dambulla BH
Dehiattakandiya BH
Dickoya BH
Diyatalawa BH
De-Soyza Maternity Home
Eheliyagoda DH
Karapitiya TH
Embilipitiya BH
Eye Hospital
Matara GH
Gampaha DPDHS
Gampaha GH
Gampola BH
Galle DBU
Kamburupitiya BH
Homagama BH
Horana BH
Infectious Diseases Hospital
Jaffna TH
Kahawatta BH
Kalmunai AMH (South)
Kalmunai North BH
Kalmunai Regional
Kalutara DBU
Kalutara DGH
Matara DBU
Kandy TH
Kantale BH
Balapitiya BH
Karawanella BH
Kegalle DBU
Kegalle GH
Kilinochchi DGH
Kuliyapitiya BH
Kurunegala DBU
Kurunegala TH
Lady Ridgeway Teaching Hospital
Madirigiriya BH
Elpitiya BH
Mahaoya BH
Mahiyanganaya BH
Mannar GH
Marawila BH
Matale GH
Hambantota DBU
Mahamodara TH
Mawanella BH
Mental Hospital Angoda
Monaragala DBU
Monaragala DGH
Medical Research Institute
Mullaitivu
Mulleriyawa BH
National Institute of Health Service Kalutara
Nawalapitiya DGH
Negombo DGH
National Hospital of Sri Lanka
Nikaweratiya BH
Nuwara Eliya GH
Panadura BH
Peradeniya TH
Point Pedro BH
Polonnaruwa GH
Polonnaruwa DBU
Pottuvil BH
Primary Healthcare Services
Puttalam Peripheral
Puttalam BH
Ragama TH
Ratnapura DBU
Ratnapura PGH
Rikillagaskada BH
Sirimavo Bandaranayake
Specialised Chlidren's Hospital
Sri Jayawardanapura GH
Tangalle BH
Thambuttegama BH
Trincomalee GH
Vavunia GH
Warakapola BH
Wathupitwela BH
Welisara Chest Hospital
Table of Contents
Financial Stability of Medical Ofcers 13
Telecommunication Allowance 14
Research Allowance 16
Exemption of Disturbance, Availability and Transport Allowance from Taxation 19
Exemption of Extra Duty Allowance from Taxation 19
Revision of Disturbances Availability & Transport Allowance 20
Revision of Extra Duty Allowance 21
Service Minute 22
Preliminary Grade Abolition 22
Correction of Salary Increment Anomaly of Grade II Medical Ofcers 22
New Promotion Scheme for Grade Medical Ofcers 23
Salary Anomaly Correction for Specialist Medical Ofcers 24
Grade Promotions for Post Graduate Trainees 24
Professional Issues 25
SLMC Issues 26
Malabe Private Medical College Issue 30
Code of Conduct for police when dealing with Clinicians 33
Health Regulations and National Health Policy 34
Evaluation of Foreign Specialists and Establishment of Specialist Registry 35
Elimination of Illegal Medical Practice 37
Medical Service 39
Saturday - Ofcial Holiday for Doctors 39
Correction of Saturday Duty Hours 40
Members Welfare 41
Schooling Issue 41
Establishment of an Insurance Scheme for Intern Medical Ofcers 41
Etisalat GMOA Internet Package with free dongle 42
Upgraded Bank of Ceylon Loan Scheme 42
Special Loan Scheme for Medical Ofcers from Peoples Bank- No upper limit for Housing Loans 42
Special Sri Lanka Telecom Package 43
Reduction of Hyundai local handling charges 43
Medical Education 44
Issues of Post Graduate Training 44
Distribution of BNFs to Medical Institutions 48
Dignity 49
Policy on providing health coverage for Politicians 49
Trade Union Actions 49
Branch Union Issues 50
Anti GMOA Activities 51
Newsletters 53
GMOA Publications 55
Annexures 56
1.Financial Stability of Medical Ofcers
Financial stability of a profession is essential to maintain high standards and productivity. It is a
necessity to retain highly skilled professionals in the country to deliver patient care of high
quality as well as to ensure deployment that safeguards equity.
GMOA rst proposed a National Wage Policy in 2003, which was developed and approved in
2006 by the 2006/06 circular. This categorized Public servants into several strata and provided
the basis for granting salary increments without getting chain reactions from other groups.

Unfortunately this aspect was neglected from 2009-2010. We reactivated the GMOA to achieve
this goal despite resistance from both internal and external fractions who do not understand the
values of addressing these issues on a scientic basis.
During the past year we addressed:
1. Basic Salary
2. Allowances
1. Basic Salary
We approached nancial stability based on a scientic salary guiding principle - salary
compression ratio. Basic salary of public ofcials had not been upgraded since 2006. GMOA
worked with the vision of achieving 1:12 Salary Compression Ratio, which is the next step of
the National Wage Policy under Public Administration Circular 2006/06. According to these
principles we persisted towards achieving Rs.200,000.00 for a Specialist and Rs.150,000.00 for
a Medical Ofcer.
We had productive negotiations with Ministry of Health, National Salary and Cadre Commission
and the Ministry of Finance and Planning who were convinced by our case. GMOA presented
the proposal to His Excellency the President who agreed with its principles and requested to
develop a consensus among all trade unions and professions for its nal implementations.
GMOA is negotiating with other trade unions at present to further rene the proposal and build
consensus.
2. Allowances
While negotiating for basic salary increments, we focused on increasing the take home salary of
Medical ofcers so that practically 1:12 ratio is reached.
Accordingly 6 strategic allowances, which were neglected in previous years, were addressed
during the past year. Medical Ofcers are included in the Senior Level of the National Wage
Policy of PA Circular 2006/06. As such we were entitled to a Telecommunication Allowance and
a Research Allowance, which were privileges of Senior Level Public Ofcers.
The following allowances were introduced and revisions were done:
1. Introduction of Telecommunication Allowance
2. Introduction of Research Allowance
3. Exemption of Disturbances, Availability and Transport Allowance from Taxation
4. Exemption of Extra Duty from Taxation
5. Revision of Exemption of Disturbances, Availability and Transport Allowance
6. Revision of Extra Duty Allowance
Annual Report
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1. Telecommunication Allowance
National Wage Policy was introduced by Public Administration Circular 2006/06 under which
Medical Ofcers were categorized as Senior Level Public Ofcers. Senior Level Public Ofcers
were granted a Telecommunication Allowance by Treasury circular No.446 issued on
01.09.2010 to which Medical ofcers were also entitled. However Telecommunication
Allowance was not implemented till September 2011 when the current Ex-Co addressed it.
Problems were noticed in implementing the Telecommunication Allowance in the Provincial
sector and for Postgraduate Trainees, which we promptly addressed through issuance of new
circulars. Telecommunication Allowance was fully implemented after a long and complex
process in which 21 circulars were issued in the process. Eventually we were able to x the
Telecommunication Allowance with the salary after negotiations with the government.
Initial Implementation of Telecommunication Allowance
Registration procedure to apply for the Telecommunication Allowance was made simple and
direct by the GMOA.
Subsequently payments were implemented at the branch union level. Active Branch unions
implemented the allowance efciently for their members.
Payments were implemented in September 2012; exactly one year after the issuance of the
Treasury Circular.
Implementation in provincial sector
The initial Circular dated 13.05.2011 on the Telecommunication Allowance did not address the
Provincial Health Sector. As a result Telecommunication Allowance was not paid to doctors of
Provincial Hospitals.
To address this issue GMOA obtained a Ministry of Health Circular dated 8.3.2012 by Secretary
of Health. GMOA also addressed all the governors and facilitated urgent payment of the
allowance.
Implementation for Post Graduate trainees
Although PG trainees were eligible for the Telecommunication allowance there was no proper
mechanism to pay it.As such GMOA developed a mechanism to pay the allowance to PG
trainees with Ministry of Health Circular dated 14.03.2012.
With the implementation of Telecommunication Allowance for Provincial Sector and PG
Trainees, nally GMOA set up the legal framework to achieve the Telecommunication Allowance
for the entire membership.
Fixed Telecommunication Allowance
GMOA negotiated with the government to get the Telecommunication Allowance xed and
added to the salary. As such Ministry of Health Circular 01-24/2012 dated 16.05.2012 was
issued giving Medical Ofcers 2 options:
i. Doctors could draw the maximum claim limit by submitting bills to fulll the
requirements as per Circular- Health Ministry/CA/191 dated 08/03/2012.
ii. Doctors who do not wish to submit bills can claim 2/3 of maximum limit as a xed
allowance added to the salary. Doctors who are having ofcial telephones can claim 1/3 of
maximum limit as a xed allowance.
(Please refer Annexure 1 - Circulars authorizing Telephone Allowance for PG Trainees, Provincial Sector doctors and
Fixed Telephone Allowance.)
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Medical Ofcers could ll and submit a simple application to the head of
their respective institutions and claim the allowance.
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Annual Report
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Extract of the circular issued more than 1 year ago for all categories in the Senior Level
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2. Research Allowance
Public Ofcers categorized under Senior Level via Public Administration Circular 2006/06 were
eligible for a Research Allowance worth 25% of the basic salary according to 2011 budget
proposals; a privilege earlier granted only to University Lecturers. As such Medical Ofcers
were eligible to claim Rs.7500.00 upwards and Consultants could claim Rs.11000.00 upwards
as Research Allowance.
Research Allowance is calculated directly as 25% of the basic salary. Therefore the allowance
increases every year with annual salary increments. As such the actual annual salary increment
is also increased by 25%.
Previously the only way to gain a salary increment was to get a Grade promotion either by
seniority or by completing a diploma and going through the fast tract. With the implementation
of the Research Allowance, a larger salary increment can be achieved with less effort and time.
Once the proposal is submitted the allowance is granted for 24 consecutive months. If the
research is published in an accepted forum allowance will be given for life. Many Branch unions
successfully organized Research Workshops together with the Mother Union to help their
members to gain the Research Allowance.
Process of obtaining the Research Allowance
A unit has been established at the Education, Training and Research Unit (ET & R) of the
Ministry of Health to coordinate the implementation of Research Allowance.
Five doctors can get together and form a research team and select a suitable research topic.
The research proposal should be written according to guidelines specied by the Secretary,
Ministry of Health.
The project proposal has to be presented to the Director ET & R unit along with the following
documents which can be obtained from www.gmoa.lk or from ET & R unit of Ministry of
Health. The documents are:
1. Application form duly lled and authenticated by the Head of the Institution.
2. Certied copies of NIC, SLMC Registration Certicate & salary slip of the previous
month.
Submit your research proposal to the local ethics review committee or to the SLMA ethics
review committee and obtain ethical approval.
Once the ethics approval letter is issued hand over a copy to the ET & R unit for processing.
ET & R unit will send the research proposal to the Technical Review Committee appointed by
the Ministry of Health. The committee comprises of consultants of various specialties. The
technical review committee will send their comments on the proposal back to ET & R unit.
The process is complete once the relevant documents are submitted, ethical approval is
granted and Technical Review Committee adjustments are made.
The Director, ET & R will submit the document to Director General of Health Services for
approval. Once the approval is granted you will be eligible for Research Allowance
We have initiated forming ethical review committees in all Teaching and Provincial Hospitals
as per Guidelines issued by Forum of Ethics Review Committees, Sri Lanka. Guidelines are
available at ET & R Unit, Ministry of Health
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kesearch A||owance Granted - 2S Sa|ary Increase
kesearch roposa|
Suppornng
Documents
L1 & k
1echn|ca|
kev|ew
Comm|uee
DGnS
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Annual Report
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My no. uMS/A/8/21
ueparLmenL of ManagemenL Servlces,
Ceneral 1reasury, Colombo 01.
10.03.2011.
All SecreLarles Lo Lhe MlnlsLrles,
ayment of kesearch A||owances as per the 8udget roposa|s 2011
ln accordance wlLh Lhe budgeL proposals 2011, a monLhly research allowance aL Lhe raLe of LwenLy ve percenL (23) of Lhe
baslc salary excludlng allowances could be pald Lo unlverslLy LecLurers and Senlor Level Cmcers engaged ln research work ln
Lhe publlc secLor, sub[ecL Lo Lhe followlng provlslons. (1hls allowance does noL enLall any rlghL Lo Lhe penslon or Lo any oLher
sLaLuLory allowance).
1. Cmcers Lnnt|ed to the A||owance
l. LecLurers and Lhe senlor level members of Lhe academlc sLa of Lhe unlverslues who are ln Lhe permanenL cadre.
ll."Senlor Level Cmcers" ln accordance wlLh Lhe denluon supulaLed ln Lhe ubllc AdmlnlsLrauon Clrcular no. 06/2006 or
omcers ln Lhe CovernmenL Corporauons and SLaLuLory 8oards who have compleLed aL leasL 10 years of permanenL
servlce ln "Academlc and 8esearch Servlces" or ln a hlgher posL accordlng Lo Lhe ManagemenL Servlces Clrcular no.30.
2. Methodo|ogy
l. A proposal lncludlng Lhe naLure, ume frame, and meLhodology of Lhe research should be submlued Lo Lhe 8esearch
ManagemenL Councll/Commluee menuoned ln ara 04 and Lhe approval of Lhe sald Councll/ Commluee for Lhe
research proposal should be obLalned by Lhe omcers enuLled Lo Lhe research allowance as per ara 02.
ll.1he research allowance can be obLalned wlLh eecL from 01.01.2011 subsequenL Lo Lhe submlsslon of Lhe lnLerlm
research reporL relevanL Lo Lhe sald proposal Lo Lhe 8esearch ManagemenL Councll/Commluee wlLhln slx (06) monLhs
and havlng obLalned Lhe approval Lhereof.
lll.ConunulLy of granung Lhe research allowance aL Lhe end of Lwo years wlll depend on Lhe sausfacuon of Lhe Councll /
Commluee wlLh regard Lo publlcauon of Lhe nal research reporL ln an lnLernauonally or nauonally AccepLed Sclenuc
ubllcauon and/ or submlsslon of Lhe nal research reporL Lo a relevanL Symposlum wlLhln Lhe perlod of Lwo years.
3. kesearch Management
l. 8esearch proposals of unlverslLy LecLurers - 8esearch Commluees accepLed by Lhe SenaLe of Lhe relevanL unlverslLy.
ll.8esearch proposals of Lhe omcers servlng ln Lhe eld of agrlculLure ln Lhe ubllc Servlce, CovernmenL Corporauons and
SLaLuLory 8oards - Srl Lanka Councll for AgrlculLural 8esearch ollcy (CA8).
lll.8esearch proposals submlued by Lhe omcers relaLed Lo oLher elds - 1he 8esearch Supervlslon Commluee esLabllshed
under Lhe MlnlsLry of 1echnology and 8esearch comprlsed of Lhe followlng omcers or Lhe Sub Commluees appolnLed by
Lhe sald Commluee as requlred.
- Mrs. uhara Wl[ayulake - SecreLary Lo Lhe MlnlsLry of 1echnology and 8esearch
- uocLor 1.8.C. 8uberu - SecreLary Lo Lhe MlnlsLry of PealLh
- ur. 8.P.S. SamaraLunga - SecreLary Lo Lhe MlnlsLry of LnvlronmenL
- Mrs. Malanl lerls - SecreLary Lo Lhe MlnlsLry of lanLauon lndusLrles
- Mr.1hllak Collure - SecreLary Lo Lhe MlnlsLry of lndusLry and Commerce
- ur.Saman kelegama - Lxceuuve ulrecLor, lnsuLuLe of ollcy SLudles
- Mr. 8. Wl[ayaraLne - ulrecLor, Srl Lanka lnsuLuLe of uevelopmenL AdmlnlsLrauon
4.
l. 8esearch allowance shall noL be pald ln respecL of research sLudles conducLed prlor Lo 28.02.2011.
ll. 8esearch expenses should noL be lncurred from Lhe provlslons granLed Lo Lhe lnsuLuuons from Lhe ConsolldaLed lund.
lll.1he research allowance should he lncurred from Lhe LxpendlLure Pead no.1003 and ln relauon Lo CovernmenL
Corporauons and SLaLuLory 8oards, Lhls research allowance should be borne from Lhe relevanL LxpendlLure Peads of
salarles and oLher remunerauons of each lnsuLuuon.
lv.1he research work expecLed by Lhls Clrcular should noL lmpede Lhe duues of Lhe permanenL posL.
S. 1hls Clrcular ls lssued wlLh Lhe concurrence of Lhe MlnlsLry of ubllc AdmlnlsLrauon and Pome Aalrs, MlnlsLry of Plgher
Lducauon, MlnlsLry of AgrlculLure and MlnlsLry of 1echnology and 8esearch.
Sgd..8. !ayasundara
SecreLary Lo Lhe 1reasury and Lhe MlnlsLry of llnance and lannlng
Extract of the Management Services Circular No: 45 (Please refer Annexure 2)
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Research Workshops
GMOA pioneered research promotion among the membership. An unprecedented number of
research workshops were held around the country by GMOA for the benet of the membership.
Workshops were conducted in the following hospitals / health ofces:
23.01.2012 Lady Ridgeway Hospital
01.02.2012 Matara General Hospital
10.02.2012 Wathupitiwala General Hospital
16.02.2012 Nindaur District Hospital
24.02.2012 Kandy Teaching Hospital
27.02.2012 Elpitiya Base Hospital
01.03.2012 Homagama Base Hospital
02.03.2012 Ampara General Hospital
06.03.2012 Jaffna Teaching Hospital
08.03.2012 Karapitiya Teaching Hospital
12.03.2012 Tricomalee General Hospital
16.03.2012 National Blood Center
21.03.2012 Nawalapitiya Base Hospital
27.03.2012 Batticaloa Teaching Hospital
29.03.2012 Ratnapura General Hospital
02.04.2012 Avissawella Base Hospital
08.05.2012 Colombo South Teaching Hospital
09.05.2012 Kurunegala Teaching Hospital
23.05.2012 Gampola Base Hospital
30.05.2012 Dambulla Base Hospital
31.05.2012 Anuradhapura Teaching Hospital
05.06.2012 Kegalle District General Hospital
12.06.2012 Gampaha District General Hospital
13.06.2012 Sri Lanka Medical Association
21.06.2012 Panadura Base Hospital
27.06.2012 Matale Base Hospital
07.07.2012 Kalutara General Hospital
15.07.2012 Badulla General Hospital
16.07.2012 Mahiyangana Base Hospital
04.08.2012 Nuwara-Eliya Base Hospital
06.09.2012 Kilinochchi Base Hospital
11.12.2012 Kurunegala RDHS Ofce
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Certicates were issued to all participants who
successfully completed the workshop
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3. Exemption of Disturbance, Availability and Transport
Allowance from Taxation
Government introduced the PAYEE taxation scheme under which government servants salary
was subjected to taxation; a critical policy change of the government.
Accordingly, by July 2011 Medical Ofcers salary was also subjected to taxation. However,
Extra duty, Availability and Transport are essential to maintain emergency services and essential
patient care. Therefore those components of the service cant be taxed.
GMOA highlighted the issue to relevant authorities and requested the Exemption of
Disturbances Availability and Transport (DAT) Allowance and Extra Duty Allowance from
taxation. In response to the efforts of the GMOA, the Commissioner General of the Department
of Inland Revenue agreed to exempt DAT Allowance from taxation.
4. Exemption of Extra Duty Allowance from Taxation
Concurrently Extra duty allowance was also exempted from taxation by the Department of
Inland Revenue.
Accordingly Secretary to Minister of Health has issued a letter to withhold taxation. As a result
most of the Medical Ofcers are currently out of the Tax range and gain full benets of the
revised DAT and Extra duty allowances.
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5. Revision of Disturbances Availability & Transport
Allowance
Disturbances & Availability Allowance was introduced
in 1992 as Rs.2000.00. The transport component to it
was added in 1994 to make Disturbance, Availability
and Transport Allowance Rs.5000.00
However, Revision of this allowance was neglected
from 1994-2007 - Over 14 years. In 2007, GMOA made
a submission demanding revision of DAT allowance to
70000.00. Then government principally agreed to
Increase DAT allowance up to Rs.29,000.00 But due to
the war situation only Rs.10,000.00 was granted.
Revision of DAT allowance was again neglected over
last 3 years. The current GMOA demanded the revision
of DAT allowance to the agreed amount of Rs.29000.00.
Subsequently DAT allowance was increased up to Rs.15,000.00.
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6. Revision of Extra Duty
Allowance
Extra-duty (ED) is calculated according to the
basic salary. However, Government hasnt
increased basic salaries of public ofcials
since 2006.
Revisions for Extra duty rates were proposed
in 2007 for the existing basic salary. Since
Extra duty is calculated according to the
basic salary and not parallel to cost of living,
extra duty rates proposed in 2007 are still valid.
However, extra duty revisions proposed in 2007
were only partially implemented and were not
addressed during past three years.
Current GMOA achieved full implementation of
increments to Extra duty payments proposed in
2007 by Ministry of Health Circular No 02-56/2012
dated 27.04.2012. GMOA has proposed further
increases of Extra duty rates, deriving maximum
amount from the current basic salary.

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Grade 2007 2008-2011 2012 May
No rev|s|on kev|sed
re||m|nary 210 210 300
Grade II 280 280 32S
Grade I 310 310 370
Deputy Adm|n|stranve 3S0 3S0 390
Sen|or Adm|n|stranve 380 380 4S0
Deputy D|rector Genera| 380 380 4S0
Spec|a||st 380 380 4S0
"# $%& '() *%+&, $%& - .&-/0 11 23
4 566 7-890:;, -&0 <: =+700, 70& *%+&
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2.Service Minute
Service Minute of medical professionals was rst formulated in 1991, 21 years ago. After a
lapse of 15 years this was readdressed by the 2006/6 circular. Many years have passed since
then without any progress on the service minute of Medical Ofcers.
There are three categories of Medical Ofcers; Grade Medical Ofcers, Medical Administrators
and Specialist Medical Ofcers.
Addressing the service minute is a challenging task as any new development should be
benecial for all 3 categories without curtailing any group.
Understanding the sensitivity of the issue, many politically motivated groups made attempts to
sabotage the development of the service minute and create friction among the three groups in
order to divide the GMOA.
Despite many sabotage activities GMOA made following achievements:
1. Preliminary Grade Abolition
2. Correction of Salary Increment Anomaly of Grade II Medical Ofcers
3. New Promotion Scheme for Grade Medical Ofcers
4. Salary Anomaly Correction for Specialist Medical Ofcers
5. Grade Promotions for Post Graduate Trainees
1. Preliminary Grade Abolition
Under 06/2006 circular a new promotion scheme for government service was introduced by the
National Wage Policy, categorizing public servants into grades III, II and I. But promotion
scheme of Medical Ofcers was different to other sectors putting doctors at a disadvantage.
Medical Ofcers were recruited in to Preliminary Grade and are promoted to Grades II and I.
Dental Surgeons were directly recruited to Grade II.
We addressed this issue and were able to achieve the following:
Abolition of Preliminary Grade and eliminate two years that are spent in that level.
Recruitment of Medical Ofcers to Grade II which would be considered in parallel with Grade III
of 06/2006.
Initial salary step of Medical Ofcers to be increased and made equal to Present Grade II initial
salary step of Rs.28095.00.
(Please refer Annexure 2 Letter from the DGHS to the Secretary of Health regarding abolition
of the Preliminary Grade)
2. Correction of Salary Increment Anomaly of Grade II
Medical Ofcers
According to Public Administration Circular 06/2006 Grade Medical Ofcers fall into SL 2
category. As such Grade Medical Ofcers are eligible to get a higher initial salary, a higher
salary increment and a higher ending salary than public servants belonging to categories below
them.
But SL 2 category got a lower annual salary increment than SL 1 which was below them. This
also resulted in Grade II Medical Ofcers getting a lower ending salary than SL 1. In addition
MT 8 category, which comprises of other Health Sector categories who are placed lower than
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Grade II Medical Ofcers, were getting an annual salary increment higher than Grade II Medical
Ofcers.
Current Ex Co addressed this unfair discrepancy against Grade II Medical Ofcers with the
salary commission. We increased the annual increment of Grade II Medical Ofcers from Rs.
650.00 to Rs.790.00.This also placed the SL 2 category above the SL 1 category with regards
to their ending salaries correcting the anomaly.
(Please refer Annexure 3- Letter from the DGHS to the Secretary of Health regarding salary
anomaly of Grade Medical Ofcers)

3. New Promotion Scheme for Grade Medical Ofcers
Medical Ofcers promotions are governed by the relevant Service minutes. There were three
stages in the promotion scheme: Preliminary Grade, Grade II and Grade I.
Previously,
Medical ofcers were recruited to the service as Preliminary Grade Medical Ofcers.
After completion of 2 years in Preliminary Grade and E Bar examination they were promoted to
Grade II.
Grade II Medical Ofcers were promoted to Grade I in 16 years as an Average Performer or in
10 years as an Exceptional Performer via fast tract.
We were able to convince amendments to the promotion scheme that will allow us to gain
promotions faster and increased salaries accordingly.
Now,
Medical Ofcers are recruited to the service as Grade II Medical Ofcers.
Grade II Medical Ofcers are promoted to Grade I in 10 years as an Average Performer or in 6
years as an Exceptional Performer.
Grade I Medical Ofcers are promoted to Senior Grade in 7 years as an Average Performer or in
4 years as an Exceptional Performer.
(Please refer Annexure 5 for the letter from the DGHS to the Secretary of Health regarding new
promotion scheme of Grade Medical Ofcers)
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4. Salary Anomaly Correction for Specialist Medical
Ofcers
In 2006/06 circular, salary compression ratio was restricted at 1:4. As such Specialists who
belong to SL3 scale could not keep the salary scale proportions maintained in the 1991 service
minute.
Therefore we have proposed to rectify this anomaly by placing Specialist Medical Ofcers in SF
salary scale. This proposal is still under negotiations.
5. Grade Promotions for Post Graduate Trainees
Previously Post Graduate Trainees who did not proceed with training after completing the Part I
of MD/MS examinations were not entitled for any promotion or other benet for their
achievements at the part I examination.
GMOA addressed this issue in the service minute and got an amendment to reward them. As
such now Medical Ofcers who obtain post graduate qualications are promoted to Grade I
after 6 years of service as Grade II Medical Ofcers.
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3.Professional Issues
During the past year GMOA handled several critical professional issues with national
signicance expanding our scope beyond that of an ordinary trade union.
They are:
SLMC Issues
Sri Lanka Medical Council is the statutory organization responsible for upholding the standards
of medical practice and medical education in Sri Lanka. During the past year SLMC faced
tremendous political pressure leading to far-reaching consequences on standards of medical
practice and medical education.
GMOA united all professional colleges to formulate the Senate of Medical Profession, making it
the decision making body for the medical profession. Therefore under that protection, SLMC is
functioning independently now.
Malabe Private Medical College Issue
Malabe so called "medical college" started in 2009 without BOI approval, approval from the
Ministry of Health, a Teaching Hospital for clinical training, a permanent academic staff, clear
entry criteria for students and satisfactory management and nancial arrangements. However, it
was functioning smoothly without any objection until last year.
GMOA made a comprehensive report to expose its true situation and spearheaded a massive
awareness campaign to defend standards of Medical Education and the profession.
Due to our efforts the Ministry of Health appointed a committee to look into this matter which
highlighted many of the above shortcomings and endorsed our report. As such Malabe PMC is
now defunct and on its natural course of death.
Code of Conduct for police when dealing with Clinicians

Police intervention in clinical practice lead to harassment of doctors due to the absence of a
code of conduct for police ofcers. This matter was taken up by the GMOA with IGP to develop
a code of conduct for police ofcers when intervening in clinical activities.
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1. SLMC Issues
Sri Lanka Medical Council is the statutory organization responsible for upholding standards of
medical practice and medical education in Sri Lanka. In the recent past SLMC faced several
critical issues with major implications on maintaining standards of medical practice and medical
education.
Sri Lanka Medical Council faced tremendous political pressure during last year. This escalated
to the level of challenging the very existence of SLMC, wherein it would fail to safeguard the
interests of the public and the medical professionals.
GMOA analyzed the situation and summoned a consensus meeting with all professional
colleges to strengthen the unity of the medical profession and maintain the integrity of SLMC.
The forum of all the colleges was termed the Senate of the Medical Profession" and it was
made the decision making body for our profession with consensus of all stakeholders.
Therefore under that protection SLMC is functioning independently in spite of a politically
motivated president.
We addressed following issues faced by SLMC during the past year:
1. Intimidation of SLMC by politicians
2. Assault on the Registrar of the SLMC
3. Resignation of President/ SLMC and pending appointment of a controversial
personality as President/ SLMC.
4. Efforts to transform SLMC as a Government Enterprise
5. Attempt by AMPs with fraudulent six month Russian degrees to gain registration as
Medical Ofcers under section 29 of the medical ordinance
6. Establishment of Private Medical schools without following the SLMC guidelines
7. Issues of the foreign doctors practicing as specialists in Sri Lanka without due
qualications
8. Establishment of a Specialist Registry in the SLMC
9. Status of the ERPM examination
(Please refer Annexure 10- the minutes of the meeting to reach consensus within medical
professional organizations.)
1. Intimidation of SLMC by politicians
Autonomy of SLMC is of paramount importance to safeguard medical profession and
education. The recent outbursts by the Minister of Higher Education and the threats to dissolve
SLMC were condemned unanimously by the Senate of the Medical Profession.
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2. Assault on the Registrar of the SLMC.
The shameful and politically motivated attack on Dr. N.J.Nonis, Registrar, SLMC, was
unanimously condemned by the house. It was highlighted as an unwarranted hazard to
professionals engaged in their rightful duty.

3. Resignation of President/ SLMC and pending appointment of a
controversial personality as President/ SLMC.
Traditionally presidency of SLMC has been held by an eminent medical professional who is
highly respected in the medical eld. Therefore, the sudden resignation of Prof Lalitha Mendis
from SLMC presidency due to political pressure and the controversial appointment of Prof.
Carlo Fonseka, who has close political afliations, were viewed as detrimental to the progress
of medical profession.
The house unanimously urged Prof. Lalitha Mendis to stay on till the end of her tenure and
President/ SLMA
agreed to communicate this proposal to His Excellency the President.
4. Efforts to transform SLMC to a Government Enterprise
According to the Medical Ordinance, SLMC is a body corporate which could not be
categorized as an Enterprise. SLMC is a nancially independent organization and there are
provisions to monitor its nances adequately under the current set up.
Despite these provisions attempts were made by the government to categorize SLMC as a
government enterprise. The house condemned this move as both unlawful and unnecessary.
5. Attempt by AMPs with fraudulent six month Russian degrees to gain
registration as Medical Ofcers under section 29 of the medical
ordinance.
Apothecaries are registered under section 41 of the medical ordinance. With political support
AMPs made arrangements to obtain medical degrees from St. Petersburg University, Russia
which was conned only to three years, instead of the usual six years.

Ministry of Health granted paid leave to follow the medical curriculum. However, Apothecaries
conducted fulltime private practice during this period of paid leave without attending the
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course. At the end of three years, they produced a degree certicate which indicated that an
entire six year curriculum was followed in three years.
GMOA demanded Ministry of Health to hold an inquiry where claims of AMPs were found to be
fabricated. Police department also concluded the certicate was fraudulent and reported to the
Supreme Court where the court ordered the SLMC to reject the fraudulent medical degree
certicates.
Despite these facts apothecaries were trying to get the SLMC registration as medical doctors
under section 29. The house agreed that these efforts and false claims by Apothecaries need to
be addressed and challenged.
6. Establishment of Private Medical schools without following the SLMC
guidelines
In 2009, a business enterprise by the name of South Asian Institute of Technology and
Management (SAITM) began offering a medical degree program which culminates in to a
degree granted by the Nizhny Novgorod State Medical Academy of Russia.
SAITM had requested the SLMC to recognize their program which the SLMC had rightfully
rejected citing the gross shortcomings of the institute. SAITM didnt have BOI approval,
approval from the Ministry of Health, a Teaching Hospital for clinical training, a permanent
academic staff, clear entry criteria for students or satisfactory management and nancial
arrangements.
The SLMC informed the public through media with repeated paid advertisements that SAITM is
not approved by the SLMC. However, the institution continued to recruit students and function
under the patronage of few inuential health administrators and politicians.
GMOA had objected to this institution citing the above mentioned shortcomings as well as the
gross injustice caused to the students of the local state education system. The rst report ill-
conceived Private Medical Faculty at Malabe was published in 2010.
But a gazette notication was published in August 2011 by the Ministry of Higher Education
granting SAITM the degree awarding status despite its gross shortcomings.
The GMOA threatened an Island wide trade union action against the move and as a result of the
efforts by GMOA a 5 member committee was appointed by the minister of health to give a
comprehensive report on SAITM. The panel report veried the above deciencies and
discrepancies.
7. Issues of the foreign doctors practicing as specialists in Sri Lanka
without due qualications.
The house concluded that a clear protocol should be formulated for recruiting foreign doctors
to practice in Sri Lanka and that registration should take place under the scrutiny of SLMC after
an independent assessment of qualications.
Importance of establishing a specialist registry to Sri Lanka under SLMC was also highlighted.
Consensus was reached to make regulations under current Ordinance empowering SLMC to
register specialists.
In the past ERPM examination was held by the SLMC and foreign medical graduates with
degrees from SLMC recognized foreign universities were eligible to sit for the exam.

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ERPM examination was changed in 2005 after a group of 54 candidates who had failed the
ERPM examination from 1999, led a fundamental rights case against SLMC claiming that the
exam was too tough and is even tougher than the state university nal examinations. A
Supreme Court settlement was reached and the UGC was asked to supply the common MCQ
papers used for the nal examination of the state universities for the Examination. The failure
rate increased further during the following two years.
Therefore another Supreme Court case was led later requesting the exam to be handed back
to SLMC. The 54 candidates who were still unable to pass the exam tried to reduce the pass
mark to 40% using personal inuence. Among their demands were; Reducing the pass mark to
40%, Eliminating negative marks, Eliminating the community medicine and forensic medicine
papers, Appointment of a superior body to (SLMC) monitor examination and SLMC members
should not be a part of it.
The SLMC and the members of the SLMC including the president and the registrar were
personally subjected to lot of personal harassment during the recent past because of this
protracted legal tug-of-war.
However, the SLMC and the entire medical profession is rm on the stand that the pass mark
should not be changed and the standard of the licensing examination should not be lowered at
any cost. Furthermore, SLMC is the unequivocal authority in deciding the standard of medical
education and service provided to the public.
Taking into consideration of the above issues Senate of the Medical Profession agreed upon the
following:
1. To request His Excellency the President to re appoint Prof. Lalitha Mendis as President /
SLMC
2. To request an appointment with His Excellency to discuss the matter further.
3. This gathering represents the entire medical profession in Sri Lanka, and we should take
prudent steps to safeguard the dignity of the profession.
4. Demand the adherence to prescribed standards of medical education from all institutions
disregarding whether they are foreign or local medical faculties.
5. Maintain the standards of ERPM examination equivalent to Final MBBS examination.
6. To nalize specialist registry
7. To nalize policy to deal with employing foreign medical professionals in Sri Lanka
8. In a matter of controversy this gathering will be the nal decision making body for the
profession and thus called the Senate of the Medical profession and this will gather to
discuss the progress in the future too.
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2. Malabe Private Medical College Issue
Establishing Private Medical Colleges (PMC) raises great concerns over the standards of
Education and Healthcare of a country. Therefore they are strictly regulated worldwide.

Malabe so called "medical college" started in 2009 and was functioning smoothly without any
objection or scrutiny until 2011. SAITM was about to take over Base Hospital Homagama for
clinical training.
SAITM Private Medical College had many deciencies including the following:
1. No Approval from relevant institutions
Any fee-levying institution of higher medical education should comply with standards stipulated
by Sri Lanka Medical Council (SLMC) and the law of the country. Such an institution should at
least possess the following before inception:
No approval of Sri Lanka Medical Council (SLMC)
According to the Medical Ordinance a medical institute needs recognition of SLMC before it
recruits students. However SAITM fraudulently recruited students via advertisements claiming
to have approval of SLMC. Subsequently SLMC published several newspaper advertisements
countering their claims. (Annex- I, II, III, IV)Even if Malabe PMC is recognized in the future,
present students will not be eligible to obtain SLMC recognition.
No approval of Board of Investment
BOI has not approved setting up of a medical institute at Malabe. Approval has been given only
for a Management Institute; as mentioned in the name South Asian Institute of Technology and
Management.
No approval of Ministry of Health
At the time approval was sought to set up South Asian Institute of Technology and
Management (SAITM), Board of Investment (BOI) has clearly stated that Ministry of Health
approval should be obtained before Health Sciences are taught.
Up to date South Asian Institute of Technology and Management has not obtained approval
from Ministry of Health to teach Health Sciences.
No approval of Ministry of Higher Education
University Grants Commission has sent three teams to evaluate medical school of SAITM; none
of them recommended granting degree awarding status.
However a gazette notication was published by the Ministry of Higher Education granting
SAITM degree awarding status, "Subject to the conditions specied in the schedule". The
schedule consisted of 7 conditions with several sub-conditions. Most of these conditions have
not been fullled, although the 1 year deadline granted to SAITM has elapsed. (Annex VI)
The medical school at Malabe cannot have any legal status if it has not fullled all conditions
laid down in the gazette notication. The degree awarding status can be granted only on the
recommendation of the specied authority (In this case University Grants Commission)
according to the procedure laid down in the University Act. As such university act has also been
violated. (Annex VIIb)
However South Asian Institute of Technology and Management (SAITM) has failed to fulll the
above, which are essential to establish a private medical college.
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2. Lack of Standards
According to guidelines stipulated by Sri Lanka Medical Council, any fee levying institution of
higher medical education should fulll the following criteria. An institution that does not meet
any one of these absolute criteria will not be approved by SLMC.
Dedicated hospital for clinical activities with minimum of 100 beds each in General Medicine,
General Surgery, Paediatrics, Obstetrics and Gynecology.
All Heads of Departments and at least 70% of the academic staff should be permanent,
fulltime staff members of the institution.
The course should spread over ve calendar years excluding the time spent on any
preparatory courses.
The institution should maintain Professorial Units (University Clinical Teaching Units) in the
main clinical subjects with a dedicated academic staff as clinical teachers.
The institution should have an identied community for eld based training in liaison with the
public health service providers of the area (Eg: MOH Municipal or Urban council)
Majority of doctors who work as lecturers at Malabe PMC are foreign graduates with only a
basic degree which is grossly inadequate to become a member of an academic staff of a
university. Out of them, the majority including the director of the institute are failures at the ACT
16 examination, which is the fundamental requirement to practice as a doctor in Sri Lanka.
The institute lacks essential departments required for a medical school and some departments
are under visiting professors, which is grossly unsatisfactory.
SAITM medical school has recruited students for the past 4 years. In state medical faculties
formal clinical training for students starts in the 2nd year of the curriculum with exposure to the
clinical setting from the very rst year. Though it was advertised by SAITM that clinical training
will be provided at private hospitals, no clinical training is provided up to now. SAITM medical
school still doesnt have a teaching hospital for clinical training which is a prerequisite to start a
medical school in every country.
As such Malabe PMC has not fullled the minimum standards required of a medical school.
3. Financial and Educational Fraud
Financial fraud
Dr. Nevile Fernando is over 70 years old and according to Companies Act No.7-2007 sentence
210, any person who has reached 70 years of age or more cant be appointed as a director of
private or public company. This regulation brings in to question the very presence of Dr.
Fernando as the main investor.
Unlike any state higher educational programme SAITM recruits 2 batches per year. Students are
charged 6.5 million each prior to any formal education.
All recognized private universities worldwide require a bank guarantee from the institution
depending on the number of students to ensure that the university will not default on students.
SAITM doesnt have any guarantee from any nancial institution for nancial security of
students.
Obscured nancial state of SAITM medical school raises serious concerns that it is an
unsustainable nancial scam similar to Sakvithi.
Educational Fraud
From its commencement in 2009, Sri Lanka Medical Council informed Dr. Neville Fernando,
Chairman of SAITM, that SLMC recognizes only the six year medical course conducted by
Nizhny Novgorod State Medical Academy (NNSMA) and not any other programme in Sri Lanka
or elsewhere that is linked with NNSMA.
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However SAITM fraudulently recruited students for a twinning programme with NNSMA,
advertising that it has the approval of SLMC which is a violation of section 128 of the University
Act. (Annexure 8 Extract of the letter from President of SLMC to Dr. Neville Fernando)
A twinning programme is where a part of medical education is done locally and the rest in a
foreign country. Twinning programmes are not accepted by SLMC. There is no evidence that
Nizhny Novgorod State Medical Academy has approved such a twinning programme.
As highlighted above SAITM neither has a fulltime academic staff or a hospital as it claimed to
have at the time of recruiting students.
A ve member committee was appointed by Hon. Minister of Health to inquire in to Malabe
medical school. It made further recommendations (Annex V) which SAITM has failed to
implement.
GMOA made a comprehensive report to expose its true situation effectively and voiced our
concerns. That was the turning point for the Malabe PMCs downfall. (Available at
www.gmoa.lk.) (Please refer Annexure 9 Report on the ill conceived Private Medical College
at Malabe)
GMOA highlighted the fraudulent nature of the institution branding Malabe PMC as Sakvithi
PMC. We spearheaded a massive and very effective awareness campaign. Eg: Derana TV 360
programme (Available on youtube) Upon our request, the Ministry of Health appointed a
committee to look into this matter which concluded the same and endorsed our report.
Following this, all doctors who had their children admitted to Malabe PMC had withdrawn their
children.
Recently, Urban Development Authority ned SAITM Rs. 29 million for not complying with
acceptable approvals further exposing its lack of credibility.
Malabe so called "medical college" is completely defunct now and on its natural course of
death.
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Report on the
Ill-conceived
Private Medical College
at Malabe
>?%+;* 5,<-: 1:,@;+;0 %$ A0B*:%6%C8 -:/
2-:-C090:; D ?51A2E
Compiled By
Dr Anuruddha Padeniya et al
CovernmenL Medlcal Cmcers' Assoclauon
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3. Code of Conduct for police when dealing with
Clinicians
In the past, incidents of Police intervention in clinical practice led to harassment of doctors.
Recently, based on an allegation made by a female patient against one of our Branch
Secretaries, he was arrested and kept behind bars for 14 days.
This matter was taken up by the GMOA with Inspector General of Police. As a result a code of
conduct for police ofcers in clinical matters was introduced to uphold the law while
safeguarding dignity of Medical Profession and professionals.
The Code of Conduct Includes:
When a doctor makes a complaint about any harassment during the process of carrying out
duties, the OIC or HQI of police should record the complaint and should immediately inform
the ASP and SP of the region.
Investigations on the complaint should be started and maintained by the ASP personally.
The ASP should inform the Senior Deputy Inspector General Administration immediately
about the complaint.
If a patient dies in hospital and a statement has to be recorded from the Specialist Medical
Ofcer, who treated the patient, all records have to be produced to the Solicitor General for
advice beforehand. A report has to be sent to the Solicitor General by the police asking for
advice regarding the matter. Statements cant be recorded from Specialist Medical Ofcers
without obtaining advice from the Solicitor General.
If a patient dies and a complaint is made that death had occurred due to medical negligence,
the doctor cant be taken in to custody. Approval from Solicitor General should be obtained
before questioning and taking into custody.
Now doctors can carry out duties without any inappropriate police interference.
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4.Health Regulations and
National Health Policy
GMOA pioneered formulation of national health policy and health regulations during the past
year. Countering the threat posed to the rights of our patients and qualied Sri Lankan doctors
by substandard foreign medical practitioners and illegal medical practitioners were the main
targets of our efforts.
Evaluation of Foreign Specialists and Establishment of Specialist Registry
There is no evaluation process for foreign doctors, prior to registration, under the current
provisions of the Medical Ordinance. As such many substandard foreign medical practitioners
get temporary registration and work as ' Specialists' in the private sector.
Government has already signed SAARC Agreement for Trade-In Services (SATIS) together with
eight South Asian Nations and Comprehensive Economic Partnership Agreement (CEPA) with
India is pending. Above agreements would allow foreign medical practitioners to freely come
and practice in Sri Lanka without any registration or evaluation, threatening the long held
standards of the Sri Lankan health sector.
To address this issue GMOA proposed the establishment of a formal procedure for evaluating
foreign specialist registration and the formation of a Specialists Registry for Sri Lanka. After
months of work and contributions from many stakeholders, it is in the process of legislation.
Elimination of Illegal Medical Practice
There are as many as 40000 illegal medical practitioners in the country, twice the number of
legal practitioners. Illegal medical practice is a criminal offence punishable via the penal code.
Yet under the current regulations punishment for quacks is grossly inadequate. Hence
measures taken to eradicate illegal medical practice were unsuccessful in the past.

GMOA as the rst strategic step initiated an awareness campaign in 2001. Thereafter in 2008,
GMOA collaborated with Attorney Generals Department and the Police Department to conduct
a census on quacks to formulate a future plan of action.
After a lapse of 3 years, current GMOA readdressed the issue and proposed a minimum 5 years
of imprisonment for Quacks which was approved by Ministry of Health.
Employment of substandard medical practitioners as specialists and as assistant specialists in
the private health care sector has led to many issues in the recent past. Currently there is no
policy on employing foreign specialists. A proper evaluation process to assess the qualications
and skills level of foreign specialists is not established.
Currently foreign specialists are registered under the provision provided by the section 67A of
Medical Ordinance. Initially the applicant submits his/her CV along with supporting documents
and a letter of sponsorship by the prospective local employer, to the Director General of Health
Services (DGHS). The DGHS submits the credentials of the applicant to the relevant
professional bodies for evaluation and obtain their recommendations to register the applicant
as a specialist in Sri Lanka. Alternatively the DGHS has the sole authority to appoint a
committee to evaluate the application form and give its recommendations without the
concurrence of the relevant professional body (according to Section 67A). Other than the
DGHS, the Secretary of Health or a Dean of a Medical Faculty can make recommendations to
the SLMC regarding the suitability of an applicant to function as a specialist.
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1. Evaluation of Foreign Specialists and Establishment
of Specialist Registry
Employment of substandard medical practitioners as specialists and as assistant specialists in
the private health care sector has led to many issues in the recent past. Currently there is no
policy on employing foreign specialists. A proper evaluation process to assess the qualications
and skills level of foreign specialists is not established.
Currently foreign specialists are registered under the provision provided by the section 67A of
Medical Ordinance. Initially the applicant submits his/her CV along with supporting documents
and a letter of sponsorship by the prospective local employer, to the Director General of Health
Services (DGHS). The DGHS submits the credentials of the applicant to the relevant
professional bodies for evaluation and obtain their recommendations to register the applicant
as a specialist in Sri Lanka. Alternatively the DGHS has the sole authority to appoint a
concurrence of the relevant professional body (according to Section 67A). Other than the
DGHS, the Secretary of Health or a Dean of a Medical Faculty can make recommendations to
the SLMC regarding the suitability of an applicant to function as a specialist.
Current Registration Procedure Foreign Medical Professionals into the Private Sector
They are registered under the provision provided by the section 67A of Medical Ordinance.
The applicant should submit his/her CV along with supporting documents and the letter of
sponsorship by the prospective local employer to the DGHS.
The DGHS will submit the credentials of the applicant to the relevant college for evaluation
and obtain their recommendations to register the applicant as a specialist in Sri Lanka.
Alternatively, according to Section 67A the DGHS has the sole authority to appoint a
concurrence of the relevant professional body.
Other than DGHS, the Secretary of Health or a Dean of a medical faculty can recommend the
SLMC regarding the suitability of the applicant to function as a specialist.
There is no specialist registry in Sri Lanka and as
a result many unqualied doctors practice as
specialists in private hospitals. There are
concerns about poor standards in the registration
process using ad hoc decisions, which has come
under heavy criticism for lack of transparency.
Above deciencies led to incidents of gross
violation of patients rights. Many patients who
were mismanaged were transferred to NHSL with
major complications while the foreign doctors
ed the country. This also incurred a massive
extra cost to the government health sector. At the
same ti me forei gn doctors wi thout due
qualications practicing as specialists was a
violation of rights of highly qualied Sri Lankan
doctors.

This situation is bound to worsen with the
implementation of Comprehensive Economic
Partnership Agreement (CEPA) and SAARC
Agreement on Trade-In Services (SATIS)
agreements. SATIS agreement has already been signed by 8 South Asian countries while CEPA
agreement is pending between India and Sri Lanka. These agreements would pave a legal
Annual Report
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Medical Ordinance (Chapter 105) - Section 67A
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pathway for foreign, especially Indian, doctors to come to Sri Lanka and practice without any
evaluation of their qualications. This would allow a massive inux of substandard Indian
doctors to overrun the Sri Lankan health system and its long maintained standards. Realizing
the prevalent issues and potentially devastating implications in the future, we initiated the
process of strengthening the health regulatory structure of Sri Lanka to counter above threats.
GMOA organized a workshop on 18/11/2011 involving all the stakeholders to discuss the
issues through their perspectives and to get their opinion to develop a policy to provide a long
lasting solution for above issues.
The Brainstorming session was conducted to arrive at a consensus among all stakeholders with
the eventual objectives of:
Establishing a Specialist Registry in the SLMC by incorporating it into the Medical Ordinance.
Establishing a draft policy document for the registration of foreign medical professionals in Sri
Lanka.

At the end of this brainstorming session it was concluded that the report should be circulated
among all professional organizations with draft proposals in order to obtain feedbacks.
All professional colleges were requested to identify the specialties under their purview and
recognize the qualications to be included in the specialist registry. Majority of Professional
organizations responded positively and corrections were made accordingly. All agreed that this
is a urgent necessity for the country with the implementation of Comprehensive Economic
Partnership Agreement (CEPA) and SAARC Agreement on Trade In Services (SATIS).
The Final consensus workshop was held on 10/05/2012 at the Health Ministry Auditorium
chaired by the DGHS with the objectives of:
Acknowledgement of Specialist qualications presented by the respective colleges and

professional bodies.
Formation of Specialist registry and its inclusion criteria.
Discussion and corrections in the draft proposal of registering foreign specialists.

Accordingly a nalized proposal for Evaluation of Foreign specialists was formulated and is in
the process of legislation. (Please refer Annexure 6 Final draft proposal & Minutes of
Consensus meetings to establish a mechanism of Specialist Registration and Specialist
Registry.)

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2. Elimination of Illegal Medical Practice
Medical Practitioners who are registered under one of the three legally established medical
councils are legal medical practitioners. About 20000 medical practitioners are registered
under the following medical councils:

1. Western Medical Practitioners (MBBS) Under No.26 of the Medical Ordnance 1927
2. Ayurvedic Medical Practitioners in Sri Lanka Under No.31 of the Ayurvedic Ordinance
1961
3. Homeopathic Medical Practitioners in Sri Lanka Under No.07 of the Homeopathic
ordinance in 1970
A person who pretends, professionally or publicly, to skill, knowledge or qualications he or she
does not possess is called a quack. Several groups of quacks have been identied.
1. Individuals practicing medicine without registration at a medical council.
Persons with no qualication whatsoever
Persons involved in the health sector who are not doctors- Nurses, Pharmacists
2. Persons with registration under one of the above legitimate categories but practice outside
their eld of expertise. Eg: Ayrvedic doctors practicing Western Medicine.
Illegal medical practice is a criminal offence punishable via the penal code.
Violation of Patients and Doctors Rights by Quacks
Patients autonomy is violated by quacks, who mislead innocent patients with false
qualications. Patients are often misdiagnosed and ill-treated by quacks. They present to
hospitals with complications of diseases which puts their lives at risk. Patients who have been
mismanaged by quacks are eventually treated in the state sector incurring a large extra cost to
the free health system.
Presence of quacks is detrimental to health promotion and adversely affects our long
maintained health standards and health indices. Presence of Quacks, who are unqualied and
have no registration, is a violation of the rights of highly qualied medical professionals who
practice legally.
GMOA ght against illegal Medical Practice
As a responsible professional organization, GMOA rmly believes that proper qualications are
mandatory to deliver medical care and has strategically fought to eliminate quacks over the
past decade.
2001 - Awareness Campaign
GMOA initiated actions against illegal medical practitioners in 2001 with an awareness
campaign targeting the public and the Police.
2008 Collaboration with Attorney Generals Department and Police Department
GMOA held several discussions with the Attorney General who directed us to the Inspector
General of Police for further action. Deputy Inspector General Mr. Gamini Nawaratne was
appointed by the IGP to formulate a plan to address illegal medical practice.
Accordingly, workshops were organized for police ofcers on How to conduct court cases
against illegal medical practitioners and Hazards made to the public health by illegal medical
practice.
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Subsequently GMOA organized a joint press conference with the Police Department on 28th
April 2008 on the progress made and future actions.
A Police circular was issued by Mr. Gamini Nawaratne to all police stations, to collect
information and maintain a database on individuals who practice medicine within each
division.
The DIG personally followed up the progress made by Director, Crime Unit and monthly
reports were produced to the DIG.
GMOA requested all the branch unions to collect data about quacks practicing in their areas
and to forward them along with further suggestions to eliminate quacks.
These measures revealed that 40 000 persons practice medicine illegally in Sri Lanka, twice the
number of legal practitioners.
2011- 2012 Proposals to eliminate quacks
In a subsequent meeting held on 25.04.2008 with the Secretary of Health and Police
Department, GMOA proposed to form an umbrella organization comprising of all three Medical
Councils and other stakeholders including Police and Attorney Generals Department to
streamline the process.
It was identied that quacks could be apprehended on the following grounds.
1. Through Medical Ordinance.
2. Forgery/ impersonation of a doctor can be dealt with through the Penal Code.
3. Cosmetic Devices and Drugs Act, under which Medical Ofcers of Health and Police
ofcers enforce law against quacks. Ayurvedic and Homeopathic practitioners who
prescribe and store western medicines can be apprehended through this act.
However legal punishment for illegal medical practice is a trivial ne which is grossly
inadequate. Even when found guilty at courts, quacks return to their practice after paying the
ne, usually in the same area.
Accordingly GMOA Proposed:
1. A minimum of 5 year imprisonment for illegal medical practice was proposed by GMOA and
was approved by Ministry of Health.
2. Strictly implement Cosmetic Devices and Drugs Act, under which it is illegal for persons
who are not registered western medical practitioners to possess and prescribe western
medicines.
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5.Medical Service
1. Saturday - Ofcial Holiday for Doctors
A healthy lifestyle with quality time for family commitments and recreation is internationally
recognized as an essential requirement to maintain high quality work performance. Therefore
most countries have adopted policies to provide mandatory vacations for professionals,
especially ones involved in essential and high risk sectors like medicine and piloting. A high
quality weekend is essential to maintain efcient work performance during working days.

Medical ofcers have historically sacriced their family commitments and personal interests in
ensuring high quality patient care in an equitable way for all citizens. Most of our members are
burdened by an overwhelming number of patients throughout day and night. Further, doctors
provide an all island service which requires them to work in peripheries far away from homes.

Strained lifestyles of doctors have adverse effects on doctors lives and compromises quality of
patient care. In order to address this issue,
GMOA framed a submission in 2007, to develop a mechanism to relieve doctors from duties
on Saturdays.
GMOA presented the proposed system to His Excellency the President, who agreed to the
proposed in principle. However at the time, some ofcials of the Ministry of Health resisted
the demand by highlighting the risk of reduction in quantity of work. As such GMOA planned
a pilot study to prove its feasibility.
Pilot study was rst initiated in BH/Negombo and Cancer Hospital - Maharagama.
Unfortunately, the past GMOA failed to submit a formal report of outcome of the pilot study.
As such GMOA could not expand the implementation island wide.
Present EX-CO planned a new pilot study covering the entire North Western Province.
Despite internal resistances, GMOA successfully negotiated the implementation of the pilot
study with Ministry of Health and the provincial administration.
The Study was conducted in government health institutions in the North Central Province with
the participation of all medical ofcers.
On subsequent follow up, Ministry of Health, provincial authorities, and medical

administrators expressed their satisfaction over the outcome of the study.
As such Saturday off for all doctors island wide will be implemented in the next few months.
With its implementation all doctors, especially doctors working in peripheries, can enjoy a
quality and meaningful weekend.
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(Please refer Annexure 7 - the extract
of the feasibility study performed by
GMOA regarding Saturday off)
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2. Correction of Saturday Duty Hours
Medical Ofcers
perf ormed duti es 34
hours of per week in the
past. This comprised of 6
hours per day on week
days and 4 hours on
Saturday. However a
Publ i c Admi ni strati on
Circular issued in 2008
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Ofcers weekl y work
hours to 36hours; 6
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w e e k d a y s a n d
Saturdays. As a result
Medical Ofcers were
al so depr i ved f r om
claiming Extra Duty on
Saturdays.
GMOA corrected this
anomaly by reinstating
the previous, duty hours
of 34 hours per week.
Saturday work duration
was adjusted back to 4
h ou r s a n d a l l owe d
Medical Ofcers to claim
extra 2 hours of Extra
Duty per week.
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6.Members Welfare
1. Schooling Issue
Doctors are the highest products of our free education system. As such doctors value
education of their children above all others. However, schooling of children of doctors has over
the years been a critical issue without a sustainable solution.
Medical service is unique from other sectors of government service in many ways.
Medical Ofcers are transferred every four years to maintain equity of care for patients of all
areas. As such doctors move from one residence to another frequently.
Doctors reside close to the hospital to fulll service obligations. Proximity to schools is usually
cant be fullled.
Post Graduate Trainees undergo mandatory foreign training to ensure quality of service.
All above features are service obligations required to ensure delivery of high quality health care
efciently in an equitable manner throughout the country.
However above measures hinder prospects of gaining admission to a good school for doctors
children. Circulars on school admissions dont address issues of transferring doctors and post
graduate trainees.
They disqualify doctors from applying for school admission in the chief occupant category,
pose difculties in arranging documents necessary for admission and discriminate against
foreign trainees among many other issues.
At the same time many other government servant categories enjoy privileges with regards to
schooling of children that are not available to Medical Ofcers.
Many doctors were contemplating leaving the government service to private sector or to go
abroad to provide better education for their children.
Therefore,
2003 - GMOA requested the Ministry of Education to reserve a quota for kids of doctors.
2005 - A cabinet memorandum was issued allowing lateral entry to schools for doctors
children following transfers. This cabinet decision was implemented till 2008 by incorporating it
in to Grade 1 school admission circular.
During last two years, including circular
2011/18 issued by Ministry of Education
for year 2012 didnt include this decision.
As such many of our members were
unable to nd good schools for their
children.
As such the GMOA acted to safeguard
schooling of children of doctors. We made
submissions to His Excellency and to
relevant Ministries highlighting the issue.
As a result letters were issued to ALL 280
doctors by Ministry of Education assuring
popular schools in respective areas which
is a 100% success.
2. Establishment of an Insurance Scheme for Intern
Medical Ofcers
Internship period is an essential requirement to be fullled after completing 5 years of medical
faculty education to be eligible for SLMC registration. After completion of the internship, intern
medical ofcers are recruited to the medical service by public services commission. As such
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intern medical ofcers dont fall under the Ministry of Health and are not considered as
permanent staff. Therefore they are granted only a monthly allowance, not a salary.
They are not covered by government insurance schemes which other government servants
enjoy such as Agrahara. The tragic consequences of the lack of an insurance system were
highlighted with the death of intern medical ofcer Dr. Hasitha Prasanjith Ranasinghe due to
Dengue Haemorrhagic Fever at the age of 28 years.
Considering the above GMOA proposed an insurance scheme for intern medical ofcers for the
respective 1 year period which would give comprehensive coverage for medical problems and
accidents faced by interns.
Such a scheme would only incur an estimated cost of Rs. 4 million per year to provide coverage
for over a 1000 intern medical ofcers per year and Ministry of Health has responded favorably
for the proposal. GMOA expects to implement the proposed Insurance Scheme for Intern
Medical Ofcers in the near future.
3. Etisalat GMOA Internet Package with free dongle
GMOA came to an agreement with Etisalat to offer a special Internet package for Medical
Ofcers with 4GB and 10GB packages at concession rates. The Dongle is provided free of
charge.
4. Upgraded Bank of Ceylon Loan Scheme
GMOA negotiated with Bank of Ceylon to arrange a exible loan package for doctors. As a
result the BOC/GMOA credit Package was upgraded.

Now loan can be paid in seven years (previously 5 years) and the credit limit has been
increased for medical ofcers of all grades.
5. Special Loan Scheme for Medical Ofcers from
Peoples Bank- No upper limit for Housing Loans
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6. Special Sri Lanka Telecom Package
GMOA negotiated with Sri Lanka Telecom to gain a special Telephone and Internet package
with free special entertainment offers exclusively for GMOA members. This package is
designed for the telecommunication allowance.
7. Reduction of Hyundai local handling charges
GMOA negotiated with Hyundai to reduce local handling charges of vehicles by Rs.300 000.00
to buffer the effects of increasing vehicle prices and devaluation of the rupee.
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7.Medical Education
1. Issues of Post Graduate Training
1. Duty leave for Diploma in Family Medicine (DFM) online course
DFM online is a 2 year weekend course with clinical sessions. Previously personal leave had to
be obtained to complete the requirements of DFM as ofcial duty leave was not granted for its
sessions. However it is impossible for a medical ofcer to obtain 49 leaves per year. Therefore
candidates had to shift duty times and face many difculties to make time for the sessions.
As such the current Ex Co addressed the issue and gained duty leave for all 98 days of clinical
sessions and 2 more weeks of study leave before exams.
This benet also applies for MSc Toxicology and other online courses.
2. Restoration of MD Medicine Part I intake
PGIM restricted the number of MD Medicine Part I intake to 37 candidates per year, which is
half of the number of trainees recruited previously, for unknown reasons.
GMOA addressed the issue with PGIM and made arrangements to have two intakes per year
like previously and to continue the policy till an apparent excess of trainees is identied.
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3. Introduction of MSc Human
Nutrition
Ministry of Health was planning to recruit 40
holders of Animal Nutrition BSc to practice
as human nutritionists. GMOA intervened
and withheld the recruitment. However
there werent enough human nutritionists in
Sri Lanka to fulll the demands of the
Ministry and there was no postgraduate
study programme for human nutrition.
As such together with the Ministry and
PGIM, GMOA initiated the MSc Nutrition
programme for medical ofcers. We further
reserved above 40 posts in the Ministry of
Health for Medical Ofcers qualifying as
Human Nutritionists.
4. Recruitment of Private Candidates for PGIM courses
Private sector candidates were recruited
for PGIM courses via a quota system in
the past. Since the number of private
candi dat es i s l ow, many pr i vat e
candidates without adequate marks
e n t e r e d t r a i n i n g p r o g r a mme s
automatically through the quota. This
policy discriminated against government
sector candidates with higher marks.
As such there were 2 pass marks for the
same exam; a high one for government
candidates and a low one for private
candidates. At the same time 16-20% of
the training opportunities were given to
private candidates in an unjust way.
GMOA discussed this issue with PGIM
and made it compulsory for all private
candidates to have at least 1 year of
government service after internship to
enter a post graduate stream which
would recognize the dignity and value of
government service.
We also implemented a common pass
mark for both government and private
candidates. As such if private candidates
are selected on a quota, all government medical ofcers above the private candidate who got
less marks will be qualied for training.
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5. Development of a policy for fees of PGIM exams
A repeat exam is held by the PGIM for a specic stream in certain special situations with the
approval of the relevant board of study. Accordingly repeat exams were scheduled for
Oncology and Psychiatry.
However Oncology repeat exam fees were outrageously high (over Rs.150 000.00). The exam
fees included foreign examiners ying, taxi and hotel charges.
GMOA addressed the issue as a response PGIM agreed to a policy where the repeat exam fee
will be set at a maximum of 50% above the main exam fee.
6. Critical Care issue
GMOA for a long time highlighted the requirement of Intensivists to provide specialized care for
patients receiving treatment at Intensive Care Units. Therefore we endorsed the development of
Critical Care as a separate discipline.
As an initial step Critical Care was proposed as a subspecialty subsequent to MD Anaesthesia
and MD Medicine.
GMOA requested a direct entry pathway for MD Critical Care starting from Diploma holders of
Critical Care.
(Annexure - )
7. Elimination of Exit Exams of Post Graduate Trainees
A pre board certication assessment after completion of foreign training was imposed by the
PGIM on postgraduate trainees, especially those following sub specialties. The examination
consisted of MCQ and SEQ or OSCE.
Trainees were not informed of such an assessment for board certication at the beginning of
the course. Post graduate trainees who had already partially completed their training were
unfairly affected by the new examination.
GMOA addressed the issue with the PGIM together with the post graduate trainees. As a result
PGIM agreed to eliminate exit exams for post graduate trainees who entered their respective
elds before August 2011 and to continue with the usual Portfolio Viva.
(Annexure - )

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8. MD Com Med Part I eligibility
issue
One whole batch who applied to MD Com
Med Part I examination was disqualied
based on prospectus deciencies. The
group of disqualied candidates made
representations to GMOA highlighting
irregularities in the process which were
unjust towards them.
GMOA addressed the issue with PGIM
and gained an opportunity for the entire
batch to reapply for MD Com Med Part I
examination.

2. Distribution of BNFs to Medical Institutions
Reliable source of drug information to improve prescribing and quality of patient care was
lacking in the health care system of Sri Lanka. The National Drug Information System was
developed with the vision to formulate a sustainable mechanism of providing access to
information on drugs and related products for doctors.
Distribution of BNFs to the government medical institutions was identied as a pathway to
improve the access to unbiased and reliable drug information. Therefore a project to Distribute
BNFs to Medical Institutions was initiated in 2006. BNFs were collected from hospitals and
individuals in United Kingdom with the commitment of Sri Lankan doctors practicing in UK.
The distribution of BNFs was inaugurated ceremoniously at the Ministry of Health auditorium in
the presence of Dr. Ravindra Ruberu, the Secretary, Ministry of Health. Parallel to the symbolic
BNF presentation, a booklet on the project Vision for Better Prescribing was published.
BNFs have been distributed to following hospitals:
Akkaraipattu Ampara GH Badulla PH
Batticaloa GH Chilaw GH CSTH
Dambadeniya Dambulla BH Dehiattakandiya BH
Dikoya Diyatalawa BH DMH
Elpitiya Gampola BH Kalmunai AMH
Kalmunai North BH Kamburupitiya BH Kandy TH
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Policy on providing health coverage for Politicians
Previously doctors were sent along with squadrons of politicians to provide emergency medical
care. Some of them were mere provincial level politicians. Not only was this practice derogatory
to doctors and the medical profession but also the doctors who went to provide medical cover
were subjected to unacceptable treatment.

As such GMOA took a policy decision to provide health coverage only for Leaders of national
importance; President, Prime Minister, Speaker and the Leader of Opposition.
Doctors will not be allocated to provide health coverage to any other politician in the future.
Trade Union Actions
Throughout the previous year GMOA acted to safeguard the interests of our members and the
profession against external intrusions. We strived to resolve any issue affecting the profession
or our members through negotiations and resorted to trade union actions only when all other
constructive measures were unsuccessful. During trade union actions GMOA always ensured
that all essential services and hospitals were fully functional.
1. Islandwide half day token strike against the
attack on Dr.N.J.Nonis - Registrar of SLMC
2. Islandwide token strike demanding revision
of DAT Allowance. The strike was withheld
by an injunction order which the GMOA
overturned through an appeal.
3. Strike notices were issued against failure to
pay the telephone allowance in Western,
Northern, Eastern, North Western and
Southern Provinces. None of the strikes
were carried out as payment was made after
the issuance of strike notices.
4. Colombo District doctors strike against
harassment of MOH Hanwel l a by a
provincial politician. The politician made a
public apology subsequently.
5. GMOA decided to withdraw from Transfer boards in protest of irregular appointments
violating seniority and merit. As a result all irregular appointments were reversed.
Furthermore for the rst time Ministry of Health ofcially recognized GMOA as a legitimate
stakeholder in the transfer process.
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Branch Union Issues
One of the most important objectives of the current GMOA was to reinstate the dignity of our
members and the profession that was lost during previous years. We addressed all possible
steps to empower and unite Branch Unions so that they are capable of countering threats to
dignity of members and profession at various levels.
As such now all GMOA Branch Unions act with dignity and integrity to safeguard the members
without giving in to external pressure. Some of the Branch Union issues we handled are
mentioned below.

1. District Branch Union Ratnapura
2. Certain politically backed groups were involved in mining gems in the hospital premises in
Kalawana. DMO Kalawana resisted this illegal plundering of government property. As a
result local politicians harassed him politically and inuenced RDHS to harass him
administratively. He was eventually transferred based on false allegations. GMOA
addressed this threat to the dignity of a dutiful GMOA member and took actions to
exonerate him from all the charges. He was reinstated as DMO Kalawana.
3. MOH Hanwella issue
4. MOH Hanwella was verbally abused in public by a provincial council member. GMOA
threatened trade union actions against the incident and as a result the politician had to offer
a public apology to MOH Hanwella.
5. Colombo South Teaching Hospital
6. A false complaint had been made against a Medical Ofcer of CSTH by a patient accusing
of indecent behaviour. The issue became complicated with intervention of police and
negative media coverage. Despite negative publicity GMOA intervened and safeguarded
the dignity of the medical ofcer.
7. GMOA intervened to solve issues involving Base Hospital Kegalle, District Hospital
Padukka and RDHS Ratnapura.
8. GMOA intervened in Base Hospitals Dambulla, Potuwil and Elpitiya where our members
were harassed by relevant MS s. GMOA took action to remove the MS s and prevent further
harassments.
9. Our members were administratively harassed by RDHS Kalmunai. GMOA administratively
handled the issue to establish justice and reinstate dignity of our members.
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Anti GMOA Activities
Unprecedented resistance faced by GMOA
As you are well aware a well calculated and a carefully planned campaign is going on at full
steam these days. The motive of this campaign is to portray that the GMOA is dormant & that
the GMOA President is xed. They also claim that the GMOA should do strikes
notwithstanding the GMOA President resisting trade union actions because he is xed. Are
these true?
GMOA was dormant from 2008 till 2010. However, GMOA is very much vibrant and active now.
I invite you to see the monthly progress (page 2) and the number of issues dealt with during the
last 32 weeks, since July 2011. More than 5 salary issues and 8 critical professional issues were
addressed successfully without a strike.
All these were done in a very difcult time. You are the best judges to analyze & say whether the
government is trade union friendly or not. We had to ght against so many odds. When we took
over the GMOA in July 2011, we found that all important documents including salary
commission reports and submissions have been taken away. GMOA ofce staff had resigned.
All soft copies were deleted from GMOA computers. GMOA laptop, which stored lot of
important data, had been taken away. First, we had to resuscitate the GMOA head ofce & the
activities. Then the well-funded, professionally backed campaign started against the current
GMOA President. Emails, Facebook, newspaper articles & rumors were spread in a shameful
and cowardly manner. They persuaded politicians to attack Dr. Padeniya, Prof. Lalitha Mendis,
Dr. Nihal Nonis & other independent prominent medical professionals. Despite these
resistances we achieved the above. Do you know who they are & their motives? Who is to
benet?
Currently the external forces against the GMOA, which operate through internal elements, have
two objectives. Firstly to attack the current GMOA President. All these allegations are baseless
(See Ministerial and PGIM inquiry reports). These emails depict clear desperation, going down
to pathetically low levels, disregarding the minimum professional standards and ethics.
Secondly, they aim at creating a gap between various categories of the GMOA membership:
Specialists Vs MOs, Administrators Vs MOs, and Senior MOs Vs Junior MOs etc. Who is to
benet from a fragmented GMOA? The GMOA being an 86 year old prestigious and united
organization has never had such frictions as you see them now. All of us will have to face the
adverse consequences of these moves, since the respect for seniority at all levels could
collapse soon. If one disagrees with the crew there is a democratic way of effecting change
than sink the whole ship mid sea. One who cannot face a contest in the open resorts to hideous
acts of vandalism, back stabbing & mudslinging.
It is time for all members to do a reasonable analysis of the annual progress of this year before
making a comment, either good or bad. Having realized the situation in the country we worked
very cautiously giving priority to protecting the integrity of the association. The GMOA is not
only a trade union, but also a professional association. If you analyze the gravity of the issues
that we have taken up this year, you may appreciate that we have a lot more to do and a long
way to go. So as responsible and intelligent members, please look around before drawing your
own conclusions. Unless we critically and impartially take stock of the entire situation we might
be too late to recover from the damages. Politicians always wanted to divide the strongest
trade union in the country. Let's protect it not letting them divide us through their henchmen.
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Anti GMOA Timeline
!uly 2011/Aug 2011

CMCA's lmporLanL documenLs were Laken away
CMCA's lapLop was Laken away
CMCA sLa were lnuenced Lo reslgn
So coples were deleLed from Lhe CMCA compuLers

SepL 2011

SLarLed spreadlng de-mouvauonal rumours among membershlp such as CMCA
won'L be able Lo lncrease salary by even a cenL
CcL 2011

Mlslnformed polluclans Lo auack CMCA and SLMC
ulvulglng CMCA's lnLernal lnformauon Lo polluclans

nov 2011
Spread rumours Lo creaLe frlcuon beLween speclallsLs and oLher medlcal omcers
uec 2011

8eslsLance Lo lmplemenLauon of SaLurday o
Auacklng ur. nlhal nonls & rof. LallLha Mendls
Spreadlng bogus rumours Lo crlpple Lhe servlce mlnuLe amendmenLs

!an 2012
SLarung a lacebook campalgn Lo expose CMCA's sLraLegles Lo counLer groups
Panded over CMCA's sLraLeglc documenLs Lo nurses' unlon, paramedlcal unlon for
Lhem Lo demand Lelecommunlcauon allowance
redlcLed LhaL schoollng lssue won'L be resolved

leb 2012

Spread rumors saylng resldenL of CMCA ls xed
lnLensled Lhe mud sllnglng campalgn Lhrough emalls
CMCA resldenL was harassed and vlcumlzed by polluclans who almed Lo desLroy Lhe CMCA and Lhe dlgnlLy
of Lhe Medlcal rofesslon.
CMCA resldenL was harassed and vlcumlzed by polluclans who almed Lo desLroy Lhe CMCA and Lhe dlgnlLy
of Lhe Medlcal rofesslon.
lnLernal facuons of Lhe CMCA wlLh vesLed lnLeresLs manlpulaLed Lhls slLuauon wlLh Lhe help of Lhe
polluclans Lo level varlous allegauons agalnsL CMCA resldenL and called hlm xed.
lnLernal facuons of Lhe CMCA wlLh vesLed lnLeresLs manlpulaLed Lhls slLuauon wlLh Lhe help of Lhe
polluclans Lo level varlous allegauons agalnsL CMCA resldenL and called hlm xed.
8uL Lhe commlsslon whlch was appolnLed Lo lnqulre Lhe allegauons dlscarded Lhe complalnLs wlLhouL even
an lnqulry as Lhey were baseless and exoneraLed CMCA resldenL.
8uL Lhe commlsslon whlch was appolnLed Lo lnqulre Lhe allegauons dlscarded Lhe complalnLs wlLhouL even
an lnqulry as Lhey were baseless and exoneraLed CMCA resldenL.
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Newsletters
July 2011-GMOA Election - Resuscitating defunct GMOA and sabotage activities
1. Implementation of Telecommunication Allowance
2. Addressing Taxation of Medical Ofcers Salary
3. Transfers of Grade Medical Ofcers
4. Annual Transfers of Specialist Medical Ofcers
5. GMOA Subcommittee for Specialist matters
6. Dengue Management
September 2011-Salary Issues ght to achieve our due salary
1. Research Allowance
2. Telecommunication allowance
3. Extra duty and DAT exempted from taxation
December 2011 - SLMC Issues - Meeting to reach consensus within medical professional
organizations In Sri Lanka
1. Intimidation of SLMC by politicians.
2. Assault on the Registrar of the SLMC.
3. Resignation of President/ SLMC and pending appointment of a controversial personality as
President/ SLMC.
4. Efforts to transform SLMC as a Government Enterprise.
5. An attempt by AMPs who possess a fraudulent six month Russian degree to register
themselves as Medical Ofcers under section 29 of the medical ordinance.
6. Establishment of Private Medical schools without following the SLMC guidelines
7. Issues of the foreign doctors practicing as specialists in Sri Lanka without due
qualications.
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Consensus on the following was reached at this meeting:
1. To request His Excellency the President to re appoint Prof. Lalitha Mendis as President /
SLMC
2. To request an appointment with His Excellency to discuss the matter further.
3. This gathering represents the entire medical profession in Sri Lanka, and we should take
prudent steps to safeguard the dignity of the profession.
4. Demand the adherence to prescribed standards of medical education from all institutions
disregarding whether they are foreign or local medical faculties.
5. Maintain the standards of ERPM examination equivalent to Final MBBS examination.
6. To nalize specialist registry
7. To nalize policy to deal with employing foreign medical professionals in Sri Lanka
April 2012-GMOA monthly progress and Anti GMOA activities
1. GMOA monthly progress
2. Salary Issues - Telecommunication Allowance, Research Allowance, Tax exemption of
DAT and Extra Duty, Extra Duty Revision
3. Service Minute - Correction of Salary Increment Anomaly, Abolition of Preliminary Grade,
Grade Medical Ofcers Promotions, Grade Promotions for Post
graduate Trainees, Salary Anomaly correction for Specialists.
4. Professional Issues - Schooling issue, SLMC issue, PMC Malabe Issue, Saturday Off, Illegal
Medical Practitioners Issue
5. Anti GMOA Activities
May 2012
1. Fixed Telecommunication Allowance (2/3 xed)
2. Research Allowance( 25% of salary)
3. Extra Duty Revision
4. Code of Conduct for Police when dealing with clinicians
5. Countering CEPA and now SATIS
6. Illegal Medical Practitioners
7. No credible Allegations to investigate against GMOA President
8. Injunction order against the strike has been lifted
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GMOA Publications

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9.Annexures
1. Annexure 1
Circulars authorizing Telephone Allowance for PG Trainees, Provincial Sector doctors and Fixed
Telephone Allowance
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2. Annexure 2

3. Annexure 3
Letter from the DGHS to the Secretary of Health regarding abolition of the Preliminary Grade
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4. Annexure 4
Letter from the DGHS to the Secretary of Health regarding salary anomaly of Grade Medical
Ofcers
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5. Annexure 5
Letter from the DGHS to the Secretary of Health regarding the new promotion scheme for
Grade Medical Ofcers
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6. Annexure 6
Letter from the DGHS to the Secretary of Health regarding the new promotion scheme for
Grade Medical Ofcers
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7. Annexure 7
Lxtract of the feas|b|||ty study performed by GMCA regard|ng Saturday o
Government Med|ca| Cmcers Assoc|anon Sr| Lanka
leaslblllLy SLudy: lloL SLudy for Lhe SaLurday o
roposal
1. Introducnon
1.1 8ackground
Srl Lanka has a well organlzed and esLabllshed
healLh care sysLem. lL ls one of Lhe few counLrles
provldlng medlcal servlces, free of charge. uocLors are
Lhe back bone of Lhe publlc healLh servlces wlLh well
repuLauon and recognluon. 1hey are hlgher sklll
professlonals and ldenued as all lsland servlce caLegory.
When compare wlLh oLher caLegorles of professlonals
Lhey are runnlng around Lhe clock Lo provlde beuer
servlces lncludlng ln boLh curauve and prevenuve
hea|th.
1.2 8auonales
CMCA Look lL as an agenda of several years
wlLhouL any ouLcome of SaLurday o for docLors. As
l nLel l ecLual l y skl l l ed professl onal s, Lhey work
conunuously LhroughouL Lhe week wlLh more pauenLs
and less personal auenuon wlLhouL any addluonal
beneL. Accordlng Lo Lhe Luropean ume dlrecuve an
average 18.7 pauenL per day are seen by a docLor ln
Luropean unlon counLrles meanwhlle ln Srl Lanka lL ls on
average 44 pauenLs per docLor per day.
1.3 Cb[ecnves
Ceneral ob[ecuve
1o have a meanlngful weekend for docLors
Speclc Cb[ecuves
lmprove Lhe quallLy of llfe of docLors
1o achleve reLaln ablllLy of docLors
1o lmprove Lhe pauenL care
2. Study Methodo|ogy
lloL sLudy ls conslsLed of 1wo Sub sLudles.
Curauve secLor
revenuve secLor
Curauves secLor
1hls sub sLudy wlll be conslsLed of Lwo phases
hase 1 : uevelopmenL of rearrangemenL of
duLy.
Accordlng Lo Lhe Common Ceneral guldellnes Lhe
proposal guldellnes wlll be made wlLh regard Lo Lhe
reshuMlng of medlcal omcers' duLy ln SaLurday.
roposal of guldellnes wlll be developed by medlcal
admlnlsLraLors of Lhe parucular lnsuLuuon followlng a
dlscusslon wlLh relevanL caLegory of sLa.
hase 2 : lmplemenLauon of feaslblllLy sLudy by uslng
developed rearrangemenL of duLy.
2.1.1 SLudy semng - All Lhe governmenL lnsuLuuons
ln Lhe norLh CenLral provlnce
2.1.2 SLudy unlL - lndlvldual CovernmenL healLh
lnsuLuuon wlll be a sLudy unlL. (Annexes 1)
SLudy perlod - Slx monLhs from Lhe lmplemenLauon
daLe of Lhe feaslblllLy sLudy wlll geL as Lhe sLudy perlod lf
needed lL may exLended Lo anoLher slx monLhs.
SLudy populauon - All Lhe Medlcal omcers ln Lhe
CovernmenL healLh lnsuLuuons ln norLh CenLral
provlnce.
Sampllng calculauon and sampllng meLhod
All Lhe Medlcal omcers ln Lhe CovernmenL healLh
lnsuLuuons ln norLh CenLral provlnce wlll be sLudled so
Lhere won,L be a sample slze.
Lxcluslon crlLerla
CovernmenL healLh lnsuLuuons wlLh a slngle medlcal
omcer
Lg: CenLral dlspensary
2.1.7 SLudy lnsLrumenL and daLa collecuon
1he daLa exLracuon sheeL wlll be Lhe sLudy lnsLrumenL Lo
collecL Lhe daLa.
lour separaLe daLa exLracuon sheeLs wlll be developed
for dlerenL caLegorles
AL Lhe beglnnlng of Lhe sLudy Lhe base llne exlsung daLa
wlll be obLalned. Lnd of every Lwo monLhs daLa wlll be
obLalned unul Lhe end of Lhe sLudy.
Same daLa collecLors wlll be Lo avold blas.
1he daLa regardlng Lhe complaln from Lhe publlc wlll be
collecLed separaLely aL Lhe end of every monLh. uurlng
Lhe daLa collecuon process Lhe quallLy of daLa wlll be
ensured.
Cb[ecuves wlll be assessed ln every Lwo monLhly.
local group dlscusslon (lCu) : AL Lhe mld and end of Lhe
sLudy lCu wlll be conducLed wlLh medlcal omcers of Lhe
parucular healLh lnsuLuuon and daLa wlll be exLracLed.
revenuve secLor
1hls sub sLudy wlll be conslsLed of Lwo phases
hase 1 : uevelopmenL of rearrangemenL of duLy.
Accordlng Lo Lhe Common Ceneral guldellnes Lhe
proposal guldellnes wlll be made wlLh regard Lo Lhe
reshuMlng of medlcal omcer,s duLy ln SaLurday.
roposal of guldellnes wlll be developed by medlcal
admlnlsLraLors of Lhe parucular lnsuLuuon followlng a
dlscusslon wlLh relevanL caLegory of sLa.
hase 2 : lmplemenLauon of feaslblllLy sLudy by uslng
developed rearrangemenL of duLy.
2.2.1 SLudy semng
All Lhe governmenL lnsuLuuons relaLed Lo prevenuve
care ln Lhe norLh CenLral provlnce
2.2.2 SLudy unlL
lndlvldual CovernmenL healLh lnsuLuuon relaLed Lo
prevenuve care wlll be a sLudy unlL. (Annexes 2)
SLudy perlod -Slx monLhs from Lhe lmplemenLauon daLe
of Lhe feaslblllLy sLudy wlll geL as Lhe sLudy perlod lf
needed lL may exLended Lo anoLher slx monLhs.
SLudy populauon - All Lhe Medlcal omcers ln Lhe
prevenuve secLor ln CovernmenL healLh lnsuLuuons ln
norLh CenLral provlnce.
Sampllng calculauon and sampllng meLhod
All Lhe Medlcal omcers ln Lhe CovernmenL healLh
lnsuLuuons ln prevenuve secLor ln norLh CenLral
provlnce wlll be sLudled so Lhere won,L be a sampllng
Lxcluslon crlLerla
CovernmenL healLh lnsuLuuons wlLh a slngle medlcal
omcer ln Lhe prevenuve secLor.
Lg: CenLral dlspensary
2.2.7 SLudy lnsLrumenL and daLa collecuon
1he daLa exLracuon sheeL wlll be Lhe sLudy lnsLrumenL Lo
collecL Lhe daLa.
AL Lhe beglnnlng of Lhe sLudy Lhe base llne exlsung daLa
wlll be obLalned. Lnd of every Lwo monLhs daLa wlll be
obLalned unul Lhe end of Lhe sLudy.
Same daLa collecLors wlll be Lo avold blas.
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1he daLa regardlng Lhe complaln from Lhe publlc wlll be
collecLed separaLely aL Lhe end of every monLh. uurlng
Lhe daLa collecuon process Lhe quallLy of daLa wlll be
ensured.
Cb[ecuves wlll be assessed ln every Lwo monLhly.
local group dlscusslon (lCu) : AL Lhe mld and end of Lhe
sLudy lCu wlll be conducLed wlLh medlcal omcers of Lhe
parucular healLh lnsuLuuon and daLa wlll be exLracLed.
uaLa collecLors
8esearch asslsLanLs wlll be recrulLed and Lraln Lo collecL
Lhe daLa LhroughouL Lhe sLudy.
uaLa analysls
uaLa wlll be analyzed by Lhe prlmary lnvesugaLors by
uslng SSS sLaucally package.
1he followlng meLhods wlll be used Lo presenL Lhe daLa.
Slmple descrlpuve meLhods
uaLa comparlson
varlables of Lhe sLudy
Cu- 1oLal number of Cu auendance,
1oLal number of Cu admlsslon,
1oLal number of Cu auendance ln Lhe
SaLurday
Cllnlcs - 1oLal number of Cllnlc auendance
Cperauve 1heaLer - 1oLal number of casualLy or rouung
LheaLer llsL
1oLal number of surgerles done ln SaLurday
1oLal number of LSCS
1oLal number of surgerles posLponed
Wards : 1oLal number of medlcal omcers Laklng leaves
on SaLurday
MorbldlLy and morLallLy daLa - 1oLal number of deaLhs
1oLal number of chlld deaLh (1 : 3 yrs)
1oLal number of maLernal deaLhs
1oLal number of 8u admlsslons
Complaln from Lhe publlc - 1oLal number of complalnLs
from Lhe publlc
MCP - 1oLal number of lmmunlzauon cllnlcs & 1oLal
number of cllnlc auendance
1oLal number of AnC cllnlcs & 1oLal number of
cllnlc auendance
1oLal number of Well women cllnlcs & 1oLal
1oLal number of lamlly plannlng cllnlcs & 1oLal
8earrangemenL of duLy - 8earrangemenL of duues ln Lhe
Curauve secLor
3.1.1Cllnlc arrangemenL
ldenufy Lhe healLh lnsuLuuons where Lhe SaLurday cllnlcs
have been esLabllshed already. usually SaLurday cllnlcs
are hold ln 1eachlng hosplLals, Ceneral hosplLals, 8ase
hosplLals and ulvlslonal hosplLals.
negouaLe wlLh Lhe admlnlsLrauve omcers ln Lhe
relevanL healLh lnsuLuuons for Lhe reshuMlng of Lhe
duLy.
3.1.2 Cperauve LheaLer duLy arrangemenL
usually Cperauve LheaLers are funcuonlng ln 1eachlng
hosplLals, Ceneral hosplLals, and 8ase hosplLals.
usual operauve LheaLer duLy wlll run 8.00am : 12.00
noon
Lmergency operauve LheaLer llsL wlll be funcuoned
durlng SaLurday as usual way wlLhouL lnLerrupung Lhe
procedure.
lf rouung LheaLers are funcuonlng ln Lhe SaLurday lL wlll
be canceled.
3.1.3 Ward work
Ward work wlll be dlscussed wlLh regard Lo Lhe ward
rounds and clerklng Lhe pauenLs.
WlLh regard Lo Lhe duLy, SaLurday duLy wlll be
funcuoned as same as Sundays.
lf Lhere ls a healLh lnsuLuuon wlLh a slngle consulLanL, he
or she wlll be o on every oLher weekends and LhaL duLy
shl wlll be covered by consulLanL ln Lhe same speclalLy
from Lhe nearesL hosplLal.
PealLh lnsuLuuons wlLh Lwo or more consulLanLs ln same
speclalLy, every oLher weekend wlll be o for one
consulLanL and oLher person wlll cover Lhe duLy rosLer of
boLh consulLanLs.
lf Lhere ls a healLh lnsuLuuon wlLh a slngle medlcal
omcer, ward work duLy wlll be same as Sunday.
3.1.4 8earrangemenL of duLy ln Lhe ouL pauenLs
deparLmenL (Cu)
1he Cu funcuons accordlng Lo a shl duLy rosLer, hence
Lhe Cu can funcuon wlLhouL any dlsrupuon as on a
Sunday.
3.2 8earrangemenL of duues ln Lhe revenuve secLor
1he prevenuve secLor of healLh ln Srl Lank comprlses of
MCP/uuPS areas ln whlch Lhe respecuve Medlcal
Cmcers of PealLh are responslble for Lhe prevenuve and
promouonal healLh servlces of each area dened Lo
Lhem and Lhe speclal campalgns esLabllshed ln Lhe areas
of lnLeresL where lmpacL of a dlsease ls of hlgher
concern.
3.2.1 8earranglng uuues of MCP
3.2.1.1 Cne man sLauons
Cne man sLauons wlll be excluded from Lhe sLudy as for
Lhe excluslon crlLerla and funcuon as before
3.2.1.2 1wo man sLauons
Cne of Lhe Lwo medlcal omcers wlll have Lo work on
each SaLurday on a rosLer basls and wlll be enuLled Lo a
leave leave.
1hus Lhe funcuonlng of SaLurday cllnlcs and moblle
cllnlcs organlzed by Lhe MCP omces wlll noL be aecLed
and work as prescheduled durlng Lhe course of Lhe
sLudy.
AssessmenL of leaslblllLy - 1he feaslblllLy wlll be assessed
uescrlpuvely
Comparauvely
1he already exlsung daLa of Lhe varlables assessed ln Lhe
secuon 2.3 (1haL are avallable on PosplLal/Ward/
1heaLre/Cllnlc reglsLrles) wlll be compared wlLh Lhe
daLa LhaL would be collecLed by means of Lhe sLudy
lnsLrumenLs menuoned ln secuon 2.2.7
CuallLauvely
A quallLauve assessmenL wlll be carrled ouL vla anoLher
sLudy Largeung Lhe medlcal omcers who were lncluded
lnLo Lhe sLudy wlLh regard Lo lmprovemenL of quallLy of
llfe aer
LxLra duLy paymenL durlng feaslblllLy sLudy
Lxcluded sLauons
1he medlcal omcers worklng ln Lhe sLauons excluded
from Lhe sLudy wlll be granLed Lhe exLra duLy accordlng
Lo Lhe exlsung sysLem and wlll have Lo malnLaln Lhelr
dlarles as before
lncluded sLauons
1he medlcal omcers worklng ln Lhe sLauons lncluded lnLo
Lhe sLudy wlll en[oy Lhe exLra duLy accordlng Lhelr days
and wlll have Lo malnLaln Lhelr dlarles as before unul Lhe
full lmplemenLauon of Lhe SaLurday-o no uocLor wlll be
enuLled Lo Lhe 120Lh paymenL
64
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8. Annexure 8
Extract of the letter from BOI to President
- SLMC
Extract of the letter from President-SLMC
to Dr. Neville Fernando
Annual Report
65
ANNUAL kLCk1 2011]2012

age S7 Government Med|ca| Cff|cers' Assoc|at|on

8ClLSSC8 LALl1PA MLnulS
8LSluLn1
S8l LAnkA MLulCAL CCunClL
31, nC88lS CAnAL 8CAu
CCLCM8C 10

uLA8 MAuAM,

SCu1P ASlAn lnS1l1u1L Cl 1LCPnCLCC? Anu MAnACLMLn1 (v1) L1u. (SAl1M)
l 8LlL8 1C ?Cu8 LL11L8 uA1Lu 29'
3
!uL? 2010 Cn 1PL A8CvL Su8!LC1 Anu WlSP 1C 8LSCnu 1C 1PL CuLS1lCnS 8AlSLu 1PL8Lln AS
lCLLCWS:
1. WPLn WAS SAl1M A8CvLu AS A 8Cl 8C!LC1?

u8. nLvl LLL lL8nAnuC l nvLS1MLn1 CCMAn? (v1) L1u. , WAS C8An1Lu A8CvAL Cn 31' MA8CP 2008 1C SL1 u A
PlCPL8 LuuCA1lCn lnS1l1u1L 1C 8CvluL 18AlnlnC 8CC8AMMLS ln 1PL lCLLCWlnC A8LAS Wl1P An LnvlSACLu lnvLS1MLn1
Cl uS$. 3 MlLLlCn.
! lnlC8MA1lCn 1LCPnCLCC?
! MAnACLMLn1 Anu llnAnCL
! LnClnLL8lnC
! vCCA1lCnAL S1uulLS
! nu8SlnC
! LAnCuACLS
! PLAL1P SClLnCL

1PlS A8CvAL WAS C8An1Lu Su8!LC1 1C 1PL CCnul1lCn 1PA1 1PL A8CvAL l8CM MlnlS18? Cl PLAL1P Anu nu18l1lCn 8L
C81AlnLu 8lC8 1C 8CvlulnC 18AlnlnC ln PLAL1P SClLnCL.

Su8SLCuLn1L?, Cn A 8LCuLS1 MAuL 8? u8. nLvlLLL lL8nAnuC, 1PL CCMAn? WAS C8An1Lu A8CvAL 1C CPAnCL 1PL MAln
lnvLS1C8 AS u8. nLvlLLL lL8nAnuC lnS1LAu Cl u8. nLvlLLL lL8nAnuC l nvLS1MLn1 CCMAn?
-
(v1) L1u. SAl 1LM Sl CnLu
1PL AC8LLMLn1 Wl 1P 1PL 8Cl Cn 1S1 CC1C8L8 2008. A1 8LSLn1 1PL CCMAn? lS ln CL8A1lCn.
Attachment 7 - Lxtract of the |etter from 8CI to res|dent - SLMC

Attachment 8 - Lxtract of the |etter from res|dent-SLMC to Dr. Nev|||e Iernando

5kl lANkA MulcAl cOuNcll
J1, Nottls coool kooJ, colombo 10
lo teply poote Mlc

west 1ower, che/on 5quore, co/ombo 01
09.08.2010
Our kef: ke c/4/982l

28Lh May 2009

uear ur.lernando,
8equesL for recognlLlon of Lhe 4 years of sLudy for M.u. nlzhny novogorod Academy of Medlclne 8usslan lederaLlon.

1hls ls ln reply Lo your leLLer of 27 /3 / 2009, regardlng Lhe above.

1he Srl Lanka Medlcal Councll has recognlzed Lhe degree awarded by nlzhny novogorod SLaLe Medlcal Academy of 8usslan lederaLlon, for
Lhe course of sLudy conducLed ln 8ussla where Lhe perlod of Lhe course ls slx years.

1he Srl Lanka Medlcal Councll (SLMC) has noL recognlzed any oLher programme conducLed ln Srl Lanka or elsewhere by Lhe nlzhny
novogorod SLaLe Medlcal Academy 8usslan lederaLlon.

8egulaLlons for rescrlbed SLandards for recognlLlon of lnsLlLuLlons awardlng degrees oLher Lhan a unlverslLy esLabllshed or deemed Lo have
been esLabllshed by Lhe Plgher LducaLlon AcL no.20 of 1966 have been gazeLLed buL have sLlll noL been passed by our arllamenL.

l musL sLaLe Lhe obvlous vlz LhaL Lhe SLMC has no power Lo place Lhese regulaLlons before arllamenL.
When Lhese regulaLlons are passed by arllamenL, you could apply Lo Lhe SLMC. AL LhaL sLage Lhe SLMC wlll vlslL your lnsLlLuLlon Lo ascerLaln
wheLher your lnsLlLuLlon meeLs Lhe sLandards prescrlbed and Lhen declde wheLher Lo recognlze or noL recognlze your lnsLlLuLlon.

?ours falLhfully,

Sgd - ur. l.P.8. Samaraslnghe
resldenL.
SLMC.
ANNUAL kLCk1 2011]2012

age S7 Government Med|ca| Cff|cers' Assoc|at|on

8ClLSSC8 LALl1PA MLnulS
8LSluLn1
S8l LAnkA MLulCAL CCunClL
31, nC88lS CAnAL 8CAu
CCLCM8C 10

uLA8 MAuAM,

SCu1P ASlAn lnS1l1u1L Cl 1LCPnCLCC? Anu MAnACLMLn1 (v1) L1u. (SAl1M)
l 8LlL8 1C ?Cu8 LL11L8 uA1Lu 29'
3
!uL? 2010 Cn 1PL A8CvL Su8!LC1 Anu WlSP 1C 8LSCnu 1C 1PL CuLS1lCnS 8AlSLu 1PL8Lln AS
lCLLCWS:
1. WPLn WAS SAl1M A8CvLu AS A 8Cl 8C!LC1?

u8. nLvl LLL lL8nAnuC l nvLS1MLn1 CCMAn? (v1) L1u. , WAS C8An1Lu A8CvAL Cn 31' MA8CP 2008 1C SL1 u A
PlCPL8 LuuCA1lCn lnS1l1u1L 1C 8CvluL 18AlnlnC 8CC8AMMLS ln 1PL lCLLCWlnC A8LAS Wl1P An LnvlSACLu lnvLS1MLn1
Cl uS$. 3 MlLLlCn.
! lnlC8MA1lCn 1LCPnCLCC?
! MAnACLMLn1 Anu llnAnCL
! LnClnLL8lnC
! vCCA1lCnAL S1uulLS
! nu8SlnC
! LAnCuACLS
! PLAL1P SClLnCL

1PlS A8CvAL WAS C8An1Lu Su8!LC1 1C 1PL CCnul1lCn 1PA1 1PL A8CvAL l8CM MlnlS18? Cl PLAL1P Anu nu18l1lCn 8L
C81AlnLu 8lC8 1C 8CvlulnC 18AlnlnC ln PLAL1P SClLnCL.

Su8SLCuLn1L?, Cn A 8LCuLS1 MAuL 8? u8. nLvlLLL lL8nAnuC, 1PL CCMAn? WAS C8An1Lu A8CvAL 1C CPAnCL 1PL MAln
lnvLS1C8 AS u8. nLvlLLL lL8nAnuC lnS1LAu Cl u8. nLvlLLL lL8nAnuC l nvLS1MLn1 CCMAn?
-
(v1) L1u. SAl 1LM Sl CnLu
1PL AC8LLMLn1 Wl 1P 1PL 8Cl Cn 1S1 CC1C8L8 2008. A1 8LSLn1 1PL CCMAn? lS ln CL8A1lCn.
Attachment 7 - Lxtract of the |etter from 8CI to res|dent - SLMC

Attachment 8 - Lxtract of the |etter from res|dent-SLMC to Dr. Nev|||e Iernando

5kl lANkA MulcAl cOuNcll
J1, Nottls coool kooJ, colombo 10
lo teply poote Mlc

west 1ower, che/on 5quore, co/ombo 01
09.08.2010
Our kef: ke c/4/982l

28Lh May 2009

uear ur.lernando,
8equesL for recognlLlon of Lhe 4 years of sLudy for M.u. nlzhny novogorod Academy of Medlclne 8usslan lederaLlon.

1hls ls ln reply Lo your leLLer of 27 /3 / 2009, regardlng Lhe above.

1he Srl Lanka Medlcal Councll has recognlzed Lhe degree awarded by nlzhny novogorod SLaLe Medlcal Academy of 8usslan lederaLlon, for
Lhe course of sLudy conducLed ln 8ussla where Lhe perlod of Lhe course ls slx years.

1he Srl Lanka Medlcal Councll (SLMC) has noL recognlzed any oLher programme conducLed ln Srl Lanka or elsewhere by Lhe nlzhny
novogorod SLaLe Medlcal Academy 8usslan lederaLlon.

8egulaLlons for rescrlbed SLandards for recognlLlon of lnsLlLuLlons awardlng degrees oLher Lhan a unlverslLy esLabllshed or deemed Lo have
been esLabllshed by Lhe Plgher LducaLlon AcL no.20 of 1966 have been gazeLLed buL have sLlll noL been passed by our arllamenL.

l musL sLaLe Lhe obvlous vlz LhaL Lhe SLMC has no power Lo place Lhese regulaLlons before arllamenL.
When Lhese regulaLlons are passed by arllamenL, you could apply Lo Lhe SLMC. AL LhaL sLage Lhe SLMC wlll vlslL your lnsLlLuLlon Lo ascerLaln
wheLher your lnsLlLuLlon meeLs Lhe sLandards prescrlbed and Lhen declde wheLher Lo recognlze or noL recognlze your lnsLlLuLlon.

?ours falLhfully,

Sgd - ur. l.P.8. Samaraslnghe
resldenL.
SLMC.
A
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9. Annexure 9
|||- conce|ved r|vate Med|ca| Co||ege
at Ma|abe
(South As|an Insntute of 1echno|ogy and Management -
SAI1M)
CovernmenL Medlcal Cmcers' Assoclauon
2010
1hls reporL was prepared by a commluee appolnLed by Lhe
CMCA aL a speclal general commluee meeung held on 01sL
SepLember 2010 for Lhe reference of CMCA members Lo
faclllLaLe lnformed declslon maklng aL Lhe nexL general
commluee meeung.
! 1erms of reference
1o sLudy Lhe facLual slLuauon of Lhe prlvaLe medlcal lnsuLuLe
aL Malabe.
! Commluee members
ur. Anuruddhaadenlya
ur. 8lmanLha Cunasekara
ur. ushplLhaubeyslrl
ur. Chandana ALapauu
ur. Chandlka LplLakaduwa
ur. nalln ArlyaraLne
ur. Chandana 8amyaslrl
ur. 8uwan Wlckramaslnghe
ur. Mahesh Lpa
ur. SamanLha ChandraraLne
ur. kasun Weerakkody
lollowlng persons and organlzauons were used as resources
! Srl Lanka Medlcal Councll (SLMC)
! unlverslLy CranLs Commlsslon (uCC)
! 8oard of lnvesLmenLs (8Cl)
! Ceneral medlcal councll of unlLed klngdom (CMC)
! AusLrallan Medlcal Councll (AMC)
! 8esources ln Lhe lnLerneL and prlnLed maLerlal
Lxecunve summary
1he Plgher educauon mlnlsLer sLaLes LhaL Lhe governmenL
pollcy ls Lo esLabllsh prlvaLe hlgher educauon lnsuLuLes
lncludlng few prlvaLe medlcal colleges (MC) ln Srl Lanka. Pe
clalms LhaL all pollucal parues, save for Lhe !v, are ln favour
of Lhls pollcy declslon. Powever, Lhe fee-levylng hlgher
educauon lnsuLuuons need Lo comply wlLh Lhe sLandards of
medlcal educauon and Lhe law of Lhe land. Moreover, Lhey
should posluvely conLrlbuLe Lo Lhe economlc, educauon and
healLh secLors of Lhe counLry.
1he lnsuLuuon comlng up ln Malabe as a prlvaLe medlcal
college has falled Lo comply wlLh Lhe sLandards supulaLed by
Lhe SLMC and dlsregarded Lhe SLMC publlc nouces cum
warnlngs. 1hey do noL possess 8Cl approval, uCC approval or
any oLher legally sound approval. As per medlcal councll
guldellnes, Lhere has Lo be numerous necesslues lncludlng a
well esLabllshed hosplLal complex, fullllng mlnlmum
sLandards, prlor Lo recrulLmenL of medlcal sLudenLs. Powever,
Lhere ls only an undaLed leuer promlslng Lo bulld such
sLandard hosplLal buL no such hosplLal ls vlslble ln Lhe sald
premlses. lurLher, Lhe process of recrulLmenL has begun over
one year, recrulung Lhree baLches, 30 ln each, each baLch slx
monLhs aparL, charglng 6.3mllllon from each sLudenL.
1hls acL would conLravene Lhe governmenL pollcy of uplllng
Srl Lanka as Lhe educauonal hub ln Asla whlle aecung Lhe
varled aspecLs of Lhe counLry lncludlng nanclal, PealLh
secLor, legal framework, and local unlverslues. lurLher lL has a
negauve lmpacL on PeaLh Lourlsm, knowledge economy,
forelgn revenue generauon and lmplemenLauon of some
lmporLanL governmenL pollcles. CLher Lhan Lhe 3 key
personals who lnvolved, Lhe lrresponslble role played by Lhe
sLudenLs and Lhelr learned parenLs has faclllLaLed Lhls
fraudulenL venLure.
Graph|ca| presentanon on |mpacts of so ca||ed pr|vate
med|ca| co||ege at Ma|abe

1. Ma|abe Med|ca| |nsntute (South As|an Insntute of
1echno|ogy and Management - SAI1M )
Malabe medlcal lnsuLuLe was sLarLed ln year 2009 Lo
underLake Lhe rsL four years of medlcal educauon leadlng Lo
a ve year medlcal degree Lo be oered from nlzhny
novgorod SLaLe Medlcal unlverslLy, 8ussla. Accordlng Lo Lhe
webslLe accessed on 04.10.2010 nal year cllnlcal Lralnlng wlll
be carrled ouL ln 8ussla.
2. Government o||cy
lL was declared by Lhe Plgher Lducauon mlnlsLer aL a meeung
held aL Lhe parllamenL and openly Lo Lhe publlc LhaL Lhe
governmenL pollcy ls Lo esLabllsh prlvaLe educauonal
lnsuLuLes lncludlng prlvaLe medlcal colleges wlLhln Lhe
counLry. lurLher, he sLaLed LhaL Lhe governmenL vlslon ls Lo
make Srl Lanka, Lhe educauonal hub ln Asla and Lo generaLe
forelgn revenue. (A 1 -ress arucle)
3. Ma|nta|n|ng standards of Med|ca| educanon
3.1 Sr| Lanka Med|ca| Counc||
Srl Lanka Medlcal Councll (SLMC) ls Lhe sLaLuLory body,
esLabllshed by Lhe Medlcal Crdlnance no. 24 of 1924, ln order
Lo safe guard and malnLaln Lhe standards of med|ca|
educanon and med|ca| pracnce. 8y asslgnlng Lhls Lask Lo
SLMC, Lhe government fu|h||s |ts ob||ganon to the safety of
panent care de||very system.
lL ls Lhe ulumaLe responslblllLy of Lhe Srl Lanka Medlcal
Councll Lo make sure Lhe medlcal graduaLes, whom Lhey
enLrusL wlLh medlcal pracuclng rlghLs are safe docLors" who
can be posLed Lo anywhere ln Lhe counLry Lo caLer Lhe publlc.
1o accompllsh Lhls, Lhey make sure Lhe sLandards are well
malnLalned ln Lhe eld of medlclne from medlcal educauon
onwards.
3.2 Med|ca| educanon as a 1w|n|ng programme- wor|dw|de
unaccepted
Meanlng of Lwlnnlng ls where parL of Lhe medlcal educauon ls
done locally and Lhe resL ln some oLher parL of Lhe world.
3.2.1 As a prlme measure Lo malnLaln Lhe sLandards, lL ls
clearly menuoned ln Lhe Medlcal Crdlnance LhaL Lwln
programmes are noL accepLed.
3.2.2 1wlnnlng ls unaccepLable ln counLrles holdlng good
repuLauon perLalnlng Lo sLandards of medlcal educauon and
medlcal pracuce.
3.2.3 Internanona| ||cens|ng exam|nanons categor|ca||y
re[ect recogn|non of tw|n degrees.
CMC and AMC web slLes very clearly emphaslze LhaL Lhe baslc
medlcal degree of a candldaLe should noL be a Lwln degree,
for Lhem Lo slL ln Lhelr llcenslng examlnauon.
hup://www.gmcuk.org/docLors/reglsLrauon_appllcauons/
accepLable_prlmary_medlcal_quallcauon.asp
hup://www.amc.org.au/lndex.php/lmg/exam/applnfo
3.3 Standards of N|zhny Novgorod State Med|ca| Un|vers|ty-
kuss|a - Mother un|vers|ty of SAI1M
Accordlng Lo Lhe SLMC webslLe, Act 16 success rate |s on|y
3S for nlzhny novgorod, 8ussla. lL ls hard Lo expecL beuer
resulLs from lLs branch, whlch operaLes wlLhouL mlnlmum
recourses and sLandards.
66
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hup://www.srllankamedlcalcouncll.org/download/arucle/
8/29a4feb8b84716a383b21704a973f3fd.pdf
4. Lega| background
4.1 Con|ct w|th the 8CI
unul recenL everyone was under Lhe llluslon LhaL Lhey had
obLalned 8Cl approval Lo esLabllsh a prlvaLe medlcal college
amllaLed Lo a forelgn unlverslLy. 8uL surprlslngly 8Cl has
replled ln wrlung Lo SLMC LhaL Lhey have noL glven any
approval Lo esLabllsh a prlvaLe medlcal college.
4.2 Con|ct w|th the UGC
1hls Malabe MC does noL come ln Lhe purvlew of unlverslLy
CranLs Commlsslon (uCC) slnce lL does noL come under any
headlng of Lhe unlverslLy acL, secuon no 21 Lo 23A, whereln
Lhe uCC has Lhe auLhorlLy Lo lnLervene. 8oLh Lhe uCC and Lhe
admlnlsLrauon of Lhls lnsuLuLe sLaLe LhaL slnce Lhey lnluaLed
as a pro[ecL of 8oard of lnvesLmenL (8Cl) lL ls noL necessary Lo
come under uCC regulauons.
hup://www.ugc.ac.lk/en/pollcy/unlverslues-acL/29.hLml
4.3 Con|ct w|th the Med|ca| Crd|nance
1hls Malabe MC comes as a Lwln programme vlolaung
medlcal ordlnance. 1he SLMC has refused Lo granL approval
for Malabe Lwln programme defendlng Lhls legal sLaLus. As
such currenL operauon of Malabe MC ls lllegal. SLMC has
repeuuvely lnformed Lhe auLhorlues' of Malabe lnsuLuLe
Lhrough leuers and Lhe publlc vla newspaper adverusemenLs
ln all Lhree languages on Lhls. (A 2, 3, 4, 3, 6, 7)
8uL Lhe alarmlng facL ls LhaL Lhey keep on recrulung sLudenLs
for a locally and lnLernauonally non accredlLed degree,
charglng 6.3 mllllon from each sLudenL. (A 8)
nence |t |s very c|ear that th|s |nsntute does not fa|| |n any
|eg|nmate category and |t |s s|mp|y a fake |nsntute w|th no
recogn|non. (A 9)
4.4 No approva| from kuss|an Med|ca| Counc||
A unlverslLy alone cannoL declde wheLher or noL Lo esLabllsh
an o-shore branch of Lhe maln unlverslLy. lL should be
recognlzed by Lhe medlcal councll of Lhe counLry where Lhe
maln unlverslLy ls slLuaLed. WlLh regard Lo Lhe prlvaLe medlcal
lnsuLuLe aL Malabe, Lhe auLhorlLy could noL subsLanuaLe
evldence Lo prove such recognluon of Malabe MC as a
branch of nlzhny novgorod SLaLe Medlcal unlverslLy, 8ussla.
Cons|der|ng these facts |t |s very c|ear that Ma|abe pr|vate
med|ca| |nsntute |s yet another hnanc|a| fraud |n th|s
country.
S. Lack of |nfrastructure to funcnon as a MC
S.1 No hosp|ta| for c||n|ca| tra|n|ng
Pavlng a funcuonlng hosplLal fullllng mlnlmum prescrlbed
sLandards ls a fundamenLal requlremenL Lo esLabllsh a
medlcal college. undersLandlng Lhe above facL ur. nevllle
lernando, Lhe chalrman of Lhe sald lnsuLuLe has promlsed
wlLh an undaLed leuer Lo puL up a 400 bedded hosplLal wlLh
all Lhe needed faclllues where pauenLs are LreaLed free of
charge, for hls sLudenLs Lo pracuce cllnlcal componenL of Lhe
medlcal currlculum. 8uL he also admlLs Lhe facL LhaL he has
noL even lald Lhe foundauon sLone Lo LhaL hosplLal, alLhough
Lhe 1sL baLch of sLudenLs he recrulLed ls abouL Lo sLarL Lhe
cllnlcal Lralnlng now.
S.2 Lack of academ|c sta and the qua||ty
1here should be mlnlmum level of quallcauons Lo become a
lecLurer ln medlclne. 1he ma[orlLy of docLors who Leach
medlclne aL Malabe MC are forelgn graduaLes wlLh Lhe baslc
degree. CuL of Lhem, Lhe ma[orlLy lncludlng Lhe dlrecLor of Lhe
lnsuLuLe are fallures aL Lhe AC1 16 examlnauon, whlch ls Lhe
fundamenLal requlremenL Lo pracuce as a docLor ln Srl Lanka.
Accordlng Lo Lhelr web page accessed on 01.10.2010, Lhere ls
only one permanenL professor for Lhe whole medlcal college
wlLh Lwo oLher vlslung professors.
hup://www.salLm.edu.lk/faculLy-medlclne/sLa
S.3 oor teach|ng framework
ln order Lo provlde wlLh quallLy medlcal educauon, Lhere need
Lo be a number of essenual deparLmenLs ln a medlcal faculLy.
Lssenual deparLmenLs are noL avallable ln Lhls lnsuLuLe.
hup://www.cmb.ac.lk/academlc/medlclne/deparLmenLs.hLml
8uL Lhls lnsuLuLe has only Lhree maln deparLmenLs and some
unusual deparLmenLs. CuL of Lhem, more Lhan 4 deparLmenLs
are under one reured professor and some of Lhe deparLmenLs
are under vlslung professors, whlch ls grossly unsausfacLory.
hup://www.salLm.edu.lk/faculLy-medlclne/sLa
6. Lstab||shment of substandard pr|vate med|ca| co||eges and
|ts consequences
6.1 Impact on nanona| hea|thcare de||very system
6.1.1 keputanon of Sr| Lankan graduates
resenL day Srl Lankan medlcal graduaLes are well recognlzed
all over Lhe world and Lhey are noL quesuoned abouL Lhelr
credlblllLy. 1he slmple reason ls LhaL only besL performed
sLudenLs aL local examlnauons are selecLed Lo medlcal
faculues and Lhey are glven a comprehenslve and Lhorough
Lralnlng as under-graduaLes. 8uL wlLh Lhe lncepuon of
subsLandard medlcal lnsuLuLes wlLhouL even mlnlmum
sLandards, Lhe lnLernauonal accepLance of Srl Lankan medlcal
graduaLes wlll sLarL Lo erode.
6.1.2 Ma|ntenance of hea|th |nd|ces
lL ls globally accepLed LhaL Srl Lanka ls dolng well wlLh Lhelr
healLh lndlces ln comparlson Lo oLher counLrles ln Lhe reglon.
8elng a developlng counLry we have achleved sLandards of
developed counLrles when lL comes Lo healLh care sysLem.
Cne of Lhe key facLors behlnd Lhls ls Lhe compeLence and
dedlcauon of healLh care professlonals. 1hese subsLandard
prlvaLe medlcal lnsuLuLes are much proL orlenLed and Lhe
publlc cannoL expecL quallLy docLors Lo conLrlbuLe Lo
malnLalnlng Lhe presenL sLandards.
6.2 Impact on nanona| economy
6.2.1 Damage to the reputanon of the country
1he governmenL of Srl Lanka alms Lo creaLe Srl Lanka as Lhe
educauonal hub of Asla. lor LhaL Lo happen we should make
our educauonal lnsuLuLes more auracuve wlLh hlgher
sLandards. lf we were Lo sLarL o wlLh an lll-concelved, lllegal,
subsLandard prlvaLe medlcal lnsuLuLe, lL wlll be a nlghLmarlsh
example Lo Lhe lnvesLors as well as for forelgn sLudenLs who
wlsh Lo come here for educauonal purposes. uesplLe Lhe goal
of maklng an educauonal hub, Srl Lanka wlll be anoLher land
of Lhousands of low quallLy educauonal lnsuLuLes wlLh no
auracuon and sLandard. As anama ls noLorlous for
reglsLerlng bogus shlpplng companles conLrlbuung Lo a global
marlume menace, Srl Lanka Loo wlll be as famous for lLs rogue
medlcal lnsuLuLes and lLs facLory made phony medlcal
graduaLes who wlll only conLrlbuLe Lo a global educauonal
rackeL.
no proper medlcal governlng body ln Lhe world wlll even look
aL Lhose graduaLes. We lamenL LhaL even Lhe genulne, well
qualled medlcal graduaLe also wlll be looked aL wlLh
susplclon. 1he posL graduaLe educauon also wlll suer as a
resulL slnce Lhe prospecLs of forelgn Lralnlng for asplrlng posL
graduaLe Lralnees wlll be marred ln Lhls mess.
lf Lhe governmenL ls genulne ln lLs lnLenuons we need Lo
follow Lhe paLh of Lhe counLrles LhaL succeeded ln educauon
as an lndusLry. unlLed klngdom and AusLralla are Lwo good
examples generaung Lhe hlghesL revenue Lhrough educauon.
1he secreL of Lhe success ls Lhe respecuve governmenL
mechanlsms Lo ensure LhaL hlgh sLandards are malnLalned ln
educauonal lnsuLuLes wlLhouL any loopholes. no one would
quesuon Lhe accredlLauon of a uk or AusLrallan graduaLe
lrrespecuve of Lhe dlsclpllne of educauon.
It |s on|y appropr|ate to fo||ow sc|ennhc ev|dence |n th|s
regard. Any other paths chosen w||| on|y make the goa| of
mak|ng Sr| Lanka the hub of As|a's educanon, a d|stant
dream.
6.2.2 Impact on nea|th 1our|sm
WlLh Lhe governmenL concepL of upgradlng Srl Lanka as Lhe
economlcal hub ln Lhe Aslan reglon, healLh secLor has a vlLal
role. Slnce Srl Lanka has a good repuLauon ln Lhe eld of
medlclne and worldwlde accredlLed healLhcare professlonals,
lL ls a huge unexplored area of revenue generauon. 8uL lf Lhe
subsLandard medlcal omcers were Lo be lncorporaLed lnLo Lhe
local healLh sysLem-as lnvarlably lL has Lo be, slnce Lhe doors
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ln Lhe wlder world wlll be closed on Lhem- our repuLauon wlll
be challenged globally and wlll pose a dlrecL negauve lmpacL
Lo Lhe eld of PealLh 1ourlsm.
6.2.3 Impact on know|edge Lconomy
1he MlnlsLry of PealLh ln collaborauon wlLh Lhe MlnlsLry of
LxLernal aalrs, osLgraduaLe lnsuLuLe of Medlclne and Lhe
CovernmenL Medlcal Cmcers' Assoclauon has already
esLabllshed Lhe lorelgn lacemenL Coordlnaung CenLre ln
order Lo place Srl Lankan healLhcare professlonal all over Lhe
world as a meLhod of forelgn lncome generauon. We have
recelved a fabulous response from over 13 counLrles all over
Lhe world and a very good demand exlsLs for our medlcal
omcers. nearly 1000 docLors are Lo be posLed Lo Llbya ln Lhe
near fuLure as a resulL of Lhls programme. All Lhese
opporLunlues are Lhere due Lo Lhe worldwlde repuLauon of Srl
Lankan docLors as quallLy servlce provlders. All Lhese avenues
wlll be aL a danger due Lo accumulauon of poor quallLy
docLors and anama llke lll repuLe Lo Lhe sysLem vla
subsLandard prlvaLe medlcal lnsuLuLes.
!"#$%& (")%*+ ,*-%+./01*- %* 2-*3$"45" 6)*-*78 9 ,*-)":%
*; <=.$$"4 $#/*0+ ">:*+%#1*- #-4 =-*3$"45" ")*-*78 9 ?(@A
BCDEBFFEGBHDEIIEG
6.2.4 I|nanc|a| burden on aected parents
We, as a counLry have faced many nanclal frauds ln Lhe
recenL pasL. eople llke SakvlLhl" collecLed money from Lhe
publlc glvlng loads of fake promlses and vanlshed wlLhln
seconds. 1he same applles Lo Lhls bogus prlvaLe medlcal
lnsuLuLe because Lhey have collecLed nearly 863 mllllon
rupees for an unrecognlzed medlcal degree. 1hls wlll be an
addluonal burden Lo Lhe governmenL Lo enLerLaln Lhelr
grlevances and uuer wasLe of ume of nearly 130 youLhs ln Lhls
counLry and ouLslde. 1he problem wlLh auLhorlues ls LhaL no
lesson ls learnL from Lhe pasL and even aer an lmparual
professlonal body llke Lhe CMCA hlghllghLs Lhe mlsglvlngs of
Lhose lll concelved fraudulenL pro[ecLs and Lhe dangerous
predlcamenLs of Lhose vlcums, Lhe same auLhorlues pay no
heed Lo Lhose.
6.2.S Dra|n|ng of |oca| currency to kuss|a
1he governmenL pollcy ls Lo prevenL dralnlng of local currency
Lo Lhe world Lhrough Lhe eld of educauon. 8uL Lhls Malabe
MC pays 22 of Lhe collecLed money, whlch amounLs Lo 223
mllllon per year [usL Lo use Lhe name of Lhe "nlzhny
novgorod". We assume LhaL Lhe role played by Lhese Lhree
lndlvlduals may be hlghly regarded and rewarded by Lhe
nanclal dlvlslon of Lhe sald unlverslLy.
6.3 No contr|bunon to the nea|th sector
6.3.1 No |nfrastructure deve|opment
CLher Lhan Lhe fake leuer glven by Lhe chalrman/SAl1M, Lhere
ls no auempL Lo puL up a hosplLal by hlm for hls sLudenLs Lo
sLudy whlle provldlng free healLh care Lo Lhe publlc. 8uL ln
oLher counLrles where prlvaLe medlcal colleges are
esLabllshed, Lhey have Lhelr own sLandard hosplLals. L.g. lndla.
ConLrary Lo pracuce ln oLher counLrles, publlc wlll noL galn
anyLhlng ln reLurn Lhrough Lhls pro[ecL, for lemng Lhemselves
exposed for Lhese sLudenLs Lo examlne. llnally lL ls only a
nanclal advanLage Lo few lndlvlduals lnvolved.
6.3.2 No cadre expans|on
lf Lhls lnsuLuLe were Lo puL up a prlvaLe hosplLal, Lhere would
be a cadre expanslon ln Lhe healLh secLor lncludlng for
docLors, nurses, ML1s eLc. buL no such advanLage Lhrough Lhls
pro[ecL. lurLher, by oerlng a governmenL hosplLal such
beneL wlll never be meL.
6.3.3 No advantage to panents
Slnce pauenLs are noL glven any concesslon for Lhelr
conLrlbuuon and Lhey are noL provlded wlLh advanced
faclllues, Lhey wlll noL beneL aL all. 1hls wlll be an
explolLauon of pauenLs.
6.4 Impact on state med|ca| facu|nes
6.4.1 |ack of |ecturers
1hls would auracL unlverslLy lecLures from sLaLe medlcal
faculues whlch are under-sLaed. As a resulL, Lhe quallLy and
Lhe sLandards of sLaLe unlverslues wlll be compromlsed,
unless approprlaLe measures are Laken.
6.4.2 Country's future need of fore|gn graduates
Accordlng Lo Lhe laLesL analysls done by Lhe SLMC Lhere are
20,000 - 23,000 acuve reglsLered medlcal omcers worklng ln
Lhe counLry. CuL of Lhem nearly 14,000-16,000 are employed
ln Lhe governmenL secLor. usual carder expanslon comes
around 630 medlcal omcers annually, Lo governmenL secLor.
Slnce 1,163 medlcal sLudenLs are recrulLed annually Lo local
medlcal faculues, Lhey can supply Lhe governmenL
requlremenL wlLhouL any dlmculLy wlLh an excess. Pence lL ls
quesuonable wheLher Lhere ls a genulne requlremenL of
medlcal graduaLes from local or lnLernauonal prlvaLe medlcal
colleges.
6.4.3 Unrest among med|ca| students
ln laLe 80's Lhe norLh Colombo MC (nCMC) ended up belng
absorbed lnLo Lhe governmenL aer creaung an exLremely
unpleasanL crlsls, whlch ls yeL Lo recover ln cerLaln aspecLs. A
commlsslon Lo unearLh Lhe lessons learnL from Lhe nCMC
lssue perhaps may reveal how Lhls asco paved Lhe way for
Lhe opporLunlsLs Lo Lhrlve.
7. Impact on educanon sector
7.1 Irustranon among schoo| ch||dren due to obv|ous
d|scr|m|nanon
lL ls lnevlLable LhaL schoollng sLudenLs, awalung for Lhelr
hlgher educauon lose Lhelr falLh ln hlgher educauon
lnsuLuuons due Lo Lhls klnd of breach ln Lhe sLandards. 1hls
wlll lead Lo frusLrauon among youLh populauon and Lendency
wlll be creaLed for seeklng easy ways Lo geL over wlLh hlgher
educauon. Also Lhey mlghL belleve and alm aL forelgn
degrees.
8. Irrespons|b|e ro|e of recru|ted students and the|r |earned
parents
8.1 D|srespect to government warn|ngs
SLMC on behalf of Lhe governmenL of Srl Lanka has repeaLedly
lnformed Lhe publlc vla newspapers LhaL Malabe MC has noL
been glven lLs approval and Lhere ls no room for Lhe sLudenLs
of LhaL lnsuLuLe Lo slL for AC1 16 examlnauon. 8uL surprlslngly
Lhe sLudenLs, whom are expecLed Lo have a hlgher lC Lo learn
medlclne and Lhelr leaned parenLs have goL Lhemselves
reglsLered ln Lhls fake lnsuLuLe whlch has no local or
lnLernauonal recognluon. lL ls a huge rlsk Laken by Lhem,
desplLe Lhe warnlngs glven by Lhe governmenL and should
bear Lhe sole responslblllLy for Lhelr adamanL behavlor.
8.2 kecogn|non of an |nsntute |s not retrospecnve
Accordlng Lo medlcal ordlnance a medlcal lnsuLuLe needs Lo
be recognlzed by Lhe SLMC before Lhey recrulL sLudenLs. An
lndlan example on Lhls lssue also clearly says LhaL Lhe
recognluon should noL a reLrospecuve eecL slnce lL dlluLes
Lhe sLandards of educauon. Lven Lhough Lhls Malabe MC ls
recognlzed aL some polnL ln fuLure, lL wlll noL be applled Lo
Lhe presenL sLudenLs wlll noL be ellglble Lo obLaln SLMC
recognluon.
kecommendanons
Accordlng Lo Lhe Lerms of reference, menuoned above, Lhls
commluee was appolnLed Lo analyze Lhe facLual slLuauon, buL
noL Lo make any recommendauons. 1hese ndlngs should be
consldered Lo make approprlaLe recommendauons and
declslons.
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10. Annexure 10
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GMOA Annual Report 2011/2012

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GMOA Annual Report 2011/2012

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Government Medical Ofcers Association

Acknowledgement of Specialist qualications presented by the respective colleges and

Formation of Specialist registry and its inclusion criteria.

Discussion and corrections in the draft proposal of registering foreign specialists.

Persons with no qualication whatsoever

On subsequent follow up, Ministry of Health, provincial authorities, and medical

CMCA's lapLop was Laken away

CMCA sLa were lnuenced Lo reslgn

So coples were deleLed from Lhe CMCA compuLers

ulvulglng CMCA's lnLernal lnformauon Lo polluclans

Auacklng ur. nlhal nonls & rof. LallLha Mendls

Spreadlng bogus rumours Lo crlpple Lhe servlce mlnuLe amendmenLs

SLarung a lacebook campalgn Lo expose CMCA's sLraLegles Lo counLer groups

redlcLed LhaL schoollng lssue won'L be resolved

lnLensled Lhe mud sllnglng campalgn Lhrough emalls

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