Dr N. A. J.R Neththasinghe

Ensure the provision of comprehensive healthcare services for the well-being of designated Very Very Important Persons (VVIPs).

Key Responsibilities:

• Conduct regular and on-request health screenings for VVIPs.
• Support lifestyle modifications to achieve optimal well-being.
• Provide medical escort services for VVIPs.
• Attend to 24x7 medical emergencies and requested medical care.
• Perform daily assessments of medical conditions of selected VVIPs.
• Coordinate specialized care investigations as needed.
• Conduct training sessions for staff members.
• Ensure confidentiality in all aspects of medical care

Leprosy Hospital Hendala is one of the oldest and the only hospitals in Sri Lanka dedicated to isolating and providing care for individuals suffering from Leprosy. Currently, the hospital is committed to caring for 45 resident inpatients experiencing permanent impairments due to leprosy.

Duties and Responsibilities

• Hospital Administration: Headed the institute, overseeing all aspects of administration.
• Managed and supervised supportive services, including food security and housekeeping.
  
• Staff Supervision: Directed and supervised nursing, paramedical, office, and junior staff.
  
• Patient Care: Provided comprehensive inward care for patients, covering routine examinations, emergency care, and rehabilitation.
  
• Specialized Care: Organized and coordinated specialized care for periodic screenings, emergencies, and various medical conditions.
• Covid 19 Management: Preparation, Mitigation, and Response Planning for COVID-19 pandemic, in Ward Management of COVID-19 Patients. Prevention of outbreaks, contact tracing, and quarantine procedures.
  
• Quality Improvement: Implemented initiatives for hospital quality improvement with a focus on patient safety.
  
• Staff Training: Conducted training programs for staff in all categories, emphasizing continuous professional development.
  
• Public Relations: Actively participated in committees, donor meetings, and religious activities to enhance community engagement.
  
• Overall Well-being: Contributed to a holistic approach to healthcare management, addressing not only medical care but also overall well-being of patients and the community.
  

National Hospital in Sri Lanka, the country's largest teaching hospital and ultimate referral center, boasts a 3000-bed capacity and serves as the training hub for undergraduates and postgraduate trainees from the Faculty of Medicine. Additionally, it is affiliated with the nursing training school, Colombo, Post-Basic School of Nursing, and Schools of Radiography, Pharmacy, Cardiograph, Physiotherapy, and Occupational Therapy.

Urology unit at National Hospital of Sri Lanka serves as the Apical referral center for Urology patients nationwide. Equipped with state-of-the-art technology, advanced medical equipment, and a highly trained staff, the department is proficient in conducting a comprehensive range of surgical procedures in urology.

Duties and Responsibilities:

• Conduct Minor Surgical Procedures: Perform minor surgical procedures, including cystoscopy, JJ stent insertion, and stent removal.
• Handle Urological Casualties and Referrals: Respond to urological casualties and referrals from various subspecialties, providing expert urological opinions.
• Assist in Major Surgical Procedures: Collaborate with the consultant GU surgeon in major surgical procedures such as nephrectomy, pyelolithotomy, PCNL, etc.
  
• Contribute to Medical Clerking and Treatment Planning:
  Assist the consultant GU surgeon in medical clerking, diagnosis, and treatment planning.
  
• Patient and Family Education: Educate patients and their families on treatment options and the complete surgical procedure.
  
• Post-Surgical Care and Follow-Up: Follow up with patients for post-surgical care and reviews to ensure comprehensive recovery.
• Participate in Urology Outpatient Clinics: Attend and actively contribute to urology outpatient clinics.
  
• Coordinate with Subspecialties and Paramedics: Collaborate with various subspecialties and paramedics to ensure timely arrangements for investigations, medical opinions, and therapies.
  
• Support Research and Development: Actively participate in research and development activities within the Urology department.
• Training and Education: Provide training to junior staff, nurses, and medical students to enhance their skills and knowledge in the field of Urology.

NHSL has many medical units where the medical conditions of patients are managed. Patients in the medical wards are referred to sub-specialties, including cardiology, respiratory medicine, neurology, nephrology, and gastroenterology, among others. Additionally, the management of patients extends beyond inpatient care to the handling of ex-ward patients. In addition to inpatient services, medical units are responsible for conducting outpatient clinics.

Duties and Responsibilities:

• Documentation and Rounds: Manage and prioritize patient caseload, ensuring accurate and timely documentation of medical records.Participate in daily rounds, presenting patient cases, and actively contributing to clinical discussions.
  
• Mentorship and Training: Supervise and mentor junior medical staff, providing guidance and support as needed.
  Provide training for medical students on clinical examination, medical clerking, and hospital functions.
  
• Coordination and Quality Assurance: Coordinate services with Nurses, paramedics, and healthcare assistants, focusing on quality, infection control, patient safety, and timely arrangements for investigations, patient transport, and discharge.Participate in clinical discussions, staying updated with the latest research, publication guidelines, and case studies.
• Continuous Professional Development: Stay abreast of current medical literature, attend relevant conferences, and engage in continuous professional development.Disaminate latest reseach findings amoug the team.
• Patient management: Manage medical casualties, inpatients and outpatients according to the consultant's care plans.

PGIM is the only postgraduate institute in Sri Lanka recognized by the Sri Lanka Medical Council. The full-time Postgraduate Diploma in Elderly Medicine involves rotating through various medical disciplines, accumulating training hours as detailed below.

• General Medicine: Professorial Medical Unit, North Colombo Teaching Hospital (NCTH) Ragama
  Duration: 20.05.2013 - 20.07.2023,Total Hours of Training: 180
  
• Orthopedics : Orthopedic Unit, NCTH Ragama
  Duration: 23.07.2013 - 27.07.2013, Total Hours of Training: 22.5
  
• Surgery : Professorial Surgical Unit, NCTH Ragama
  Duration: 29.07.2013 - 03.08.2013,Total Hours of Training: 45
  
• Chest Medicine : Central Chest Clinic, Medical Research Institute (MRI), Borella
  Duration: 05.08.2013 - 10.08.2013,Total Hours of Training: 22.5
  
• Gastrointestinal: GI Unit, National Hospital Sri Lanka(NHSL), Colombo
  Duration: 12.08.2013 - 17.08.2013,Total Hours of Training: 22.5
  
• Genito-Urinary: GU Surgical Unit, NHSL Colombo
  Duration: 19.08.2013 - 24.08.2013,Total Hours of Training: 22.5
  
• Family Medicine: Department of Family Medicine, Faculty of Medicine Ragama
  Duration: 26.08.2013 - 30.08.2013,Total Hours of Training: 22.5
  
• ENT: ElNT Unit, NHSL Colombo
  Duration: 02.09.2013 - 07.09.2013,Total Hours of Training: 22.5
  
• Community Visit/MOH: National Institute of Health Sciences (NIHS), Kaluthara
  Duration: 30.09.2013 - 04.10.2013,Total Hours of Training: 22.5
• Ophthalmology: National Eye Hospital, Colombo
  Duration: 23.09.2013 - 28.09.2013,Total Hours of Training: 22.5
  
• Dental Hospital: OMF Unit, Dental Institute, Colombo
  Duration: 16.09.2013 - 21.09.2013,Total Hours of Training: 22.5
  
• Dermatology: Dermatology Unit, NHSL Colombo
  Duration: 07.10.2013 - 12.10.2013,Total Hours of Training: 22.5
  
• Neurology: Dermatology Department, NHSL Colombo
  Duration: 14.10.2013 - 01.11.2013,Total Hours of Training: 45
  
• Psychiatry: National Institute of Mental Health ( NIMH), Angoda
  Duration: 04.11.2013 - 22.11.2013,Total Hours of Training: 45
  
• Rehabilitation Hospital: Rheumatology and Rehabilitation Hospital, Ragama
  Duration: 25.11.2013 - 13.12.2013,Total Hours of Training: 45
  
• Endocrine and Diabetes: Endocrine clinic, Colombo South Teaching Hospital (CSTH), Kalubovila
  Duration: 17.12.2013 - 04.01.2014,Total Hours of Training: 45
  
• Gynecology: Castle Street Hospital for Women
  Duration: 06.01.2014 - 11.01.2014,Total Hours of Training: 22.5
  
• Rheumatology: Rheumatology Department, NHSL Colombo
  Duration: 20.01.2014 - 01.02.2014,Total Hours of Training: 45
  
• Oncology: Cancer Institute (Apeksha Hospital), Maharagama
  Duration: 03.02.2014 - 15.02.2014,Total Hours of Training: 45
  
• Cardiology: Cardiology Unit, NHSL Colombo
  Duration: 17.02.2014-01.03.2014 Total Hours of Training: 45
  

The National Eye Hospital stands as the pinnacle of excellence in ophthalmology within Sri Lanka, offering general eye surgery and a multitude of subspecialty care, including vitreoretinal surgery, and oculoplastic surgery. The daily patient turnover is approximately 2000 per day

Duties and Responsibilities:

• Conducted Slit Lamp Examinations and comprehensive general eye examinations with precision.
• Engaged in various ophthalmological subspecialties, responding to referrals and collaborating across units.
• Proficiently performed minor surgical procedures, including Foreign Body removal and I&D.
• Facilitated preoperative patient preparation and managed post-operative care effectively.
• Actively participated in routine and specialized eye clinics, such as glaucoma and post-operative clinics.
• Served as the first contact doctor for outpatient department patients, conducting comprehensive history, examinations, investigations, and management.
• Managed Emergency Treatment Unit (ETU) for efficient patient care.
• Oversaw inward patient care and contributed to outreach activities for community-level patient screening.
• Played a key role in quality improvement and patient safety initiatives.
• Contributed to ongoing research and development projects, aligning with the hospital's commitment to excellence.

Resident Physician Unit is responsible for addressing all internal medicine needs of patients seeking ophthalmology care. Key functions of the unit encompass patient assessments referred by ophthalmic surgeons, anesthetists, and other relevant specialists. Additionally, the unit attends to medical emergencies, specifically those related to cardiovascular, endocrine, neurology, and selected psychiatric conditions.
Duties and Responsibilities:

• Conduct assessments of patients referred by ophthalmic surgeons, anesthetists, and other specialists.
• Attend to medical emergencies, focusing on cardiovascular, endocrine, neurology, and selected psychiatric conditions.
  Perform pre and post-assessments of patients, including the review of drugs and adjustments of regimen dosages.
• Participate in clinical meetings and case discussions, contributing to collaborative decision-making.
• Refer medical patients to accelerate clinical pathways for the management of sub-specialized conditions.
• Deliver high-quality patient care, active participation in clinical discussions, and seamless coordination within the medical team.

· Hospital Overview:

· Rural primary care facility providing OPD, ETU, inward, and maternal care for the rural population.

· Duties and Responsibilities:

• Hospital Management:· Headed the institute, ensuring smooth functioning of the hospital.Supervised all clinical and non-clinical staff

• Patient Care: Managed inpatients and actively participated in deliveries, excluding primi mothers. Managed OPD, ETU, and designated clinics, including Well women clinic , Well Baby, Medical, and Antenatal clinics.

• Reporting and Communication: Reported directly to the Regional Director. Provided hospital statistics, progress reports, and other relevant information.
• Quality and Safety: Led activities focused on quality improvement and patient safety.
• Public Relations: Engaged in public relation activities, including school visits, religious activities, and liaison with well-wishers.

Skills Gained as an on call Pediatric House Officer

• Proficient in providing specialized care in Premature Baby Units and Neonatal Wards.
• Expertise in the management of immediate neonatal care and resuscitation procedures.
• Experienced in attending routine and emergency cesarean surgeries.

Skills Acquired as a House Officer in Gynecology and Obstetric Wards:

• Trained in perinatal assessment and comprehensive gynecological assessment
• Expertise in identification of Obstetric Emergencies
• Expertise in conducting normal vaginal deliveries and dilation procedures.
• Proficient in performing curettage, including Evacuation of Retained Products of Conception (ERPC).
• Competent in manual removal of the placenta.
• Experience in assisting cesarean sections.
• Skilled in participating in major gynecological surgeries.

• Military Hospital Colombo, which is the largest military hospital in Sri Lanka provides the best secondary and tertiary care for tri forces and their families

Duties and Responsibilities

• Provide immediate preoperative care for war casualties and patient scheduling for surgical emergencies
• Assist surgeons during procedures by maintaining a sterile environment, handling instruments, and preparing surgical equipment
• Document patient medical histories, treatment plans, and progress notes accurately
• Conduct regular patient rounds to assess conditions, address concerns, and update the medical team on patient progress
• Communicate effectively with patients and their families, explaining surgical procedures and addressing questions or concerns
• Collaborate with healthcare professionals, such as nurses, anesthesiologists, and surgeons, to ensure coordinated patient care
• Respond promptly to surgical emergencies, providing immediate assistance during critical situations
• Contribute to the training and education of medical students or junior staff members
• Adhere to hospital policies, protocols, and safety regulations to maintain a safe and efficient surgical environment
• Commit to continuous learning, staying updated with the latest advancements in surgical techniques and medical knowledge.

Teaching Hospital Negombo is the second-largest hospital in the Gampaha District, serving as a training facility for medical students, interns, and postgraduate students.

Key Skills Acquired:

• Proficient in emergency management, covering acute poisoning, cardiac, and respiratory emergencies.
• Expertise in various minor surgical procedures, including lumbar puncture, pleural aspiration, and venous section.
• Comprehensive knowledge of medical record keeping and clerking, ensuring accurate and detailed documentation.
• Skilled in maintaining and managing Bed Head Tickets (BHT) records for proper healthcare documentation.
• Coordinated investigations and special procedures in Pathology, Hematology, and Radiology.
• Efficiently collaborated with various ancillary services, ensuring smooth coordination.
• Managed patient scheduling for streamlined healthcare delivery.