Mrcgp-Int/Diploma In Family Medicine/AMC-Mcq,IELTS
Looking for a GP-post in Australia with sponsorship.I would like to face PESCI once job offer is there.
Medical Officer plus GP
Location of Practice
November 2010 - July 2013
Working Hours 4.30 p.m. to 9.30 p.m. Mon-Fri and 1.00 p.m. to 7.00 p.m. on Saturday and Sunday.
Situated in urban area. Mixed group of patients from upper middle, middle and working classes. Mixture of ethnic groups - Sinhala, Tamil, Muslim. Gender - approximately equal numbers of males and females. Age groups - mixed, with a cross-section of paediatric, adolescent, young adult, pregnant/lactating mothers, middle-aged and elderly patients.
As a GP working in Sri Lanka, any patient walking in from the street with an acute or chronic problem are attended to. Examples: acute-exacerbation of asthma, acute upper respiratory tract infection, acute gastroenteritis.
Chronic - diabetes mellitus, hypertension, Ischemic heart disease, eczema, COPD.
Each patient has a file opened for him/her carrying identification data, dates of visits and details of history, examination, investigations, management and follow up done at each visit.
This is a dispensing practice. Commonly used drugs are dispensed to the patient and the cost added to the bill. Prescriptions are issued to the patient for drugs that are additionally required. Emergency drugs such as I.V. hydrocortisone, I.V. adrenaline, sublingual GTN and oxygen via face mask are also kept to manage a seriously ill patient until transfer to hospital.
Wound dressing, suture removal, removal of accessible foreign bodies, drainage of abscesses, urinary catheterization, piercing of ear-lobes for earrings.
Staff available Nurse-receptionist, dispenser.
Practice location Medical Centre, No- 46, Anguruwella Rd., Warakapola.
Emergency trauma and medical plus out patient care of patients
January 2009 - December 2009
Qatar, while I was working in Qatar.
Medical Officer - Outpatients Department, Colombo South Teaching Hospital
December 2007 - November 2008
(from 03 December 2007 - 28 November 2008 and from 29 July 2010 -- to date. The gap refers to my work period in Doha, Qatar.)
The OPD medical officer is the first point of contact of a patient in the Sri Lankan health system. Patients come off the street to the OPD, where they are seen by a doctor who decides whether they need emergency management, referral to a specialist clinic, admission as an in-patient or domiciliary management with prescribed drugs. Patients needing the first three are referred to the ETU/clinic/hospital ward by the doctor. The fourth category is managed by the OPD doctor himself/herself. OPD doctors normally see seventy such patients in a six-hour shift.
• Senior Medical Officer - Medical Services for ESS - Quatalum Project/Qatar. Employed under Compass Catering services W.L.L
(29 November 2008 -- 21 July 2010)
Worked in two clinics that provided emergency care and other out-patient medical facilities to construction workers and senior staff involved in construction of the Quatalum Aluminum plant in Doha, Qatar. Total patient population-30,000. They represented various ethnic groups and nationalities. Supervised 15 nurses and 8 paramedics.
Common problems handled-- Trauma (falls from heights, industrial accidents), Myocardial Infarction, Left Ventricular Failure, Exacerbations of asthma.
Time period as Postgraduate trainee
University Of Colombo
December 2006 - December 2007
(01 December 2006 -- 01 December 2007). Details of training given above.
Medical Officer - Outpatients' department, Teaching Hospital Kegalle
December 2004 - November 2006
The duties of an OPD medical officer were as described above. The Kegalle T.H. is the main hospital for the Sabaragamuwa Province, one of the nine provinces in Sri Lanka. Being such, I obtained vital experience in managing a wide range of medical, surgical, obstetric, gynaecological and paediatric problems at first presentation.
Emergency Treatment Unit
September 2002 - November 2004
I obtained experience in managing common medical, surgical, gynecological and paediatric emergencies as ETU Teaching Hospital, Kegalle was handling all types of acute medical emergencies.
Examples - acute management of myocardial infarction, acute asthma, hypoglycemia, trauma, seizure disorders, ectopic pregnancy. Cardio-pulmonary resuscitation was given if needed.
July 1998 - November 2006
Duration From July 1998 - November 2006
Working hours 6.30 a.m.-7.30 a.m. and 5.00 p.m. to 9.00 p.m. on weekdays, Saturday and Sunday - 3.00 p.m. to 9.00 p.m.
Population Predominantly rural, engaged in agriculture. Mixed gender. Age-mainly paediatric and elderly.
More wheezing/asthma due to the cold climate. The practice population had a large proportion of those suffering from chronic disease e.g. diabetes mellitus, hypertension, ischemic heart disease, childhood asthma.
Kept a wider range of drugs (compared to Table 1) due to the greater frequency of chronic disease. Additional drugs were prescribed.
Record Keeping As in Table 1.
Staff As in Table 1.
Minor procedures Suturing and dressing of fresh wounds and nebulization were commonly done, in addition to those listed in Table 1.
District Medical Officer
February 1998 - September 2002
As a District Medical Officer worked as administrator of the Hospitals as well in care of patients including Emergency-Medical,Surgical,Obstetric,Pediatric,Gynecological and elderly care. Included in ward care and conducting relevant clinics with area Medical Officer of Health
New Medical Centre
April 1992 - October 1995
Main Street, Bogowanthalawa,
Duration From April 1992 -- October 1995
Hours of Practice 4.30 p.m. - 9.30 p.m. on weekdays. Saturday and Sunday 4.00 p.m.-9.00 p.m.
Mainly poor and illiterate plantation labourers. Disease burden - mainly preventable diseases. Were in need of health education on common preventable illnesses, basic hygiene, nutrition and vaccination.
Age-mostly paediatric patients.
Nutritional anemia (children and pregnant mothers), worm infestations, scabies, upper respiratory tract infections and rheumatic arthritis/carditis due to the squalid conditions on the plantations.
Antihelminthics, Fe and vitamin supplements were frequently dispensed. Also bronchodilators(worsening asthma due to the cold climate)
Staff/Record keeping As in Table 1.
COMPETENT IN OBSERVED
Venepuncture Caesarian section, Vaginal hysterectomy, Laparotomy
Lumbar Puncture Sigmoidoscopy, Upper GI endoscopy
Intubation Dilatation and Curettage
Nasogastric tube insertion and gastric lavage
Basic ultrasound imaging on obstetric patients
Gynaecological procedures-inserting IUCD, LRT, performing and suturing an episiotomy
Minor Surgical procedures - Incision and drainage, lump excision
District Medical Officer
March 1992 - October 1995
Duties here were similar to those described above at District Hospital, Warakapola. The main difference was that the hospital catered to a plantation community. Since plantation workers generally live in overcrowded and insanitary conditions, and their literacy level is low, most patients had communicable and preventable diseases and needed health education. I also had to see many complicated antenatal patients as they presented late due to ignorance and lack of transport.
During internship I did house-appointments under experienced consultants in a Teaching hospital.
Dr. D. Warnakulasuriya MBBS MRCOG, Consultant Obstetrician and Gynaecologist, General Hospital
Obstetric and Gynaecological
March 1991 - August 1991
appointment:- from 01 March 1991 to 31 August 1991 under Dr. D. Warnakulasuriya MBBS MRCOG, Consultant Obstetrician and Gynaecologist, General Hospital, Ratnapura.
I had to:
1. Clerk all patients on admission to the Ob&Gyn ward and order initial management
2. Be on-call round the clock
3. Identify emergencies (e.g: pre-eclampsia, ectopic pregnancy), institute initial management and continue appropriate management with consultant's advice.
4. Do rounds in the ante-natal, post-natal, gynaecological and labour wards and manage patients under consultant's advice
5. Coordinate with the operating theatre, blood bank, medical laboratory and other necessary departments in organizing patient management.
6. Educate patients on all aspects of ante-natal care, on family planning and break bad news
7. See patients in hospital ante-natal and gynaecological clinics under the supervision of the consultant
8. Assist in theatre at Caesarian sections and laparotomies
9. Write out diagnosis cards for patients.
Procedures done - artificial rupture of membranes, performing and suturing episiotomies
Dr.S.P. Jayawardena MD MRCP, Consultant Physician
September 1991 - February 1992
I had to:
1. Clerk all patients on admission to the ward and order initial management. Plan subsequent management with consultant's advice.
2. Identify and initially manage emergencies such as myocardial infarction, arrhythmias, acute severe asthma, seizures, poisoning and snakebite. Continue management under consultant's advice.
3. Do ward rounds and on-calls, including casualty night shifts. Be on-call round the clock on rostered days.
4. Give basic and advanced life support as part of a team.
5. See non-acute patients with noncommunicable diseases in hospital clinics under the supervision of the consultant.
6. Organize transfer (or referral) of patients to other units or to other hospitals when requested to do so by the consultant.
7. Write diagnosis cards.
8. Procedures - Urinary catheterization, venepuncture, lumbar puncture, blood/plasma transfusion, pleural and abdominal taps
Continuing Professional Development:
• I attend the monthly meetings of the Clinical Society of the Colombo South Teaching Hospital where I currently work.
• I always attend the Annual Sessions of the College of General Practitioners of Sri Lanka, and any other sessions they may have on relevant topics.
• I also attend sessions organized by other colleges when the subject matter is of interest to me.
Qualifications & Certifications
University of Colombo
University of Peradeniya
In Sri Lanka
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