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COLLEGE OF GENERAL PRACTITIONERS OF SRI LANKA 43rd Annual Academic Sessions “Empathy, Safety, Standards; The Strengths of General Practice” 14th October, 15th October & 22nd October 2017 Family Health Bureau Colombo 10 Waters’ Edge Battaramulla Sri Lanka Medical Association Colombo 7 2 Programme & Abstracts Contents Page Council Members – 2017 3 Steering Committee Members – 2017 4 Message from the President 5 Message from the Honorary Secretary 7 Message from The Minister of Health, Nutrition And Indigenous Medicine of The Democratic Socialist Republic of Sri Lanka 8 Message from the Chief Guest 9 Messages from the Guests of Honour 10 Orators 12 Honorary Fellows 16 International speakers 17 Programme 18 Abstracts of Orations 23 Abstracts of free papers 26 Resource Persons 41 Acknowledgements 43 3 Council Members – 2017 Seated (L to R) : Dr. Thivanka Munasinghe (Hony. Asst. Treasurer), Dr. Sanath Hettige (Hony. Treasurer), Dr. K Sri Ranjan, Prof. Leela de A Karunaratne, Dr. Jayantha Jayatissa (Vice President), Dr. Carmel Fernandopulle (President), Prof. Antoinette Perera (Immediate Past President), Prof. Dennis J Aloysius, Dr. Preethi Wijegoonewardene, Dr. K Chandrasekher, Dr. C M Asela Anthony (Hony. Secretary), Dr. Shobhavi Kohombange (Hony. Asst. Secretary) Standing (L to R) : Dr. Priyantha Halambarachchige, D K D Mathew, Dr. Ruvaiz Haniffa, Dr. W Titus Fernando, Dr. H D Wijesinghe, Dr. B Karunaratne, Dr. Maithri Rupasinghe (Immediate Past Hony. Secretary), Dr. Dushyanthi Weerasekera, Dr. Chandana Atapattu, Dr. A H A Hazari, Prof. Janaka Ramanayake (Editor and chair publications), Dr. Shreen Willatgamuwa (Public Relations Officer) Absent : Prof. Kumara Mendis 4 Steering Committee Members – 2017 Dr. Carmel Fernandopulle Dr. D K D Mathew Dr. Jayantha Jayatissa Prof. R P J C Ramanayake (Editor and Prof. Antoinette Perera Chair, Publications) Dr. Maithri Rupasinghe Dr. K Sri Ranjan Dr. C M Asela Anthony Dr. D D Weerasekera Dr. Sanath Hettige Dr. Preethi Wijegoonewardene Dr. Thivanka Munasinghe Dr. H D Wijesinghe Dr. Shreen Willatgamuwa Dr. Dumindu Wijewardene Prof. Dennis J Aloysius Dr. Kalpanie Wijewardene Dr. C L K Atapattu Dr. Sankha Randenikumara Dr. K Chandrasekher Dr. Shobhavi Kohombange, (Chairperson, Prof. Leela De A Karunaratne Steering Committee) Dr. W T Fernando Dr. Dilini Baranage Dr. Priyantha Halambarachchige (Secretary, Steering Committee) Dr. M R Haniffa Prof. Kumara Mendis Dr. A H A Hazari (Chairperson, Scientific committee) Dr. B Karunaratne Dr. Dinusha Perera (Secretary, Scientific Committee) 5 Message from the President It is indeed a pleasure to welcome you to the 43rd Annual Academic Sessions of The College of General Practitioners of Sri Lanka. I extend a very warm welcome to our Chief Guest Professor Susirith Mendis; Former Vice Chancellor and Dean of the Faculty of Medicine, University of Ruhuna, to Guest of Honour, Prof. Frank Jones, Immediate Past President of the Royal Australian College of General Practitioners and wife Wendy; and to Director General of Health Services, Dr. Jayasundera Bandara, to this event. A warm welcome to Dr. Garth Manning, CEO of WONCA and the team from RCGP and WONCASAR who have found time to be with us today. This years‟ theme is “EMPATHY, SAFETY, STANDARDS; THE STRENGTHS OF GENERAL PRACTICE” This year we hope to build bridges internationally, across UK through RCGP and Australia through RACGP which would help in the formation of our young Family Medicine Physicians in their overseas training. The links would further strengthen Family Medicine/General Practice in the country. We look forward to contributions of the policy makers in the Ministry of Health and the PGIM towards this venture. The RCGP has just concluded the MRCGP[INT] exam for the 10th consecutive year and I congratulate and thank each one of you on behalf of CGPSL for your commitment, dedication and hard work in the South Asian Region. I acknowledge all efforts of the Steering Committee headed by Chairperson Dr. Shobavi Kohombange ably assisted by Secretary Dr. Dilini Baranage, Chairman Scientific Committee, Prof Kumara Mendis and Secretary Dr. Dinusha Perera who worked tirelessly towards this event besides executing the Conference proceedings and Abstract Book. I would like to extend a warm welcome to all the resource persons and am grateful to them for their commitment and support towards this event. The committee has sorted out the pre- congress sessions with a master trainers course in management of vertigo by Prof. Michael Strupp coordinated by Dr. Chandra Jayasuriya the ENT Surgeon; and the post congress on cosmetology and GP skills to be held on 22 nd October at SLMA; together with the main congress on the 15th with ethical dilemmas and safety in practice on allergies and legal 6 issues. Prof. Frank Jones would be updating on the Standards of GP training; sharing the Australian perspective of GP training and Postdoctoral fellowship training. “Is Empathy essential in a doctor?: A critique”- will be handled by Prof Piyanjali de Zoysa a Clinical Psychologist. I am positive all participants will truly gain from these proceedings. This is our Annual Academic Sessions let us participate and share all lessons and use this forum to network and build new relationships while strengthening old ones. I thank Editor and Chairman of Publications Prof. Janaka Ramanayake in the launch of the Journal today. A special thank you also to those who reviewed the orations and free papers. I congratulate Dr. Maithri Rupasinghe the Dr. MPM Cooray orator 2017 and Dr. Sankha Randenikumara the Dr. BDJ de Silva orator 2017 and wish them all success in their future endeavours. We endeavour to work closely in multidisciplinary teams and acknowledge shared care while being conscious of safety of our patients in issues of domestic violence, early signs of mental ill health in the young, and the onset of frailty which is the prime responsibility of all General Practitioners for which Screening is mandatory. Our work in the community aims in prevention of illness and promotion of health together with equity of services. I thank all Past Presidents, Secretary Dr. Asela, members of the Council, members of the sub- committees and the office staff, for rallying round me in making todays‟ proceedings a reality. Let us together build a healthier, socially conscious country and a healthier College for generations to come. Dr. Carmel Fernandopulle President 2016-2017, 2017-2018 CGPSL 7 Message from the Honorary Secretary It is with great pleasure that I welcome you to the 43rd Annual Academic Sessions of the College of General Practitioners of Sri Lanka. This years‟ congress is based on the theme ““EMPATHY, SAFETY, STANDARDS; THE STRENGTHS OF GENERAL PRACTICE”. This topic is pertinent at this epoch, as the Government and the WHO is focusing on improving primary health care of the country on a five year plan. We as the premier academic body in primary care must ensure the primary care physician is a safe doctor who practises a high standard of medicine while being empathetic towards the patient – the merits displayed by an outstanding general practitioner. We are indeed privileged and thankful to our Chief Guest Prof. Susirith Mendis and our Guests of honour Prof. Frank Jones and Dr. J M W Jayasundara Bandara for gracing this occasion. I appreciate and thank Prof. Michael Strupp, Professor of Neurology who flew in just to conduct the Pre-Congress session on vertigo and Dr. (Mrs) Chandra Jayasuriya for arranging his presence. I wish to thank all the special invitees, resource persons and participants, who have come here to share their knowledge and experiences. The daunting task of organising a major event of this magnitude was only possible due to the dedication and effort of our team, which worked as one to make this event a success. I would like to thank the College President Dr. Carmel Fernandopulle, who inspired and guided with her years of experience, the Council and members of the College who directed and helped us in numerous ways. A very special thank you, to the steering committee and the scientific committee for doing an excellent job in making this even a success. I cannot forget to thank the office staff Ms. Dimuthu, Mr. Kumaran, Ms. Nimmi and Mr. Nimal who worked tirelessly to organise this event. Last but not least, I would like to thank all the sponsors who helped us to make this dream come true. I wish all of you a very pleasant and an educative scientific session and to make new avenues for a brighter future. Dr. C. M. Asela Anthony Hony. Secretary 8 Message from the Minister of Health, Nutrition and Indigenous Medicine of The Democratic Socialist Republic of Sri Lanka I congratulate the College of General Practitioners of Sri Lanka (CGPSL) on the occasion of its 43rd Annual Academic Sessions. Yours is the only Academic College to be established by an Act of Parliament in 1974, with a degree awarding status which says much about the status of the College. Since the establishment of the College, it has provided leadership in training doctors in family medicine. I am happy that the Membership of the College of General Practitioners (MCGP) exam conducted by the College is a well sought after qualification by both full time and part time general practitioners, and which helps provide specialised training for doctors in Primary Care. I have also been made to understand that the College helps to conduct the Membership of the Royal College of General Practitioners (International), (MRCGP [INT]) exam, which is a UK based exam that helps the general practitioner in South Asia to enroll as Royal College of General Practitioners (RCGP) international members. The attendance of the Immediate Past President, of RACGP, Australia, Prof. Frank Jones at this conference would undoubtedly strengthen this international initiative further. While congratulating the CGPSL for its valuable contribution to cater for the ever increasing demand for primary care training and skills development of doctors, I wish to extend my Ministries fullest support to develop the Primary Health Care Systems in Sri Lanka.
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