Opinion
Going places: Postgraduate paediatric education in Sri Lanka
It is not very often that one witnesses the occurrence of a seminal event that could vividly transform the very fabric of postgraduate pathways in medicine. This account is about such an event that took place on the 27th and 28th of May 2025 in Sri Lanka.
That occasion was the inaugural commencement of conducting the Final Part II Examination for the Membership of the Royal College of Paediatrics and Child Health (RCPCH) of the United Kingdom, in Sri Lanka. It was the final hurdle before the bestowment of the much-acclaimed MRCPCH (UK) academic qualification in Paediatric Medicine; a well-recognised qualification all over the world. This initiative was commenced for the first time this year by the RCPCH of the UK, in collaboration with the Sri Lanka College of Paediatricians (SLCP). These two academic colleges have had formal academic alliances for over 25 years, virtually from their inception in 1996. The SLCP was inaugurated on the 7th of June 1996, and the Charter that granted Royal Status was bestowed on the RCPCH, becoming operational in October 1996.
The Final Part II MRCPCH Examination of 2025 was conducted at the Academic Centre of the Postgraduate Institute of Medicine of the University of Colombo. The examination was handled by a team of 8 examiners from the United Kingdom, 6 examiners from India and Nepal, as well as examiners from Sri Lanka. All these examiners worked in tandem and were committed to the collaboration. The Sri Lankan examiners were Professor Shaman Rajindrajith, Dr Kumudu Weerasekera, Dr Anoma Abeygunawardena, Professor Sachith Mettananda, Professor Heshan Jayaweera, Dr Wathsala Hathagoda and Dr Tharindi Suriapperuma. The entire examination process was ably supported in the necessary logistical details by a capable squad of Senior Registrars, Registrars and Pre-Intern Medical Graduates from Sri Lanka.
The entire examination was a clinically oriented exercise designed to evaluate the scientific and patient assessment skills of the candidates. A total of 48 candidates from several countries, namely Bangladesh, Canada, India, the Maldives, Pakistan, Sri Lanka and the United Arab Emirates, took the examination in Colombo this year. We have no information on the pass rate, as it is governed by the privacy clauses of the RCPCH. The final MRCPCH examination is held only in a select few countries, and it is a sublime honour for Sri Lanka to be chosen and accommodated as one of them. It is very definitely an accolade presented to our island in recognition of the finest standards of paediatric care provided for our children and the variety of clinical material that is freely available for clinical assessments of budding Consultant Paediatricians. The RCPCH has indicated that they were extremely happy with the facilities provided and that they will conduct the examination every year from now onwards.
Of course, we have our own Doctorate in Medicine (Paediatrics); MD(Paediatrics) postgraduate qualification, which is a mandatory requirement for a Specialist Consultant Paediatrician in Sri Lanka. That examination is held in two parts by the Postgraduate Institute of Medicine (PGIM) of the University of Colombo. It is a qualification that is rated very highly by the RCPCH. The entire training programme in Paediatrics of the PGIM includes a mandatory period of overseas training after securing the full MD(Paediatrics) qualification. Many of our postgraduates elect to go to England for that component. It is essential to note that to be able to work in England, one needs to get registered with the General Medical Council (GMC) of England. It will be a feather in the cap of our postgraduates to have the MRCPCH(UK) qualification, to not only get registered with the GMC but also to secure a higher-quality position for their training. In that context, the holding of the MRCPCH Final Clinical Examination is an initiative that would facilitate adequate and proper training of our own future Specialist Consultant Paediatricians.
Finally, this author is inclined to go back in time to his own postgraduate training period following success at the MBBS(Ceylon) qualification in 1970 at the age of 23 years. He was extremely lucky that Part I of the Membership of the Royal College of Physicians of London (MRCP-London) Examination was held in Sri Lanka from 1971. He sat for that examination in June 1972, just nine months after completing the internship and was lucky enough to be successful. That set up a career which culminated in securing other necessary qualifications, then going to England to complete the MRCP degree and returning to Sri Lanka in 1979 at the age of 31 years as a Specialist Consultant Paediatrician. Then, although it was not essential for him, when the PGIM started around 1980, he sat for the MD (Paediatrics) Examination, passed, and was Board Certified in March 1983.
This author believes that it was success at that original MRCP Part I Examination held in June 1972 that was the initial impetus and the catalyst that set up his career and enabled him to serve his Motherland as a Child Specialist right up to the present time. He is ever so pleased to note that similar opportunities will now be available to younger colleagues, with the commencement of the MRCPCH(UK) Part II Examination in Sri Lanka. It is even better than what we had in the early 1970s, as then it was only the Part 1 of the MRCP, but from 2025 onwards it will be the complete MRCPCH qualification. All in all, it may be just the initial step, but in the course of progress of a professional paediatric career, it has the potential to be a giant leap for future Sri Lankan paediatricians.
by Dr B. J. C. Perera
MBBS(Cey), DCH(Cey), DCH(Eng), MD(Paediatrics), MRCP(UK), FRCP(Edin), FRCP(Lond), FRCPCH(UK), FSLCPaed, FCCP, Hony. FRCPCH(UK), Hony. FCGP(SL)
Specialist Consultant Paediatrician and Honorary Senior Fellow, Postgraduate Institute of Medicine, University of Colombo, Sri Lanka.
Joint Editor, Sri Lanka Journal of Child Health
Section Editor, Ceylon Medical Journal
Past President, Colombo Medical School Alumni Association (CoMSAA) – 2015
Past President, Sri Lanka Medical Association (2013).
Founder President, Sri Lanka College of Paediatricians (1996-97)
Opinion
Missing 52%: Why Women are absent from Pettah’s business landscape
Walking through Pettah market in Colombo, I have noticed something both obvious and troubling. Shop after shop sells bags, shoes, electronics, even sarees, and yet all shops are owned and run by men. Even businesses catering exclusively to women, like jewelry stores and bridal boutiques, have men behind the counter. This is not just my observation but it’s a reality where most Sri Lankans have observed as normal. What makes this observation more important is when we examine the demographics where women population constitute approximately 52% of Sri Lanka’s population, but their representation as business owners remains significantly low. According to the Global Entrepreneurship Monitor 2023 report, Sri Lanka’s Total Early Stage Entrepreneurial Activity rate for women is just 8.2%, compared to 14.7% for men.
Despite of being the majority, women are clearly underrepresented in the entrepreneurial aspect. This mismatch between population size and economic participation create a question that why aren’t more women starting ventures? The answer is not about capability or intelligence. Rather, it’s deeply in social and cultural barriers that have been shaping women’s mindsets for generations. From childhood, many Sri Lankan girls are raised to believe that their primary role is as homemakers.
In families, schools, and even universities, the message has been same or slightly different, woman’s success is measured by how well she manages a household, not by her ability to generate income or lead a business. Financial independence is rarely taught as essential for women the way it has been for men. Over time, this messaging gets internalised. Many women grew up without ever being encouraged to think seriously about ownership, leadership, or earning their own money. These cultural influences eventually manifest as psychological barriers as well.
Years of conditioning have led many skilled women to develop what researchers call “imposter syndrome”, a persistent fear of failure and feel that they don’t deserve success kind of feeling. Even when they have the right skills and resources, self-doubt holds them back. They question whether they can run a business independently or not. Whether they will be taken seriously, whether they are making the right choice. This does not mean that women should leave their families or reject traditional roles. But lack of thinking in a confident way and make bold decisions has real consequences. Many talented women either never start a business or limit themselves to small, informal ventures that barely survive. This is not about men versus women. It’s about the economic cost of underutilising 52% of the population. If our country is genuinely serious about sustainable growth. we must build an inclusive entrepreneurial ecosystem through confidence building programs, better finance access to women, and a long term societal mindset shift. Until a young girl walking through Pettah can see herself as a future shop owner rather than just a customer, we will continue to waste our country’s greatest untapped resource.
Harinivasini Hariharasarma
Department of Entrepreneurship
University of Sri Jayewardenepura
Opinion
Molten Salt Reactors
Some essential points made to indicate its future in Power Generation
The hard facts are that:
1) Coal supplies cannot last for more than 70- 100 years more at most, with the price rising as demand exceeds supply.
2) Reactor grade Uranium is in short supply, also with the price rising. The cost is comparable to burning platinum as a fuel.
3) 440 standard Uranium reactors around the world are 25-30 years old – coming to the end of their working life and need to be replaced.
4) Climate Change is increasingly making itself felt and forecasts can only be for continuing deterioration due to existing levels of CO2 being continuously added to the atmosphere. It is important to mention the more serious problems associated with the release of methane gases – a more harmful gas than CO2 – arising from several sources.
5) Air pollution (ash, chemicals, etc.) of the atmosphere by coal-fired plants is highly dangerous for human health and should be eliminated for very good health reasons. Pollution created by India travels to Sri Lankans by the NE monsoon causing widespread lung irritations and Chinese pollution travels all around the world and affects everybody.
6) Many (thousands) of new sources of electric power generation need to be built to meet increasing demand. But the waste Plutonium 239 (the Satan Stuff) material has also to be moved around each country by lorry with police escort at each stage, as it is recovered, stored, processed and formed into blocks for long term storage. The problem of security of transport for Plutonium at each stage to prevent theft becomes an impossible nightmare.
The positive strengths to Thorium Power generation are:
1) Thorium is quite abundant on the planet – 100 times more than Uranium 238, therefore supplies will last thousands of years.
2) Cleaning or refining the Thorium is not a difficult process.
3) It is not highly radioactive having a very slow rate of isotope decay. There is little danger from radiation poisoning. It can be safely stored in the open, unaffected by rain. It is not harmful when ingested.
4) The processes involved with power generation are quite different and are a lot less complex.
5) Power units can be quite small, the size of a modern detached house. One of these can be located close to each town, thus eliminating high voltage cross-country transmission lines with their huge power losses (up to 20%).
6) Thorium is ‘fertile’ not fissile: therefore, the energy cycle has to be kick-started by a source of Neutrons, e.g., fissile material, to get it started. It is definitely not as dangerous as Uranium.
7) It is “Fail – Safe”. It has walk-away safety. If the reactor overheats, cooled drain plugs unfreeze and the liquid drains away to storage tanks below. There can be no “Chernobyl/ Fukoshima” type disasters.
8) It is not a pressurized system; it works at atmospheric pressure.
9) As long as reactor temperatures are kept around 600 oC there are little effects of corrosion in the Hastalloy metal tanks, vessels and pipe work. China, it appears, has overcome the corrosion problem at high temperatures.
10) At no stage in the whole chain of operations is there an opportunity for material to be stolen and converted and used as a weapon. The waste products have a half- life of 300 years, not the millions of years for Plutonium.
11) Production of MEDICAL ISOTOPE Bismuth 213 is available to be isolated and used to fight cancer. The nastiest cancers canbe cured with this Bismuth 213 as Targetted Alpha therapy.
12) A hydrogen generation unit can be added.
This information obtained from following YouTube film clips:
1) The Liquid Fluoride Thorium Reactor – what Fusion wanted to be…
2) An unbiased look at Molten Salt Reactors
3) LFTR Chemical Processing by Kirk Sorensen
Thorium! The Way Ahead!
Priyantha Hettige
Opinion
Foreign degrees and UGC
There are three key issues regarding foreign degrees:
Recognition: Is the awarding university recognized by our UGC?
Authenticity: Is the degree genuine or bogus?
Quality: Is it a standard, credible qualification?
1. The Recognition Issue (UGC Role)
The UGC addresses the first issue. If a foreign university is listed in the Commonwealth Universities Yearbook or the International Handbook of Universities, the UGC issues a letter confirming that the university is recognized. However, it is crucial to understand that a recognized university does not automatically imply that every degree it issues is recognized.
2. The Authenticity Issue (Employer Role)
The second issue rests with the employer. It is the employer’s responsibility to send a copy of the foreign degree to the issuing university to get it authenticated. This is a straightforward verification process.
3. The Quality Assurance Gap
The third issue
—the standard and quality of the degree—has become a matter for no one. The UGC only certifies whether a foreign university is recognized; they do not assess the quality of the degree itself.
This creates a serious loophole. For example:
Does a one-year “top-up” degree meet standard criteria?
Is a degree obtained completely online considered equivalent?
Should we recognize institutions with weak invigilation, allowing students to cheat?
What about curricula that are heavy on “notional hours” but light on functional, practical knowledge?
What if the medium of instruction is English, but the graduates have no functional English proficiency?
Members of the UGC need to seriously rethink this approach. A rubber-stamp certification of a foreign university is insufficient. The current system ignores the need for strict quality assurance. When looking at the origins of some of these foreign institutions (Campuchia, Cambodia, Costa Rica, Sudan..) the intentions behind these “academic” offerings become very clear. Quality assurance is urgently needed. Foreign universities offering substandard degrees can be delisted.
M. A. Kaleel Mohammed
757@gmail.com
( Retired President of a National College of Education)
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