SRI
LANKA
MEDICAL
COUNCIL
SRI
LANKA
MEDICAL
COUNCIL
• STATUTORY
BODY
CREATED
UNDER
THE
MEDICAL
COUNCIL
ORDINANCE
(24
OF
1924)
• REGULATE
THE
ACTIVITIES
OF
THE
PROFESSION;
MAINTAINING
DISCIPLINE,
ETHICAL
PRACTICE,
ACADEMIC
&
PROFESSIONAL
STANDARDS
OF
HEALTH
PROFESSIONALS
• OFFICE
LOCATED
AT
NORRIS
CANAL
ROAD,
COLOMNO
10
SLMC
-‐
COMPOSITION
• PRESIDENT
–
APPOINTED
BY
THE
MINISTER
OF
HEALTH
• DIRECTOR
GENERAL
OF
HEALTH
SERVICES
• ONE
REPRESENTATIVE
FROM
EACH
MEDICAL
FACULTY
• ONE
REPRESENTATIVE
FROM
EACH
DENTAL
FACULTY
SLMC
–
COMPOSITION
(Contd.)
• EIGHT
MEDICAL
PRACTITIONERS
(MBBS)
• ONE
DENTAL
PRACTITIONER
• ONE
REGISTERED
MEDICAL
PRACTITIONER
• FOUR
MEMBERS
APPOINTED
BY
THE
MINISTER
OF
HEALTH
FUNCTIONS
OF
THE
SLMC
• MAINTAINING
THE
STANDARDS
OF
MEDICAL
EDUCATION
• RECOGNITION
OF
MEDICAL
COLLEGES
THAT
GRANT
MEDICAL
DEGREES
• CONDUCTING
EXAMS
(ERPM)
FOR
FOREIGN
QUALIFIED
MEDICAL
GRADUANTS
FUNCTIONS
OF
THE
SLMC
Contd.
• MAINTAINING
REGISTERS
–
MEDICAL
PRACTITIONERS,
DENTISTS,
RMP,
NURSES,
MIDWIVES,
PHARMACISTS
&
OTHER
PROFESSIONS
SUPPLEMENTARY
TO
PRACTICE
OF
MEDICINE
• RESTORATION
OF
NAMES
IN
THE
REGISTER
• HANDLING
INQUIRIES
ON
REGISTRATION
• ISSUING
CERTIFICATE
OF
GOODSTANDING
FUNCTIONS
OF
THE
SLMC
Contd.
• ADVICE
THE
GOVERNMENT
ON
HEALTH
RELATED
MATTERS
• INQUIRY
INTO
COMPLAINTS
AGAINST
REGISTERED
PROFESSIONALS/WARNINGS,
SUSPENSIONS,
ERASURE
AND
REINSTATEMENT
OF
REGISTERED
PERSONS
• INFORMING
POLICE
OF
UNQUALIFIED
PEOPLE
PRACTICING
MEDICINE
FUNCTIONS
OF
THE
SLMC
Contd.
• FORMULATING
ETHICAL
GUIDELINES
TO
MEDICAL
AND
DENTAL
PRACTITIONERS
• GUIDELINES
FOR
INTERN
MEDICAL
OFFICERS
• INSTRUCTIONS
ON
WRITING
MEDICAL
CERTIFICATES
&
DEATH
CERTIFICATES
SERIOUS
PROFESSIONAL
MISCONDUCT
• ALSO
REFERED
BY
INFAMOUS
CONDUCT/
ETHICAL
MISCONDUCT
• INCLUDES
SUCH
BEHAVIOUR
OF
A
MEMBER
OF
THE
PROFESSION
WHICH
IS
REGARDED
AS
DISGRACEFUL
AND
DISHONOURABLE
BY
HIS
COLLEAGUES
SERIOUS
PROFESSIONAL
MISCONDUCT
Contd.
INCLUDES
UNDERMENTIONED
ACTS:
6
“A”
and
other
1.
ABORTION
–
CARRRYING
OUT
CRIMINAL
OR
ILLEGAL
ABORTIONS
2.
ADDICTION
–
TO
ALCOHOL
OR
DRUGS
3.
ADULTERY
–
USE
HIS/HER
POSITION
AS
A
PRACTITIONER
TO
GAIN
ACCESS
TO
PATIENT/FAMILY
MEMBER
FOR
ILLICIT
AFFAIR
SERIOUS
PROFESSIONAL
MISCONDUCT
Contd.
4.
ADVERTISING
–
IN
MASS
MEDIA
5.
ASSOCIATION
–
EMPLOYING
UNQUALIFIED
PEOPLE
AT
HIS
CLINIC,
HOSPITAL
6.
ABUSE
OF
POWER
–
ISSUING
FRAUDULENT
MEDICAL
CERTIFICATES,
FALSE
CAUSE
OF
DEATH,
MEDICO-‐LEGAL
REPORTS
ETC.
SERIOUS
PROFESSIONAL
MISCONDUCT
Contd.
7.
SPLITTING
OF
FEES
–
DOCTORS
PAYING
PART
OF
HIS
FEES
TO
ANOTHER
PERSON
WHO
REFERS/RECOMMENDS
HIM
FOR
CONSULTATION
8.
IF
FOUND
GUILTY
OF
CRIMINAL
OR
CIVIL
MEDICAL
NEGLIGENCE
BY
A
COURT
OF
LAW
SERIOUS
PROFESSIONAL
MISCONDUCT
Contd.
9.
IF
CONVICTED
FOR
A
SERIOUS
CRIMINAL
OFFENCE
EX.
MURDER,
RAPE,
FINANCIAL
FRAUDS
[Link]
ILLEGAL
PROCEDURES
EX.
ABORTIONS
11.
CRITICIZING
OTHER
DOCTORS
IN
PUBLIC
TYPES
OF
REGISTRATION
-‐
MEDICAL
PRATITIONERS
• PROVISIONAL
REGISTRATION
FOR
INTERNSHIP
• FULL
REGISTRATION
AFTER
SUCCESSFUL
COMPLETION
OF
INTERNSHIP
• TEMPORARY
REGISTRATION
FOR
FOREIGN
MEDICAL
PRACTITIONERS
–
FOR
A
SPECIFIED
PERIOD
OF
TIME
TO
WORK
AT
A
GIVEN
HOSPITAL
IN
A
PARTICULAR
FIELD
PRIVILAGES
OF
PROVISIONAL
REGISTRATION
• CAN
BE
EMPLOYED
IN
GOVERNMENT
HOSPITAL
UNDER
A
SPECIALIST
• ENTITLED
TO
AN
ALLOWANCES
FOR
THE
SERVICES
PROVIDED
• ENTITLED
TO
USE
“DOCTOR”
• ENTITLED
TO
ISSUE
MEDICAL
CERTIFICATES
FOR
IN-‐WARD
PATIENTS
PRIVILAGES
OF
FULL
REGISTRATION
• CAN
PRACTICE
MEDICINE
BOTH
IN
STATE/
PRIVATE
SECTOR
• ENTITLED
TO
USE
“DOCTOR”
• ENTITLED
TO
ISSUE
MEDICAL
CERTIFICATES
FOR
PATIENTS
UNDER
HIS/HER
CARE
• ENTITLED
TO
RECOVER
REASONABLE
CHARGES/SALARY
PRIVILAGES
OF
FULL
REGISTRATION
Contd.
• CONSIDERED
AS
AN
EXPERT
MEDICAL
WITNESS
• QUALIFIED
TO
ACT
AS
A
PERSON
TO
CERTIFY
DOCUMENTS/WITNESS
• PERMITTED
TO
STORE
AND
PRESCRIBE
CERTAIN
DRUGS
SUCH
AS
NARCOTIC
ANALGESICS
DISCIPLINARY
PROCEDURE
AGAINST
MEDICAL
PRACTITIONERS
• A
MEMBER
OF
THE
PUBLIC
CAN
MAKE
A
COMPLAINT
AGAINST
A
MEDICAL
PRACTITIONER
THROUGH
AN
AFFIDAVIT
• COMPLAINTS
AGAINST
A
PRACTITIONER
COULD
ALSO
BE
MADE
BY
HEAD
OF
A
GOVT
DEPT,
VICE
CHANCELLOR/
REGISTRAR
OF
A
UNIVERSITY,
HEAD
OF
A
LOCAL
AUTHORITY
DISCIPLINARY
PROCEDURE
AGAINST
MEDICAL
PRACTITIONERS
Contd.
• UPON
CONVICTION
OF
A
CRIME,
CIVIL/
CRIMINAL
COURT
CAN
REPORT
A
PRACTITIONER
TO
SLMC
• UPON
RECEIPT
OF
A
COMPLAINT
THE
SLMC
WOULD
IMMEDIATELY
INFORM
THE
MEDICAL
PRACTITIONER
CONCERNED
DISCIPLINARY
PROCEDURE
AGAINST
MEDICAL
PRACTITIONERS
Contd.
• THE
PRESIDENT
OF
THE
SLMC
WOULD
GO
THROUGH
THE
COMPLAINT
AND
SEE
IF
THE
COMPLAINT
NEEDS
AN
INQUIRY
• IF
HE
THINKS
IT
NEEDS
AN
INQUIRY
HE
WILL
THEN
REFER
IT
TO
THE
PRELIMINARY
PROCEEDINGS
COMMITTEE
(PPC)
PRELIMINARY
PROCEEDINGS
COMMITTEE
(PPC)
Contd.
• PPC
WILL
STUDY
THE
COMPLAINT
AND
DECIDE
WHETHER
IT
NEEDS
FURTHER
INQUIRY
OR
NOT
• IF
PPC
DECIDES
TO
HOLD
AN
INQUIRY
THEN
THE
PRACTITIONER
WILL
BE
INFORMED
OF
THE
CHARGE
• PPC
WILL
HOLD
AN
INQUIRY
PRELIMINARY
PROCEEDINGS
COMMITTEE
(PPC)
Contd.
• AT
THE
INQUIRY,
PPC
WILL
DECIDE
IF
THE
COMPLAINT
DESERVES
A
FURTHER
INQUIRY
BY
THE
PROFESSIONAL
CONDUCT
COMMITTEE
(PCC)
PROFESSIONAL
CONDUCT
COMMITTEE
(PCC)
• IF
THE
PCC
DECIDES
THAT
THERE
IS
NO
NEED
FOR
FURTHER
INQUIRY,
PCC
WILL
CONVEY
THEIR
DECISION
TO
PRACTITIONER
&
COMPLAINANT
PROFESSIONAL
CONDUCT
COMMITTEE
(PCC)
Contd.
PCC
DECIDES
TO
HOLD
AN
INQUIRY,
• IF
PRACTITINER
WILL
BE
INFORMED,
LAWYER
CAN
REPRESENT
THE
PRACTITIONER/
WITNESSES
CAN
BE
SUMMONED
• AT
THE
END
PCC
WILL
DECIDE
GUILTY/NOT
AND
COUNCIL
TAKE
DISCIPLINARY
ACTION
PROFESSIONAL
CONDUCT
COMMITTEE
(PCC)
Contd.
DISCIPLINARY
ACTION
INCLUDE:
A)
WARNING
B)
TEMPORARY
SUSPENSION
C)
ERASURE
OF
NAME
FROM
REGISTER
REASONS
FOR
ERASURE
OF
NAME
(FROM
THE
REGISTER)
• REGISTRATION
OBTAINED
FRAUDULENTLY,
WITHDRAWAL
OF
QUALIFICATION
• GUILTY
OF
SERIOUS
PROFESSIONAL
MISCONDUCT
(INFAMOUS
CONDUCT)
• ACTS
OF
DISHONESTY
(FALSE
COD,
BIRTH/
MEDICAL
CERTIFICATES
ETC.)
REASONS
FOR
ERASURE
OF
NAME
(FROM
THE
REGISTER)
(Contd.)
• GUILTY
OF
SERIOUS
CRIME
EX.
RAPE,
MURDER
etc.
• GUILTY
OF
SERIOUS
CIVIL
MEDICAL
NEGLIGENCE
• SERIOUS
MENTAL/PHYSICAL
IMPAIRMENT