Sri Lanka Medical Service Minute
Ministry of Health
Sri Lanka Medical Service Minute
This formulation of medical minutes will replace Medical Minutes which had been published under gazette notification Nos 662/11 on 07/05/1991 and all
amendments by several extra ordinary gazettes No 818/1 on 29.05.1994, N0 1176/15 on 22.3.2001, No 1467/32 on 20.10.2006, No 1493/3 on 16.04.2007
and No 1630/10 on 30.11.2009. Herein after, this will be considered as the Medical Minutes regard to Medical Personnel of the Health Services of Sri
Lanka.
01. Connected Institutions
Institution
Ref No
Date
1.1 Department: Department of Health
1.2 Ministry: Ministry of Health
1.3 Approval of Posts by the Director General of Management Services
1.4 Recommendation of the Director General of Establishment
1.5 Recommendation of the Salaries and Cadre Commission
1.6 Approval of the PSC
02. Details of Appointing Authority
2.1 Appointing Authority
Posts/Grades
Appointing Authority
Additional Secretary of Health (Medical Services)
The Cabinet
Director General of Health Services
Deputy Director General Grade (DDGs, PDHSs, D / NHSL)
Public Service Commission
Senior Assistant Secretary ( Medical Services)
Consultant Medical Specialist Grade(Grade III,II,I Consultant Medical Specialist)
Medical Administrative Grade (Senior and administrative)
Grade Medical Officers (Grade II ,I, Senior)
03. Category of Officers
(a)
Positions in Administrative Grade
i)Senior medical Administrative Executive ( Proposed)
•
Additional secretary of Health (Medical Service)
•
Director General of Health Service
ii) Deputy director General grade
•
Deputy Director General of Health Service
•
Director - NHSL
iii)
Senior medical administrative grade
•
Directors
•
Provincial Directors
•
District Directors of Health Services
•
Deputy Directors- NHSL
iv)
Medical Administrative
•
Deputy Provincial Directors
•
Deputy Directors
•
Medical Superintendents
•
Deputy District Directors of Health Services
(b)
Consultant Medical Specialist
•
Grade I
•
Grade II
•
Grade III
(c) Grade Medical Officers
•
Senior Grade
•
Grade I
•
Grade
II
Sri Lanka Medical Service Minute
2
04.
General Definition of the Assignment
•
Medical service is an all Island service.
The department of the health services of the Ministry of Health comprises of three programmes
1.
General Administration - Ministry of Health , Decentralized unit officers
2.
Patient care services (Curative services)
3.
Public Health Services (Preventive services)
05.
Status of the post:
Permanent and pensionable
06.
Salaries
•
Senior medical administrative Executive
SL3 2006 step 13 (Proposed grade)
•
Deputy director General grade
SL3 2006 step 13
•
Senior Medical Administrative Grade
SL 1 2006 step 20
•
Deputy Medical Administrative Grade
SL 1 2006 step 12
•
Consultant Medical Specialist
SL3 2006 step 23
•
Grade Medical Officers
SL 2 2006 step 18
7. Allowance
7.1 Pensionable Allowance
7.4.2.1. Grade II Medical Officers
7.4.2.2 Grade I Medical Officers
7.4.2.3 Consultant Medical Specialist Medical Officers
7.4.2.4 Administrative Grade Officers
7.2 Non-pensionable Allowances:
7.1.3.1 Grade II Medical Officers
7.1.3.2 Grade I Medical Officers
7.1.3.3 Consultant Medical Specialist
7.1.2.4 Administrative Grade Officers
7.3 Language allowance
7.4 Other allowances
a) Research allowance- 25% out of the basic salary
b) Intermediate cadre allowance -Grade Medical Officers with Post Graduate Qualifications will be paid a Intermediate cadre allowance
only if they are attached to the relevant field of post as listed in appendix- III and in the relevant transfer scheme.
c) Updating allowance
d) Teaching and training allowance
e) Administrative allowance
f) Extra burden allowance
Category
Grade
Salary scale & step
Initial Salary
Step (Rs)
Increment(Rs)
Maximum
salary
Administrative
Additional secretary of Health (Medical Service)
SL3-2006 Step 13
Rs. 58110
1310
Unlimited
Director General of Health Services
SL 3 -2006
Rs. 58110
1310
Unlimited
Deputy Director General Grade
SL 3 -2006
Rs. 58110
1310
Unlimited
Senior Administrative Grade
SL 1-2006 Step 20
Rs.36755
1050
Unlimited
Deputy Medical Administrative Grade
SL-1 -2006 Step 12
Rs.30175
790 x 8+1050 x 17
Specialist
Consultant Medical Specialists – Grade III
SL 3 -2006 Step 23
Rs. 71210
2120×4
Rs. 79690
Consultant Medical Specialists – Grade II
SL 3 -2006
Step 27 +3steps
Rs.86050
2580×4
Rs. 96310
Consultant Medical Specialists – Grade I
SL 3 -2006
Step 31+3steps
Rs.104050
3120×
Unlimited
Grade Medical
officers
Grade II Medical Officers
SL 2 -2006
Rs. 38545
790×10
Rs.46, 445
Grade I Medical Officers
SL 2-2006
Rs.48025
1050×7
Rs.55, 375
Senior Grade Medical Officers
SL 2 -2006
Rs.57475
1250
Unlimited
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08. Post / Posts belonging to the official category
8.1 Approved designations, number of posts and duties assigned to such posts
8.2 Number of combined officers
Number of post may differ based on the recruitments by the government as well as the revision of the cadre with the approval of Cadre Commission of
Health department.
The number of posts of the medical officers will not exceed the number provided in the estimate of the year.
09 Scheme of Recruitment: Recruitment of Grade medical officers
9.1 Range of recruitment
Range [stream]
Percentage
Open
100%
Limited
-
Merit
-
9.2 Open recruitment:
9.2.1. Recruitment Grade: Grade II
All appointments will be governed by the regulations of the Establishments Code and public Service Commission rules.
All medical officers with valid registration of Sri Lanka Medical Council are eligible for recruitment.
They will be recruited as Medical Officers in Grade II and appointed subject to the availability of vacancies based on the cadre allocation
approved by the Management Service Commission provided in the financial estimates of the year. Such officers will be appointed on three
years of probation.
9.2.2 Qualification (Educational and professional) for recruitment (Qualification for registration in SLMC)
9.2.2.1 (a) Pass in the Final examination of the Faculty of Medicine of the University of Colombo, Ruhuna, Peradeniya, Jaffna,
Kelaniya, Sri Jayawardenepura, Rajarata and Eastern with successful completion of one year period of internship at a hospital
recognized by the Sri Lanka Medical Council.
9.2.2.1 (b) Pass in the special examination under 29(1) (b) (ii) (cc) and 29(2)(b) (iii) of the Medical Ordinance for the Sri Lankan
citizens who have obtained foreign medical degrees together with successful completion of one year period of internship at a
hospital recognized by the Sri Lanka Medical Council. Educational qualification with foreign medical degree is recognized
subject to.
• If the degree had not been previously approved, it should be referred to the Foreign Degree Committee as was the practice
before.
• If such graduates who have followed their course of study in a language other than English should follow a familiarization
course of four months (one month in each of the major specialties).
• The commencement of internship appointments for candidates with foreign qualification should coincide with the
commencement of appointments of the interns from the Faculties of Medicine in Sri Lanka. For such candidates who have
successfully completed their one year internship at a foreign hospital recognized by the SLMC, their internship will be
exempted.
9.2.2.1 (c) Regarding Sri Lankan Citizens with foreign medical degrees, already employed by the Department, Their terms of
employment will remain the same as at the time of employment, subject to the provision that they pass the examination as per
9.2.2.1 (b) within three years of gazette of this minute.
9.2.2.2 Experience: Not applicable
9.2.2.3Physical qualification: Not applicable
9.2.2.4Other: Not applicable
9.2.3 Age: Not applicable
9.2.4 Method of recruitment
9.2.4.1 Written examination
Subjects
Maximum marks Pass marks
Not applicable
Not applicable
Not applicable
Approved designations
Approved
number of
posts
Combined
number
Duties assigned to such
posts
Administrative Grade
Additional secretary of Health (Medical Service)
Director General of Health Services
Deputy Director General Grade
Senior Administrative Grade
Deputy Medical Administrative Grade
Specialist
Consultant Medical Specialist
Annex V
Grade Medical Officers
Grade II Medical Officers
Annex V
Grade I Medical Officers
Annex V
Senior Grade Medical Officers
Annex V
Sri Lanka Medical Service Minute
4
9.2.4.1.1 Conducting authority: Not applicable
And / or
9.2.4.2 Professional test
9.2.4.2.1 Conducting authority: Not applicable
Subjects
Maximum marks Pass marks
Not applicable
Not applicable
Not applicable
And / or
9.2.4.3 Structured interview
Subjects
Maximum marks Pass marks
Not applicable
Not applicable
Not applicable
9.2.4.3.1 Appointing authority of the structured interview board: Not applicable
And / or
9.2.4.4 General interview (Marks will not be assigned) : Not applicable
9.2.4.4.1 Appointing authority of the general interview board: Not applicable
9.2.5 Method of calling for application: Departmental circular
9.3 Limited recruitment: Not applicable
9.4 Recruitments on merit: Not applicable
10. Scheme of Departmental Examinations (Efficiency Bar Examinations):
*The purpose of this oral examination will be to find out whether the officers can converse fluently in either language on subjects which will arise in
the course of their normal duties
10.1 E bar 1
•
Time examinations will be held twice a year in the months of March and September.
•
Examination– Written papers of one and half hours with Oral examination for proficiency in Sinhala/Tamil
•
Syllabus
General Regulations of Department of Health Services
Establishments Code
Financial of Manual of the Department of Health
Financial regulations applicable for administrative duties
Hospital and public health administration
10.2 E bar 2
•
Time examinations will be held twice a year in the months of March and September.
•
Examination– Written papers of one and half hours with clinical short case
•
Syllabus
General management
Communication skills
Administration
Clinical examination
10.3 Efficiency bar Examination 1&2 - General
•
Notice of the examination will be published in the Government Gazette a month before the exact date of the examination.
•
Any officer in the Grade II irrespective of the length of his service may make his application to sit the E bar I examination and any officer in the
Grade I irrespective of the length of his service may make his application to sit the E bar II examination.
•
Officers must take up all the subjects at the first sitting of the examination. If officers pass one or more of the subjects and fails in the others, he
or she will be required to pass failed subject or subjects at a subsequent examination.
10.4 Conducting authority of the Efficiency Bar Examination:
The Secretary of Health / Director General of Health Service
11. Proficiency in official languages:
Language Proficiency
Grade
Proficiency to be obtained
First official language
II
Officers who join the service not in official language, should obtain proficiency in an
official language during period of probation.
Second official languages II
The proficiency in relevant official language should be obtained according to the oral
examination proficiency in Sinhala and Tamil by E bar I.
Efficiency Bar
Examination
Number of years after which
exceeds the Efficiency Bar
Nature of Efficiency Bar
Examination
Subjects
1
st
Efficiency Bar
Examination
After 3 years of recruitment.
(Efficiency Bar Examination
should be passed within 3
years of the date of
appointment before promotion
to Grade I of the service.)
• Written examination
• Oral examination for
proficiency in
Sinhala/Tamil conducted
by staff officers in the
Department of Health
Services.
Written papers of one and half hours
•
General Regulations of Department of Health Services
•
Establishments Code
•
Financial of Manual of the Department of Health
•
Financial regulations applicable for administrative duties
•
Hospital and public health administration
•
Management training for 3 months with allowance
2
nd
Efficiency Bar
Examination
•
Management
•
Communication skills
•
Administration
•
Clinical component
Sri Lanka Medical Service Minute
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12. Appointment to posts:
Medical officer who has been recruited as per the recruitment criteria mention in this minute shall be appointed as consultant medical specialist medical
officers, administrators and intermediate medical officers as mention below.
12.1 Qualifications
Post / Grade
Qualification
1. Appointment to Additional Secretary (Medical
Service)
2.Appointment to Director General of Health Service
3. Appointment to Deputy Director General Grade
4. Appointment to deputy medical Administrative
Grade
5.Senior administrative grade
6. Consultant Medical Specialist appointments
Medical officers in the medical administrative Executive Grade are eligible to be
appointed as Additional Secretary (Medical Service)
Medical officers in the medical administrative Executive Grade are eligible to be
appointed as Director General of Health Service
Medical officers in the Senior Medical Administrative Grade are eligible to be
appointed as Deputy Director General officers for posts mentioned in appendix V and
any posts created from time to time as per service requirements. The post of Director
- National Hospital of Sri Lanka and nine Provincial Directors shall be considered as an
end station and be treated as Executive grade as well as Deputy Director General
posts.
There are 3 grades in the Medical Administrative grade namely
i.
Deputy Medical Administrative Grade
ii.
Senior Medical Administrative Grade
iii.
Director general grade
Appointments to Administrative Grade are made according to the scheme of
recruitment approved by the Ministry of Public Administration.
Officers confirmed in Grade II, Grade I and Senior Grade or Consultant Medical
Specialists are eligible to apply for posts in the Administrative Grade. All appointments
to the Administrative Grade are essentially initiated in Deputy Administrative Grade.
For appointment to the Administrative Grade and promotion to the posts of Senior
Medical Administrative Grade, Executive or Senior Executive grade, a recognizable
Post Graduate Medical Qualification is necessary. The minimum qualifications of the
administrative post would be MBBS + Msc (Medical Administration / Community
Medicine). For promotion to the Executive or Senior Executive grade (Director
General, Deputy Director General, Provincial Director and Director of NHSL), MBBS +
MD (Medical Administration / Community Medicine) is necessary.
(a) Educational and other qualifications for appointment in Deputy Medical
Administrative Grade
(1)Officers with post graduate qualifications listed in appendix I &II of the Medical
Services Minute dated 07.05.1991,09.05.1994 and 22.03.2001 are eligible to apply for
Deputy Medical Administrative Grade posts in appendix III and this includes any post
created from time to time as per the service requirement.
(2) Medical officers /Consultant Medical Specialist confirmed in grade II (with pass in
Efficiency Bar Examination) who possess 8 years continuous service in the Department
(8 years will be calculated from the date of entry to the grade II).
(3) Age limit not less than 35 years of age and not more than 55years age (Those who
are already in the public service, this age limit will not apply).
(1) Should have completed a minimum of 3 years of satisfactory service in the
Deputy Medical Administrative Grade.
(2) A Medical Officer who possess a MSC/MD (Medical Admin.) or MSC/MD (Com.
Med.) listed in the appendix 1 & 11 of the Medical Service Minute dated 17.05.91 as
amended by 09.05.94
and 22.03.2001 is eligible to be appointed to a post in the senior administrative grade,
subject to a marking scheme approved by the Public Service Commission.
(3)The equal posts coming under the Senior Medical Administrative Grade are
envisaged in appendix IV
and it includes any posts created from time to time as per the service requirements.
Note: Mandatory qualifications for each post falling under the senior medical
administrative grade shall be the qualifications mentioned in appendix IV and these
posts shall be considered as equal posts.
(4) When the applications are called for the said posts the applicant should have the
relevant mandator' post graduate qualifications listed in appendix IV. However these
mandatory qualifications are not applicable to officers who are already in the Senior
Medical Administrative posts.
(5) The period of service to an officer who act perform duties/cover up duties in the
Senior Medical Administrative Grade should be considered as an additional
qualification. However the said appointments be approved by the due appointing
authority.
(b)Age Limit: Should be not less than 35 years and not more than 55 years of age. (This
age limit is not applicable for those who are already in the public service).
Medical Officers with qualifications listed in Appendix I of the Medical Services Minute
as per Government Gazette Notification no 14,840 of 07th February 1969 and
appointed as a Consultant Medical Specialist in the respective specialty posts before
01.01.1980 will continue to be recognized as Consultant Medical Specialist
Sri Lanka Medical Service Minute
6
12.2 Method of selection
Medical Officers processing qualifications listed in Appendix I of the Medical Services
Minute as per Gazette Notification No 14,840 of 07
th
February 1969 and appointed to
the Department on or after 01.01.1980 and fulfilled the requirements of the Post-
Graduate Institute of Medicine of the University of Colombo and have obtained Board
Certification are eligible for appointment as Consultant Medical Specialist.
Medical Officers with qualifications listed in Appendix I of the Medical Services Minute
as per Gazette Notification No , 14,840 of 07
th
February 1969 and appointed to
Consultant Medical Specialist posts before 01.01.1990 or returned after 01.01.1980
within the stipulated period, who went on departmentally approved no-pay leave or
scholarships, will continue to be recognized as Consultant Medical Specialist
Medical Officers in Grade II who have successfully completed the appropriate post-
graduate training programme, and processing qualifications as listed in Appendix I,
and obtained Board Certification of the Post-Graduate Institute of Medicine,
University of Colombo are eligible for appointment as Consultant Medical Specialist.
Consultant Medical Specialist appointed after 01.01.1980 in terms of sub- 5.6.2 above
will not be considered for a Teaching Hospital appointment until they have completed
four years of service from the date of Board Certification.
Specialized Medical Officers appointed in terms of sub- 5.6.2. and 5.6.4 will be paid
Consultant Medical Specialist salary from the date of Board Certification.
7. Intermediate medical officers
Medical officers who have qualified with post graduate qualifications mentioned in
annex IV can apply for the post.
Post / Grade
Selection Procedure
1.Appointment to Additional Secretary (Medical Service) One out of three selections among eligible officers from executive category selected
through a structured interview will be appointed by the Cabinet.
2.Appointment to Director General of Health Service
One out of three selections among eligible officers from executive category selected
through a structured interview, will be appointed by the Cabinet.
3.Appointment to Deputy Director General Grade posts
Vacancies in this executive grade will be advertised by the way of gazette notification
or a news paper advertisement and also as a departmental circular calling applications
from eligible candidates. The selection shall be subjects to a structured interview
based on a marking scheme approved by the public service commission.
The general guide lines pertaining to the appointment under 9.3 of this minute shall
also apply as necessary.
The applicant should have either MD in Medical |Administration or MD in Community
Medicine based on the selection criteria for the respective Deputy Director General
Grade post as listed in appendix of the Medical Services Minute dated
listed in appendix I and ii of the medical services minute dated 17.05.91 as amended
by 09.05.94 and 22.03.2001 and as required in appendix v hereof.
As a special circumstance the qualification of MD in Community Dentistry shall also be
a qualification for the post of DDG as enumerated in appendix v.
Note i: However these mandatory qualifications for these posts will not be applicable
to those officers who are currently holding posts in the Senior Medical Administrative
grade or Deputy Director General posts .they can hold their present posts and they
can be appointed to any other posts falling under appendix v, irrespective of the
mandatory qualification.
Note ii: Provincial Director posts shall be advertised and filled through a structured
interview based on a marking scheme considering same criteria approved by the
public service commission. Such interview will be held when five years due service
period of currently posted Senior Administrative grade officer in respective province is
over.
There will be no promotion scheme in this grade.
All the posts coming under Executive grade envisaged in appendix v are end posts and
not transferable.
Note: I. Since there is no transfer in this grade; a vacant post can be filled by the
appointing authority on an acting basis among the officers from the Deputy Director
General grade or Senior Medical Administrative grade with requisite qualifications.
II. However the acting appointment should be duly approved by the competent
Authority.
4. Appointment to Administrative Grade
(1)Vacant posts in the Deputy Administrative Grade will be filled by way of annual
transfer among officers who are already in the said grade. In case if a post could not
be filled by way of annual transfer, it will be advertised and filled through an
interview.
(2)Selection to posts in Deputy Medical Administrative Grade will be made subject to a
structural interview based on a marking scheme approved by the Public Service
commission among officers who comply with the due qualifications. (In awarding
points, seniority in grade II, grade I may be considered as criteria.
(3) The appointing authority can make appointments on acting basis among the
officers who possesses the required basic qualifications. The period of Service in which
an officer acts, performs duties/covers up duties in the Deputy Medical administrative
Grade should be considered as an additional qualification. However such acting
appointment should be made by the due Appointing Authority.
Note II-Since Deputy Medical administrative Grade is new category until the transfer
Sri Lanka Medical Service Minute
7
13. Promotions:
All promotions will be governed by the regulations of the Establishments Code and Public Service Commission.
13.1 Scheme of Grade Medical Officers promotions.
•
All Medical Officers are recruited to the grade II and those will have to pass a Departmental Examination (E bar 1) within 3 years of the date
of appointment for the promotion in Grade II.
•
Increments of medical officers who have not passed departmental examination within 3 years will be stopped and those promotion to Grade
I will be deferred by the period taken in excess of 3 year to pass the examination.
•
Promotion to grade I or appointment to Consultant Medical Specialist / Administrative grade will not be allowed until pass such
departmental examination.
•
For confirmation of the service, satisfactory completion of 3 years service is the only requirement.
13.1.1 Promotion from Grade II to Grade I
13.1.1 (a) Fast tract for Exceptional Performer:
Qualifications to be fulfilled
•
The Exceptional Performer will earn promotion to Grade I
•
Confirmation in grade II (Successful completion of Departmental Examination Efficiency Bar Examination I)
•
Completion of 6 years active and satisfactory service period in grade II
•
Successful completion of suitable Post Graduate Qualifications in appendix I and II in the existing service minute (662/11 – May 17, 1991).
13.1.1(b) Normal tract for Average Performer for Grade I promotion
Qualifications to be fulfilled
The General Performer will earn promotion to Grade I
•
Confirmation in grade II (Successful completion of Departmental Examination Efficiency Bar Examination I)
•
Completion of 10 years active and satisfactory service period in grade II
scheme is activated for the said grade, vacancies shall be filled by way of
advertisement as mentioned in 9.2.1(b)
General guidelines pertaining to the appointment of Medical Administrative Grade
posts.
Vacancies which occur in these posts will be notified through the annual transfer list
so that eligible officers may apply.
Job description of the post should be included in the notification when advertising a
vacant post.
Provisions pertaining to the mandatory qualifications mentioned in this minute are
applicable to officers recruited after the implementation of Gazette notification and
they do not carry any retrospective effect.
The proposed marking scheme for promotion from Deputy Medical Administrative
Grade to Senior Administrative Grade shall be applicable to new recruits only.
No officers selected to the post in the Medical Administrative Grade shall be
permitted to engage in private practice.
Concurrence of the Provincial Authority or the Governor / Provincial Public Services
Commission is necessary before advertising the posts falling under the province in the
schedule of appendix III and IV and two representatives of the respective province
related to the subject of the post should be included in the interview panel for such
posts.
Acting appointment to the provincial service should be approved by the Governor of
the Province or Provincial Public Services Commission and appointment to the Line
Ministry should be approved by the Public Service Commission.
The interview panel should be selected from a predetermined pool of panelists
consisting of Secretary of the Ministry of Health, Additional Secretary (Medical
Services) , Additional Secretary (Administration), Director General of Health Services,
Deputy Director Generals, Senior SLAS officers from the Ministry of Public
Administration, Senior Officers nominated by the relevant Provincial Authorities. The
approval of the Public Services Commission should be obtained for each panel.
5.
Senior administrative grade
The vacancies in the Senior Medical Administrative Grade will be filled by way of Annual
Transfer among officers who hold the Senior Medical Administrative Grade posts. In case
if a post could not be filled by the Annual Transfer it will be advertised and filled through
an interview based on the the marking scheme approved by the Public Service
Commission.
Until such time the vacancies are filled by the Annual Transfer, vacancies can be filled by
the due appointing authority by appointing an officer who has complied with the basic
qualifications of the said post from among the Deputy Administrative Grade or the Senior
Medical Administrative Grade.
6.
Consultant Medical appointments
PSC will appoint as a Consultant Medical Specialist medical officer based on the
recommendation of PGIM as the board certified consultant with fulfillment of criteria
such as
Successful completion of final examination of the relevant post graduate course
Due period of local and foreign training on relevant field in institutions recognized by
PGIM
7. Intermediate medical officers
The eligible medical officers will be selected to another station for the post in same
post at the direction of transfer board.
Selection will be made according to their Grade seniority.
Sri Lanka Medical Service Minute
8
Method of promotion
Following a request made to the appointing authority by the officer who has fulfilled qualifications, appointing authority will effect the promotion to
grade I from date of qualifying after inspection of qualifications.
13.1.2 Promotion of Grade I Medical Officers' promoted to Grade I before the date of this amendment.
Medical Officers who were promoted to Grade I under 7.2 of gazette No. 818/1 of 9
th
May 1994 will be considered to have been promoted to
Grade I from the date of completing 5 years in grade II.
All other Medical Officers who were promoted to Grade I will be considered to have been promoted to Grade I from the date of completing 9
years in grade II.
13.1.3 Promotion from Grade I to Senior Grade:
13.1.3 (a) Fast tract for Exceptional Performer:
Qualifications to be fulfilled
•
Completion of 4 years active and satisfactory service period in grade I
•
Successful completion of Departmental Efficiency Bar Examination II.
13.1.3 (b) Normal tract for General Performer:
Qualifications to be fulfilled
•
Completion of 7 years active and satisfactory service period in grade I
Method of promotion
•
Following a request made to the appointing authority by the officer who has fulfilled qualifications, appointing authority will effect the
promotion to senior grade from date of qualifying after inspection of qualifications.
13.2 Consultant Medical Specialist
13.2.1 Promotion to Consultant Medical Specialist Grade II
Qualifications to be fulfilled
Successful completion of 05 years of the service as a Consultant Medical Specialist Grade III of the government health service.
Qualifications to be fulfilled
• Following a request made to the appointing authority by the specialist grade officer who has fulfilled qualifications, appointing authority will affect
the promotion to Consultant Medical Specialist Grade II from date of qualifying after inspection of qualifications.
13.2.2 Promotion to Consultant Medical Specialist Grade I
Qualifications to be fulfilled
Successful completion of 05 years of the service as a Consultant Medical Specialist Grade II of the government health service.
Qualifications to be fulfilled
•
Following a request made to the appointing authority by the specialist grade officer who has fulfilled qualifications, appointing authority will affect
the promotion to Consultant Medical Specialist Grade II from date of qualifying after inspection of qualifications.
13.3 Promotions to Senior Medical Administrative Grade Posts
13.3.1 Educational and other qualifications to be fulfilled
(1) Promotions to Senior Medical Administrative Grade, such medical officers should have completed a minimum of 3 years of satisfactory
service in the Deputy Medical Administrative Grade.
(2) A Medical Officer who possesses a MSC/MD (Medical Administration) or MSC/MD (Community Medicine) listed in the appendix I&II of the
medical service Minute fated 17.05.91 as amended by 09.05.94 and 2.03.2001 is eligible to be appointed to a eligible post (as per the minute
2007) in the Senior Administrative grade subject to a marking scheme approved by the Public service commission.
(3) The vacant equal posts under the Senior Medical Administrative grade envisaged in appendix IV and any suitable post created from time to
time as per the services requirements,
will be advertised and filled by way of annual Senior Medical Administrative grade transfer among the eligible Senior Medical Administrative
grade officers.
(4) Incase if a post could not be filled by the Annual Transfer, such non filled vacancies will be advertised and filled through an interview based
on the marking scheme approved by the public service commission from eligible (3 years completed) Deputy Administrative Grade officers
with relevant mandatory post graduate qualifications listed in appendix IV. However these mandatory qualifications are not applicable to
officers who are already in the Senior Medical Administrative posts.
Note: Mandatory qualifications for each post falling under the Senior Medical Administrative grade shall be as per the qualifications
mentioned in appendix IV and these posts shall be considered as equal posts.
(5) The period of service to which an officer act / perform duties / cover up duties in the Senior Medical Administrative grade, shall be
considered as an additional qualification. However, said appointments should be approved by the due Appointing Authority.
(6) Age Limit should be not less than 35 years and not more than 55 years of age.( This age limit is not applicable for those who are already in
the public service)
(7) Selected Deputy Medical Administrative grade officers then will be promoted to Senior Medical Administrative grade.
(8) Until filling vacancies in a proper way by the Annual Transfers or advertizing, such vacancies in Senior Medical Administrative grade could be
filled by the due Appointing Authority as acting appointments for officers selected from Deputy Administrative Grade with the basic
qualifications of the said post.
Sri Lanka Medical Service Minute
9
14. Transfers
14.1 Transfers of Grade Medical Officers
14.1.1
General
14.1.1.1
A transfer should not be made as a matter of routine, but generally to accommodate the requests of an officer who has served in an
unpopular station, for an opportunity to serve in a popular station or for specific administrative reasons.
14.1.1.2
A transfer should be affected in accordance with the Scheme of Transfers formulated by the Transfer Board taking into account the special
needs of the Department and the need for review in keeping with technical changes.
14.1.1.3
An officer under transfer order should be allowed to leave in sufficient time to reach his new station by the date fixed.
14.1.1.4
Section 4 of this chapter will not apply to the Police Service and to Departments which have special Schemes of transfers.
14.1.2 Authority for ordering transfers
14.1.2.1 The constitution vests the cabinet of Ministers with the power of transfer of a Public Officer.
14.1.2.2 The Cabinet of Ministers has delegated its power to the Public Service Commission in respect of officers not appointed by the Cabinet Ministers
and the Public Service Commission has delegated the power of transfer to Public Officers.
14.1.3 Types of transfers and transfer schemes
14.1.3.1. Annual Transfers
All Grade Medical Officers will be transferred out of their stations once they have completed 4 years of service in the station.
All Heads of institutions should provide list of existing vacancies in the approved cader of their respective institutions. These lists should be
forwarded through the respective Heads of the Decentralized units.
All posts of Grade Medical Officers except special posts will be advertised in the annual trasfer list. If any post falls vacant during the course of
the year, the Head of the institution should appoint the most suitable Medical Officer to cover up the duties, and that post will be advertised in
the next annual transfer list.
All transfers of Grade Medical Officers will be made according to their Grade seniority.
Once the Medical Officer has served for 4 years in a particular station he/she will not be eligible to apply for the same station for two years ,
except in the case of appointments to special posts.
It is the responsibility of every Medical Officer to apply for annual transfers once he/she completes the period of service of 4 years or 2 years as
the case may be, t the station. Those who fails to do so will be transferred to a vacant station at the discretion of the Transfer Board.
14.1.3.2. Annual Transfer List
All Medical Officers who will be completing 4 years or more of service in a particular station by December 31st of that particular year will be
noted for transfer in the annual transfer list in that particular year. All Grade Medical Officers who will be completing 2 years or more in a
special post will be noted for transfer in the annual transfer list in that particular year.
It is the responsibility of the Heads of the institution
to submit the Director General of Health Services before 15th July of the year, list of all Medical Officers attached to his institution , stating the
period of service in the institution irrespective of whether they are noted for transfer or not.
It is obligatory on the part of respective
Medical Officers to ensure that they are noted for transfer in the particular year. It is also the responsibility of every Medical Officer to inform
the Department of Health if his/her name does not appear in the annual transfer list , although he/she completing his/her obligatory period of
service in the respective station/post.
The annual transfer list i.e. the list of Medical Officers who are noted for transfers and the list of
vacancies will be published annually, by 15th August of that year. 2.2.6 In addition to the Medical Officers who are noted for transfers, any
other Medical Officers who complete or will be completing 2 years service in a station by 31st of December of that year is eligible to apply for a
transfer in the annual transfer list. 2.2.7 Annual transfers and appeals will be finalized before 31st October of each year.
14.1.3.3 Scheme of Annual Transfers
The Medical Officers who apply for annual transfers should forward their applications with an adequate number of preferences stated in the
application form. If the number of preferences given is Page9 inadequate, the Transfer Board may at its discretion decide the station to which
he/she should be transferred.
•
A transfer will not be given to the same station even if it is to a different post in that station.
•
Any Medical Officer who has not applies for transfer after completion of 4 years of service at a particular station, will be transferred
to another station at the discretion of the Transfer Board.
•
If both husband and wife are noted for transfer, the Transfer Board may consider giving them the same station or a closer station
based on the lower seniority of the spouse- Effective date of transfer will be from 01st of January of the effective year of transfer. If
any transfer is deferred, the effective date of transfer should still be considered as 01st of January of that year. four years service in a
station will be counted from 01st of January of the effective year of annual transfer, irrespective of the dates of assumptions of
duties at this station. An Officer who is already on transfer order will not be eligible to apply for any other posts before completion
of 2 years, except for a special post or for a seconded post.
14.1.3.4
Annual Transfer Appeals Only Medical Officers who have applied for annual transfers are eligible to appeal against an annual transfer 6.1.2
This appeal should be forwarded in a specified form through proper channels to the DGHS Page13 These appeals will be considered by an
Appeal Board before 15th October each year. 6.1.4 If an appeal is rejected, the Officer should report to the station on the stipulated date as
given in the annual transfer list.
14.1.3.5 Special Transfers
•
A special post is a post where the Medical Officer selected will serve directly under the supervision of a consultant. The Department of Health
will advertise the special posts available within the Department of Grade Medical Officers.
•
The period of a special post will be restricted to 2 years.
•
Medical Officers who have served the Department of Health for a minimum of one year but not more than ten years are eligible to apply for
special posts.
•
A Medical Officer will be allowed to hold only one special post during his/her career in the Department.
•
A seconded post under any other Ministry will be considered as a special post.
It is the responsibility of the Medical Officer who completes or will be completing soon the 2 years of service in a special post in the
Department to inform the respective Head of institution to include his/her name in the noted list.
Sri Lanka Medical Service Minute
10
a.
If a special post is not filled after advertising once, it will be advertised in the post intern list but will not be considered as a
special post defined in 3.1 above.
b.
Withdrawal of an application made to a special post should be done before the closing date of application for that post. If a
Medical Officer who is selected for special post refuses or fails to accept the appointment, he/she will not be considered for
appointments of any special posts in the future. Page11 * The Medical Officers selected for special posts should be released
only after the due replacement is available (GENERAL CIRCULAR No01, 05/2004 of 29 April 2004)
14.1.3.6 Seconded Posts
•
All seconded posts to other ministries, Universities and Sri Jayewardenepura General Hospital will be advertised by way of circular by the
Department of Health and such posts are considered as seconded posts on public policy. The selection board of these posts will be constituted
by a representative from the relevant Ministry or University, a representative from the Department of Health and a representative from the
recognized Trade Union. Same rules which are applicable to special posts will be applicable in respect of seconded posts as well.
•
All Medical Officers on completion of two years in the seconded posts should be released to their original stations, they served prior to the
secondment and be noted for transfers in the next annual list. Those who do not revert back to their original post after completing their two
years in the seconded posts will be considered as having vacated their posts. it is the responsibility of the Medical Officer, who completes
his/her period of service in the seconded post, to inform the Head of institution he/she served prior to the release under secondment, to
include his/her name in the annual transfer list.
•
Post graduate trainees will be released without replacement to commence their training. On completion of their training post graduate
trainees who have been selected for MSc. Diplomas and in-service training will be given temporary attachments until the next annual transfer
list is advertised. Postgraduate trainees following MD and MS courses who have been unsuccessful at the first attempt or who have not sat the
first eligible examination will be allowed to stay in the stations of their choice only until 3 other consecutive examinations are held. The
allocation of the stations and units will be made by the DGHS on the recommendation of the Appeal Board where necessary, in such a manner
that there will not be any interference to the training programme of the those trainees who are appointed by the PGIM to the respective
units. Those postgraduate trainees who complete their local SR training will be posted to cover-up duties of a Consultant Medical Specialist in
stations determined by the Department of Health, until such time they are ready to leave for their overseas training.
14.1.3.8 Mutual
Mutual transfers will not be entertained.
14.1.3.9 North and East Area
Medical Officers serving in the North & East may be considered for transfer to other areas once they complete one year of service in the North & East
areas, based on the availability of vacant stations. However the Department of Health will not guarantee such concessions all the time.
14.1.3.10 Transfers of intermediate cadre
Definition of intermediate cadre
All grade medical officers who are having the post graduate qualifications in the annex-IV will come under the category of intermediate cadre.
Transfer scheme for intermediate cadre
•
There will be annual transfer scheme for this category. Every one year list of intermediate cadre vacancies will be advertised.
•
Grade Medical Officers with Post Graduate Qualifications will be transferred in the relevant fields as listed in appendix IV.
•
Medical officers who have qualified with post graduate qualifications mentioned in annex IV can apply for the vacancies.
•
The eligible medical officers will be selected and transferred to another station for the post in same post at the direction of transfer board.
•
All transfers of medical officers will be made according to their Grade seniority.
•
Such Grade Medical Officers with Post Graduate Qualifications will be paid a Post Graduate Allowance only if they are attached to the
relevant field post as listed in appendix.
•
Such medical Officers have the right to be withdrawn from such transfer scheme on their interest but the Post Graduate Allowance will not
be paid thereafter.
14.2 Transfers of Consultant Medical Specialist Medical Officers
14.2.1 There will be only one transfer scheme for Consultant Medical Specialist Medical Officers to Teaching Hospitals, Special Institutions and
Non- Teaching Hospitals.
14.2.2 Transfers of Consultant Medical Specialist Medical Officers will be affected according to the exigencies of service.
14.2.3 Except for the Specialists Medical Officers appointed to end-stations, Specialists holding all other posts will be compulsorily transferred on
completion of 04 years. However, he/she can apply for a transfer on completion of two (2) years in such post. This period of two or four years will
be counted from 1
st
of January of a particular year irrespective of the date of assumption of duties in the present post.
14.2.4. Application for Consultant Medical Specialist posts:
Application for Consultant Medical Specialist posts will be called and accepted only from those officers who are Board Certified as Consultant
Medical Specialist Consultants and not from those who claim eligibility pending Board Certification by Post-Graduate Institute of Medicine.
14.1.3.7 Special Appeals
The Department of Health, under very special circumstances, may entertain appeals for transfers during the course of the year. However this
appeal will be considered by the Appeal Board only in March and July of that year.
Unless a very urgent personal problem has arisen during the course of year, a Medical Officer should not apply for a transfer through an
appeal, as all Medical Officers who complete 2 years in a station are eligible to obtain a transfer through the annual transfer list.
When an appeal is made, the Officer should mention the DPDHS area in which he/she wants to be stationed. He/she should specify the list of
institutions in the order of preference. The post will be decided by the Appeal Board depending on the seniority of the Officer and the cadre
requirements of the institution.
If the personal problem is of a temporary nature, the transfer granted on the appeal will also be a temporary nature, not exceeding three
months.
When appeal is made by a spouse of a Consultant to be appoint to a station in close proximity to that of the respective Consultant, the
request may be considered, provided there is a vacant cadre position in that station.
From the special Appeal Board, the Medical Officers are appointed only as MOO, RMOO, RHOO and AMOHH.
Sri Lanka Medical Service Minute
11
14.3 End stations:
(I)
The following institutions are considered as end –stations as amendments in 2006 The National Hospital of Sri Lanka, De Soysa Maternity
Hospital – Colombo, Lady Ridgeway Hospital- Colombo, Castle Street Hospital for Women Colombo, Eye Hospital –Colombo, Colombo
South Teaching Hospital – Kalubowila, Colombo North Teaching Hospital – Ragama, Teaching Hospital – Karapitiya, Teaching Hospital –
Mahamodara, Teaching Hospital Peradeniya, Teaching Hospital Kandy, Teaching Hospital – Jaffna, Teaching Hospital – Anuradhapura,
Teaching Hospital, Baticallo, Cancer Institute – Maharagama, Mental Hospital – Angoda and Mulleriyawa, Chest Hspital – Welisara, Chest
Clinic Colombo, Fever Hospital – Angoda, Rehabilitation Hospital – Ragama, JMO Office – Colombo, Medical Research Institute – Colombo.
Chest Clinics in Kandy, Galle and Jaffna, STD Clinics in Katugastota, Galle, Jaffna, Ragama and Kalobowila, Microbiologist Posts of Central
Laboratory of National Programme for TB and Chest Diseases, National Institute of Health Science Kalutara.
(II)
(a) Specialists holding consultant posts in institutions listed in (I) above and the following posts of Consultant Community Physicians listed
in Schedule I of this Gazette Notification are considered as end posts.
(b) Resident posts and Consultant Medical Specialist posts in the Out Patients Department of Teaching Hospitals / Special Institution and
Consultant Community Physicians posts in other than the identified end stations mentioned in Schedule I above, are not considered as
end posts.
(III)
An officer posted to an end-station will be permitted to stay in that hospital / institution until his / her retirement / resignation / transfer
to another end-station at his / her request.
(IV)
An officer serving in an end-station also will be permitted to apply for a post in a Non-Teaching Hospital / Institution after completing 04
years of service in the post he/she holds, subject to the condition that in the event of him/her getting posted to a Non Teaching Hospital /
Institution, he /she loses the right to apply for vacant post in a Teaching Hospital or Special Institution until he/she completes a period of
04 years in the post in the Non-Teaching Hospital/ Institution.
(V)
When husband and wife are both Specialists and desire to work in the same station, they must
make an irrevocable choice on whether
the transfers are determined on the seniority of the husband or the wife and posting will be according to this basis. However,
husband/wife is not entitled to hold a post to which he/she is not entitled on seniority. He or she may have to accept a post in a station
very close by or work as a supernumerary or resident officer according to his/her seniority.
14.3.1. Point Scheme
Transfers will be made on point Scheme as follows:
Note – Under this scheme, points will not be awarded to more than one grade at the same time. (When the Officer is entitled to points in more than one
grade the officer will be given points to the grade for which he/she could get the maximum number of points.
I Preliminary Grade
- 02 per year – Maximum 04 points.
II Grade II
- 02 per year
III Grade I
- 02 per year (until the officer is promoted to the Consultant Medical Specialist Grade)
IV Consultant Medical Specialist Grade
- 04 per year (There is no upper limit)
V Points will be given for each completed 03 months. (e.g. Grade II – 05. per 3 months, Consultant Medical Consultant Medical Specialist
1.0 per 3 months)
(a) Medical Officers promoted to grade I before 09.05.1994 (date on which the Service Minute in regard to the Medical Personnel was amended) are
entitled to a maximum of twenty – four points.
(b) Those Medical Officers who were promoted to Grade I after 09.05.1994 (the date of amendment of the Service Minute in regard to the Medical
personnel), are entitled to a maximum of twenty points.
(c)
Those Medical Officers who had to remain more than 10 years in Grade II on 09.05.1994 (the date of amendment of the Service Minute in regard to
the Medical personnel), are entitled to twenty points to the first 10 years and thereafter 0.5. per every additional three months.
14.3.2
Additional Points:
Additional points will be given for the services as a Consultant Medical Specialist in difficult or unpopular stations. These stations are
declared by the Ministry of Health on the recommendation of the Director General Health Services and will be notified in the annual transfer
advertisements in each year. Additional points will be given for Specialists held Consultant posts in such stations after their Board Certification, at the
rate of 0.25 points per 3 months. These extra points will be calculated only for the posts held within the four years immediately before the contemplated
transfer. This additional point scheme is not applicable in case of transfers to end-stations.
14.3.3
In the event of two applicants obtaining equal aggregate of points, seniority will be determined by the number of days calculated as follows:
The total number of days not exceeding 90 days which have not been utilized when calculating points to Grade I, Grade II and Consultant Medical
Specialist Grade, will be taken into consideration and the officer who has the highest number of such unutilized days will be entitled to the
appointment. Two or more officers who have equal number of such days, the officer placed highest in the merit position in the appointment to the
preliminary grade / grade II will be entitled to the post.
14.3.4
For Teaching Hospital and Special Institution, transfers will be effected as and when vacancies occur. Points will be calculated up to the date
on which the post falls vacant/feel vacant. (E.g. date of retirement/transfer). For Non- Teaching Hospital, transfers will be made annually, and
points will be computed up to 31 st December of the pervious year. i.e. day prior to the 1
st
January of the year, the transfers come into effect.
14.3.5
For the periods of no-pay leave spent within the country or abroad, the following procedure will be adopted in calculating points. -
(I) No points will be awarded for no-pay leave taken by an officer except for medical reasons.
(II) For medical leave, points will be given only to the period supported by a proper medical certificates.(e,g, When the officer is sick in overseas, the
medical certificates submitted through the respective Embassy or the High Commission), acceptable to the Department of Health Services and the
Ministry of Health as at present.
(III) When an officer who is abroad falls sick, it is the responsibility of the medical officer concerned to bring this to the notice of the Director- General
of Health Services. This should be done within a period of two weeks.
(IV) In situations where an officer who is aboard, avails himself/herself of medical leave exceeding three months, the documents related to the
illness should be produced before a properly constituted medical board as is applicable for similar leave availed of locally. No Points will be given for
leave not approved by the medical board.
(VI)
For the period approved as half pay leave, the officers will be entitled for only half the number of points recommended for the period.
Sri Lanka Medical Service Minute
12
(VII) Medical Officers who went on no-pay leave before the establishment of the Post Graduate Institute of Medicine in Sri Lanka for the purpose of
obtaining Post Graduate Qualifications as set out in Appendix I of the Medical Services Minute,
Published in the Government Gazette No.14840 of 17
th
February, 1969 will be treated as for paid leave and will be given points for the period of
leave, they had taken as no-pay leave to obtain the stipulated Post- Graduate qualification and this will be allowed once only. No-Pay leave taken for
any other purpose by these officers will not be considered for the calculation of points.
14.4 Transfers in Administrative Grade:
14.4.1. General Guidelines
I. There will be two separate transfer schemes for Deputy Medical Administrative Grade and Senior Medical Administrative Grade.
II. The officers in the Deputy Medical Administrative Grade shall be transferred within the posts of equal status identified in appendix III.
III. The Officers in the Senior Medical Administrative Grade shall be transferred within the posts of equal status identified in appendix IV.
IV. This transfer scheme shall be applicable to both officers who are currently in the service as well as to the new recruits.
Note – All the officers who have completed five years period in one station/ post ( in the Senior Medical Administrative Grade / Deputy
Medical Administrative Grade) are compulsory transferable. However those who have completed three years in the current post / station can
opt for a transfer in the Annual Transfer List on his own accord. In case of a noted applicants, it is compulsory to apply for annual transfers. If
the applicant does not indicate his preferential choices / inadequately mention, he or she will be placed once all the preferential choices of all
other applicants are granted. The period of 3 years or 5 years will be computed form the 01
st
of January of a particular year irrespective of the
date of assumption of duties in the present post.
V. However, irrespective of the above facts, the Secretary Health can transfer the Medical Administrators as an internal arrangement on
exigencies of services subject to maximum of 3 months period.
VI. The end station set out in Gazette No. 1176/15 dated 22.03.2001 of the minutes regarding Medical personal of Health services shall not apply
to those officers possessing MD Medical Administration and /or MD community medicine or any other specialty who have opted for Medical
Administration.
VII. Annual transfers will be affected by a transfer board comprising of the Additional Secretary (MS), the Director General of Health Services and
DDG/ MS. Transfers shall be made based on the Medical Administrative Grade point scheme. The Medical officer will acquire administrative
grade points when he enters the respective grade on the basis of 3 points per year of service in the respective grade. 2 marks will be given for
each year of acting in the Deputy Medical Administrative grade / Senior Medical Administrative grade to a minimum of 5 years in both grades.
The basis for limiting he points to the administrative grade is similar to the practice followed in the grade Medical Officers transfer scheme.(Eg.-
When a medical officer is promoted to grade I from the preliminary grade, the respective medical officer collects points for the grade II from the
date of appointment to that grade. He or she does not carry and credit for the period of stay in the preliminary grade when points are calculated
for the purpose of transfers).
VIII. Additional one point for each year of service to a maximum of 5 points either in the deputy administrative grade or the senior medical
administrative grade or both combined in the medical administrative grade is recommended for those who work in unpopular stations as
identified by the Ministry annually or notified in the advertisement. This will be effective prospectively.
IX. When administrative grade points are calculated for the first time for the officers who are already in the senior medical administrative grade,
0.75 shall be allocated for each quarter of the calendar year. If the date of appointment is in the second quarter 2.25 be given. If it is in the third
quarter 1.50 be given. If it is in the fourth quarter, officers shall have 0.75 for the respective calendar year.
VIII
Points will be calculated up to 31
st
of December of the previous year i.e. the day prior to the 1
st
of January of the year, transfer comes in to
effect.
X. The provisions of the Establishment Code in respect of transfers shall also apply.
XI Points awarded for no pay leave shall be in accordance with 6.1.3.7 and 6.1.3.8 of the minute in regard to Medical personal of the Health
Services published in the gazette number 1176/15 of 22
nd
March 2001
XII. When transfers are effected in the Senior Administrative grade those offices holding post which require Community Medicine as a
mandatory qualification shall be transferred within those posts which require Community Medicine as a mandatory qualification.Similarly
those officers holding post which require Medical Administration as mandatory qualification shall be transferred within the post which require
Medical Administration as mandatory qualification.
XIII.
Those officers holding posts which require either Community Medicine or Medical Administration as a mandatory qualification shall be
transferred within those posts that require either Community Medicine or Medical Administration as mandatory qualification.
XIV. This transfer scheme and the requisite qualification shall be effective with effect from 01.01.2007.
However these mandatory
qualifications for these posts will not be applicable to those officers who are holding posts in the Senior Medical Administrative grade before
01.01.2007.
XV. With regard to the new posts which come under the Deputy Medical Administrative grade in annexure III of this Service Minute action
should be take to fill them after obtaining the approval from the Management Services Department and also transfers shall be effected after
the fulfillment of requirement in the relevant provisions.
14.4.2 Interim provision
In implementing this scheme for appointments, promotions and transfers, those officers already in the Senior Medical Administrative grade
shall remain in the same grade irrespective of the posts currently held by them. Further the mandatory qualification set out for Senior Medical
Administrative posts mentioned in appendix IV and V of this minute shall not apply to those officers who are already in the Senior Medical
Administrative grade. Hence they are free to apply to any post with respect to appointments, transfers and promotion until their retirement.
14.4.3 Transfers of Medical Officers to Specialized Units as secondments
I.
Appointment of officers to Specialized Units will be on selection after advertisement.
II.
Officers who have less than 7 years of services are eligible to apply. The period of up
to 2 years in the preventive health services will not be taken into computation of the 7 years.
III. The authority for secondment to the University or Government sponsored Institutions or Corporation will be the Secretary to the Ministry
of Health and will be governed by the regulations of the Establishments code.
IV. Officers who are selected to the Preventive Health Services have to serve a
compulsory period of two years. (Aanesthesia in same station )
V. The salaries of these officers, who released to the University, Local bodies or Government sponsored institutions, will be subject to the
rules relating to the salaries payable to officers on reversion after release.
VI. Salaries will be paid from Central Ministry of Health and to be reimbursement from relevant University /Institution or Department.
Sri Lanka Medical Service Minute
13
15. Leave
Leave will be govern by provision in chapter IX in the e code
15.1 Study leave
a) Officers who have qualified from the Post-Graduate Institute of Medicine with the Degree of Doctor of Medicine / Master of Surgery
and in respective fields, have to undergo a training of minimum one year period in abroad for board certification.These officers will be
provided 2 years full pay leave abroad, of which one year may be a fellowship through the Post Graduate Institute of Medicine offered
my Ministry of Health.
b) Official leave of 14 days to attend CME programmes.
15.2 Revenue generation leave
Officers who have selected to work in abroad for a contract basis he / she will be provided 6 months full pay leave, other medical officer
who assumes the same post in abroad will be provided 6 months from that date.
15.3 No pay leave
Number of days taken over the allowed leaves for the year will consider as no pay leave.
15.4 Leave of Consultant Medical Specialists
As per Establishment Code subject to the following
15.4.1
Official leave of 14 days to attend CME programmes.
15.4.2
Leave (abroad or local) for any purpose can be taken at any time, without prior notice (depending on availability of leave) if
replacement is arranged by Consultant.
15.4.3
If 3 months notice is given of leave abroad it is the responsibility of the administration to arrange cover up.
15.4.4
Administration must arrange replacement/cover up if notice of 1 month is given for leave in Sri Lanka.
15.4.5
Sabbatical leave of 6 months full pay or I year half pay every 5 years.
15.4.6
If to be spent as an attachment in an approved centre abroad in the relevant specialty the department should provide (3
months) scholarship equivalent to grant provided for PG trainees. Applicable once in 5 years.
15.4.7
Posts of those on leave on any purpose for more than 1 year should be advertised.
16. Regulations
16.1 all Medical Officers in the Health Services are subject to Financial Regulations, the Establishments Code, Departmental Orders or
Regulations and any other orders or regulations that may be made by the Government from time to time. (All
recruitments,
appointments,
promotions and transfers will be governed by the general conditions in regulations of the Establishments Code and Public Service Commission.)
16.2 Conditions exception to the general conditions as stated in Public Service Commission regulations:
16.2.1 Intern House Officers
•
All medical graduates should follow a compulsory one year internship clinical training period under consultant supervision in any 2 major
disciplines in a suitable hospital recognized by SLMC in order to obtain SLMC registration which is essential to practice as a medical
officer in Sri Lanka.
•
Opportunity of Internship should be provided.
•
Allowance will be paid during this period.
16.2.2 Duty of Medical Officers (Annex V)
16.2.3 Post Graduate Examinations
(I) The Registration / course fees of the Post Graduate course selected through routine procedure of the Post Graduate Institute of Medicine of
University of Colombo shall be paid by the Government and examination fee as well will be paid by the Government provided that the officer
passes the final Post-Graduate Examination at the first attempt.
(II) Medical Officers with local or foreign basic medical qualifications should have a minimum one year active service period before following a Post
–Graduate training programme in the relevant specialty.
(III)Medical Officers with foreign Post –Graduate qualifications should have a minimum one year active service period before following a Post –
Graduate training programme in the relevant specialty as well.
16.2.4 Seniority at appointment
Seniority in the health Services will be governed by the regulations of the Establishment Code.
Seniority among those appointed to the permanent services on the same date will be according to the order of the merit in the final
examination.
The seniority for the Consultant Medical Specialist would be Grade II seniority. In the case of appointments to the Teaching hospitals it will
be on a point scheme. Four (4) points for grade II and 2 points per year for each year of services in Grade I and Consultant Medical
Specialist Grade.
16.3 Delegation of work: (Annex V)
17. Definitions exception to the definitions as stated in the regulations of Public Service Commission
18. General
18.1 All Medical Officers in the Health Services are subject to Financial Regulations, the Establishments Code, Departmental Orders or Regulations
and any other orders or regulations that may be made by the Government from time to time.
18.2 General conditions and condition of service
General Conditions that are relevant to other posts in the medical service minute shall be I force these posts in the same manner.
Grade II and grade I medical officers are in the executive grade
Senior grade medical officers are in the senior executive grade
Sri Lanka Medical Service Minute
14
MUNITE REGARD TO MEDICAL PERSONNEL OF THE HEALTH SERVICES
APPENDIX 1
A SCHEDULE SHOWING THE DEPARTMENTAL REQUIREMENTS OF SPECIALISTS AND THE RECOGNISED CONSULTANT MEDICAL SPECIALIST QUALIFICAITONS FOR MEDICAL OFFICERS
General Medicine
Recognized Qualification
1
General Medicine
Neurology
Neurophysiology
Nephrology
Cardiology
Cardioelectrophysiology
Endocrinology
Gastroenterology
Respiratory medicine
Rheumatology and rehabilitation
M.D. Medicine
M.D. Neurology
M.D. Neurophysiology
M.D. Nephrology
M.D. Cardiology
M.D. Cardioelectrophysiology
M.D. Endocrinology
M.D. Gastroenterology
M.D. Respiratory medicine
M.D. Rheumatology and rehabilitation
2
Pediatrics
Neonatology
Pediatric neurology
Pediatric nephrology
Pediatric intensive care
Pediatric cardiology
Pediatric oncology
Child Psychiatry
M.D. Pediatrics
M.D Neonatology
M.D Pediatric neurology
M.D Pediatric nephrology
M.D Pediatric intensive care
M.D Pediatric cardiology
M.D Pediatric oncology
M.D Child Psychiatry
3
Dermatology
M.D Dermatology
4
Psychiatry
M. D. Psychiatry
5
Forensic Medicine
M.D. Forensic Medicine
6
General Surgery
M.S. Surgery M.D Surgery
7
E.N.T.
M.S.E.N.T. Surgery
8
Ophthalmology
M.S Ophthalmology
9
Cardiothoracic Surgery
Cardiothoracic Surgery
10
Gastroenterological surgery
Gastroenterological surgery
11
Genitourinary surgery
Genitourinary surgery
12
Neuro Surgery
M.S/M.D Neuro Surgery
13
Plastic Surgery
M.S/M.D Plastic Surgery
14
Oncological surgery
M.S/M.D Oncological surgery
15
Orthopedic surgery
M.S/M.D Orthopedic surgery
16
Thorasic surgery
M.S/M.D Thoracic surgery
17
Vascular surgery
M.S/M.D Vascular surgery
18
Peadiatric surgery
M.S/M.D Ophthalmology (eye surgery)
19
Ophthalmology (eye surgery)
M.S/M.D Ophthalmology (eye surgery)
20
Peadiatric eye surgery
M.S/M.D Pediatric orthopedic surgery
21
Peadiatric orthopedic surgery
M.S/M.D Pediatric orthopedic surgery
22
Peadiatric ENT surgery
M.S/M.D Pediatric ENT surgery
23
Obstetrics and Gynecology
M.S/M.D Obstetrics and Gynecology
24
Gynecological oncosurgey
M.S/M.D Gynecological oncosurgey
25
Subfertility
M.S/M.D Obstetrics and Gynecology major in Subfertility
26
Anesthesia
M D Anesthesia
27
Radiology
M D Radiology
28
Interventional Radiology
M D Interventional Radiology
29
Infectious Diseases
M.D. Medicine majoring in infectious diseases
14
Community medicine(Public Health )
M.D. Community Medicine
30
(a)
Pathology
(b)
Bacteriology
(c)
Parasitology
(d)
Entomology
(e)
Virology
(f)
Bio-chemistry
(g)
Histopathology
M.D. Pathology
M.D. Bacteriology
M.D. Parasitology
M.D. Entomology
M.D. Virology
M.D. Bio –Chemistry
M.D Histopathology
31
General microbiology
General microbiology
32
Mycology
Mycology
33
Hematology
M.D Hematology
34
Pharmacology and therapeutics
M.D. Pharmacology and therapeutics
35
Human nutrition
M.D. Human nutrition
36
Radiotherapy & Oncology
M.D. Radiotherapy & Oncology
37
Venereology
M.D. Venereology
38
Family medicine
MD Family medicine
39
Medical Administration
M.D. Medical Administration
40
Transfusion medicine
MD Transfusion medicine
41
Emergency medicine
MD Emergency medicine
42
Sports medicine
MD Sports medicine
43
Clinical oncology
M.D. oncology
44
Leprosy
M.D community medicine major in leprosy
Sri Lanka Medical Service Minute
15
APPENDIX II
LIST OF QUALIFICAITONS RECOGNISED FOR PROMOTION FROM GRADE 11 TO GRADE 1 OF MEDICAL OFFICERS
Discipline
Diploma
1
General Medicine
-
2
Pediatrics
D. C. H. (Diploma in Child Health)
3
Dermatology
-
4
Chest Diseases
D.T.C.D. (Diploma in Tuberculosis and Chest diseases )
5
Physical Medicine (Rheumatology &
Rehabilitation)
-
6
Forensic Medicine
D.L.M. (Diploma in Legal Medicine)
7
Psychiatry
-
8
General Surgery
-
9
E.N.T.
D.L.O. (Diploma in Laryngo-Otology)
10
Ophthalmology
D.O. (Diploma in Ophthalmology
11
Neurology
-
12
Cardiology
-
13
Cardiac Surgery
-
14
Neuro-Surgery
-
15
Thoracic Surgery
-
16
Plastic Surgery
-
17
Rectal Surgery
-
18
G U Surgery
-
19
Pediatric Surgery
-
20
Orthopedic Surgery
-
21
Obstetrics & Gynecology
-
22
Anesthesiology
-
23
Radiology
-
24
Orthodontics
-
25
Public Health
M.Sc. (Community Medicine)
26
Health Education
M.Sc. in Health Education
27
Family Medicine
Diploma in Family Medicine
28
Critical care
Diploma in critical care
29
Toxicology
MSc (Toxicology)
30
Human Nutrition
MSc( Human Nutrition)
31
sports medicine
Diploma in sports medicine
32
Transfusion medicine
Diploma in transfusion medicine
33
Biomedical Informatics
MSc in Biomedical Informatics
Sri Lanka Medical Service Minute
16
Appendix III
LIST OF QUALIFICAITONS RECOGNISED FOR PROMOTION FROM GRADE 1 TO SENIOR GRADE OF MEDICAL OFFICERS
1.
2
nd
e bar examination
2.
All part 2 examinations of appendix 1
Annex IV
Intermediate cadre
•
Diploma in Child Health
•
Diploma in Tuberculosis and Chest Disease
•
Diploma in Legal Medicine
•
Diploma in laryngo- otology
•
Diploma in ophthalmology
•
Certificate of competence in Anesthesiology
•
Diploma in Family Medicine
•
Diploma in Psychiatry
•
Diploma in Sports Medicine
•
Diploma in Reproductive Medicine
•
MSc Biomedical Informatics
•
Msc Medical Administration
•
M sc Community Medicine
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