Desmond Fernando
Dr Bothalage Desmond James Stanley Fernando was a Sri Lankan doctor and inventor, best known for his services to General Practice in the country.
Education
School
Fernando was educated at S.Thomas' Preparatory school Kollupitiya and S.Thomas' College Mt Lavinia. He is known among his classmates for demonstrating a process for manufacturing small amounts of plastic and nylon at the College Science exhibition in 1945 and was awarded prizes for academic excellence. He was a junior librarian and a member of the photographic society.Undergraduate
Fernando entered the Ceylon Medical College in 1947 winning the University Scholarship. He served on the committee of the medical students union and qualified MBBS in 1954.Postgraduate training
Fernando trained as a paediatrician in Children's Hospital Medical Centre Boston Mass USA with Charles Alderson Janeway and at Beverley Hospital with Professor William Dorsey. He later retrained in Family Medicine in Beverly Mass USA becoming a Member of the American Academy of Family Physicians. He subsequently attended the Department of General Practice, University of Manchester UK initially with Professor Patrick Byrne and later with Professor David HH Metcalfe, University of Nottingham UK with Dr Michael Varnum and St Georges Hospital Medical School London UK with Professor Paul Freeling on a British Council Fellowship.Professional activity
Fernando was appointed District Medical Officer Elpitiya and later District Medical Officer Minuwangoda before resigning from government practice.He practiced as a family physician in Ratmalana for 51 years till his retirement in 2010. Although his American paediatric training was not credited by the Ministry of Health which recognised only British Qualifications, his patients recognised his dual accreditation as a paediatrician in addition to being their family physician. His patients credited him for his clinical acumen in making complex diagnoses such as the rib tip syndrome. Godfrey Senaratne comments on his dedication to keeping himself up to date through maintaining overseas standards at a time when continuing Professional development was not compulsory in Sri Lanka.
Services to Family Medicine
Fernando contributed to establishing Family Medicine as a speciality in Sri Lanka jointly with colleagues Denis J Aloysius, GM Heennilame, MPM Cooray, BDJ Silva and Professor Leila Karunaratne and developing the training programme over two decades. He taught Family Medicine at the Postgraduate Institute of Medicine at the University of Colombo where he was a founder member of the Board of Study in Family Medicine, taking a prominent role in writing the curriculum, setting up and chairing the examination board for the Diploma in Family Medicine and MD Family Medicine programs. With Dr J.B. Peiris and Dr Arul Raj he extended this to centres in India, and served as coordinator and chief examiner.His presidential address with the title "The Place of Primary care in the Health Services Pyramid" outlined a blueprint for strategies to implement family medicine based primary care systems in Sri Lanka.
Fernando served on many international committees and in regional general practice organisations and delivered lectures in 1997 at Indian Medical Association Annual Scientific Sessions held in New Delhi, the WONCA Middle East South Asian Regional Conference in Nepal in 1996, the Indian Medical Association Annual Scientific Sessions held in Hyderabad in 1998, UK and USA. He was President of the College of General Practitioners of Sri Lanka for two terms, served on the Five Member Committee set up by the Ministry of Health to examine the need to set up an autonomous National Drug Control Authority, contributed to the national guide on vaccines and served on the national task force for eradication of rabies.