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CURRICULUMVITAE
Dr . Lalith Wijesinghe
FRCS (Glsg) , FEBPS , Dipl.Lap. Surgery (IRCD France)
Senior Specialist/ Senior Registrar /Junior Consultant
Paediatric Surgery
Royal Hospital
Muscat
Sultanate ofOman
INDEX
Contents Sequence/Tag
Personal Particulars 1
Qualifications 2
Work experience 3
DetailedScope of work 4
Research Projects 5
Courses & Conferences 6
TeachingExperience 7
Other Educational Activities 8
Referees 9
Letters of appreciationand
Commendations 10
Personal Particulars
Name: Dr LalithWijesinghe
Staff No: RH 8635
Nationality: Sri Lankan
Passport / ID. No : N2776384
Postal Address Current: Dept of PaediatricSurgery, Royal Hospital ,P.O.Box 1331, Code111,Muscat,SultanateofOman
Permanent: No 30 , Topaz Street,Green Park ,Cainta,Rizal, Philippines
E-mail: xman184u@hotmail.com , drlalw@hotmail.com
Phone: Office : 968 24599246 Residence: 968 22025885 GSM: 968 92718900
Qualifications
Primary Medical degree
1.6.1978 - MBBS - Bachelor ofMedicine& Bachelor ofSurgery
University of Ceylon, Faculty of Medicine , Colombo, SriLanka
Post Graduate Qualifications
15.10.2003- FRCS- Fellow ofRoyal College ofSurgeons(Glasgow)
University of Glasgow ,Glasgow, United Kingdom
02. 2.2012- FEBPS- Fellow ofEuropean Board ofPaediatric Surgeons
30.01.2015- DiplomaofLaparoscopicSurgery (IRCD)
University of Strasbourg, France
Work Experience
CLINICAL EXPERIENCE in Oman
Mar 2010 to date : Senior Registrar (Senior Specialist ) in PaediatricSurgery
Royal Hospital,PaediatricSurgical Dept, Muscat, Sultanate ofOman
Oct 2005 to Mar 2010 : Registrar (Specialist ) in Paediatric Surgery
Royal Hospital,PaediatricSurgical Dept, Muscat, Sultanate ofOman
Jan 2004 to Oct 2005: Registrar (Senior M O) in PaediatricSurgery
Royal Hospital,PaediatricSurgicalDept, Muscat, Sultanate ofOman
July 2001 to Jan 2004: Resident Senior Medical Officer in Paediatric Surgery
Royal Hospital, PaediatricSurgical Dept,Muscat, Sultanate of Oman
Feb 1997 to July 2001: Resident Medical Officer in Paediatric Surgery
Royal Hospital, PaediatricSurgical Dept,Muscat, Sultanate of Oman
1991 to 1997: Resident Medical Officer
Nizwa Central Hospital, Dept.ofGeneralSurgery, Sultanate ofOman
1989 to 1991: Actg. Junior Registrar in General Surgery
Royal Hospital,General SurgicalDept,Sultanate ofOman
1987 to 1989: Resident Medical Officer
Royal Hospital,General Surgical Dept ,Sultanate ofOman
1983 to 1987 : Resident Medical Officer
Royal Hospital,General Surgical Dept ,Sultanate ofOman
CLINICAL EXPERIENCE in Sri Lanka
1981 to 1983: Senior Medical Officer
National Accidentand emergency dept ,Colombo, SriLanka
1979 to 1981: District Medical Officer
District Hospital, Ampara,Sri Lanka
1978 to 1979: Internship posts :
Gen. Surgery -6 mths, Paediatrics -6 mths,
Resident Medical Officer -Gynae/ Obsterics -3 mths
Base Hospital,Matara, SriLanka
Detailed Scope of work
Right throughoutof my career I was fortunateenough to work in reputed institutions with secondary and tertiary care and a pretty busy routine, intheoverseas
and in the inland as well, gaining a tremendous experiencein the surgicalfield.
For the last 18years I havebeenworking in Paediatric surgery in RoyalHospital,Muscat in theSultanate ofOman.
Jan 2004 -2010 as Registrar and then from 2010onwards as a Seniorregistrar / Senior Specialist in PaediatricSurgery, Royal Hospital
As a Senior Registrar/Registrar , thedaily routineofwork involved is as follows:
1.Morning endorsement with the entire Paed. Surgicalteam:
- Discussion ( investigations, reaching a diagnosis andmanagement)
ofthe previous day’s wardadmissions (emergencies via A&E/electives ) ,
- Discussion of thein ward criticalcases,
- Discussion of theprevious day’s referrals fromthegeneralpaediatricwards /
neonatal unit(SCBU) / maternitywards / PICU and from allover the
Sultanateof Oman
2.Daily ward rounds (Paed. Surg .ward/ Paed. ICU / SCBU (NICU)
and reviewing allthein-hospital referrals with a Senior consultant.
3.Managing outpatient’s clinic ( S. Consultant available for advice)
4.Managing dailyadmissions both electiveand emergencies ofinpatients
-Investigations, reaching a diagnosis and management
-Guiding /supervising theResidents intheaboveand at theA&Edept.
5.Planning andsupervising the Preop and Post op care ofwardpatients.
6.Operativesessions
-Perform some abdominal paediatric andfew neonatal major surgeries ( elect/emerg)
-First assistantto allmajorsurgeries,
-Perform allminor andintermediate surgeries
-Supervision and training of Residents performing surgeries
7.Teaching sessions/ Lectures :
-The nursing staff andnursing students,
-Medical students ,
-Doctors : undergraduates andpostgraduates
8. As the Senior Registrar, managing 1) all the paediatric surgical e referrels from allthe hospitals fromall over the SultanateofOman.
2) as inchargeofalltheregistrars and residents in the unit –administrative aspects.
Apart from the above, taking partin CMEprogrammes
-Attendance/Presentation of
* Monday Paed. Surgical departmental SurgicalJournal club
* Tuesday Paed.SurgicalGrand Rounds
* Wednesday Radiology clubwith theRadiologists
* Thursday pathology club
* Monthly Presentations ofDivision ofPaediatrics in the PGIM
* Monthly presentations ofMorbidity& Mortality
Our Paediatric Surgical unit is a wellestablishedin a 24bedded ward, with additional outlying patients intheSpecialCareBaby Unit (SCBU/NICU) andthevarious
paediatricmedical wards covering about 150 neonates and 2000surgical admissions a year.The rangeofpathology seenin our departmentincludes Neurosurgery
(Spina Bifida & Hydrocephalus), Urology, ThoracicSurgery (excluding cardiac), AbdominalSurgery, Endoscopy (Bronchoscopy,Oe sophagoscopy) and Trauma.
Out ofan averageof 1600 operations in a year, major operations contributeto a 75%and a 10 % falling in to the emergency category.
The SCBU/NICU is themainneonataltertiary carecenterfor SultanateofOman, with30 beds including 8 ventilator beds. Thereareabout 200 admissions a year and
the surgicalwork loadbeing 15% ofthetotal admissions along with 25 -30 cross consultations per month. Approximately 130“IndexCase”neonates are being
operated per yearincluding Oesophageal Artesia,Ano Rectalanomalies, Hirschsprungs disease, Omphalocoele and other abdominal wall defects,Congenital
DiaphragmaticHernia andGastrointestinalArtesia.
And the Royal Hospital being theapex tertiary care center , during my 18 years stayin the Department Paed. Surgery ,itis fairto saythat I have comeacross most –if
not almost all-of the Paed. Surgicalcases: congenitalor otherwise.
I have gainedvast experience ofperforming Paed. Surgicaloperations in thelast 18yrs and summarized as follows:
First assistant to all major Surgeries:
Abdominal, Thoracic,Neurosurgical, Neoplastic and NeonatalSurgeries.
Laparoscopicsurgeries-cholecystectomy, Splenectomy , Appendectomyand First
and Second stage orchidopexy.
Surgeon -Neonataland paediatric surgeries : colostomy .Ileostomy,resection and anastamosis
of bowel, repair of minor omphalocoeles ,all open andlaparoscopicsurgeries.
All Minor and Intermediateoperations - both elective andemergencies.
Elective:
Abd. Wall hernias:
Groin hernias,
Hydrocoeles-vaginal, infantile, ofthecord and communicating
Undescended testes –Firststage ( Open) andSecondstageOrchidopexy
Circumcisions –plastibellandconventional, Glanular /coronal hypospadias
Cystolithotomy
Laparotomy /Colostomy /Ileostomy
Laparotomy/Resection ofboweland anastamosis
Procedures-SPCatheterisation–open andpercutaneous,
PD catheter insertion,
Rectal washouts,
Thoracostomy ,
Venesection,
Vascular Access -Central LineInsertion(open)/cutdowns
(Broviacs, Hickman)
Internal Jugular/ Femoral
Perm catheter / Porta Cath
Tapping ofcerebralventricals
Excision oflumps –Dermoids- congenitaland FB inclusion,Lymph
nodes-cervical, Lipomas ,Thyroglossal cyst
Branchial cyst
Biopsies - Incisionalandexcisional, Rectal (suction andopen),
Trucut ( abd masses)
Fistulectomy-low type–Anal,
ExcisionofBranchialfistula/sinus,
Closureofcolostomy and vesicostomy/ Hypospadias
Sistrunk for thyroglossal fistula
Suprapubic cystolithotomy
Cystoscopy/removal ofJJstents
Emergencies:
Exploration of scrotumfor testiculartorsion andtorsionofthe testicular appendix
and orchidopexy / orchidectomy
Laparotomy / Appendectomy / ExicisionofMeckel’s diverticulum
Drainageof abscesses-appendicular, perianal, inguinal,axillary,limbs,scalp
Management of burns ,
Surgery for irreducible Hernias –inguinal/ Umbilical
Suturing of all types ofwounds including in the tongue
Explorationof FB-pellets, thorns,glass pieces,and broken fish hooks
Closureof Hernia oftheUmbilical Cord andOmphalocoele Minor (irreducible)
Pyloromyotomy/ Laparotomy and stoma /stoma closure
Laparotomy andmanualreduction ofintussusception/bowelresection and anastamosis
Explorative laparotomy jejunalpeforation /resection of boweland anastamosis
(1997 to 2004)Resident M O& SMOin paed Surgery
Royal hospital
All ofabove except for the Surgicalopdsessions
(1991 to 1997) Resident M Oin GeneralSurgery
Nizwa Hospital
Same as mentioned above exceptfor theCMEpart and training ofresidents
In Nizwa I was exposed to various fields ofspecializedsurgery and most exclusively for Trauma involving bothadlts andchildren. There I managedOrthopaedic ,
Plastic and also Gynaecological, Obstetric medicalpatients as well.
The operativeexperience was as follows:
In General Surgery:
Elective
All minor and intermediateoperations ( both ElectiveandEmergencies)
Excision of Lumps-Lipomas, Sebaceous cysts, mucous cysts, Inclusion Dermoids,
Melanomas,Ganglion, Neurofibromas
Breastlumps, Gynaecomastia
Scrotal lumps-Hydrocoeles:hydrocoelectomy.
Varicocoeles: highLigation
Tumours-orchidectomy
Lymph nodes-excision/ biopsy -Cervical,/ Axillary -
All abd. Wallhernias & All groin hernias -Inguinal, Femoral
Fissurein ano operations-FissurectomyandLt,lateralsphincterotomy,
Fistulectomy- Low type
VaricoseVein operations-Saphenofemoral ligation andstripping oflong saph.vein
And multipleligations
Haemorrhoidectomy, banding ofhaemorrhoids
Circumcision
Biopsies-incisional andexcisional, Tru cut, FNA
Procedures -Thoracostomies, SP Cystostomy both percutaneous and open,
Peritoneal
Lavarge,
PD catheter insertionand removal
Anal and Urethral dilatations,
Proctoscopy andpolypectomy, Sigmoidoscopy-
Rigid
Percutaneous central lineinsertion
Cystoscopy /cystolithotomy
Sialograms, IVP
Amputations - BK / AK/ Metatarsal / Toes / Distalphalanges
Cystolithotomy
Skin Grafting
FB explorations -pellets, needles, thorns, broken fish hooks, glass pieces in thelimbs
abd. Wall
Debridement diabetic foot
Major : Cholecystectomy-open , Laparotomy /Splenectomy(under supervision)
Emergencies:
Managementofburn injuries, Fasciotomy
Exploration ofpenetrating abd wallinjuries
Explorative laparotomy for blunttrauma abd.
Obstructed abd. Wallhernias andgroin hernias-inguinaland femoral
Appendectomy
Laparotomy and closure ofperforatedDuodenal Ulcer with orwith
out truncal vagotomy
Splenectomy
Paraphimosis
Exploration oftestis for Testicular torsionand Orchidopexy/
Orchidectomy
Managementofhand injuries, Suturing ofwounds –allparts ofthe
body
Drainageofabscesses –Breast, Anal, perianal, Ischiorectal,scrotal,
limbs –superficial and
Deep, Inguinal,Scalp,Appendicular
First assistant to all major surgeries
(1983 to 1987) Resident MO in GeneralSurgery
Khoula Hospital
-Same type of work including neurosurgery andwith CMEpresentations.
-Same operativeexperienceas ofabovein Nizwa hospital.
First assistant to allmajorsurgerires.
(1981 to 1983) Resident MO in A & Edept General Hospital (NationalAccident and emergency dept) , Colombo
All Island Trauma Center
In this all island trauma centerI was trainedto manageall types oftrauma ( Orthopedic, Plastic, Neurosurgical ,General surgical ) including themanagementof ICU
admissions.
Triage of patients
Investigations , diagnosis and immediatemanagement
Resuscitation including ETTintubation
Research Projects
My clinical work has always been inclusive ofresearchstudies :
Presented at the4th International Surgical update in 2004in Muscat, Sultanate ofOman
Impalpabletestes –Stephen-Fowler technique(2 stage Orchidopexy )- !0 yrs experience in Oman
A prospectivestudy of 104patients who underwent a stagedprocedure
- Stephen –Fowler technique –for impalpabletestis during theperiod between 1990 and 2000 in thePaediatricSurgicalDept of Royal Hospital .
At the first stageOrchidopexy, ligation ofthetesticular vessels werecarriedoutand aftera reasonablegap oftime( 6 months) for theflourishment ofthe
anastamoticchannels between theartery ofthe vas and thetesticular artery, thesecond stage was performedbringing down thetestis in to thedartos pouch,
The range of follow up was from firstvisit insixmonths to4-6 years and theassessment ofthe sizeofthetestis atthefollow upwas noted.The patients who were
lost for followup werecontactedto attend theclosesthealthcenter andthe localdoctor’s assessment was noteddown. The sizeof theother side normaltestis was
taken as thenorm.
The success rateof our operations was foundto bearound 62% comparedto the range of70s in theoutside world.
Presented at theUpdates on HSCR -2010in Sultan Qaboos UniversityHospital,Muscat , Oman on 25/10/2010
Longterm outcome ofHSCR – Oman Experience (2001- 2009)
The surgical management oftheHSCRhas progressedfrom a 2-3 stagedprocedure toa primary operationover thelast fewdecades. In the pastdecade, definitive
surgery for theHSCR has beenperformedusing minimallyinvasive techniques.
We have beenoperating onHSCR children sincelast 25years andhere weshareour recentexperience. From2001to 2009, weoperated85children with HSCR and
have been ableto collectfollow up clinicaldata regarding functionaloutcome for 79children.Followups were divided into thetypeofpullthrough, age at time of
procedureand length of thelast follow up.Follow upperiod ranged from1month to 8years.
We performed differentoperativeprocedures for HSCR; Duhamel in50,Soavein 23, Swenson in 2and Transanal procedurein10 children. Post-operative
complications includeenterocolitis
(10%) and bowelobstruction secondary to post opadhesions (10%). Therewas no mortality. Post-operatively constipationwas observedmoreinchildrenwho had
Duhamelprocedure,when comparedwith other groups. Functional outcomes were not significantly differentamong the various operativetechniques.
Presented atthe 8 th International Surgical Update in collaboration with The Royal
College of Surgeons ofEdinburgh from 9-14th Nov2013 Ali Bustan Hotel,Muscat Oman
Longterm results in Esophageal atresia with pulmonary hypoplasia
Presentations at the Post Graduate center as CME
1. Necrotising Enterocolitis
2. BilateralWilms Tumor
3. Branchial sinus/fistula/cyst
4. Sacrococcygealteratomas
5. The uncommon presentations of Wilm’s Tumor
6. HSRD
7. Cloacal Exstrophy
8. Severe pediatricliver injuries
9. ARMsimplified
Awaiting acceptance bytheJPS
“Unilateralpulmonary agenesis, esophageal atresia andtracheo-esophageal fistula:
No more a fatal condition”
Courses & Conferences
Presentation asGuest speaker
In an international conference
*4th International Surgical update in Muscat ,Sultanate of Oman
March 27, 28 & 29 , 2004
Paper- ORCHIDOPEXY- Forimpalpable testes , Stephen Fowlerte chnique -LAST10 YEARS EXPERIENCE IN OMAN
* International surgical conference , Updates on HSCR ,Sultan Qaboos University, Muscat ,Sultanate of Oman
October 25 th 2010
Paper - LONG TERM OUTCOME OF HSCR –OMAN EXPERIENCE Last 10 years 2001-2009
*8 th International Surgical Update In collaboration with The Royal College of Surgeons of Edinburgh
November 9-14 th 2013 Paper-
Long term results in Esophagealatresia with pulmonary hypoplasia
Participation in courses & conferences in Oman
DATE CONFERENCE DURATION
6/11/15
Laparoscopy surgery training
Laparoscopic surgery training center ,Zurich,Switzerland
28 days
26.01.2015
Laparoscopic General Surgery Intensive Course
IRCAD, Strasbourg,France
5 days
9.11.2013
8 th International SurgicalUpdate & Paediatric Surgicalworkshop
Al Bustan Palace Hotel-Muscat Oman (speaker)
5 days
31.12.2012
"UnderstandingConsultant Appraisal" workshop
Royal Hospital ,Muscat
1 day
10.01.2012
The 2 nd Teaching CourseOfPaediatric Surgery
King Fahad Ahamed Forces Hospital,Jeddah
2 days
23.03.2011 Paediatric surgicalDay Muscat, Oman 1 day
25.10.2010 Update on HSCR (Speaker ) Muscat, Oman 1 day
01.1.2009 Vascular Day Muscat, Oman 1 day
26.3.2008 Paediatric surgicalworkshop………………… Muscat, Oman 3 days
04.-3.2006 ACLS Muscat, Oman 3 days
26.2.2006
Recent Developments in AtrialFibrillation Muscat.Oman
1 day
24.01.06 6th InternationalSurgical Update & Workshops -Vascular,FNA,MIS,Anastamosis
Muscat.Oman 1
3 days
19.01.06 Update in Pathology Muscat. Oman
28.04.2005. Radiotherapy for Cancer care in Oman- Muscat, Oman 2 days
11.10.2004 Cancer awareness conference -Muscat, Oman 1 day
16.12.2003
5th InternationalSurgical Update -Muscat , Oman
& vascular workshop
3 days
04.05.2003
Management Updateof common problems in children -DCH Workshop
-Muscat, Oman
1 day
26.09.2002
SurgicalDay -Muscat Chapter RCSE& division of Surgery , Royal Hospital
-Muscat, Oman
1 day
02.05.2002
Annual SurgicalConference -Dept ofGeneral Surgery , KhoulaHospital,
- Muscat , Oman
1 day
14.11.2001
Supportive Careof Cancer Patients - DCH Workshop
-Muscat ,Oman
1 day
27.03.2001
4th InternationalSurgical Update -Muscat, Oman
& presentation ofa paper
3 days
10.05.2000
Update on Managementof common problems in children Gastroenterology
-DCH
Workshop
1 day
19.04.2000
Head Injury Conference - Dept of Neurosurgery , Khoula Hospital,
- Muscat , Oman
2 days
05.10.1999 Basic Surgical Skills Course -Conducted by RCSE , -Muscat, Oman 3 days
16.12.1998
Update on Managementof Genetic Blood Disorders -DCH
Workshop
1 day
16.11.1998 Basic CardiacLife Support (providers) 2 days
06.06.1998 ComputerTrainingCoursein Windows 95, Microsoftword97, Power Point 97 18 days
11.11.1995
Post Graduate Laparoscopic Week – Sultan Qaboos University ,Deptof surgery
-Muscat ,Oman
5 days
15.09.1994
Orientation Programme on Role ofMedicalRecords andmedical Recordpoliciesand
Procedures -MOH -Nizwa ,Oman
1 day
15.12.1992
3rd Annual Surgical Conference -Dept ofSurgery, FHMS,UAEUniversity
- Al Ain, Abu
Dhabi,UAE
3 days
04.12.1991 1st International Neurosciences Update -Muscat,Oman 2 days
17.03.1987 2nd AnnualTrauma Symposium -Muscat ,Oman 8 Hrs
Participation in courses & conferences -
International
15.12.1992
3rd Annual Surgical Conference -Dept of Surgery, FHMS, UAE University
- Al Ain, Abu Dhabi,
UAE
10.01.2012
The 2 nd Teaching Course Of Paediatric Surgery
King Fahad Ahamed Forces Hospital,Jeddah
Saudi Arabia
26.01. 2015
Laparoscopic General Surgery Intensivecourse
University Of Strasbourg,IRCAD
France
06/11/2015 -
4/12/2015
Laparoscopy General surgical training
Laparoscopic surgery training center, Zurich,Switzerland
Teaching Experience
* I have been teaching themedical students, the nursingstudents, interns, the
junior residents andthe nursing staff,right through out mycareerin all the
above mentioned hospitals where undergraduates,postgraduates from
the medical colleges andnursingcolleges.
*1981-1983,I was the surgical lecturer in the nursinginstituteof Sri Lankafor the
batch of 1979nursingstudents.
* At present conducting a series of lectures for the staffnurses in the Operation
theater in Royal Hospital:
“ THE COMMON PAEDIATRIC SURGICAL CONDITIONS“
Other Educational Achievements
Passed IELTS -July 2005 - Band- 7.5 ( Speaking- 7, Reading- 7, Listening- 7.5, Writing- 8)
Referees
1. Name : Dr. Mohd Jaffer Sajwani FRCS (Glasg)
Designation : Senior Consultant and Head of PaediatricSurgical Department
Address : Royal hospital
Po box 1331,Code 111,
Muscat
Sultanate of Oman
Tel. No. : 968 + 24 600089 --Res , W0rk – 968 + 24599578
GSM : 968 + 9 9436963
e-mail : doctorjaffer@yahoo.com
2. Name : Dr. Neill V. Freeman FRCS (Eng), FRCS (Ed)
Designation : Former SeniorConsultantand Head of PaediatricSurgical Department
Address : Spain
e-mail : neill2002@wanadoo.es
3. Name : Dr. Roger Green MS, FRCS ( Eng)
Designation : Former Senior Consultant In General Surgery
Address : Canada
GSM : 12503903517
e- mail akdhar@yahoo.com
4. Name: Dr Fatma Ali RamadhanAl Lawatia
Designation Senior Consultant and Head ofdept. of Pathology, Royal
Hospital
Address Dept Of Pathology
Royal Hospital,
PO.box 1331, Code 111
Muscat,
Sultanate of Oman
Tel. No. 968 + 24 599617
GSM 99466590
e-mail fatmaramadhan@hotmail.com
5. Name : Dr Shaikha Nasser Al Balushi FRCR ( Ire)
Designation Senior Consultant Radiologist
Address: Radiology Department
Royal Hospital,
PO.box 1331, Code 111
Muscat,
Sultanate of Oman
Referees
1. Name : Dr. Mohd Jaffer Sajwani FRCS (Glasg)
Designation : Senior Consultant and Head of PaediatricSurgical Department
Address : Royal hospital
Po box 1331,Code 111,
Muscat
Sultanate of Oman
Tel. No. : 968 + 24 600089 --Res , W0rk – 968 + 24599578
GSM : 968 + 9 9436963
e-mail : doctorjaffer@yahoo.com
2. Name : Dr. Neill V. Freeman FRCS (Eng), FRCS (Ed)
Designation : Former SeniorConsultantand Head of PaediatricSurgical Department
Address : Spain
e-mail : neill2002@wanadoo.es
3. Name : Dr. Roger Green MS, FRCS ( Eng)
Designation : Former Senior Consultant In General Surgery
Address : Canada
GSM : 12503903517
e- mail akdhar@yahoo.com
4. Name: Dr Fatma Ali RamadhanAl Lawatia
Designation Senior Consultant and Head ofdept. of Pathology, Royal
Hospital
Address Dept Of Pathology
Royal Hospital,
PO.box 1331, Code 111
Muscat,
Sultanate of Oman
Tel. No. 968 + 24 599617
GSM 99466590
e-mail fatmaramadhan@hotmail.com
5. Name : Dr Shaikha Nasser Al Balushi FRCR ( Ire)
Designation Senior Consultant Radiologist
Address: Radiology Department
Royal Hospital,
PO.box 1331, Code 111
Muscat,
Sultanate of Oman
Letters ofappreciation
&
commendations
Health Check
Health Check
-No permanent physical disabilities
-Not under treatment for any physical illnesses
Log Book

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CURRICULUM VITAE.docx short version

  • 1. CURRICULUMVITAE Dr . Lalith Wijesinghe FRCS (Glsg) , FEBPS , Dipl.Lap. Surgery (IRCD France) Senior Specialist/ Senior Registrar /Junior Consultant Paediatric Surgery Royal Hospital Muscat Sultanate ofOman INDEX Contents Sequence/Tag Personal Particulars 1 Qualifications 2 Work experience 3 DetailedScope of work 4 Research Projects 5 Courses & Conferences 6 TeachingExperience 7 Other Educational Activities 8 Referees 9 Letters of appreciationand Commendations 10 Personal Particulars
  • 2. Name: Dr LalithWijesinghe Staff No: RH 8635 Nationality: Sri Lankan Passport / ID. No : N2776384 Postal Address Current: Dept of PaediatricSurgery, Royal Hospital ,P.O.Box 1331, Code111,Muscat,SultanateofOman Permanent: No 30 , Topaz Street,Green Park ,Cainta,Rizal, Philippines E-mail: xman184u@hotmail.com , drlalw@hotmail.com Phone: Office : 968 24599246 Residence: 968 22025885 GSM: 968 92718900 Qualifications Primary Medical degree 1.6.1978 - MBBS - Bachelor ofMedicine& Bachelor ofSurgery University of Ceylon, Faculty of Medicine , Colombo, SriLanka Post Graduate Qualifications 15.10.2003- FRCS- Fellow ofRoyal College ofSurgeons(Glasgow) University of Glasgow ,Glasgow, United Kingdom 02. 2.2012- FEBPS- Fellow ofEuropean Board ofPaediatric Surgeons 30.01.2015- DiplomaofLaparoscopicSurgery (IRCD) University of Strasbourg, France Work Experience CLINICAL EXPERIENCE in Oman Mar 2010 to date : Senior Registrar (Senior Specialist ) in PaediatricSurgery Royal Hospital,PaediatricSurgical Dept, Muscat, Sultanate ofOman Oct 2005 to Mar 2010 : Registrar (Specialist ) in Paediatric Surgery Royal Hospital,PaediatricSurgical Dept, Muscat, Sultanate ofOman Jan 2004 to Oct 2005: Registrar (Senior M O) in PaediatricSurgery Royal Hospital,PaediatricSurgicalDept, Muscat, Sultanate ofOman July 2001 to Jan 2004: Resident Senior Medical Officer in Paediatric Surgery Royal Hospital, PaediatricSurgical Dept,Muscat, Sultanate of Oman Feb 1997 to July 2001: Resident Medical Officer in Paediatric Surgery Royal Hospital, PaediatricSurgical Dept,Muscat, Sultanate of Oman 1991 to 1997: Resident Medical Officer Nizwa Central Hospital, Dept.ofGeneralSurgery, Sultanate ofOman 1989 to 1991: Actg. Junior Registrar in General Surgery Royal Hospital,General SurgicalDept,Sultanate ofOman 1987 to 1989: Resident Medical Officer Royal Hospital,General Surgical Dept ,Sultanate ofOman 1983 to 1987 : Resident Medical Officer Royal Hospital,General Surgical Dept ,Sultanate ofOman CLINICAL EXPERIENCE in Sri Lanka 1981 to 1983: Senior Medical Officer National Accidentand emergency dept ,Colombo, SriLanka 1979 to 1981: District Medical Officer District Hospital, Ampara,Sri Lanka 1978 to 1979: Internship posts : Gen. Surgery -6 mths, Paediatrics -6 mths, Resident Medical Officer -Gynae/ Obsterics -3 mths Base Hospital,Matara, SriLanka Detailed Scope of work Right throughoutof my career I was fortunateenough to work in reputed institutions with secondary and tertiary care and a pretty busy routine, intheoverseas and in the inland as well, gaining a tremendous experiencein the surgicalfield.
  • 3. For the last 18years I havebeenworking in Paediatric surgery in RoyalHospital,Muscat in theSultanate ofOman. Jan 2004 -2010 as Registrar and then from 2010onwards as a Seniorregistrar / Senior Specialist in PaediatricSurgery, Royal Hospital As a Senior Registrar/Registrar , thedaily routineofwork involved is as follows: 1.Morning endorsement with the entire Paed. Surgicalteam: - Discussion ( investigations, reaching a diagnosis andmanagement) ofthe previous day’s wardadmissions (emergencies via A&E/electives ) , - Discussion of thein ward criticalcases, - Discussion of theprevious day’s referrals fromthegeneralpaediatricwards / neonatal unit(SCBU) / maternitywards / PICU and from allover the Sultanateof Oman 2.Daily ward rounds (Paed. Surg .ward/ Paed. ICU / SCBU (NICU) and reviewing allthein-hospital referrals with a Senior consultant. 3.Managing outpatient’s clinic ( S. Consultant available for advice) 4.Managing dailyadmissions both electiveand emergencies ofinpatients -Investigations, reaching a diagnosis and management -Guiding /supervising theResidents intheaboveand at theA&Edept. 5.Planning andsupervising the Preop and Post op care ofwardpatients. 6.Operativesessions -Perform some abdominal paediatric andfew neonatal major surgeries ( elect/emerg) -First assistantto allmajorsurgeries, -Perform allminor andintermediate surgeries -Supervision and training of Residents performing surgeries 7.Teaching sessions/ Lectures : -The nursing staff andnursing students, -Medical students , -Doctors : undergraduates andpostgraduates 8. As the Senior Registrar, managing 1) all the paediatric surgical e referrels from allthe hospitals fromall over the SultanateofOman. 2) as inchargeofalltheregistrars and residents in the unit –administrative aspects. Apart from the above, taking partin CMEprogrammes -Attendance/Presentation of * Monday Paed. Surgical departmental SurgicalJournal club * Tuesday Paed.SurgicalGrand Rounds * Wednesday Radiology clubwith theRadiologists * Thursday pathology club * Monthly Presentations ofDivision ofPaediatrics in the PGIM * Monthly presentations ofMorbidity& Mortality Our Paediatric Surgical unit is a wellestablishedin a 24bedded ward, with additional outlying patients intheSpecialCareBaby Unit (SCBU/NICU) andthevarious paediatricmedical wards covering about 150 neonates and 2000surgical admissions a year.The rangeofpathology seenin our departmentincludes Neurosurgery (Spina Bifida & Hydrocephalus), Urology, ThoracicSurgery (excluding cardiac), AbdominalSurgery, Endoscopy (Bronchoscopy,Oe sophagoscopy) and Trauma. Out ofan averageof 1600 operations in a year, major operations contributeto a 75%and a 10 % falling in to the emergency category. The SCBU/NICU is themainneonataltertiary carecenterfor SultanateofOman, with30 beds including 8 ventilator beds. Thereareabout 200 admissions a year and the surgicalwork loadbeing 15% ofthetotal admissions along with 25 -30 cross consultations per month. Approximately 130“IndexCase”neonates are being operated per yearincluding Oesophageal Artesia,Ano Rectalanomalies, Hirschsprungs disease, Omphalocoele and other abdominal wall defects,Congenital DiaphragmaticHernia andGastrointestinalArtesia. And the Royal Hospital being theapex tertiary care center , during my 18 years stayin the Department Paed. Surgery ,itis fairto saythat I have comeacross most –if not almost all-of the Paed. Surgicalcases: congenitalor otherwise. I have gainedvast experience ofperforming Paed. Surgicaloperations in thelast 18yrs and summarized as follows: First assistant to all major Surgeries: Abdominal, Thoracic,Neurosurgical, Neoplastic and NeonatalSurgeries. Laparoscopicsurgeries-cholecystectomy, Splenectomy , Appendectomyand First and Second stage orchidopexy. Surgeon -Neonataland paediatric surgeries : colostomy .Ileostomy,resection and anastamosis of bowel, repair of minor omphalocoeles ,all open andlaparoscopicsurgeries. All Minor and Intermediateoperations - both elective andemergencies. Elective:
  • 4. Abd. Wall hernias: Groin hernias, Hydrocoeles-vaginal, infantile, ofthecord and communicating Undescended testes –Firststage ( Open) andSecondstageOrchidopexy Circumcisions –plastibellandconventional, Glanular /coronal hypospadias Cystolithotomy Laparotomy /Colostomy /Ileostomy Laparotomy/Resection ofboweland anastamosis Procedures-SPCatheterisation–open andpercutaneous, PD catheter insertion, Rectal washouts, Thoracostomy , Venesection, Vascular Access -Central LineInsertion(open)/cutdowns (Broviacs, Hickman) Internal Jugular/ Femoral Perm catheter / Porta Cath Tapping ofcerebralventricals Excision oflumps –Dermoids- congenitaland FB inclusion,Lymph nodes-cervical, Lipomas ,Thyroglossal cyst Branchial cyst Biopsies - Incisionalandexcisional, Rectal (suction andopen), Trucut ( abd masses) Fistulectomy-low type–Anal, ExcisionofBranchialfistula/sinus, Closureofcolostomy and vesicostomy/ Hypospadias Sistrunk for thyroglossal fistula Suprapubic cystolithotomy Cystoscopy/removal ofJJstents Emergencies: Exploration of scrotumfor testiculartorsion andtorsionofthe testicular appendix and orchidopexy / orchidectomy Laparotomy / Appendectomy / ExicisionofMeckel’s diverticulum Drainageof abscesses-appendicular, perianal, inguinal,axillary,limbs,scalp Management of burns , Surgery for irreducible Hernias –inguinal/ Umbilical Suturing of all types ofwounds including in the tongue Explorationof FB-pellets, thorns,glass pieces,and broken fish hooks Closureof Hernia oftheUmbilical Cord andOmphalocoele Minor (irreducible) Pyloromyotomy/ Laparotomy and stoma /stoma closure Laparotomy andmanualreduction ofintussusception/bowelresection and anastamosis Explorative laparotomy jejunalpeforation /resection of boweland anastamosis (1997 to 2004)Resident M O& SMOin paed Surgery Royal hospital All ofabove except for the Surgicalopdsessions (1991 to 1997) Resident M Oin GeneralSurgery Nizwa Hospital Same as mentioned above exceptfor theCMEpart and training ofresidents In Nizwa I was exposed to various fields ofspecializedsurgery and most exclusively for Trauma involving bothadlts andchildren. There I managedOrthopaedic , Plastic and also Gynaecological, Obstetric medicalpatients as well. The operativeexperience was as follows: In General Surgery: Elective All minor and intermediateoperations ( both ElectiveandEmergencies) Excision of Lumps-Lipomas, Sebaceous cysts, mucous cysts, Inclusion Dermoids, Melanomas,Ganglion, Neurofibromas Breastlumps, Gynaecomastia Scrotal lumps-Hydrocoeles:hydrocoelectomy. Varicocoeles: highLigation Tumours-orchidectomy Lymph nodes-excision/ biopsy -Cervical,/ Axillary - All abd. Wallhernias & All groin hernias -Inguinal, Femoral Fissurein ano operations-FissurectomyandLt,lateralsphincterotomy, Fistulectomy- Low type VaricoseVein operations-Saphenofemoral ligation andstripping oflong saph.vein
  • 5. And multipleligations Haemorrhoidectomy, banding ofhaemorrhoids Circumcision Biopsies-incisional andexcisional, Tru cut, FNA Procedures -Thoracostomies, SP Cystostomy both percutaneous and open, Peritoneal Lavarge, PD catheter insertionand removal Anal and Urethral dilatations, Proctoscopy andpolypectomy, Sigmoidoscopy- Rigid Percutaneous central lineinsertion Cystoscopy /cystolithotomy Sialograms, IVP Amputations - BK / AK/ Metatarsal / Toes / Distalphalanges Cystolithotomy Skin Grafting FB explorations -pellets, needles, thorns, broken fish hooks, glass pieces in thelimbs abd. Wall Debridement diabetic foot Major : Cholecystectomy-open , Laparotomy /Splenectomy(under supervision) Emergencies: Managementofburn injuries, Fasciotomy Exploration ofpenetrating abd wallinjuries Explorative laparotomy for blunttrauma abd. Obstructed abd. Wallhernias andgroin hernias-inguinaland femoral Appendectomy Laparotomy and closure ofperforatedDuodenal Ulcer with orwith out truncal vagotomy Splenectomy Paraphimosis Exploration oftestis for Testicular torsionand Orchidopexy/ Orchidectomy Managementofhand injuries, Suturing ofwounds –allparts ofthe body Drainageofabscesses –Breast, Anal, perianal, Ischiorectal,scrotal, limbs –superficial and Deep, Inguinal,Scalp,Appendicular First assistant to all major surgeries (1983 to 1987) Resident MO in GeneralSurgery Khoula Hospital -Same type of work including neurosurgery andwith CMEpresentations. -Same operativeexperienceas ofabovein Nizwa hospital. First assistant to allmajorsurgerires. (1981 to 1983) Resident MO in A & Edept General Hospital (NationalAccident and emergency dept) , Colombo All Island Trauma Center In this all island trauma centerI was trainedto manageall types oftrauma ( Orthopedic, Plastic, Neurosurgical ,General surgical ) including themanagementof ICU admissions. Triage of patients Investigations , diagnosis and immediatemanagement Resuscitation including ETTintubation Research Projects My clinical work has always been inclusive ofresearchstudies : Presented at the4th International Surgical update in 2004in Muscat, Sultanate ofOman Impalpabletestes –Stephen-Fowler technique(2 stage Orchidopexy )- !0 yrs experience in Oman
  • 6. A prospectivestudy of 104patients who underwent a stagedprocedure - Stephen –Fowler technique –for impalpabletestis during theperiod between 1990 and 2000 in thePaediatricSurgicalDept of Royal Hospital . At the first stageOrchidopexy, ligation ofthetesticular vessels werecarriedoutand aftera reasonablegap oftime( 6 months) for theflourishment ofthe anastamoticchannels between theartery ofthe vas and thetesticular artery, thesecond stage was performedbringing down thetestis in to thedartos pouch, The range of follow up was from firstvisit insixmonths to4-6 years and theassessment ofthe sizeofthetestis atthefollow upwas noted.The patients who were lost for followup werecontactedto attend theclosesthealthcenter andthe localdoctor’s assessment was noteddown. The sizeof theother side normaltestis was taken as thenorm. The success rateof our operations was foundto bearound 62% comparedto the range of70s in theoutside world. Presented at theUpdates on HSCR -2010in Sultan Qaboos UniversityHospital,Muscat , Oman on 25/10/2010 Longterm outcome ofHSCR – Oman Experience (2001- 2009) The surgical management oftheHSCRhas progressedfrom a 2-3 stagedprocedure toa primary operationover thelast fewdecades. In the pastdecade, definitive surgery for theHSCR has beenperformedusing minimallyinvasive techniques. We have beenoperating onHSCR children sincelast 25years andhere weshareour recentexperience. From2001to 2009, weoperated85children with HSCR and have been ableto collectfollow up clinicaldata regarding functionaloutcome for 79children.Followups were divided into thetypeofpullthrough, age at time of procedureand length of thelast follow up.Follow upperiod ranged from1month to 8years. We performed differentoperativeprocedures for HSCR; Duhamel in50,Soavein 23, Swenson in 2and Transanal procedurein10 children. Post-operative complications includeenterocolitis (10%) and bowelobstruction secondary to post opadhesions (10%). Therewas no mortality. Post-operatively constipationwas observedmoreinchildrenwho had Duhamelprocedure,when comparedwith other groups. Functional outcomes were not significantly differentamong the various operativetechniques. Presented atthe 8 th International Surgical Update in collaboration with The Royal College of Surgeons ofEdinburgh from 9-14th Nov2013 Ali Bustan Hotel,Muscat Oman Longterm results in Esophageal atresia with pulmonary hypoplasia Presentations at the Post Graduate center as CME 1. Necrotising Enterocolitis 2. BilateralWilms Tumor 3. Branchial sinus/fistula/cyst 4. Sacrococcygealteratomas 5. The uncommon presentations of Wilm’s Tumor 6. HSRD 7. Cloacal Exstrophy 8. Severe pediatricliver injuries 9. ARMsimplified Awaiting acceptance bytheJPS “Unilateralpulmonary agenesis, esophageal atresia andtracheo-esophageal fistula: No more a fatal condition” Courses & Conferences Presentation asGuest speaker In an international conference *4th International Surgical update in Muscat ,Sultanate of Oman March 27, 28 & 29 , 2004 Paper- ORCHIDOPEXY- Forimpalpable testes , Stephen Fowlerte chnique -LAST10 YEARS EXPERIENCE IN OMAN * International surgical conference , Updates on HSCR ,Sultan Qaboos University, Muscat ,Sultanate of Oman October 25 th 2010 Paper - LONG TERM OUTCOME OF HSCR –OMAN EXPERIENCE Last 10 years 2001-2009 *8 th International Surgical Update In collaboration with The Royal College of Surgeons of Edinburgh November 9-14 th 2013 Paper- Long term results in Esophagealatresia with pulmonary hypoplasia Participation in courses & conferences in Oman DATE CONFERENCE DURATION 6/11/15 Laparoscopy surgery training Laparoscopic surgery training center ,Zurich,Switzerland 28 days
  • 7. 26.01.2015 Laparoscopic General Surgery Intensive Course IRCAD, Strasbourg,France 5 days 9.11.2013 8 th International SurgicalUpdate & Paediatric Surgicalworkshop Al Bustan Palace Hotel-Muscat Oman (speaker) 5 days 31.12.2012 "UnderstandingConsultant Appraisal" workshop Royal Hospital ,Muscat 1 day 10.01.2012 The 2 nd Teaching CourseOfPaediatric Surgery King Fahad Ahamed Forces Hospital,Jeddah 2 days 23.03.2011 Paediatric surgicalDay Muscat, Oman 1 day 25.10.2010 Update on HSCR (Speaker ) Muscat, Oman 1 day 01.1.2009 Vascular Day Muscat, Oman 1 day 26.3.2008 Paediatric surgicalworkshop………………… Muscat, Oman 3 days 04.-3.2006 ACLS Muscat, Oman 3 days 26.2.2006 Recent Developments in AtrialFibrillation Muscat.Oman 1 day 24.01.06 6th InternationalSurgical Update & Workshops -Vascular,FNA,MIS,Anastamosis Muscat.Oman 1 3 days 19.01.06 Update in Pathology Muscat. Oman 28.04.2005. Radiotherapy for Cancer care in Oman- Muscat, Oman 2 days 11.10.2004 Cancer awareness conference -Muscat, Oman 1 day 16.12.2003 5th InternationalSurgical Update -Muscat , Oman & vascular workshop 3 days 04.05.2003 Management Updateof common problems in children -DCH Workshop -Muscat, Oman 1 day 26.09.2002 SurgicalDay -Muscat Chapter RCSE& division of Surgery , Royal Hospital -Muscat, Oman 1 day 02.05.2002 Annual SurgicalConference -Dept ofGeneral Surgery , KhoulaHospital, - Muscat , Oman 1 day 14.11.2001 Supportive Careof Cancer Patients - DCH Workshop -Muscat ,Oman 1 day 27.03.2001 4th InternationalSurgical Update -Muscat, Oman & presentation ofa paper 3 days 10.05.2000 Update on Managementof common problems in children Gastroenterology -DCH Workshop 1 day 19.04.2000 Head Injury Conference - Dept of Neurosurgery , Khoula Hospital, - Muscat , Oman 2 days 05.10.1999 Basic Surgical Skills Course -Conducted by RCSE , -Muscat, Oman 3 days 16.12.1998 Update on Managementof Genetic Blood Disorders -DCH Workshop 1 day 16.11.1998 Basic CardiacLife Support (providers) 2 days 06.06.1998 ComputerTrainingCoursein Windows 95, Microsoftword97, Power Point 97 18 days 11.11.1995 Post Graduate Laparoscopic Week – Sultan Qaboos University ,Deptof surgery -Muscat ,Oman 5 days 15.09.1994 Orientation Programme on Role ofMedicalRecords andmedical Recordpoliciesand Procedures -MOH -Nizwa ,Oman 1 day 15.12.1992 3rd Annual Surgical Conference -Dept ofSurgery, FHMS,UAEUniversity - Al Ain, Abu Dhabi,UAE 3 days 04.12.1991 1st International Neurosciences Update -Muscat,Oman 2 days 17.03.1987 2nd AnnualTrauma Symposium -Muscat ,Oman 8 Hrs
  • 8. Participation in courses & conferences - International 15.12.1992 3rd Annual Surgical Conference -Dept of Surgery, FHMS, UAE University - Al Ain, Abu Dhabi, UAE 10.01.2012 The 2 nd Teaching Course Of Paediatric Surgery King Fahad Ahamed Forces Hospital,Jeddah Saudi Arabia 26.01. 2015 Laparoscopic General Surgery Intensivecourse University Of Strasbourg,IRCAD France 06/11/2015 - 4/12/2015 Laparoscopy General surgical training Laparoscopic surgery training center, Zurich,Switzerland Teaching Experience * I have been teaching themedical students, the nursingstudents, interns, the junior residents andthe nursing staff,right through out mycareerin all the above mentioned hospitals where undergraduates,postgraduates from the medical colleges andnursingcolleges. *1981-1983,I was the surgical lecturer in the nursinginstituteof Sri Lankafor the batch of 1979nursingstudents. * At present conducting a series of lectures for the staffnurses in the Operation theater in Royal Hospital: “ THE COMMON PAEDIATRIC SURGICAL CONDITIONS“ Other Educational Achievements Passed IELTS -July 2005 - Band- 7.5 ( Speaking- 7, Reading- 7, Listening- 7.5, Writing- 8) Referees 1. Name : Dr. Mohd Jaffer Sajwani FRCS (Glasg) Designation : Senior Consultant and Head of PaediatricSurgical Department
  • 9. Address : Royal hospital Po box 1331,Code 111, Muscat Sultanate of Oman Tel. No. : 968 + 24 600089 --Res , W0rk – 968 + 24599578 GSM : 968 + 9 9436963 e-mail : doctorjaffer@yahoo.com 2. Name : Dr. Neill V. Freeman FRCS (Eng), FRCS (Ed) Designation : Former SeniorConsultantand Head of PaediatricSurgical Department Address : Spain e-mail : neill2002@wanadoo.es 3. Name : Dr. Roger Green MS, FRCS ( Eng) Designation : Former Senior Consultant In General Surgery Address : Canada GSM : 12503903517 e- mail akdhar@yahoo.com 4. Name: Dr Fatma Ali RamadhanAl Lawatia Designation Senior Consultant and Head ofdept. of Pathology, Royal Hospital Address Dept Of Pathology Royal Hospital, PO.box 1331, Code 111 Muscat, Sultanate of Oman Tel. No. 968 + 24 599617 GSM 99466590 e-mail fatmaramadhan@hotmail.com 5. Name : Dr Shaikha Nasser Al Balushi FRCR ( Ire) Designation Senior Consultant Radiologist Address: Radiology Department Royal Hospital, PO.box 1331, Code 111 Muscat, Sultanate of Oman
  • 10. Referees 1. Name : Dr. Mohd Jaffer Sajwani FRCS (Glasg) Designation : Senior Consultant and Head of PaediatricSurgical Department Address : Royal hospital Po box 1331,Code 111, Muscat Sultanate of Oman Tel. No. : 968 + 24 600089 --Res , W0rk – 968 + 24599578 GSM : 968 + 9 9436963 e-mail : doctorjaffer@yahoo.com 2. Name : Dr. Neill V. Freeman FRCS (Eng), FRCS (Ed) Designation : Former SeniorConsultantand Head of PaediatricSurgical Department Address : Spain e-mail : neill2002@wanadoo.es 3. Name : Dr. Roger Green MS, FRCS ( Eng) Designation : Former Senior Consultant In General Surgery Address : Canada GSM : 12503903517 e- mail akdhar@yahoo.com 4. Name: Dr Fatma Ali RamadhanAl Lawatia Designation Senior Consultant and Head ofdept. of Pathology, Royal Hospital Address Dept Of Pathology Royal Hospital, PO.box 1331, Code 111 Muscat, Sultanate of Oman Tel. No. 968 + 24 599617 GSM 99466590 e-mail fatmaramadhan@hotmail.com 5. Name : Dr Shaikha Nasser Al Balushi FRCR ( Ire) Designation Senior Consultant Radiologist Address: Radiology Department Royal Hospital, PO.box 1331, Code 111 Muscat,
  • 11. Sultanate of Oman Letters ofappreciation & commendations Health Check
  • 12. Health Check -No permanent physical disabilities -Not under treatment for any physical illnesses Log Book