Holding the post until 1953, Departments of Bacteriology, Biochemistry, Paediatrics, Parasitology and Pharmacology were established in the Colombo Medical Faculty and postgraduate examinations in Medicine (MD, MS and MOG) also commenced during this period.
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Thereafter he served as Surgical Registrar, General Hospital (1932) and Senior Clinical Tutor (1933) before he was select to be trained as the Gynaecologist of the General Hospital, by the then Director, Health Services, Dr. Rupert Briercliffe.
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In 1925 Attygalle left for Britain for further studies and returned in 1929 with his MRCS, LRCP (London), DLO (London) and FRCS (England).
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Professor Sir Nicholas Attygalle, KBE, FRCS, FRCOG - former President of the Senate of Ceylon, Vice Chancellor of University of Ceylon, Dean of the Faculty of Medicine & Professor of Obstetrics and Gynaecology