The present-day pulmonologists were called tuberculosis specialists or chest physicians before the establishment of the Postgraduate Institute of Medicine, Colombo. There was a long waiting list in general medicine for the approval of no-pay leave to proceed to the United Kingdom to qualify for MRCP. The list in the national tuberculosis programme was much shorter, and it was easier to obtain MRCP. However, the MRCP-qualified doctors through the tuberculosis campaign had a commitment to work as tuberculosis specialists in the chest clinics.
There were three tuberculosis specialists in the country by the time the very first locally qualified, board-certified consultant in respiratory medicine joined the Ministry of Health in the mid-eighties. The work of these specialists was limited to the care of tuberculosis and pneumonia.
The major breakthrough came in the mid-nineties when two pharmaceutical companies brought in inhaled corticosteroids at a very economical price. A large number of patients with chronic cough and asthma began seeking treatment from respiratory physicians, giving them the recognition they deserved in the health care delivery system. As the field became much more popular, more young doctors started taking up respiratory medicine as a career.
Initially, these pulmonologists were placed in Colombo, Kandy, and Galle, fighting a lone struggle with the Ministry of Health and the tuberculosis campaign to upgrade respiratory services in their local stations. As the number of specialists increased to 8–9, they realised the importance of speaking with one voice and uniting to advance the specialty.