Functional duties of the local therapist of the polyclinic. Job description of a general practitioner. Instruction: general provisions for the activities of the chief physician
JOB INSTRUCTIONS FOR SPECIALIST DOCTORS
THERAPIST DOCTOR
1. General Provisions
1. This job description defines the job duties, rights and responsibilities of a local general practitioner.
2. Specialists with a higher medical education in the specialty "General Medicine" or "Pediatrics" and a certificate of a specialist in the specialty "Therapy" are appointed to the position of a local general practitioner.
3. The district general practitioner in his activities is guided by the legislation of the Russian Federation, regulatory legal acts of the federal executive body in the field of healthcare, executive authorities of the constituent entities of the Russian Federation and local governments, as well as the Regulations on the organization of the activities of the district general practitioner, approved by order of the Ministry health and social development of the Russian Federation dated December 7, 2005 N 765 "On the organization of the activities of a district general practitioner".
4. The district general practitioner carries out his activities to provide primary health care to the population in medical organizations, mainly of the municipal health care system:
- polyclinics;
- dispensaries;
- inpatient-polyclinic institutions of the municipal health care system;
- other medical and preventive institutions providing primary health care to the population.
5. Payment for labor (financing of activities) of a local general practitioner is carried out in accordance with the legislation of the Russian Federation.
6. The local general practitioner must know the basics of the legislation of the Russian Federation on health care; legal documents regulating the activities of healthcare institutions; the basics of organizing medical and preventive care in hospitals and outpatient clinics, emergency and emergency medical care, disaster medicine services, sanitary and epidemiological services, drug supply to the population and health care facilities; theoretical foundations, principles and methods of clinical examination; organizational and economic foundations for the activities of health care institutions and medical workers in the context of budgetary insurance medicine; fundamentals of social hygiene, organization and economics of healthcare, medical ethics and deontology; legal aspects of medical activity; general principles and basic methods of clinical, instrumental and laboratory diagnostics of the functional state of organs and systems of the human body; etiology, pathogenesis, clinical symptoms, course features, principles of complex treatment of major diseases; rules for the provision of emergency medical care; bases of examination of temporary incapacity for work and medico-social examination; fundamentals of health education; internal labor regulations; rules and norms of labor protection, safety measures, industrial sanitation and fire protection.
According to his specialty, the local general practitioner must know modern methods of prevention, diagnosis, treatment and rehabilitation; content and sections of therapy as an independent clinical discipline; tasks, organization, structure, staffing and equipment of the therapeutic service; current legal and instructive and methodological documents in the specialty; rules for issuing medical documentation; the procedure for conducting an examination of temporary disability and medical and social examination; principles of planning activities and reporting of therapeutic services; methods and procedures for monitoring its activities.
7. The local general practitioner is appointed to the position and dismissed by the order of the head physician of the health facility in accordance with the current legislation of the Russian Federation.
8. The district general practitioner directly reports to the head of the department, and in his absence to the head of the health facility or his deputy.
2. Job responsibilities
Local therapist:
- forms a medical (therapeutic) site from the population attached to it;
- provides sanitary and hygienic education, advises on the formation of a healthy lifestyle;
- carries out preventive measures to prevent and reduce morbidity, identify early and latent forms of diseases, socially significant diseases and risk factors, organize and lead health schools;
- studies the needs of the population it serves in recreational activities and develops a program for these activities;
- carries out dispensary observation of patients, including those who have the right to receive a set of social services, in the prescribed manner;
- organizes and conducts diagnostics and treatment of various diseases and conditions, including rehabilitation treatment of patients on an outpatient basis, day hospital and hospital at home;
- provides emergency medical care to patients with acute illnesses, injuries, poisonings and other emergency conditions on an outpatient basis, a day hospital and a hospital at home;
- refer patients for consultations to specialists, including for inpatient and rehabilitation treatment for medical reasons;
- organizes and conducts anti-epidemic measures and immunization in the prescribed manner;
- conducts an examination of temporary disability in the prescribed manner and draws up documents for referral to a medical and social examination;
- issues a conclusion on the need to refer patients for medical reasons for sanatorium treatment;
- interacts with medical organizations of the state, municipal and private healthcare systems, medical insurance companies, other organizations;
- organizes, together with the social protection authorities, medical and social assistance to certain categories of citizens: the lonely, the elderly, the disabled, the chronically ill in need of care;
- supervises the activities of paramedical personnel providing primary health care;
- maintains medical documentation in accordance with the established procedure, analyzes the health status of the attached population and the activities of the medical site;
- observes the rules and principles of medical ethics and deontology;
- competently and timely executes orders, instructions and instructions of the management of the healthcare institution, as well as regulatory legal acts on their professional activities;
- complies with the rules of internal regulations, fire safety and safety, sanitary and epidemiological regime;
- promptly takes measures, including timely informing the management, to eliminate violations of safety, fire and sanitary rules that pose a threat to the activities of the healthcare institution, its employees, patients and visitors;
- systematically improve their skills.
3. Rights
The local general practitioner has the right to:
1. independently establish a diagnosis in the specialty on the basis of clinical observations and examinations, anamnesis, data from clinical, laboratory and instrumental studies; determine the tactics of patient management in accordance with established rules and standards; prescribe the methods of instrumental, functional and laboratory diagnostics necessary for a comprehensive examination of the patient; carry out diagnostic, therapeutic, rehabilitation and preventive procedures using approved diagnostic and treatment methods; involve, if necessary, doctors of other specialties for consultations, examination and treatment of patients;
2. to make proposals to the management of the institution on improving the diagnostic and treatment process, improving the work of administrative, economic and paraclinical services, issues of organization and conditions of their work;
3. control the work of subordinate employees (if any), give them orders within the framework of their official duties and demand their precise execution, make proposals to the management of the institution on their encouragement or imposition of penalties;
4. request, receive and use information materials and legal documents necessary for the performance of their duties;
5. to take part in scientific-practical conferences and meetings, which discuss issues related to his work;
6. pass certification in accordance with the established procedure with the right to obtain the appropriate qualification category;
7. to improve their qualifications at refresher courses at least once every 5 years.
The local general practitioner enjoys all labor rights in accordance with the Labor Code of the Russian Federation.
4. Responsibility
The primary care physician is responsible for:
1. timely and high-quality implementation of the duties assigned to him;
2. organization of their work, timely and qualified execution of orders, instructions and instructions of the management, regulatory legal acts on their activities;
3. compliance with internal regulations, fire safety and safety;
4. timely and high-quality execution of medical and other service documentation provided for by the current legal documents;
5. providing, in accordance with the established procedure, statistical and other information on their activities;
6. Ensuring compliance with executive discipline and performance of their duties by subordinate employees (if any);
7. prompt action, including timely informing the management, to eliminate violations of safety, fire and sanitary rules that pose a threat to the activities of the healthcare institution, its employees, patients and visitors.
For violation of labor discipline, legislative and regulatory legal acts, a local general practitioner may be brought to disciplinary, material, administrative and criminal liability in accordance with the current legislation, depending on the severity of the misconduct.
Research Institute of Public Health and Management
health care MMA them. I.M. Sechenov
M.A. TATARNIKOV
04.08.2006
This section of the NCC website is dedicated to the working forms of HR documentation regulating the relationship between an employee and an organization. The proposed texts are real previously approved, working personnel documents, which were prepared by the employees of our personnel center and Mrs. Olga Vitalievna Zhukova.
If you like the style, you can take these sample job descriptions as sample instructions, further modifying them to suit the individual needs of your enterprise, or you can place an order and entrust this task to the employees of our personnel center.
State budgetary healthcare institution of the city of Moscow
"City polyclinic No. _
Department of Health of the City of Moscow"
Job description
local general practitioner
1. General Provisions
1.1. This job description defines the functional duties, rights and responsibilities of the Therapist of the district therapeutic department of the GBUZ "GP No. _ DZM" (hereinafter referred to as the Institution) and is an appendix to the employment contract.
1.2. The position of the District Therapist belongs to the category of specialists.
1.3. The local general practitioner directly reports to the Head of the therapeutic department of the branch of the Institution.
1.4. A person who has a higher professional education in one of the specialties "Medicine" and postgraduate professional education (internship and (or) residency) in the specialty "Therapy" or professional retraining in the presence of postgraduate professional education in the specialty " General practice (family medicine)", certificate of a specialist in the specialty "Therapy".
1.5. The general practitioner must know:
The Constitution and the Civil Code of the Russian Federation, the fundamentals of the legislation of the Russian Federation on healthcare, including without fail the Law of the Russian Federation No. 323-FZ “On the fundamentals of protecting the health of citizens in the Russian Federation”, Order No. 541n of the Ministry of Health and Social Development of Russia and other regulatory legal acts regulating the activities of healthcare institutions ;
Territorial programs of state guarantees of free provision of medical care to citizens, the volume of state assignments within the framework of the territorial program of state guarantees, state assignments to state healthcare institutions of the city of Moscow participating in the implementation of the Territorial program of state guarantees of free provision of medical care to citizens of the Russian Federation in the city of Moscow for the current year and for the planned one period; general issues of organizing therapeutic care in the Russian Federation;
The work of medical institutions, the organization of the work of ambulance and emergency care for adults and children;
Internal labor regulations;
Rules and norms of labor protection, safety measures, industrial sanitation and fire safety.
1.6. The local general practitioner is appointed to the position and dismissed by order of the Chief Physician in accordance with the current legislation of the Russian Federation.
1.7. In case of temporary absence (vacation, illness, business trip), the position of the District Therapist is replaced by a person from among the doctors of the department, appointed by order of the Chief Physician with the transfer of all powers of rights and responsibility.
2. Job responsibilities
The primary care physician must:
2.1. Perform a list of works and provide medical services to the population attached to the GBUZ "GP No. _ DZM" for diagnosing diseases, assessing the condition of patients and the clinical situation in accordance with the standard of medical care.
2.2. Reception of citizens in the medical office and visit patients at the site. Perform a list of works and medical services for the treatment of diseases, conditions, clinical situations in accordance with the standard of medical care.
2.3. Implement primary prevention in high-risk groups.
2.4. Identify and monitor risk factors for chronic noncommunicable diseases.
2.5. Provide symptomatic assistance to cancer patients of the IV clinical group in cooperation with an oncologist.
2.6. To carry out an examination of temporary disability of patients, presentation to the medical commission, referral of patients with signs of permanent disability for examination for medical and social examination.
2.7. To carry out organizational, methodological and practical work on medical examination of the population.
2.8. Organize the vaccination of the population in accordance with the national calendar of preventive vaccinations and according to epidemic indications.
2.9. Form conclusions and issue certificates of the established form on the need to refer the patient for medical reasons for sanatorium treatment, draw up a sanatorium card.
2.10. Organize and conduct activities for sanitary and hygienic education (schools for patients with socially significant non-communicable diseases and persons at high risk of their occurrence).
2.11. Monitor and analyze the main medical and statistical indicators of morbidity, disability and mortality in the serviced area in the prescribed manner.
2.12. Prepare and send an emergency notification to the institutions of Rospotrebnadzor when an infectious or occupational disease is detected. Send the necessary documents for examination of hospitalization.
2.13. Provide the head of the department with information about your work schedule no later than 15 days before the 1st day of the next month.
2.14. To draw up medical documentation of the established form in accordance with the requirements of the Ministry of Health of the Russian Federation, on paper and using computer technology.
2.15. Comply with the rules of internal labor regulations, labor protection, safety, industrial sanitation and fire protection.
2.16. Regularly undergo training (instructions, trainings) in safety, industrial sanitation, occupational health, fire protection, activities of a medical institution in extreme conditions, organized by the administration of the Institution in accordance with approved plans and with the obligatory recording of this fact by signature in the relevant journals.
3. Rights
The local general practitioner has the right to:
3.1. Make proposals to the administration of the Institution on the issues of improving the organization of medical and preventive care for the population, the organization and conditions of their work;
3.2. Request, receive and use information materials and legal documents necessary for the performance of their duties;
3.3. Take part in scientific and practical conferences and meetings, which discuss issues related to his work;
3.4. Pass certification in accordance with the established procedure with the right to obtain the appropriate qualification category;
3.5. Improve their qualifications in the workplace, advanced training courses in the prescribed manner at least once every 5 years;
3.6. Prescribe and cancel any therapeutic and preventive measures, based on the patient's condition;
3.7. Represent the district (patronage) nurse for incentives or make proposals for the imposition of penalties in case of violation of labor discipline by the nurse and unsatisfactory performance of official duties;
3.7. To replace the positions of General Practitioners in other divisions of the Institution in cases of operational need and with sufficient qualifications for this and the position of the Head of the Department with the issuance of the relevant order by the Chief Physician during the vacation, in the temporary absence or during the illness of the Head.
The general practitioner of the therapeutic department enjoys all labor rights in accordance with the Labor Code of the Russian Federation.
4. Responsibility
The general practitioner is responsible for:
4.1 High-quality and timely implementation of the duties assigned to him;
4.2. Execution of orders, instructions and instructions of the management, regulatory legal acts on their activities;
4.3. Compliance with internal regulations, fire safety and safety;
4.4. High-quality and timely execution of medical and other official documentation provided for by the current regulatory documents;
4.5. Provision in accordance with the established procedure of statistical and other information of its activities;
4.6. Prompt action, including timely informing the management, to eliminate violations of safety, fire and sanitary rules that pose a threat to the activities of the institution, its employees, patients and visitors.
For violation of labor discipline, legislative and regulatory legal acts, a local general practitioner may be brought to disciplinary, material, administrative and criminal liability in accordance with the current legislation, depending on the severity of the misconduct.
In the event of a production need, the Institution reserves the right to adjust the job description.
AGREED:
Head of Human Resources
legal adviser
Signature _______________________________ (full name)"_____" ______________ 20__
(signature, surname, initials, date)
Head of Therapeutic Department
Signature _______________________________ (full name)"_____" ______________ 20__
(signature, surname, initials, date)
RECOGNIZED:
Worker
Signature _______________________________ (full name)"_____" ______________ 20__
(signature, surname, initials date)
Annex N ___
to an employment contract
APPROVE
__________________________
(FULL NAME.)
CEO
__________________________
(name of company)
JOB DESCRIPTION
local general practitioner
1. GENERAL PROVISIONS
The main tasks of the district physician-therapist is to provide timely qualified medical and preventive therapeutic assistance to the population living in the assigned area in the clinic and at home.
Appointment and dismissal of the local general practitioner is carried out by the chief physician of the polyclinic in accordance with applicable law.
The local general practitioner in his work reports directly to the head of the therapeutic department, in case of his absence - to the deputy chief physician of the polyclinic for the medical part.
The local general practitioner is subordinate to the district nurse working under his leadership.
In his work, the local general practitioner is guided by the instructions and orders of the municipal health authorities, this job description, as well as methodological recommendations for improving medical care for patients with a therapeutic profile.
2. FUNCTIONAL RESPONSIBILITIES
In order to perform his functions, the local general practitioner must:
2.1. Carry out outpatient reception of patients in accordance with the schedule approved by the administration of the polyclinic, regulating the flow of visitors through the rational distribution of repeated patients.
2.2. Visit patients at home on the day of the call.
2.3. Ensure timely diagnosis of diseases and
qualified treatment of patients.
2.4. Provide emergency medical care to patients, regardless of their place of residence, in acute conditions, injuries, poisoning.
2.5. Conduct an examination of temporary disability in accordance with the current Regulations on it and timely refer patients to the CEC and MSEC in order to determine the ability to work, transfer to another job.
2.6. To hospitalize therapeutic patients in a timely manner with a mandatory preliminary examination during planned hospitalization.
2.7. To consult patients with unclear forms of diseases with the head of the department, doctors of other specialties of the polyclinic and other health care institutions.
2.8. Use modern methods of prevention, diagnosis and treatment of patients in their work.
2.9. To carry out a set of measures for the medical examination of the population of the site in accordance with the list of nosological forms subject to dispensary observation by a general practitioner, with an analysis of the effectiveness and quality of medical examination.
2.10. Ensure the organization and conduct of preventive vaccinations of the population of the site.
2.11. Notify the management of the institution, the office of infectious diseases of the polyclinic, the center of state sanitary and epidemiological supervision of all cases of infectious diseases or suspicions of them, food and occupational poisoning, violations of the sanitary and anti-epidemic regime by infectious patients at home.
2.12. Carry out preventive examinations in accordance with the established procedure and according to the schedule approved by the administration of the clinic.
2.13. Follow the principles of deontology in your work.
2.14. Supervise and supervise the work of the district nurse.
2.15. Systematically improve their qualifications and the level of medical knowledge of the district nurse.
2.16. To carry out active and systematic sanitary and educational work among the population on the issues of a healthy lifestyle and the prevention of diseases of the site.
2.17. Keep medical records of outpatients, write prescriptions.
2.18. Ensure the correct maintenance of medical records by the district nurse.
3. RIGHTS
The local general practitioner has the right to:
3.1 Make proposals to the administration of the polyclinic on improving the organization of medical and preventive care for the population, the organization and conditions of their work and the work of a district nurse;
3.2 participate in meetings on the organization of therapeutic care for the population;
3.3 appoint and cancel any treatment and preventive measures, based on the patient's condition;
3.4 receive information necessary for the performance of official duties;
3.5 to represent the district nurse for incentives and make proposals for the imposition of penalties in case of violation of labor discipline and unsatisfactory performance of official duties.
4. RESPONSIBILITY
Evaluation of the work of a local general practitioner is carried out by the head of the therapeutic department based on the results of work for the quarter (year) based on taking into account the qualitative and quantitative indicators of his work, his compliance with the requirements of fundamental official documents, labor discipline rules, moral and ethical standards, social activity. The local general practitioner is responsible both for poor-quality work and erroneous actions, as well as for inaction and failure to make decisions that fall within the scope of his duties and competence, in accordance with applicable law.
This job description has been developed in accordance with
Regulations on ______________ (number, date of the document).
Head of structural unit
___________________________
"__" _______ 200_
AGREED:
Head of the legal department ___________________________
"__" _______ 200_
Familiarized with the instruction: _____________________
"__" _______ 200_
The purpose of the lesson.
Lesson topic. Tasks and duties of the local therapist. Work organization.
Motivation. Currently, much attention is paid to the provision of medical care to the population on an outpatient basis. The healthcare reform involves its restructuring with the strengthening of the outpatient link, as well as the development of a general medical practice service.
The student must know:
the structure of the clinic;
the main tasks and responsibilities of the local therapist, general practitioner;
organization of work of the local therapist;
principles of clinical examination;
the work of the clinical expert commission;
selection for sanatorium treatment.
The student must be able to:
Organize patient visits at the outpatient clinic and at home;
correctly fill out the documentation with which the district therapist deals;
organize dispensary observation of patients, issue primary and current documentation;
draw up a plan for secondary prevention, evaluate the effectiveness of clinical examination;
take part in the work of the clinical expert commission;
send the patient to a sanatorium - resort treatment.
Main questions:
Organization of the work of the local general practitioner and general practitioner.
A polyclinic is a specialized medical and preventive institution for the provision of out-of-hospital care.
The main principle of organizing the work of the polyclinic is the district principle of providing medical care, which consists in the fact that the territory served by the polyclinic is divided into territorial sections, based on the population in the area of 1700 people. Each site is assigned a specific general practitioner and a nurse, who are called upon to provide medical and preventive care to residents of their site.
Specialist doctors work in the therapeutic department: a surgeon, a neuropathologist, an otolaryngologist and an oculist. This method of work is called brigade, when these specialists serve patients in the clinic and at home from certain therapeutic areas.
The work of each department - brigade is organized in such a way that all its members work at the same hours. Under these conditions, the role of the therapist in the process of providing medical care to the population increases. Combining into teams provides an even distribution of workload among doctors, their interchangeability, strengthening continuity, and the possibility of exchanging experience in managing patients.
The main tasks of the local therapist:
Providing qualified therapeutic assistance to the population of the site at the reception in the clinic and at home;
Organization and direct implementation of preventive measures among the population of their site;
Decreased morbidity and mortality in the assigned area.
Responsibilities of the local general practitioner:
Timely therapeutic assistance to the population of the site in the clinic and at home;
Emergency medical care for patients in the event of acute conditions, injuries, poisoning;
Timely hospitalization of therapeutic patients with mandatory preliminary examination during planned hospitalization;
Consultations of patients in the clinic;
Use in their work of modern methods of prevention, diagnosis and treatment of patients, including complex therapy and rehabilitation treatment;
Examination of temporary disability of patients;
Organization and implementation of comprehensive measures for the medical examination of the adult population of the site;
Issuance of a conclusion to residents of the site undergoing medical examinations and leaving abroad;
Organization and implementation of preventive vaccinations and deworming of the population of the site;
Early detection, diagnosis and treatment of infectious diseases, immediate signaling to the head of the therapeutic department and the doctor of the infectious diseases cabinet about all infectious diseases, food and occupational poisoning. Sending an emergency notice to the relevant SES;
Systematic improvement of their qualifications and the level of medical knowledge of the district nurse;
Active and systematic conduct of sanitary and educational work among the population of the site, the fight against bad habits.
The work of the local general practitioner is carried out according to the schedule approved by the head of the department or the head of the institution. The schedule provides for fixed hours for outpatients, home care, preventive and other work.
On average, a doctor works on an outpatient appointment from 2.5 to 3.5 hours, and for home care - from 3 to 4 hours; 0.5 hour daily allocated for sanitary and preventive work.
An important part of the work of the local doctor is the reception of patients in the clinic. Each visit to the sick doctor should be exhaustive and complete. Re-appointments should be based on medical indications.
All the time of observation of the patient in the polyclinic, an "outpatient medical record" is maintained. All examination data, diagnoses, treatment, consultations, dismissal from work and other information must be entered in the "outpatient medical record" on the same day.
Home health care plays an important role. On average, the time spent by a local doctor in providing home care should be 30-40 minutes. Having examined the patient at home on call, the district doctor subsequently visits the patient on his own initiative as necessary. Active visits to patients at home are planned by the doctor himself, depending on the state of health of the patient. When providing assistance with the organization of a "hospital at home", the doctor must ensure that the patient takes all the necessary measures: laboratory and other studies, medical procedures, etc.
In modern conditions, day hospitals in outpatient clinics have become widespread. In day hospitals, patients have the possibility of a comprehensive examination and treatment. In addition, it is a more economical form of treatment compared to a 24-hour hospital.
The district doctor in his area is not only the attending physician, but also the organizer of all medical and preventive care for the population.
On August 26, 1992, the order of the Ministry of Health of the RSFR No. 237 "On a phased transition to the organization of primary medical care on the principle of a general practitioner (family doctor)" was issued.
General practice is a specialty that provides continuous and comprehensive medical care to a person and his family. This specialty combines biological, clinical disciplines and psychology. The general practitioner is not limited to the narrow confines of one discipline.
The duties of a general practitioner include:
provision of primary health care;
family monitoring;
providing assistance at home;
continuous monitoring throughout the life of the patient.
The uniqueness of the work of a general practitioner lies in the availability of medical care for the patient at any time, the ability to treat both emergency conditions and chronic diseases, and the importance lies in the preventive focus of his activities.
2. Clinical examination- this is a method of active dynamic monitoring of the health status of all population groups, both healthy and sick; wide implementation of complexes of social, sanitary-hygienic, preventive and health-improving measures.
Medical examination goals:
Preservation and strengthening of public health.
Increasing the efficiency and productivity of workers.
Increasing the active longevity of people.
The main tasks of medical examination:
study and elimination of the causes contributing to the emergence and spread of diseases;
active detection and treatment of initial forms of diseases;
prevention of relapses, exacerbations and complications of existing diseases.
Population groups subject to clinical examination:
Group I - practically healthy citizens who do not need dispensary observation, with whom a preventive conversation is held about a healthy lifestyle;
Group II - citizens at risk of developing the disease, in need of preventive measures. For them, an individual program of preventive measures is drawn up, carried out in an outpatient facility at the place of residence;
Group III - those who need additional examination to clarify (establish) the diagnosis (for the first time established chronic disease) or treatment on an outpatient basis (ARI, influenza and other acute diseases, after the treatment of which recovery occurs);
Group IV - those in need of additional examination and treatment in a hospital, who are registered with a dispensary for a chronic disease;
Group V - citizens with newly diagnosed diseases or being observed for a chronic disease and having indications for the provision of high-tech (expensive) medical care.
The following additional studies are required during the medical examination:
Blood test (ESR, hemoglobin, leukocytes).
Urine test for sugar (blood for sugar according to indications).
Urine test for protein.
ECG (for persons 40 years and older).
Fluorography of the chest organs.
For women - breast examination, mammography (after 35 years, 1 p. in 2 years).
Cytological examination of smears (from the age of 18 in women).
Digital examination of the rectum (from the age of 30).
Dispensary group of patients patients subject to dynamic monitoring by a local general practitioner are patients with the following diseases: hypertension of the 1st stage, coronary heart disease, including myocardial infarction, convalescents after acute pneumonia, chronic bronchitis, bronchial asthma, bronchiectasis, peptic ulcer and DPC, atrophic gastritis, chronic hepatitis, chronic pancreatitis, chronic cholecystitis, cholelithiasis, chronic enterocolitis, cirrhosis of the liver, condition after acute glomerulonephritis, chronic pyelonephritis, chronic glomerulonephritis, chronic renal failure in Art. compensation. The effectiveness of clinical examination is assessed by the dynamics of morbidity with temporary and permanent disability, changes in the group of dispensary observation.
We bring to your attention a typical example of a job description for a local general practitioner, a sample of 2019/2020. should include the following sections: general position, duties of the district general practitioner, rights of the district general practitioner, responsibility of the district general practitioner.
Job description of the local therapist belongs to the section Qualification characteristics of positions of workers in the field of healthcare".
The following items should be reflected in the job description of the local general practitioner:
Job responsibilities of a general practitioner
1) Job responsibilities. Identifies and monitors risk factors for the development of chronic noncommunicable diseases. Provides primary prevention in high-risk groups. Performs a list of works and services for diagnosing a disease, assessing the patient's condition and the clinical situation in accordance with the standard of medical care. Performs a list of works and services for the treatment of a disease, condition, clinical situation in accordance with the standard of medical care. Provides symptomatic assistance to cancer patients of the IV clinical group in cooperation with an oncologist. Carries out an examination of temporary disability of patients, presentation to the medical commission, referral of patients with signs of permanent disability for examination for medical and social examination. Issues conclusions on the need to refer the patient for medical reasons for sanatorium treatment, draws up a sanatorium card. Carries out organizational, methodological and practical work on medical examination of the population. Organizes the vaccination of the population in accordance with the national calendar of preventive vaccinations and according to epidemic indications. Prepares and sends an emergency notification to the institutions of Rospotrebnadzor when an infectious or occupational disease is detected. Organizes and conducts health education activities (health schools, schools for patients with socially significant non-communicable diseases and people at high risk of their occurrence). Monitors and analyzes the main medical and statistical indicators of morbidity, disability and mortality in the serviced area in the prescribed manner. Maintains accounting and reporting documentation of the established sample.
The general practitioner must know
2) The general practitioner in the performance of his duties must know: the Constitution of the Russian Federation; laws and other regulatory legal acts of the Russian Federation in the field of healthcare; Fundamentals of legislation on the protection of the health of citizens; general issues of organizing therapeutic care in the Russian Federation; the work of medical institutions, the organization of the work of ambulance and emergency care for adults and children; organization of the work of the polyclinic, continuity in its work with other institutions; organization of a day hospital and a hospital at home; the main issues of normal and pathological anatomy, normal and pathological physiology, the relationship of the functional systems of the body and the levels of their regulation; basics of water-electrolyte metabolism, acid-base balance, possible types of their disorders and principles of treatment; the system of hematopoiesis and hemostasis, the physiology and pathophysiology of the blood coagulation system, homeostasis indicators in normal and pathological conditions; fundamentals of immunology and reactivity of the body; clinical symptoms and pathogenesis of major therapeutic diseases in adults and children, their prevention, diagnosis and treatment, clinical symptoms of borderline conditions in a therapeutic clinic; basics of pharmacotherapy in the clinic of internal diseases, pharmacodynamics and pharmacokinetics of the main groups of drugs, complications caused by the use of drugs, methods for their correction; the basics of non-drug therapy, physiotherapy, exercise therapy and medical supervision, indications and contraindications for spa treatment; the basics of rational nutrition of healthy individuals, the principles of diet therapy for therapeutic patients; anti-epidemic measures in the event of a focus of infection; medical and social expertise in internal diseases; dispensary observation of healthy and sick people, problems of prevention; forms and methods of sanitary and educational work; demographic and social characteristics of the site; principles of organization of medical service of civil defense; questions of the relationship of the disease with the profession.
Requirements for the qualification of a general practitioner
3) Qualification requirements. Higher professional education in one of the specialties "Medicine", "Pediatrics" and postgraduate professional education (internship and (or) residency) in the specialty "Therapy" or professional retraining in the presence of postgraduate professional education in the specialty "General Medical Practice (Family Medicine)" ", a certificate of a specialist in the specialty "Therapy" without presenting requirements for work experience.
The job description of a local general practitioner doctor is a sample of 2019/2020. The duties of the district general practitioner, the rights of the district general practitioner, the responsibility of the district general practitioner.
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