Job description surgeon[name of company]
This job description has been developed and approved in accordance with the provisions of the Order of the Ministry of Health and social development RF dated July 23, 2010 N 541n “On approval of the Unified Qualification Directory of positions of managers, specialists and employees, section “Qualification characteristics of positions of workers in the field of healthcare” and other regulations governing labor relations.
1. General Provisions
1.1. The surgeon belongs to the category of specialists and is directly subordinate to [name of the position of the immediate supervisor].
1.2. A surgeon is appointed to a position and dismissed from it by order of [name of position].
1.3. A person who has a higher professional education in one of the specialties “General Medicine”, “Pediatrics” and postgraduate professional education (internship and (or) residency) in the specialty “Surgery” without presenting requirements for work experience is accepted for the position of a surgeon.
1.4. The surgeon must know:
Constitution Russian Federation;
Laws and other regulatory legal acts of the Russian Federation in force in the field of healthcare;
General issues of organizing surgical care in the Russian Federation;
Organization of ambulance work and emergency care adults and children;
Topographic anatomy of the main areas of the body (head, neck, chest, front abdominal wall And abdominal cavity, lower extremities);
Anatomical features of childhood;
Basic issues of normal and pathological physiology in surgical pathology;
Relationship functional systems organisms and their levels of regulation;
Causes of pathological processes in the body, mechanisms of their development and clinical manifestations;
Basics of water-electrolyte metabolism;
Acid-base balance;
Possible types of their disorders and principles of treatment in childhood and in adults;
Pathophysiology of injury and blood loss, prevention and treatment of shock and blood loss, pathophysiology of wound healing;
Physiology and pathophysiology of the blood coagulation system, indications and contraindications for transfusion of blood and its components;
General, functional, instrumental and others special methods examination of a surgical patient;
Issues of asepsis and antisepsis in surgery;
Principles, techniques and methods of pain relief in surgery, questions intensive care and resuscitation in adults and children; basics of pharmacotherapy for surgical diseases, including general and local application antibiotics, hormone therapy;
Fundamentals of immunobiology, microbiology;
Fundamentals of Radiology and Radiology;
Clinical symptoms of major surgical diseases in adults and children, their prevention, diagnosis and treatment;
Clinical symptoms of “borderline” diseases in surgical clinic(urology, obstetrics and gynecology, pediatrics, infectious diseases);
Principles of preparing patients (adults and children) for surgery and managing the postoperative period;
Issues of temporary and permanent disability, medical examination and rehabilitation of surgical patients;
The use of physiotherapy, physical therapy;
Indications and contraindications for spa treatment;
Labor safety rules when working with equipment and surgical instruments;
Basics rational nutrition, principles of diet therapy in surgical patients, during preoperative preparation and in postoperative period;
Equipment for intensive care operating rooms;
Surgical instruments used for various surgical operations;
Principles of organizing and conducting clinical examination of the population;
Economic issues of surgical services;
Issues of organization and activities medical service civil defense and military field surgery;
Forms and methods of sanitary educational work;
Rules of sanitary and epidemiological regime;
Fundamentals of labor legislation;
Internal labor regulations;
Labor protection and fire safety regulations.
2. Job responsibilities
The surgeon is assigned the following job responsibilities:
2.1. Carrying out a list of works and services for diagnosing the disease, assessing the patient’s condition and clinical situation in accordance with the standard medical care.
2.2. Carrying out a list of works and services for the treatment of a disease, condition, clinical situation in accordance with the standard of medical care.
2.3. Conducting an examination of temporary disability, referring patients with signs of permanent disability for examination for a medical and social examination.
2.4. Registration of the necessary medical documentation provided for by healthcare legislation.
2.5. Carrying out sanitary and educational work with the population and patients.
2.6. Drawing up a report on your work and analyzing its effectiveness.
2.7. [Other job responsibilities].
3. Rights
A surgeon has the right:
3.1. For all social guarantees provided for by the legislation of the Russian Federation.
3.2. Get what you need to complete functional responsibilities information and documents from all departments directly or through the immediate superior.
3.3. Sign and endorse documents within your competence.
3.4. Monitor, within the scope of their competence, the work of nursing and junior medical personnel, give them orders and demand their strict execution.
3.5. Get acquainted with draft orders of management relating to its activities.
3.6. Submit proposals to improve your work and the work of the organization for consideration by the manager.
3.7. Take part in meetings where issues related to his work are discussed.
3.8. Require management to create normal conditions to perform official duties.
3.9. Improve your professional qualifications.
3.10. [Other rights provided for labor legislation Russian Federation].
4. Responsibility
The surgeon is responsible for:
4.1. For failure to perform or improper performance of the duties provided for in this instruction, within the limits determined by the labor legislation of the Russian Federation.
4.2. For offenses committed in the course of carrying out their activities - within the limits determined by the current administrative, criminal and civil legislation of the Russian Federation.
4.3. For causing material damage to the employer - within the limits determined by the current labor and civil legislation of the Russian Federation.
The job description has been developed in accordance with [name, number and date of document].
Head of HR department
[initials, surname]
[signature]
[day month Year]
Agreed:
[initials, surname]
[signature]
[day month Year]
I have read the instructions:
[initials, surname]
[signature]
[day month Year]
1. General partA specialist with a higher medical education, specialization in pediatric surgery and a certificate of pediatric surgeon is appointed to the position of a surgeon.
Directly reports to the head of the trauma department and works under his leadership.
Works according to a schedule approved by the hospital's chief physician. In his work he is guided by official documents on the section of work being performed, orders and instructions of higher authorities and officials, and these instructions.
The department doctor organizes and provides medical care (diagnosis and treatment) to patients in the department.
Orders on medical issues of a pediatric surgeon are mandatory for the nursing and junior medical staff of the department.
Appointed and dismissed by the chief physician of the hospital in accordance with current legislation.
P. Responsibilities of a surgeon
1. Provides an appropriate level of examination and treatment of patients in
in accordance with modern achievements of medical science and practice.
2 — Draws up and implements a scientifically based examination and treatment plan
3 supervised patients. IN difficult cases requiring specific clinical experience
4 and theoretical knowledge, a plan for examination and treatment of the patient is developed under
5 by the leadership of the head of the department and the curator of the department. — Provides necessary care for patients based on the principles of therapeutic
6 protective regime and compliance with the rules of medical deontology, as well as
7 compliance by patients with the established hospital regime.
4 - Daily, together with ward sister conducts patient rounds and notes
5 main changes in their condition per day, and depending on this determines
6 necessary measures for treatment and care of patients. — Participates in surgical operations, on rounds with the head of the department or
7 curator of the department, reports to them on examinations of other patients in this department or
8 specialized hospital departments, carried out on behalf of the head
9 department or deputy chief physician for infection. — Participates in the reception of patients admitted to the department during its opening hours,
10 examines them, prescribes the necessary therapeutic and diagnostic measures and
11 fills out medical history in the prescribed manner, bears personal responsibility
12 for the correct prescription and use of narcotic and psychotropic drugs
13 funds.
7. Organizes and controls the correctness and timeliness of execution
nursing staff of medical prescriptions and instructions for treatment and care
for the sick, for keeping the sick in proper cleanliness and neatness.
8 - Discharges and transfers patients to other departments of the hospital or
9 other medical and preventive institution only by agreement and receipt
10 permission for transfer from the head of the department or deputy chief physician for
11 infections. - On duty at the hospital in accordance with the approved schedule
12 chief physician or person performing these duties.
10. Monitors the health status of mothers on a daily basis.
admitted to feed and care for children for whom he is the attending physician.
11. Personally, when contacting close relatives of the patient, informs them about
the patient’s health condition, taking into account the principles of medical confidentiality, medical ethics and
deontology.
In the interests of the sick child, he explains to relatives the inappropriateness of premature discharge of the patient or his further stay in the hospital.
12. Reports to the head of the department, and in his absence directly
Deputy Chief Physician for Surgery and Deputy Chief Physician for Infection
everyone life-threatening changes in the health status of surgical patients
profile and all cases of death, as well as gross violations of internal rules
routine and labor discipline by medical personnel.
13. Present at autopsies of deceased patients in the department.
14 — Before leaving the department (at the end of work shift) reports in
15 in writing to the doctor on duty about seriously ill patients requiring special medical attention
16 observations. — In the absence of the head of the department, takes part in the reception of shifts
17 medical personnel on duty, informs the shift taking over duty about
18 monitoring of patients, the condition of newly admitted patients, changes in
19 conditions of patients, about their therapy. Enters instructions into the observation diary
20 about caring for patients according to their condition.
16 — Systematically carries out activities to improve qualifications and
17 education of middle and junior medical personnel, requires from them accurate and
18 timely fulfillment of their duties, sensitive and attentive attitude to
19 patients, maintaining medical confidentiality, careful handling of medications,
20 tools, linen and other property. — Increases one’s theoretical level and qualifications through active
21 participations in hospital-wide conferences, hospital councils, clinical reviews
22 patients, seminars, meetings of the society of pediatric surgeons.
18. Analyzes the quality indicators of his work, studies
effectiveness of long-term results of treatment of patients.
19. Timely examination for bacteria carriers of microbes
intestinal group, blood test for the Wasserman reaction and other examinations,
provided for by the “Instructions for carrying out mandatory preventive
medical examinations of persons working in child care institutions.”
20. In case of fire and other natural disasters, takes measures to stop
imminent danger, as well as to save patients according to a pre-developed plan
(evacuation of patients in an emergency).
21. Complies with the rules of internal labor regulations, deontology and
professional ethics, monitors their compliance with secondary and junior medical
staff.
Sh. The rights of a surgeon have the right:
1. Prescribe and cancel (previously prescribed by yourself) any therapeutic
diagnostic measures arising from the dynamics of the patient’s condition.
2. Attract in necessary cases, doctors of other specialties for
consultation and treatment of patients.
3. Give orders and instructions to secondary and junior medical personnel
department staff, in accordance with the level of their competence and qualifications and
monitor their implementation.
4. Periodically improve your professional qualifications at work
place or at refresher courses in the prescribed manner.
5 — Obtain information necessary to perform official duties
6 responsibilities. — Participate in hospital conferences, seminars, meetings.
IV, Responsibility of the surgeon
The surgeon is responsible for the clear and timely fulfillment of the duties provided for in this instruction and the internal labor regulations of the hospital; for inaction and failure to make decisions within the scope of his competence.
_________________ ______________ "___" _________ ____ G.
(Full name) (signature)
I have read the instructions: _____________/_________/ “___”_________ ____ g.
(signature) (full name)
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to the employment contract
I APPROVED
__________________________
(FULL NAME.)
CEO
__________________________
(name of company)
JOB DESCRIPTION
surgeon
1. GENERAL PROVISIONS
The main tasks of a surgeon are to provide specialized medical, preventive and advisory assistance to the adult population living in the area where the clinic operates, as well as to workers and employees of attached enterprises. The appointment and dismissal of a surgeon is carried out by the chief physician of the clinic in accordance with current legislation. In his work, the surgeon reports directly to the deputy chief physician for medical affairs, and in his absence, to the chief physician of the clinic. The nursing staff of the surgical room is subordinate to the surgeon. In his activities, the surgeon is guided by the instructions and orders of municipal health authorities, this job description, as well as methodological recommendations to improve medical care for surgical patients.
2. FUNCTIONAL RESPONSIBILITIES
To perform his functions, the surgeon must:
2.1. Conduct outpatient appointments according to a schedule approved by the clinic administration, regulating the flow of visitors by rationally distributing repeat patients.
2.2. Provide early detection, qualified and timely examination and treatment of surgical patients.
2.3. Conduct dispensary observation for patients with surgical pathology, war and labor veterans in accordance with the instructions of the Ministry of Health and the Ministry of Health of the Russian Federation.
2.4. Ensure correct examination of temporary disability and timely referral of patients with chronic forms diseases on KEC and MSEC.
2.5. Consult patients with referrals from other specialists in the institution, including at home.
2.6. Carry out timely hospitalization of patients, in accordance with indications.
2.7. Ensure continuity between outpatient clinics and hospitals in the examination and treatment of patients.
2.8. Notify the Ministry of Internal Affairs of all cases of knife, gunshot and other wounds associated with a violation of personal integrity.
2.9. Observe the principles of deontology in your work.
2.10. Conduct morbidity analysis and develop measures to prevent surgical diseases in the area where the clinic operates.
2.11. Carry out activities to improve the qualifications of medical and nursing staff of the institution to provide emergency medical care.
2.12. Monitor and manage the work of nursing staff in the surgical room.
2.13. Systematically improve their professional qualifications and level of medical knowledge of surgical nurses.
2.14. Organize and conduct among the population the promotion of sanitary and hygienic knowledge on the prevention of injuries and other surgical diseases.
2.15. News medical records outpatients, write prescriptions.
2.16. Ensure correct medical records are maintained nurse office.
3. RIGHTS
A polyclinic surgeon has the right:
3.1 Make proposals to the administration of the clinic on improving the organization of treatment and preventive care to the population, the organization and conditions of their work and the work of nursing staff in the surgical room;
3.2 participate in meetings on the organization of surgical care;
3.3 prescribe and cancel any treatment and preventive measures based on the patient’s condition;
3.4 receive information necessary to perform job duties;
3.5 represent subordinate nursing staff for incentives and make proposals to impose penalties in case of violation of labor discipline and unsatisfactory performance of job duties.
4. RESPONSIBILITY
An assessment of the work of a surgeon is carried out by the deputy chief physician of the clinic for the medical unit 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 the fundamental official documents, rules of labor discipline, moral and ethical standards, social activity. The surgeon 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 current legislation.
This job description has been developed in accordance with
Regulations on ______________ (number, date of document).
Head of structural unit
___________________________
"__" _______ 200 _ g.
AGREED:
Head of the legal department ___________________________
"__" _______ 200 _ g.
I have read the instructions:___________________________
"__" _______ 200 _ g.
A surgeon is a doctor who treats injuries and diseases of various etiologies using surgical intervention, carries out postoperative rehabilitation of patients and prevents relapses. She also plans anesthesia care, monitors the patient, and corrects any complications that arise.
In addition, the surgeon is engaged in outpatient visits, on-site examinations, participates in medical examinations, medical examinations and in the work of the ITU and the commission for the examination of conscripts.
Surgeons have contact with many attending physicians, but especially closely with anesthesiologists and nurses who assist in operations.
Surgeons treat joint pathologies, stop bleeding, and also perform operations on the heart and blood vessels.
Main specializations of surgeons
- Neurosurgeon operates on the head and spinal cord, treats acute diseases nervous system.
- Plastic surgeon eliminates congenital and acquired deformities, cosmetic defects.
- Cardiac surgeon operates on congenital and acquired heart defects, performs stenting, bypass surgery, cardiac replacement, cardiography and various invasive diagnostic procedures.
- Vascular surgeon (angiosurgeon) performs operations on veins and arteries.
- Thoracic surgeon operates pathological processes chest cavity: excises lesions purulent inflammation in the lungs, calcification, removes foreign bodies bronchopulmonary system.
- Abdominal surgeon performs operations in the abdominal cavity and eliminates appendicitis, peritonitis, stomach ulcers and duodenum, internal bleeding, liver tumors, lesions helminthic infestation, pancreatic necrosis, gallstones.
- Maxillofacial surgeon corrects congenital and acquired abnormalities of the jaw and facial bones, injuries, removes foci of purulent inflammation of the soft tissues of the face and oral cavity.
- Surgeon-oncologist treats tumor processes (benign or malignant manifestations).
- Transplant surgeon transplants organs, cares for the patient in the postoperative period and monitors histocompatibility and tissue rejection reactions.
- Military surgeon Helps military personnel and wounded in battle.
There are many other narrow surgical specialties: neonatologist surgeons, otolaryngologists, ophthalmologists, nephrologists, gynecologists, traumatologists, endocrinologists, etc. IN modern medicine The profession of a surgeon requires mastery of several narrow specialties.
In modern medicine, a surgeon usually has several specializations at the same time.
Places of work
A surgeon works in almost every medical organization(inpatient or outpatient), in diagnostic centers, research institutes, as part of medical aviation and ambulance teams, in the Ministry of Emergency Situations, military hospitals.
History of the profession
Surgery is literally translated from Greek as “work of the hands.” And although surgery was known both in Ancient Egypt (craniotomy) and in Ancient India(100 first surgical instruments), and in the Ancient East (Avicenna’s works on the internal structure of man), the founder of this discipline is considered to be Hippocrates with his treatises on sepsis, fractures, tetanus and abscesses.
In the Middle Ages, knowledge about man was punishable by death, and surgery, like all medicine, degraded, but with the Renaissance (from about the 15th century) came new stage. At that time, such famous surgeons as Paracelsus, Pare, Harvey appeared, who created directions and schools in surgery, the main postulates of which have not lost their relevance today. In 1667, the Frenchman Denis performed the first blood transfusion, giving a new impetus to the development of the profession.
Over the next centuries, surgery developed rapidly: anatomical atlases appeared, ways of spreading infections were discovered, asepsis and antisepsis, pain relief were born, and penicillin was discovered. Then they worked fruitfully and Russian doctors N. Pirogov, S. Botkin, N. Sklifosofsky, I. Pavlov. Hospitals are named after them today, and medical students learn from their textbooks. And today Russia has someone to be proud of: S. Fedorov, L. Bockeria, V. Shumakov, N. Bekhtereva, L. Roshal and a whole galaxy of their students - famous surgeons.
In the 21st century, low-traumatic, minimally invasive surgery is rapidly developing, robotics, new materials that replace human vessels and tissues, endoprostheses, and remote surgical interventions are entering the scene. Surgery is on the rise, many wonderful discoveries and brilliant operations await us ahead that will save more than one life.
During World War II, surgeons saved hundreds of soldiers every day by removing bullets and shell fragments.
Responsibilities of the surgeon
The main job responsibilities of a surgeon are:
- Emergency and planned operations. Elimination of complications.
- Postoperative observation and rehabilitation of patients.
- Consultative appointment with interpretation of profile tests and examination results.
- Maintaining medical documentation: cards, sick leave, documents for medical examination, for the military registration and enlistment office.
Requirements for a surgeon
The basic requirements for a surgeon are as follows:
- Higher medical education, valid certificate in surgery.
- Knowledge and mastery of surgical equipment: aspirators, multifunctional operating tables, electrocoagulators, high-frequency generators, laser therapy devices.
- Ability to communicate with patients' relatives.
- PC skills.
- Personal qualities: endurance (many hours of operations), ability to make quick decisions, accuracy.
To become a good surgeon, in addition to appropriate education, you need to have endurance, the ability to make quick decisions and accuracy.
How to become a surgeon
To become a surgeon you need:
- Graduate from a university with a degree in General Medicine or Pediatrics.
- Receive an accreditation sheet along with your diploma by passing test tasks, exam and having passed an interview with a special commission consisting of doctors of science and professors. This will give the right to work independently on an outpatient or outpatient basis.
- It is mandatory to work for a year in a clinic or outpatient clinic, and then enter residency (2 years) in the specialty “Surgery”.
In the process of work, doctors are awarded qualification points confirming accreditation: for performing complex manipulations, participating in scientific and practical conferences and seminars, for publishing scientific articles, books, and defending a dissertation. Every 5 years these points are summed up and assessed by the accreditation commission. If you score a sufficient number of points, you can continue working in your specialty for the next five years. If there are not enough points, the doctor is deprived of the right to treat. .
The growth of professionalism, level of knowledge and experience of the doctor is usually reflected qualification category. All categories are assigned by a qualification commission in the presence of the doctor himself, based on his written research work containing a description of skills and knowledge.
Assignment deadlines:
- more than 3 years of experience - second category;
- more than 7 years - first;
- more than 10 years - highest.
A doctor has the right not to qualify, but this will be a disadvantage for career growth.
It also contributes to career and professional growth scientific activity- writing master's and doctoral dissertations, publications in medical journals, speaking at conferences and congresses.
Surgeon salary
The range of income is wide: surgeons earn from 13,000 to 250,000 rubles per month. The most in demand are surgeons in the Moscow and Leningrad region, Krasnodar region. The lowest salary was found in a small hospital in Perm - 12,425 rubles monthly, the highest in dental clinic Chelyabinsk. This level is explained by the requirement for proficiency in three specialties: maxillofacial surgeon, dentist and implantologist.
The average salary of a surgeon in the Russian Federation is about 28,000 rubles per month.
Where to get training
In addition to higher education, there are a number of short-term training on the market, usually lasting from a week to a year.
The Medical University of Innovation and Development invites you to take distance courses in retraining or advanced training in the direction of "" to receive a diploma or state certificate. Training lasts from 16 to 2700 hours, depending on the program and your level of training.
Interregional Academy of Additional vocational education(MADPO) trains in the "" specialization and issues diplomas and certificates.
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1. General Provisions
1. GENERAL PROVISIONS
1.1. A plastic surgeon (hereinafter referred to as the “Employee”) is a specialist.
1.2. This job description defines the functional responsibilities, rights, duties, responsibilities, working conditions, relationships (positional connections) of the Employee, criteria for assessing his business qualities and work results when performing work in his specialty and directly at the workplace in "____________________" (hereinafter - " Employer").
1.3. An employee is appointed to a position and dismissed from a position by order of the Employer in the manner prescribed by current labor legislation.
1.4. The employee reports directly to ____________________.
1.5. The employee must know:
Constitution of the Russian Federation; laws and other regulatory legal acts of the Russian Federation in the field of healthcare, consumer protection and sanitary and epidemiological welfare of the population; theoretical foundations of the chosen specialty; modern methods treatment, diagnosis and drug provision of patients; basics of medical and social examination; rules of action when detecting a patient with signs of particularly dangerous infections, HIV infection; the procedure for interaction with other medical specialists, services, organizations, including insurance companies, physician associations, etc.; fundamentals of the functioning of budgetary insurance medicine and voluntary health insurance, ensuring sanitary and preventive and medicinal assistance to the population; medical ethics; psychology of professional communication; basics of labor legislation; internal labor regulations; labor protection and fire safety regulations;
____________________.
1.6. The employee must meet the qualification requirements for the specialty "Plastic Surgery", established by Order of the Ministry of Health of Russia dated October 8, 2015 N 707n "On approval of the Qualification Requirements for medical and pharmaceutical workers with higher education in the field of training "Health and Medical Sciences":
- Higher education - specialty in one of the specialties: “General Medicine”, “Pediatrics”;
- Residency training in the specialty "Plastic Surgery";
- Advanced training at least once every 5 years throughout your career.
2. Job responsibilities
Worker:
2.1. Performs surgical intervention aimed at eliminating deformations and defects of any organ, tissue or surface of the human body.
2.2. Informs the patient about procedures for self-execution; gives recommendations on the care of the body's integumentary tissues, including training in the necessary hygiene skills.
2.3. Carries out examination of temporary disability.
2.4. Maintains medical documentation in accordance with the established procedure.
2.5. Plans and analyzes the results of his work.
2.6. Complies with the principles of medical ethics.
2.7. Supervises the work of nursing and junior medical staff.
2.8. Conducts health education work among patients and their relatives to promote health and prevent diseases, promote a healthy lifestyle.
3. Employee Rights
The employee has the right to:
providing him with work stipulated by the employment contract;
a workplace that complies with state regulatory requirements for labor protection and the conditions provided for by the collective agreement;
timely and full payment wages in accordance with your qualifications, complexity of work, quantity and quality of work performed;
rest provided by the establishment of normal working hours, reduced working hours for certain professions and categories of workers, provision of weekly days off, non-working holidays, paid annual leave;
complete reliable information about working conditions and labor protection requirements in the workplace;
professional training, retraining and advanced training in the manner established Labor Code Russian Federation and others federal laws;
association, including the right to create and join trade unions to protect their labor rights, freedoms and legitimate interests;
participation in the management of the organization in the forms provided for by the Labor Code of the Russian Federation, other federal laws and the collective agreement;
