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(name of employer)
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(name, address, OGRN, INN/KPP of the employer)
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I APPROVED |
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(name of the position of the employer's manager) |
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(signature) |
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"__ " ____ __ G. |
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Job description
Deputy Chief Physician of the City Hospital for Medical Affairs
__________________________
(name of employer)
1. GENERAL PROVISIONS
1. GENERAL PROVISIONS
1.1. The deputy chief physician of a city hospital for medical affairs (hereinafter referred to as the “Employee”) is a manager.
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 referred to as the "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 ____
.
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; regulatory legal acts regulating the circulation of potent, psychotropic and narcotic drugs; internal labor regulations of the city hospital and official documentation regulating its activities; the procedure for drawing up work schedules and placement of medical personnel; theoretical foundations of healthcare organization; organization of social and medical rehabilitation; theoretical and organizational foundations of the sanitary-epidemiological service; organization of health education, hygienic education of the population and promotion of a healthy lifestyle; medical ethics; psychology of professional communication; fundamentals of pedagogy; fundamentals of economics, labor organization and management; basics of labor legislation; labor protection and fire safety rules.
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1.6. The employee must meet the qualification requirements for the specialty "Healthcare Organization and Public Health" 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 "Healthcare and Medical Sciences":
- Higher education - specialty in one of the specialties: “General Medicine”, “Pediatrics”, “Dentistry”, “Medical and Preventive Care”;
- Preparation in an internship/residency in the specialty “Healthcare Organization and Public Health” or professional retraining in the specialty “Healthcare Organization and Public Health” if there is training in an internship/residency in one of the specialties of the enlarged groups of specialties “Clinical Medicine” or “Health Sciences” and preventive medicine";
- Advanced training at least once every 5 years throughout your career.
The employee must have at least 5 years of work experience in his specialty.
2. JOB RESPONSIBILITIES
Worker:
2.1. Directly manages all treatment and diagnostic departments, offices and laboratories included in the structure of the city hospital,
2.2. Responsible for the quality of the diagnostic and treatment process and the organization of all hospital work on examination, treatment and patient care;
2.3. Resolves issues of admission and discharge of patients from the hospital;
2.4. Performs official duties of the chief physician of the city hospital during his absence, including due to being on vacation, on a business trip and during a period of temporary incapacity for work;
2.5. Represents employees subordinate to him for incentives and makes proposals to impose penalties on persons who violate labor discipline and unsatisfactorily perform their duties;
2.6. Develops and implements activities aimed at:
- for the timely and widespread introduction of new medical technologies into practice; principles of medical and protective regime; therapeutic nutrition; methods of physical therapy and rehabilitation therapy;
- to improve immediate and long-term treatment results;
- to reduce postoperative and hospital mortality, as well as postoperative complications;
General provisions
1. A qualified doctor with a certificate of a specialist in the specialty “Therapy” or “Oncology” and significant experience in medical and organizational work is appointed to the position of deputy chief physician for the medical part of the hospice (hereinafter referred to as the deputy chief physician).
2. The deputy chief physician is appointed and dismissed by the chief physician of the hospice in accordance with current legislation.
3. The deputy chief physician is directly subordinate to the chief physician of the hospice and organizes his activities through the heads of structural units and the chief nurse.
4. In the absence of the chief physician (vacation, illness, business trip, etc.), performs his duties and enjoys all the rights provided for the chief physician of the hospice.
5. The Deputy Chief Physician organizes his work in accordance with the Hospice Regulations, is guided by the current legislation of the Russian Federation, orders of the Ministry of Health of the Russian Federation and the Moscow Health Committee, regulations, instructions and these Regulations.
6. The orders of the deputy chief physician are mandatory for the heads of structural units and the chief nurse of the hospice.
7. The Deputy Chief Physician fulfills his duties and exercises his rights on the basis of constant observance of the commandments and basic provisions of the hospice concept; carries out a holistic approach to the personality of the patient and his family, facilitates not only their physical and mental condition, but also supports social and spiritual potential.
Responsibilities
The Deputy Chief Physician for Medical Affairs is obliged to:
1. Provide direct supervision of the activities of the heads of hospice medical units (inpatient and mobile service).
2. Improve in your work knowledge and skills in caring for patients, social and psychological support for patients and their relatives. If necessary, train and improve this knowledge and skills among your subordinates.
3. Use interchangeability and continuity in work if necessary.
4. Exercise systematic control over the quality of examination, treatment and care for patients by:
A planned inspection of the state of work of departments with subsequent discussion of the results of the inspection at the hospital Council;
Systematic analysis of performance indicators of the hospital and field service;
Assessment of the effectiveness of ongoing medical, social and psychotherapeutic measures, as well as a systematic study of discrepancies between hospital diagnoses and pathological ones;
Conducting systematic rounds of structural medical units of the hospice;
Constantly checking medical records and other medical documentation regarding the quality of their management, the correctness and timeliness of the implementation of medical prescriptions and the methods of treatment used.
5. Organize and ensure the conduct of scientific and practical seminars for doctors and nurses, clinical examinations of patients, and clinical and anatomical conferences at the modern level.
6. Organize consultations and councils, paying special attention to complex and seriously ill patients; invite, if necessary, consultants from other medical institutions.
7. Ensure proper procedures for the admission and discharge of patients, as well as their transfer to other medical institutions.
8. Ensure the correct establishment of statistical records and submission of appropriate reports on the activities of the hospice in a timely manner.
9. Coordinate the duty schedules of the heads of inpatient departments and field services, and attending physicians at the hospice, including on weekends and holidays.
10. Develop and implement activities aimed at:
Timely and widespread introduction into practice of new methods of palliative treatment of patients, the principles of medical and protective regime, therapeutic nutrition, methods of physical therapy and rehabilitation therapy;
Improving immediate and long-term treatment results;
Rational application and use of modern medications to improve the quality of life of patients;
Ensuring (together with an epidemiologist) a strict and sustainable sanitary and epidemiological regime in the hospice and preventing nosocomial infections.
11. Develop a long-term plan for advanced training of doctors and nursing staff.
12. Contribute to the development of mentoring, organization and conduct of public shows and competitions for the title “Best in the Profession.”
13. Systematically improve your professional qualifications, both in the field of clinical disciplines and in the organization of healthcare.
Fundamentals of legislation on health care, labor, orders, main policy documents, resolutions, orders of higher health authorities;
Principles of providing medicinal and emergency medical care, including palliative treatment;
New methods of prevention, diagnosis, treatment and rehabilitation of patients;
Regulatory documents on medical statistics (orders, instructions, etc.);
International Statistical Classification of Diseases (ICD) and Causes of Death;
Fundamentals of medical and social examination.
15. Timely bring to the attention of subordinates orders and instructions, instructions and other normative and directive documents related to the relevant sections of their work.
16. Monitor the correct storage, use and accounting of the consumption of dressings and medicines subject to quantitative accounting, including narcotic and potent drugs in the prescribed manner.
17. Receive visitors and employees.
18. In the absence of the chief physician, certify the patient’s will with his signature at his request.
19. Comply with internal labor regulations.
The Deputy Chief Physician for Medical Affairs has the right:
1. Make decisions within your competence.
2. Obtain information necessary to perform their duties.
3. Make proposals to the administration on improving the organization and conditions of their work.
4. Improve your professional qualifications (certification, recertification, refresher courses, reading medical literature, participation in seminars, meetings, scientific and practical conferences, etc.).
5. Take part in meetings at which issues related to the scope of his activities are discussed.
6. Give orders and instructions to the managers and employees of the hospice structural units subordinate to him and monitor their implementation.
7. Represent to the chief physician the best employees subordinate to him for incentives and make proposals to impose disciplinary sanctions on all persons who violate labor discipline and unsatisfactorily perform their duties.
8. Adjust job regulations for employees; make changes and additions to the duties and rights of employees of departments directly subordinate to him in accordance with current legislation.
9. In cases related to the need for operational management, give direct orders to hospice employees, bypassing their immediate supervisors, but informing the latter to verify their compliance with the given orders.
10. Select candidates for the position of heads of hospice departments and services, as well as the chief nurse.
11. Make proposals to the chief physician of the hospice on issues of improving the organization of medical care in the hospice.
12. Cancel the orders of the heads of departments subordinate to him if they cannot be carried out or contradict the provisions of the official Regulations, as well as the instructions of higher officials.
13. Work in the specialty within the working hours of the main position up to 0.25 of the doctor’s salary, in agreement with the chief physician of the hospice.
14. Take direct part in the selection and placement of hospice personnel.
Responsibility
The Deputy Chief Physician for Medical Affairs is directly responsible for:
For fulfilling their duties and exercising their rights on the basis of constant compliance with the basic provisions of the concept and commandments of the hospice;
For the organization, staging and quality of the diagnostic and treatment process at the modern level;
For the correct placement and organization of work of medical personnel, carrying out activities for the systematic improvement of qualifications of medical and paramedical personnel;
For organizing all the work on palliative treatment of patients, social and psychological rehabilitation of patients and members of their families;
For inaction and failure to make decisions within the rights provided for by these Regulations;
For failure to fulfill the duties provided for by the internal labor regulations and these Regulations.
I. General partAn experienced surgeon with a specialist certificate, the highest or first qualification category, work experience as a department head and organizational skills is appointed to the position of deputy chief physician of a hospital for surgery.
Appointed and dismissed by the chief physician of the hospital in accordance with current legislation.
Reports directly to the chief physician of the hospital.
Manages the organization of medical care in the hospital, as a rule, through the heads of the relevant departments and the chief nurse.
In his activities he is guided by the current legislation, the Charter of the hospital, decrees, decisions, orders and instructions of higher health authorities on the section of work being performed, orders and instructions of the chief physician of the hospital, and these instructions.
The orders of the Deputy Chief Physician for Surgery are mandatory for heads of surgical departments, including the department of anesthesiology and intensive care, endoscopic department, blood transfusion service, sterilization and disinfection service.
II. Responsibilities
1. Provides direct supervision of the activities of the heads of departments of the hospital services assigned to him.
2. Carries out systematic control over the quality of examination, treatment and care for surgical patients by:
- scheduled inspections of departments followed by discussion of the inspection results;
- systematic analysis of qualitative indicators of the departments’ activities;
- assessment of the effectiveness of ongoing treatment and preventive measures, as well as a systematic study of discrepancies between hospital diagnoses and outpatient and pathological diagnoses;
- constant verification of medical histories and other medical documentation regarding the quality of their management, the correctness and timeliness of the implementation of medical prescriptions and the methods of treatment used.
3. Organizes and controls the work of the operating unit.
4. Monitors the preparation and implementation of work plans for departments of the surgical cycle.
5. Organizes and ensures the holding of scientific-practical and clinical-anatomical conferences, clinical expert commission (surgical section).
6. Organizes consultations and heads consultations of hospital specialists and invites consultants from other medical institutions, organizes the transfer of surgical patients, if necessary, to other health care facilities.
7. Coordinates work schedules (including duty schedules) of department heads and attending physicians in the hospital, including on weekends and holidays.
8. Develops and carries out activities aimed at:
- for the timely and widespread introduction into practice of new methods of examining and treating patients, the principles of a medical and protective regime;
- improving immediate and long-term treatment results;
- reduction of postoperative mortality and postoperative complications;
- rational application and use of modern medications and modern methods of surgical treatment in the treatment of patients;
- ensuring a strict and sustainable sanitary and epidemiological regime in the hospital departments assigned to it and preventing nosocomial infections.
9. Controls the appropriate and complete use of bed capacity in surgical departments.
10. Coordinates requests from surgical departments for the purchase of new and replacement of outdated equipment.
11. Develops a long-term plan for advanced training of surgical doctors and monitors its implementation.
12. Organizes and leads the preparation of methodological materials for the examination and treatment of surgical patients.
13. Systematically improves professional qualifications, both in the field of clinical disciplines and in the organization of healthcare.
14. Receives visitors and hospital employees on the days and hours established for this.
15. In the absence of the chief physician, certifies the patient’s will with his signature at his request.
16. Brings to the attention of employees, insofar as they are concerned, orders, directives, instructions, etc. of higher authorities and officials.
III. Rights
The hospital's deputy chief physician for surgery has the right to:
1. Give orders regarding the organization of the work of subordinate departments of the hospital.
2. Give orders and instructions to subordinate employees in accordance with the level of their competence and qualifications and monitor their implementation.
3. Resolve issues regarding admission and discharge of patients.
4. Take part in meetings held in the hospital, which discuss issues within his competence.
5. Obtain information necessary to perform their duties.
6. Make decisions within your competence.
7. Make changes and additions to the duties of employees of departments directly subordinate to him in agreement with the trade union committee in accordance with current legislation.
8. In cases related to the need for operational management, give direct orders to hospital employees, bypassing their immediate supervisors, but informing the latter to check their compliance with the given orders.
9. Select candidates for the position of heads of departments and services of the hospital directly subordinate to him.
10. Make proposals to the chief physician on improving the organization of surgical care in the hospital.
11. Make proposals to the chief physician of the hospital regarding the encouragement and imposition of penalties on employees subordinate to him.
12. Cancel orders of department heads subordinate to him if they cannot be carried out or contradict the instructions of higher authorities and officials.
13. Improve professional knowledge in the system of institutions (organizations) providing postgraduate training of doctors.
14. Work in the specialty within the working hours of the main position up to 0.25 of the doctor’s rate in agreement with the chief physician of the hospital.
IV. Responsibility
Responsible for the quality of surgical care provided in the hospital; for failure to fulfill the duties provided for in these instructions and internal labor regulations; for inaction and failure to make decisions within the scope of his competence.
- He manages the work of the departments of the clinic, organizes medical care for outpatients in the clinic and at home.
- Organizes and conducts medical examinations of the population. Provides targeted screenings of the population.
- Organizes preventive examinations of decreed population groups.
- Conducts medical examinations of pre-conscription and conscription age youths. Selects and refers patients for sanitary-resort treatment.
- Participates in solving complex clinical expert issues.
- Conducts morbidity analysis, manages measures to reduce it and rehabilitate patients.
- Conducts analysis of clinical expert errors.
- Considers claims from insurance companies and public complaints regarding the quality of medical care provided in the clinic.
- Organizes and conducts medical conferences.
- Organizes additional education for employees (professional retraining and advanced training).
- Organizes and controls the medical activities of branches, organizes effective interaction between branches.
Another area of activity of the Deputy Chief Physician for APR is work with the population, which includes not only receiving visitors, but also organizing meetings with the population and representatives of various public organizations.
This area of activity also includes control and personal participation of the Deputy Chief Physician for APR in sanitary educational work among the population.
Work with documents
The Deputy Chief Physician for APR also needs to work with documents.
The organizational documents of the deputy chief physician for APR include job descriptions, staffing schedules, charters, and regulations.
These documents contain rules and regulations that determine the status of a medical organization and its competence, and also regulate the activities of all employees of health care facilities.
The planning documents of the Deputy Chief Physician for APR include: plan, long-term plans, programs, schedules, schemes, general schemes.
Note 2
Despite the abundance of planning documents, the deputy chief physician for APR participates in the preparation of each of them, and is also the responsible executor in almost all plans of the clinic.
The information basis for the activities of the Deputy Chief Physician for APR is reference and information documents, which include:
- official letters,
- protocols,
- acts,
- explanatory notes and reports,
- certificates
These are supporting documents, however, the information they contain serves as the basis for administrative documents.
Reporting documents are prepared for various areas of the clinic's activities.
Reporting documents include:
- state statistical reporting;
- departmental reporting;
- intra-clinic reporting.
Reports allow you to compare the results obtained with the indicators that were outlined in plans or programs.
The Deputy Chief Physician for APR prepares draft orders of the Chief Physician.
In addition, he needs to be able to draw up minutes and decisions of collective meetings at which he was present.
Also, the Deputy Chief Physician for APR controls the maintenance of medical documentation, accounting and reporting for this section of work.
Note 3
The work of the deputy chief physician for outpatient work constantly combines a variety of activities:
- reception of the population,
- organizational and methodological work with medical personnel,
- work with documents,
- preparation of reporting forms, etc.
State educational institution
"Volgograd State Medical University"
Ministry of Health and Social Development of the Russian Federation
(GOU VPO Volgograd State Medical University of the Ministry of Health and Social Development of Russia)
APPROVED by: Vice-Rector for Medical Work of the State Educational Institution of Higher Professional Education of the Volga State Medical University of the Ministry of Health and Social Development of Russia
_________________
"___" _______________ 20
Job description
Deputy Chief Physician for Medical Affairs
name of the structural unit
________________________________________________________
I. General provisions
1.5.2. 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;
1.5.3. theoretical foundations of social hygiene and health care organization;
1.5.4. management systems and labor organization in healthcare;
1.5.5. medical ethics; psychology of professional communication;
1.5.6. fundamentals of economics, labor organization and management;
1.5.7. office work, types and forms of documentation, the procedure for documenting the results of the work performed;
1.5.8. population health statistics;
1.5.9. basics of labor legislation;
1.5.10. profile and structural features of the clinic;
1.5.11. the procedure for concluding and executing business and labor contracts;
1.5.12. basics of insurance medicine;
1.5.13. assessment criteria and indicators characterizing the health status of the population;
1.5.14. organization of medical and social examination;
1.5.15. organization of social and medical rehabilitation of patients;
1.5.16. fundamentals of disaster medicine.
2.22 . Systematically improves his skills.
III. Functional responsibilities of the chief physician of a medical organization:
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IV. Rights
The Deputy Chief Physician for Medical Affairs has the right to:
4.1 . Get acquainted with draft orders of the university management relating to its activities.
4.2 . Submit proposals for improvement of work related to the responsibilities provided for in this job description for consideration by the university management.
4.3 . Inform the university management about all shortcomings in the production activities of the enterprise (its structural divisions) identified during the performance of their official duties and make proposals for their elimination.
4.4 . request the necessary documents and information from heads of structural divisions and employees.
V. Responsibility
The Deputy Chief Physician for Medical Affairs is responsible for:
5.1. For improper performance or failure to fulfill one’s job duties as provided for in this job description - within the limits determined by the current labor legislation of the Russian Federation.
5.2 . 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.
5.3. For causing material damage - within the limits determined by the current labor and civil legislation of the Russian Federation.
VI. Relationships by position
In the course of his work, the deputy chief physician for medical affairs enters into official relations with _______________________________________ on issues related to his activities.
Head of structural unit _________________________________ Full name
Head of HR Department ___________________________
General Counsel ___________________________
I have read the job description and a copy has been received.
Full name
“____” ___________ 20___