The main goal of professional medical activity is to save a person's life and improve its quality by providing immediate medical care.
The duty of a doctor is to constantly maintain their professional skills at the highest level. When making professional decisions, he should first of all think about the welfare of patients, and not about his own material interest.
What duties should a doctor perform
No matter what specialization the doctor belongs to, he must put respect and compassion for the human dignity of the patient at the forefront of everything, while being responsible for all aspects of medical care. This speci alty obliges him to be honest and open with patients and colleagues. He has no right to cover for his colleagues if they cheat on their patients.
Doctors' general duties towards the patient include:
- Using all your professional potential in order to save the life and he alth of the patient. In caseswhen the treatment and necessary examinations exceed the level of the doctor's abilities and knowledge, his task becomes to refer the patient to his more competent colleagues.
- In the event of the death of a patient, the doctor is not released from the obligation to maintain medical secrecy.
- The provision of emergency medical care is one of the main conditions of professional activity.
It is the responsibility of a doctor to be constantly ready to provide medical care to any person, regardless of age, gender, social status, nationality and race, political and religious beliefs of the patient, as well as other non-medical factors.
A real doctor should strive by all legal means available to contribute to the protection of he alth, life of the population, to carry out educational activities related to issues of medicine, ecology, hygiene and culture of communication.
The main condition for medical activity is the presence of professional competence. The doctor must constantly improve his knowledge, because he is responsible for the quality of the medical care provided.
As you know, a doctor has the right to make independent medical decisions, on which a person's life sometimes depends. Only the presence of professional competence, along with a clear moral position, which implies the highest demands on oneself, gives the doctor the right to do this.
The duties of a doctor imply the inadmissibility of infliction as intentional,and accidental harm to the patient, as well as infliction of material, physical or moral damage to him.
People of this speci alty must be able to clearly compare the potential benefits and possible complications of the intervention, especially in cases where treatment and examination are associated with pain, coercion, and painful factors for the patient.
What a doctor is en titled to
The Code of Ethics of Russian Doctors is guided by the Hippocratic Oath, the principle of mercy and humanism, as well as the ethical documentation of the World Medical Association and the legislation of the Russian Federation. It also enshrined the rights and obligations of a doctor, as a person who plays the most important role in the he althcare system as a whole.
It is documented that a doctor has every right to refuse to work with a patient, transferring him to another specialist in cases:
- If he feels insufficiently competent in a particular case, and also does not have the technical capabilities necessary to provide medical care in the proper form.
- If a particular given type of medical care in any way contradicts its moral principles.
- If he fails to establish contact with the patient for therapeutic cooperation.
In no case is it permissible for a doctor to abuse his position and knowledge.
Doctor has no rights to:
- Using your knowledge and abilities for inhumane purposes.
- The application or denial of medical measures without sufficientgrounds.
- Using methods of medical influence on a patient with inhumane goals: his punishment, in the interests of a third party, etc.
- Forcing one's philosophical, religious and political views on the patient.
- Personal biases or other non-professional motives of a physician should not affect treatment or diagnosis in any way.
Head doctor, what does he do?
This profession is first and foremost a huge responsibility. The duty of the head doctor of a medical institution is not only to have a high level of qualification, but also the ability to quickly, clearly make the right decisions, regardless of the magnitude of the issue.
Of course, he must have good medical experience, but in addition, he needs to understand the legal, economic, accounting structures. The head physician manages the entire hospital, he is subordinate to: the head nurse, heads of structural divisions, planning and economic service, house managers, etc.
Instruction: general provisions for the activities of the head physician
The founder or the head of the he alth department (in the case of budgetary medicine) has the right to appoint to the position, as well as dismiss it.
The duties of the chief physician include monitoring the order in all areas of the hospital: epidemiology, sports fitness, culture, medical work and more.
Take a positioncan the person who has:
- higher medical education;
- certificate that confirms the fact of studying knowledge in the areas of he althcare management and organization;
- certificate of residency, internship;
- At least 5 years of experience as a manager.
When a manager needs to temporarily leave his workplace (vacation, training, etc.), he is obliged to appoint one of the managers acting in his capacity for this time.
The standard job description states that the head physician must be proficient in:
- all the information that is set out in orders, resolutions, regulatory documents related to the work of the institution;
- knowledge that is necessary for the competent management and organization of the hospital;
- the latest information on promising social, economic and technical directions for the development of a medical institution;
- methods of effective hospital management;
- rules to be followed when executing and concluding medical, economic, economic and other contracts;
- knowledge that regulates the service life and repair of medical equipment;
- staffing information;
- the procedure for conducting and executing sanitary and hygienic measures;
- information about the job responsibilities of employees who are subordinate to him;
- regulatory framework thatdescribes the procedure for completing medical documentation;
- basic guidelines for providing medical care, etc.
Instruction: general provisions for the activities of a general practitioner
In medicine, the profession of a therapist is quite in demand. He deals with the primary reception of patients and, accordingly, prescribes treatment. It is also the responsibility of the general practitioner to refer the patient, if necessary, to a narrower specialist. A person visits this doctor in cases where he does not know who exactly he should turn to with his problem. A general practitioner (district) may be a person with a higher professional medical education, and he must also have documents that confirm the assignment of the title of doctor of the relevant speci alty. Appointment and removal from office is carried out by order of the head physician of the medical institution.
What should he know?
- Concepts of he althcare legislation, as well as documentation that defines the activities of institutions and bodies and he althcare.
- General issues related to the organizational measures of therapeutic care, the work of institutions of medical and preventive orientation, the organization of the work of emergency ambulance to the population.
- Organizational moments in the work of the polyclinic, day hospital.
- Questions related to normal and pathological anatomy, physiology, processes of interconnection of functional systemsorganism.
- Fundamentals of water-electrolyte metabolism, acid-base balance of the body, as well as all possible types of disorders and principles of treatment of pathologies in this area.
- The work of the hemostasis and hematopoiesis system, physiology, pathophysiology of the blood coagulation system, norms of homeostasis indicators.
- Basic concepts of immunology and reactivity of the human body.
- Pathogenesis and clinical symptoms of therapeutic diseases, measures for their prevention, their treatment and diagnosis. In addition, the doctor must recognize clinical symptoms in borderline conditions, diseases in a therapeutic clinic.
- Pharmacotherapy of internal diseases, pharmacokinetics and pharmacodynamics of drugs, as well as possible complications from drugs and methods for their correction.
- Measures for non-drug therapy: physiotherapy, exercise therapy and medical supervision.
- Highlights regarding rational nutrition, principles for diet therapy.
- Anti-epidemic measures.
- Dispensary care for both sick and he althy citizens.
- Methods and forms of he alth education work.
- The social and demographic characteristics of your site.
- Methods for interacting with medical specialists, institutions, various services, insurance companies, medical associations, etc.
- Internal work schedule of a medical facility.
- Norms and rules of safety, labor protection, fireprotection, industrial sanitation.
Responsibilities of a district doctor
First of all, he must be trained to conduct professional self-employment. The duties of the polyclinic doctors include the following functions: advisory, organizational, therapeutic, diagnostic and preventive. His task is to be able to combine practical skills with deep theoretical training in his work.
A doctor in this speci alty must be responsible for his work, be demanding of himself and his subordinates, and continuously improve his professional competence. In his work, he needs to use medical diagnostic and electronic computers, to navigate modern scientific and technical processes.
The duties of the district doctor include:
- The use of objective methods in the examination of the patient, the identification of general and specific signs of the disease.
- Assessing the severity of the patient's condition, taking measures that are necessary to bring him out of this condition. He must determine the sequence and scope of resuscitation measures, provide urgent necessary assistance.
- Determine the need for specialized research methods (radiological, laboratory and functional).
- Identify indications and determine the need for hospitalization and organize it.
- Carrying out differential diagnosis, substantiation of clinicaldiagnosis, development of a plan and tactics for patient management.
- Prescribing necessary medicines and other therapeutic measures.
- Assistance in organizing the necessary consultations of the patient by narrower specialists.
- Determining the disability of the patient.
- Implementation of measures for the rehabilitation of the patient.
- Working with early detected infectious diseases, their diagnosis, taking the necessary anti-epidemic measures.
- Organize preventive vaccinations for the population of the site.
- Organization and implementation of a set of measures for the purpose of clinical examination of the population of the site.
- Prophylactic examinations.
- Conducting sanitary and educational work of the population of the site, the implementation of measures to combat bad habits.
- Preparation of medical documentation provided for by he alth legislation, as well as timely preparation of a report on the work done.
The General Practitioner is also responsible for diagnosing and providing emergency care for the following conditions:
- with bronchial asthma, status asthmaticus;
- hypoxic coma, acute respiratory failure, pulmonary embolism;
- acute cardiovascular failure, syncope, cardiac asthma, pulmonary edema;
- shock (toxic, traumatic, hemorrhagic, anaphylactic, cardiogenic);
- hypertensive crisis and acute cerebrovascularcirculation;
- heart rhythm disorder;
- acute allergic conditions;
- acute renal failure, renal colic;
- liver failure;
- coma (diabetic, hypoglycemic, hepatic, hyperosmolar);
- burns, frostbite, electric shock, heat and sunstroke, lightning, drowning. Sudden death;
- cardiac conduction disorders and Morgagni-Adems-Stokes syndrome.
The duties of a doctor include the ability to establish a diagnosis, as well as the necessary therapeutic and preventive measures for various diseases of the cardiovascular system, respiratory organs, digestion, urinary system, hematopoietic system, endocrine system, rheumatic disease, infectious diseases, professional diseases, acute surgical diseases.
Instruction: general provisions and duties of a dentist
This profession covers a fairly wide range of activities: prevention, treatment, various surgical interventions, bite correction, prosthetics and much more. Modern dentistry is a high-tech science that continuously improves various methods for the prevention and treatment of oral diseases. The duties of a dentist include:
- examination of patients to identify the diagnosis;
- primary, re-examinations;
- if necessary refer a person to laboratory,instrumental research;
- referring patients to other doctors for consultation;
- conducting a survey on the subject of he alth in general;
- detection of facial, dentoalveolar deformities, anomalies, as well as prerequisites for their development in a patient;
- assessment of cancer risk factors.
Instruction: general guidelines for a veterinarian
The main goal of his professional activity is to protect the he alth and life of animals. It is the duty of the veterinarian to prevent, by all legal means, any form of cruelty to animals, as well as:
- Carrying out veterinary measures to prevent diseases in animals.
- Compliance with veterinary and zoohygienic rules for keeping, feeding, caring for animals.
- Examining animals and diagnosing their injuries and diseases.
- Research on the possible causes of the occurrence and course of animal diseases and the development of methods for their treatment and prevention.
The duties of a doctor also include surgical and therapeutic treatment of animals, conducting veterinary and sanitary examinations of poultry and livestock. Its task is to provide consultations on issues related to the treatment, feeding and maintenance of animals, as well as to monitor the mandatory treatment and preventive measures.
The doctor, taking advantage of his position, has no right to enter intosick property transactions, use his labor for personal purposes, have sexual intercourse with him, engage in bribery and extortion, taking advantage of the patient's insolvency.
The rights and duties of a physician require that he be free and have professional independence.