Therapist: job description, required education, employment conditions, job responsibilities and features of the work performed

2024 Author: Howard Calhoun | [email protected]. Last modified: 2023-12-17 10:16

Therapist is one of the most common medical speci alties. Doctors work in polyclinics and hospitals, in sanatoriums and medical examination centers. Their activities are regulated by the job description of a general practitioner. We will get acquainted with the general functional responsibilities, conditions of employment, requirements for the education of a specialist and other important provisions of this document.

General provisions of the instruction

Let's start with the first paragraph of the job description of a general practitioner. "General provisions" contain the following:

1. This document (job description) is intended to define the functional duties, responsibilities and rights of the therapist.
2. The decision to appoint a specialist to a position, as well as to release a doctor from work duties, is made by the head of a medical facility (treatment and preventive institution) in accordance with Russian labor law.
3. The specialist reports to the head, head of the unit, department of the he alth facility (or a person temporarily replacing him in the manner prescribed by law).
4. During the absence of the general practitioner at the workplace (cases of illness, vacation, maternity break, etc.), his duties, rights and responsibilities are temporarily transferred to another employee in accordance with the procedure established by the Labor Code.

Specialist education requirements

The standard job description of a general practitioner introduces the following requirements for specialist training:

• Higher medical education.
• Specialization (or postgraduate training) in "Therapy".

Basic requirements for the preparation of a doctor

The job description of a general practitioner (district, medical examination, day hospital, etc.) suggests that the applicant must know:

• Russian Constitution.
• Regulatory, legal, legislative acts in the field of he althcare of the Russian Federation.
• local budgets).
• Principles of organizing therapeutic medical care in Russia,work of hospitals and polyclinics, emergency and emergency medical services for children, adolescents and adult citizens.
• Issues of the relationship of diseases with the profession.
• The grounds for holding a general practitioner accountable - disciplinary, administrative, civil, criminal.
• The main provisions of pathological and normal anatomy, pathological and normal physiology, the relationship of the functional structures of the human body, the levels of their (structures) regulation.
• Fundamentals of water-electrolyte metabolism in the body, its alkaline-acid balance.
• Types of body dysfunctions, principles of their therapy.
• Functioning of homeostasis and hematopoiesis systems, pathophysiology and physiology of the blood coagulation structure, basics of blood replacement treatment, normal and pathological parameters of homeostasis.
• Pathogenesis and clinical symptoms of the main therapeutic (adult, pediatric and general) diseases, their diagnosis, therapy and prevention. Symptoms of borderline conditions observed in a therapeutic clinic.
• Basic information on pharmacotherapy regarding the clinic of internal diseases. Pharmacokinetics and pharmacodynamics of the main groups of drugs. Complications caused by the main types of medicines, methods of their correction.
• Fundamentals of the reactivity of the human body, immunology.
• Organization of resuscitation and intensive care services in a medical institution. Equipment installed in intensive care and resuscitation wards.
• Fundamentals of non-drugtreatment, as well as physiotherapy, exercise therapy (therapeutic physical education complex), medical monitoring of the patient's condition. Indications and contraindications for sanatorium rehabilitation, treatment.
• Organization of monitoring of undesirable and side effects from taking medications, cases of lack of therapeutic effect from their use on the territory of the Russian Federation.
• The basis of rational nutrition of he althy citizens, diet therapy suffering from various diseases.
• Organization of anti-epidemic measures in the foci of the spread of infection.
• Medico-social expertise for internal diseases.
• Organization of dispensary observation for both he althy and sick citizens.
• Prevention issues.
• Methodology, varieties of sanitary and he alth education work.
• Organization of civil defense medical care.
• Rules of local work schedule in a medical institution.
• Norms and rules of labor protection, fire prevention, safety.

Special requirements for doctoral training

The job description of a general practitioner (hospital, clinic, resort, sanatorium, etc.) implies the presence of special requirements for the preparation of a doctor. He should know:

• Modern methods of prevention, treatment, diagnosis and rehabilitation of diseases.
• The content of therapy and its sections (as a clinical independent discipline).
• Organization, task,structure, staffing, equipment of the therapeutic unit of a medical institution.
• Relevant regulatory, legal, methodological and instructive documents on their profile.
• Rules for processing medical documents.
• The procedure for conducting examinations of temporary disability of citizens, as well as medical and social examinations.
• Principles of work planning and reporting of the internal medicine department.
• Method and procedure for monitoring the activities of the therapeutic service.

Work Guide

The job description of a therapist assumes that a specialist is guided by the following in his work:

• Relevant legal and regulatory documents on its activities.
• Local (within the medical institution-employer) regulations, orders, orders, etc.
• Job description of a general practitioner (district, hospital, sanatorium, etc.).

Main tasks in the workplace

The job description of the general practitioner of the department defines the following main tasks of the specialist's work activity:

• Receive complete information about the patient's disease.
• Apply modern and objective methods of patient examination.
• Perform a full list of work to diagnose the disease, pathology, assess the state of both the clinical situation and the general condition of the patient according to Russian standards of medical care.
• Justifyclinical diagnosis as well as patient management.
• Perform primary prevention of diseases of the so-called risk groups.
• Fill out and send emergency notices to the Rospotrebnadzor department in case of detection of an occupational or infectious disease.

The doctor must detect…

The job description of a general practitioner in a polyclinic suggests that a doctor should be able to identify:

• Both general and specific symptoms of diseases.
• Risk factors for the progression of noncommunicable chronic diseases.

The doctor must determine…

The job description of a general practitioner (sanatorium, hospital, clinic, etc.) prescribes that a specialist must be able to determine:

• Indications for hospitalization of the patient and directly organize it.
• The level of homeostasis disturbance in the patient's body (and take appropriate measures to normalize it).

The doctor should conduct…

The job description of a general practitioner (day hospital, for example) suggests that the specialist independently conducts:

• Examination of temporary (due to illness) disability of citizens.
• Differential diagnosis.
• Necessary anti-epidemiological measures in case of detection of infection.
• Medical examination of both sick and he althy citizens.

Job Responsibilities of a Specialist

We continue to analyze the job description of a general practitioner (for medical examinations, in a hospital, clinic, sanatorium). The document prescribes the following functional duties of the doctor:

• Providing qualified medical care in their speci alty.
• Determination of patient management tactics in accordance with current regulations and standards.
• Developing a patient examination plan.
• Establishing or confirming a diagnosis based on clinical examinations, taking anamnesis.
• Assigning the necessary treatment, monitoring its implementation.
• Organization of diagnostic, therapeutic and rehabilitation procedures.
• Advisory assistance to specialists from other departments of he althcare facilities.
• Management (if any) of subordinate middle and junior medical staff.
• Participation in professional development classes.
• Planning, analysis of own work activity.
• Examination of temporary labor disability, determination of indications for a medical and social examination.
• Timely execution of orders and directives of direct management, regulatory and legal acts on their work.
• Compliance with internal regulations, sanitary and epidemiological regime, safety, and labor protection.

Employee rights

The job description of a general practitioner (district clinic) assumes the presencethe following rights from a specialist:

• Make a diagnosis by speci alty.
• Prescribe the necessary diagnostic methods.
• Perform therapeutic, rehabilitation, diagnostic and preventive procedures.
• Seek advice from other he althcare professionals.
• Make proposals to the management of the medical institution to improve the work of the organization.
• Control the activities of subordinates, give them the necessary orders within their official authority.
• Request, receive and use information necessary for work.
• Participate in meetings, research conferences.
• Pass certification in accordance with the established procedure to improve their own medical category.
• Upgrade qualifications at least once every 5 years.

Responsibility of a specialist

The last important item in the job description. The GP is solely responsible for:

• For the quality and timely performance of their own duties.
• Organize your activities.
• Timely and complete execution of instructions and orders of the leadership.
• Quality and timely completion of medical documents for their work.
• Activities of subordinate workers.
• Providing statistical information and other data on their work.

We briefly got acquainted with the aspects of the activity of a general practitioner based onspecialist job description. We also analyzed the requirements for the applicant for this vacancy, the breadth of his professional training.