Functional duties of an oncologist at a polyclinic. Who is an oncologist: description, duties and functions Functional duties of an oncologist at a polyclinic
I. General part
The main tasks of an oncologist at a polyclinic are to provide specialized treatment, diagnostic and advisory services.
Assistance to oncological patients and patients with suspected oncological diseases living in the area of activity of the polyclinic, as well as
From among the workers and employees of attached enterprises.
The appointment and dismissal of an oncologist is carried out by the chief
Clinic doctor in accordance with applicable law.
The oncologist in his work reports directly to the deputy chief physician for medical affairs, and in his absence, to the chief physician of the polyclinic.
The oncologist is subordinate to the average medical staff of the office.
In his work, the oncologist is guided by the current legislation, orders of the Ministry of Health and Medical Industry of the Russian Federation, instructions and orders of municipal health authorities, this job description, as well as guidelines to improve medical care for cancer patients.
II. Duties
To perform his functions, the oncologist must:
1. Carry out outpatient appointments according to the schedule approved by the administration of the polyclinic, regulating the flow of visitors through the rational distribution of repeat patients.
2. Provide early detection, qualified and timely examination and specialized treatment for oncological diseases or suspicion of them.
3. If necessary, present patients for consultation to a district oncologist or to a city oncology dispensary.
4. Conduct dispensary monitoring of cancer patients and persons with suspected cancer.
5. Ensure the correct examination of temporary
Disability and timely referral of patients with cancer to CEC and MSEC.
6. Carry out, in accordance with the indications, timely
Hospitalization of patients.
7. Advise patients in the direction of doctors of other specialties of the institution, including at home.
8. Ensure continuity between the outpatient facility and the hospital in the care and treatment of patients.
9. Keep a record of people with identified cancers in the area of operation of the polyclinic.
10. Follow the principles of deontology in your work.
11. Supervise and manage the work of the nursing staff of the oncology room.
12. Timely analyze advanced cases of cancer
Diseases with clarification of the causes and the corresponding discussion on
medical conferences.
13. Conduct organizational arrangements to improve
Knowledge of medical and paramedical staff of the institution in matters
Early diagnosis of oncological diseases.
14. Organize and conduct among the population the promotion of sanitary and hygienic knowledge on the prevention of cancer.
15. Systematically improve their professional qualifications and the level of medical knowledge of the paramedical staff of the office.
The oncologist has the right:
Make suggestions to the administration of the polyclinic on issues
Improving the organization of medical and preventive care for the population,
Working conditions of the medical staff of the office;
Participate in meetings on the organization of oncological care;
Prescribe and cancel any therapeutic and preventive measures, based on the patient's condition;
Receive information necessary for the performance of official duties
Responsibilities;
Represent the subordinate nursing staff to
Incentives and make proposals for the imposition of penalties in case of violation of labor discipline, unsatisfactory performance
Job responsibilities.
IV. Job evaluation and responsibility
Evaluation of the work of an oncologist is carried out by the Deputy Chief
The doctor of the polyclinic for the medical part based on the results of work for the quarter (year) on the basis of 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 oncologist 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
Compliance with current legislation.
1. This job description defines the duties, rights and responsibilities of an oncologist.
2. A person with a higher medical education who has completed postgraduate training or specialization in the specialty "Oncology" is appointed to the position of an oncologist.
3. An oncologist must know the basics of the RF legislation 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 basis, principles and methods of clinical examination; organizational and economic foundations for the activities of health care institutions and medical workers in the conditions of budget-insurance medicine; fundamentals of social hygiene, organization and economics of healthcare, medical ethics and deontology; legal aspects medical activities; general principles and basic methods of clinical, instrumental and laboratory diagnostics 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.
In his specialty, an oncologist should know modern methods prevention, diagnosis, treatment and rehabilitation; content and sections of oncology as an independent clinical discipline; tasks, organization, structure, staffing and equipment of the oncological 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 oncological service; methods and procedures for monitoring its activities.
4. An oncologist is appointed to the position and dismissed by order of the head physician of the medical facility in accordance with the current legislation of the Russian Federation.
5. An oncologist reports directly to the head of the department, and in his absence, to the head of the health facility or his deputy.
2. Job responsibilities
Provides qualified medical care in his specialty, using modern methods of prevention, diagnosis, treatment and rehabilitation, approved for use in medical practice. Determines the tactics of managing the patient in accordance with established rules and standards. Develops a plan for examining the patient, specifies the volume and rational methods of examining the patient in order to obtain complete and reliable diagnostic information in the shortest possible time. Based on clinical observations and examinations, anamnesis, data from clinical, laboratory and instrumental studies, establishes (or confirms) the diagnosis. In accordance with the established rules and standards, appoints and controls the necessary treatment, organizes or independently conducts the necessary diagnostic, therapeutic, rehabilitation and preventive procedures and measures. The patient is examined daily in the hospital. Makes changes to the treatment plan depending on the patient's condition and determines the need for additional examination methods. Provides consultative assistance to doctors of other departments of health care facilities in their specialty. Supervises the work of secondary and junior medical personnel subordinate to him (if any), facilitates the fulfillment of his official duties. Controls the correctness of diagnostic and therapeutic procedures, operation of instruments, apparatus and equipment, rational use reagents and medicines, observance of safety regulations and labor protection by middle and junior medical personnel. Participates in training sessions to improve the skills of medical personnel. Plans its work and analyzes the performance of its activities. Ensures timely and high-quality execution of medical and other documentation in accordance with established rules. Carries out sanitary-educational work. Complies with the rules and principles of medical ethics and deontology. Participates in the examination of temporary disability and prepares the necessary documents for medical and social examination. Qualified and timely executes orders, instructions and instructions of the management of the institution, as well as legal acts on his 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 improves his skills.
The oncologist has the right:
1. independently establish a diagnosis in the specialty based on 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; to involve, in necessary cases, 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 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 oncologist uses all labor rights in accordance with Labor Code RF.
4. Responsibility
The oncologist 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 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 acts, an oncologist can be brought to disciplinary, material, administrative and criminal liability in accordance with the current legislation, depending on the severity of the misconduct.
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What is an oncologist?
Oncologist is a specialist in the diagnosis and treatment of patients with cancer. This category includes patients with various tumors and neoplasms as malignant ( cancer) and benign. All doctors who suspect the presence of a tumor in patients or discover it refer the patient to an oncologist for consultation and examination. Currently, cancer is a very serious problem in the world. Along with injuries and cardiovascular diseases, cancer is one of the most common causes of death. Related to this is the demand for oncologists in medicine. These specialists can be found in almost all hospitals and medical centers. There are also many specialized clinics and institutes that deal only with cancer patients.
Any malignant tumors, to one degree or another, affect the entire body as a whole, so any oncologist must have a variety of skills. The treatment of complications is more related to the therapeutic profile, and the direct removal of the tumor requires surgical skills. Also present in oncology internal division on narrower specialists who deal with neoplasms in certain organs and systems.
Job description of an oncologist
The job description of any specialist is a document regulating it professional activity. In oncology, this document plays a very important role, since oncologists often face situations requiring medical secrecy. The job description describes in detail what the rights and duties of this specialist are. When hiring, the management of a medical institution introduces a new employee to this document.What are the specialties of oncologists?
Oncology is a very broad field of medicine, so specialists working in this field have their own specializations. This is necessary, since it is very difficult to diagnose and treat any oncological disease, and each of them has its own characteristics. The division of oncology into branches makes it possible to increase the efficiency of medical care. In addition, one person simply cannot deal with tumors of all organs and systems. In each field, additional knowledge and skills are required beyond basic oncology training. For example, oncologists-gynecologists know the anatomy and physiology of the reproductive system in women well, but they cannot operate on brain tumors, since this requires skills in neurosurgery. Pediatric oncologist
Oncological diseases in children and adolescents have their own distinctive features. This is due, first of all, to how metabolic processes proceed in a growing organism. It is also noted that the structure of oncological diseases in children differs from that in adults. In other words, some types of cancer in children occur much more often, while others almost never occur. In general, the incidence of malignant tumors in childhood significantly lower than in adults or in the elderly.The most common pathologies in pediatric oncology are:
- retinoblastoma ( retinal cancer);
- some tumors of the central nervous system.
Surgeon
The vast majority of oncological diseases at one stage or another require surgical treatment. In this regard, a significant part of oncologists are surgeons capable of performing such operations. Since tumors can occur in almost all organs and tissues of the body, oncologists have their own narrower areas. For example, an oncologist who operates on brain tumors does not operate on patients with liver cancer, and vice versa. Thus, oncology is closely related to surgery, but there is no separate specialization of oncologist-surgeon. All the same, these doctors should have a narrower profile, which determines the tumors of which organs and systems they operate on.Mammologist
Oncologists-mammologists treat breast cancer ( chest), which has been a very common disease in recent years. In the vast majority of cases, such tumors occur in women, but in some cases they can also appear in men. Breast oncologists are highly trained in gynecology, endocrinology and surgery. This is necessary to understand the disorders that occur in the body with breast cancer.Post-menopausal women are advised to have regular mammograms, which are x-rays of the breasts. In the most developed countries, this procedure is included in the list of mandatory examinations. If various formations are found, the patient is referred to an oncologist-mammologist to clarify the diagnosis and treatment, if necessary.
Women with the following risk factors are often referred to an oncologist-mammologist for a preventive examination:
- overweight ( obesity);
- menopause after age 55 late);
- diabetes mellitus and some other endocrinological disorders;
- cases of breast cancer in blood relatives;
- absence of pregnancy and childbirth in the past ( contributes to endocrine disorders).
Dermatologist ( skin specialist)
An oncologist-dermatologist deals with the treatment of skin tumors. There are quite a few of them, but the most dangerous are three types of malignant tumors - basalioma, melanoma and squamous cell carcinoma. Primary diagnosis is usually carried out by ordinary dermatologists, to whom patients turn for suspicious skin lesions. An accurate diagnosis can be made by histological examination ( examining a section of tissue under a microscope). This study is carried out in laboratories at oncology clinics. When confirming the malignant nature of the formation, the patient is sent directly to the oncologist-dermatologist.The following doctors may also refer you for a consultation with this specialist:
- therapist;
- massage therapist, etc.
Gynecologist
An oncologist-gynecologist is engaged in the diagnosis and treatment of tumors of the internal and external genital organs in women. These pathologies are currently very common and present a serious problem. Patients are referred to a gynecological oncologist by internists, conventional gynecologists or surgeons. It depends on which doctor and with what symptoms the patient applied.Most often oncologists-gynecologists meet with the following pathologies:
- endometrial carcinoma;
- malignant tumors of the vagina or vulva.
Urologist
Oncologists-urologists treat tumors of the excretory system and male genital organs. Almost all clinics and oncology dispensaries have departments where you can find such specialists. Usually, other doctors refer patients to these departments if they suspect the corresponding pathologies.Most often, oncologists-urologists treat patients with tumors of the following organs:
- prostate;
- penis.
Otorhinolaryngologist ( ENT)
Among diseases of ENT organs ( ear, throat, nose) laryngeal cancer plays the most significant role. This disease is directly related to smoking and the risk of its occurrence in heavy smokers is much higher. All other tumors of the ENT organs are much less common. In general, they are characterized by a favorable prognosis in the early stages. At the same time, many doctors do not diagnose these pathologies on time, which greatly complicates the treatment. Oncologists-otorhinolaryngologists are mainly engaged in the surgical treatment of such tumors, since other specialists are not so familiar with the anatomy and physiology of the ENT organs.Hematologist
Oncohematology deals with the treatment of tumors of the hematopoietic system ( bone marrow). Currently, these diseases are quite common, and children and adolescents often suffer from them. Malignant tumors of the hematopoietic system pose a serious threat to life and require urgent treatment.All diseases in oncohematology can be divided into two large groups:
- Leukemias. This group includes diseases that affect the bone marrow. Accordingly, there are characteristic changes in the blood test. Depending on which bone marrow cells are affected first, the symptoms of the disease can be very diverse.
- Lymphomas. In diseases of this group, the lymphatic system is primarily affected. However, in the later stages, the disease, one way or another, affects almost the entire body.
Endocrinologist
Tumors of the endocrine system are very dangerous, as they often affect the hormonal balance and can quickly cause severe symptoms. For patients with similar problems in oncology clinics, there are usually specialized departments where endocrinologists work. These doctors may perform surgeries or provide medical treatment. Depending on which gland is affected, other specialists may be involved in the treatment ( thoracic surgeons, neurosurgeons, etc.).Oncologists-endocrinologists treat tumors in the following organs:
- pancreas ( in collaboration with gastroenterologists);
- thymus ( thymus).
Proctologist and Coloproctologist
Coloproctologists treat various types of bowel cancer. The most pressing issue in this area is sigmoid and rectal cancer, which is handled by proctologists. Coloproctologists are involved in the treatment of cancer of the remaining parts of the large intestine. In the vast majority of cases, treatment involves the surgical removal of the tumor and even part of the intestine itself, so all coloproctologists are partly surgeons. Their competence also includes the observation of patients with precancerous diseases. These are pathologies that can potentially lead to the formation of a malignant tumor over time.Precancerous bowel diseases include the following pathologies:
- colon polyps;
- some chronic infectious diseases.
Pulmonologist ( lung specialist)
Pulmonary oncologists treat lung cancer. As a rule, these tumors are formed from bronchial epithelial cells. They are detected during a preventive x-ray examination by radiologists, internists or other general practitioners. The prognosis largely depends on the stage of the disease. In any case, it is necessary to contact a pulmonologist and start treatment as early as possible. If left untreated, almost 90% of patients with lung cancer die within 2 years.It is believed that the following factors predispose to the formation of lung cancer:
- heavy smoking;
- harmful working conditions regular exposure to dust particles);
- work in rooms with a high concentration of radon;
- hereditary predisposition;
- some viral diseases.
Ophthalmologist ( ophthalmologist)
Tumor processes in the organs of vision are relatively rare. They can have different localization, affecting directly the eyeball or orbital tissues. In all cases, the treatment is usually rather complicated due to the difficulty of surgical access, because it is required not only to remove the tumor, but also to save the eye. The first symptoms may relate to visual disturbances or pain in the eye area. Most often, such tumors are diagnosed by ordinary ophthalmologists. They are the ones who refer patients to an appointment with an ophthalmologist. Specialists of this profile are only in large medical centers.Gastroenterologist
Oncologists-gastroenterologists deal with tumors of the digestive system. According to statistics, these diseases are quite common. Since the digestive system includes quite a few different organs, gastroenterologists are usually divided into several specializations.Oncologists-gastroenterologists deal with tumors of the following organs:
- esophagus;
- small and large intestine;
- pancreas;
- sigmoid and rectum an oncologist-coloproctologist);
- liver and gall bladder oncologist-hepatologist).
Hepatologist
Oncologists-hepatologists treat mainly malignant tumors of the liver, gallbladder and biliary tract. Currently, liver cancer is a very common disease. The most common is hepatocellular carcinoma, which poses a serious threat to the patient's life.With this disease, the patient may experience the following symptoms and complaints:
- trouble digesting fatty foods
- yellowness of the skin and sclera;
- liver enlargement;
- formation in the right hypochondrium, which can sometimes be palpated;
Dentist
Oncologists-dentists are engaged in the diagnosis and treatment of tumors of the jaw and oral cavity. All specialists of this profile are well trained in the field of maxillofacial surgery, since many types of cancer are treated surgically. As a rule, the appearance of tumors of the oral cavity is preceded by a number of chronic diseases of the mucous membrane. Smoking is an important predisposing factor in dental oncology.Orthopedist
Orthopedic oncologists deal primarily with bone tumors. Bone cancer can be of various types, each of which has its own characteristics of the course. Also, these specialists can be involved in the treatment of metastases in various bones. With tumors of the bones of the skull, other specialists are more often involved in the treatment.In addition to malignant tumors, the competence of an orthopedic oncologist includes the following benign and conditionally benign tumors:
- cysts;
- enchondromas;
Neurosurgeon ( neurologist)
Neurosurgical oncologists are involved in the surgical treatment of brain tumors. Of all the types of this disease, glioblastoma is the most common. This is a very aggressive tumor that often leads to the death of the patient even with intensive treatment. The main task of a neurosurgeon oncologist is to confirm the diagnosis and surgical removal of the tumor. It is the doctors of this specialization who are skilled in performing operations on the organs of the cranium. Sometimes they are also used to remove other tumors ( not the brain) located in the cranial cavity.In some cases, conventional therapists or neurologists can suspect a brain tumor, but the symptoms of this disease are similar to those of many other neurological pathologies. Numerous tests and examinations may be needed to confirm the diagnosis and in preparation for surgery.
plastic surgeon
Since most tumors pose a potential threat to the life of the patient, the main task of the oncologist is to cure ( if possible) or extending the life of the patient. In this case, the cosmetic effect after surgery is of secondary importance. After treatment by an oncologist, the patient can apply separately to a plastic surgeon to eliminate visible defects after surgery. For example, an oncologist may remove the mammary gland for cancer, and a plastic surgeon will perform breast plastic surgery after a while. The same doctor usually does not combine these specialties.Beautician
Cosmetology deals mainly appearance human beings without resorting to surgical methods. Specialists working in this field rarely have a higher medical education. Oncologists are doctors who are engaged in the full diagnosis and treatment of pathologies. These areas are not connected in any way, so the specialty "oncologist-cosmetologist" does not exist. In principle, cosmetologists should not even remove small skin defects ( moles, birthmarks). These formations can potentially give rise to malignant tumors of the skin. Before removing them, you need to consult with a specialist ( plastic surgeon, dermatologist or oncologist), who knows the main signs of malignant degeneration.Chemotherapist
Chemotherapists are oncologists by training, but in their practice they are mainly engaged in drug treatment with the help of chemotherapy drugs. Such specialists can simultaneously perform operations to remove tumors.Chemotherapists are contacted in the following cases:
- patients after surgery to remove the tumor;
- patients with inoperable tumors;
- patients who have undergone chemotherapy before;
- patients with complications after chemotherapy ( e.g. to change medication).
Radiologist
Radiation oncologists are specialists in radiotherapy ( radiation therapy) malignant neoplasms. Patients are referred for consultation with this specialist after removal of the tumor or in case of inoperable tumors ( that cannot be surgically removed due to their size or location).The main tasks of a radiation oncologist are:
- choice of type of radiation;
- individual dose selection;
- suppression of cell growth or even tumor disintegration;
- preservation of healthy tissues around the tumor ( targeted radiotherapy).
Therapist
The therapist, being a doctor of a fairly broad profile, is not involved in the treatment of cancer patients. He may suspect or even diagnose a malignant tumor, but after that he refers the patient to an oncologist. Also, district therapists can treat and periodic inspection cancer patients at home. At the same time, they monitor the patient's condition and adhere to the treatment prescribed by the attending physician. The oncologist himself is well acquainted with the principles of general therapy, since the symptoms of cancer can be very diverse. However, a separate specialty "oncologist-therapist" is not officially singled out.Immunologist
Currently, the possibility of treating cancerous tumors with the help of immunotherapy is widely discussed. Oncologists-immunologists try to stimulate the production of antibodies that can fight cancer cells. On practice this method treatment is not yet widely used, but there are many different studies dealing with this issue. Mostly patients are referred to oncologists-immunologists for whom, for one reason or another, it is impossible to apply other methods of treatment, or these methods were ineffective. It is very difficult to find a specialist in this profile. They are in specialized oncology clinics and centers.Phytotherapist ( herbalist)
Phytotherapy deals with the treatment of various pathologies with the help of medicinal herbs. Their action in the vast majority of cases has a beneficial effect on the body, but still cannot completely cure such a serious disease as cancer. Cancer patients may seek phytotherapist at will or on the advice of their oncologist, but this is by no means a substitute for surgery, chemotherapy, or radiotherapy if necessary.Treatment with a phytotherapist can be helpful for the following purposes:
- relief of the patient's symptoms;
- preparing the patient for surgery;
- general strengthening of the body;
- psychological support;
- prolongation of life in incurable forms of the disease.
Naturopath
The naturopathic doctor bases his treatment on a combination of various natural components and influences. In principle, herbal medicine is one of the branches of naturopathy. It has now been proven that none of the methods of treatment used by naturopaths can have a serious therapeutic effect in oncological diseases. That is why oncologists do not use these methods in the treatment of patients, and there is no official specialty oncologist-naturopath.Homeopathist
Homeopathy is one of the branches of naturopathy. With oncological problems, its effectiveness is also quite low. Homeopathic methods cannot cure a malignant tumor. As a rule, oncologists do not consider these methods as a serious treatment. That is why the specialty "homeopathic oncologist" does not exist.Phlebologist
Phlebology is a very narrow area in medicine and deals with diseases of the veins. Theoretically, tumors originating from vein cells occur, but in practice their proportion in oncological practice is very small. Oncologists are engaged in the treatment of such tumors, but still there is no separate specialty " Oncologist-phlebologist" does not exist.Nurse
Most cancer clinics have staff who are familiar with the treatment and care of cancer patients. This also applies to nurses who perform many procedures. They have clear instructions from doctors on exactly what to do and how to do it, as well as how to communicate with patients whose psychological state often requires special treatment. Operating nurses are trained separately to assist in operations.Is there a thoracic ( chest) oncologist?
There is no separate specialization "thoracic oncologist". There are quite a few organs in the chest cavity that can be affected by malignant tumors. Each of these types of cancer requires a different treatment. For example, esophageal cancer is treated by oncologists-gastroenterologists, lung cancer is treated by oncologists-pulmonologists, and heart cancer is treated by oncologists.In accordance with the established rules and standards, appoints and controls the necessary treatment, organizes or independently conducts the necessary diagnostic, therapeutic, rehabilitation and preventive procedures and measures. The patient is examined daily in the hospital. Makes changes to the treatment plan depending on the patient's condition and determines the need for additional examination methods. Provides consultative assistance to doctors of other departments of health care facilities in their specialty. Supervises the work of secondary and junior medical personnel subordinate to him (if any), facilitates the performance of his duties.
Functional duties of an oncologist
I. General part The main tasks of the oncologist of the polyclinic is to provide specialized medical diagnostic and advisory assistance to cancer patients and patients with suspected oncological diseases living in the area of the polyclinic, as well as from among the workers and employees of attached enterprises. The appointment and dismissal of an oncologist is carried out by the chief doctor of the polyclinic in accordance with applicable law.
The oncologist in his work reports directly to the deputy chief physician for medical affairs, and in his absence, to the chief physician of the polyclinic. The oncologist is subordinate to the average medical staff of the office.
Job description of an oncologist
You can download the job description of an oncologist for free. Job responsibilities of an oncologist. I approve (Surname, initials) (name of the institution, its organizational and legal form) (director; another person authorized to approve the job description) 00.00.201_g.
m.p. JOB INSTRUCTIONS OF THE DOCTOR-ONCOLOGIST (name of institution) 00.00.201_g. №00 I. General provisions 1.1. This job description defines the job duties, rights and responsibilities of an oncologist (hereinafter referred to as the "enterprise").
1.2. A person who has a higher medical education and has been trained in the specialty "Oncology" is appointed to the position of an oncologist. 1.3. Appointment to the position of an oncologist and dismissal from it is carried out in accordance with the procedure established by the current labor legislation by order of the head of the healthcare institution.
1.4.
Job Descriptions
Important
They are not deregistered for life. In the event of a relapse, primary multiple tumors are transferred to group II, and distant metastases - to group IV. With solitary distant metastases and the possibility of conditionally radical treatment, patients can be observed in the II clinical group.
Attention
Group IV - patients with advanced forms of malignant neoplasms subject to symptomatic or palliative treatment. When an advanced stage of a malignant tumor is detected for the first time, in addition to the above accounting documentation, a “Protocol in case an advanced form of a malignant neoplasm is detected in a patient” (f.027-2 / y-03) is filled out.
Symptomatic treatment is carried out by a district doctor at the place of residence according to a plan developed jointly with an oncologist. Such patients are not removed from the register, they are not subject to a call for a follow-up examination.
An oncologist enjoys all labor rights in accordance with the Labor Code of the Russian Federation. 4. Responsibility The oncologist 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.
Info
However, metastases can also appear in a longer period of time - after 15-25 years or more. 2. Identification and correction of those disorders that may occur after radical antitumor treatment.
3. Carrying out a complex of restorative therapeutic measures, including the solution of the issue of the possibility and expediency of sanatorium-and-spa treatment. 4. Examination of temporary and permanent disability of cancer patients, their rational employment, i.е.
labor rehabilitation. five. Diagnosis of metachronous primary multiple malignant tumors. In recent years, the problem of polyneoplasia has become increasingly important.
Patients treated for cancer are significantly more likely to develop a new tumor than the general population.
Refers patients to palliative care, hospices, nursing departments, etc., if necessary. 3.10. Prepares the necessary medical documentation provided by the legislation in the field of healthcare.
Carries out medical examination of the population and sanitary-educational work among the population. 3.12. Provides necessary assistance in emergency situations.
3.13. Improves professional qualifications in accordance with the established procedure. 3.14. . (other duties) 4. Rights Oncologist has the right to: 4.1. Participate in the discussion of draft decisions of the management of a medical organization (institution).
4.2. In coordination with the immediate supervisor, involve other employees in solving the tasks assigned to him. 4.3. Request and receive from employees of others structural divisions necessary information, the documents. 4.4.
the registry office of statistical data on deceased cancer patients and, in case of their unreliability, take measures to clarify the true diagnosis and make the necessary corrections to the death certificate and report; · to prepare materials on the issues of oncological service for discussion at the health council. 8. An oncologist has the right to check the work of medical facilities on the state of oncological care for the population, make proposals to eliminate existing shortcomings and monitor the implementation of proposals. In order to improve the level of specialized care for patients with neoplasms of the maxillofacial region and neck, in 1965, the department of head and neck tumors (OOGSh) was opened for the first time in the VONTs of the USSR Academy of Medical Sciences, headed by Professor A.I. Paches. Dental surgeons, ENT specialists, and general surgeons work at the OOGSH.
The work of an oncologist in a polyclinic of duty
Group Ia - patients with diseases suspicious of a malignant neoplasm. An in-depth examination of such persons should be organized within 10 days from the date of registration.
When the diagnosis of a malignant neoplasm is confirmed, patients are transferred to group II, in case of detection of distant metastases - to group IV, in the absence of a tumor process, they are removed from the register. Group Ib - patients with precancerous diseases.
Patients with precancerous diseases are observed by specialists in the profile, depending on the affected organ, patients with obligate precancer are observed by oncologists. During surgical treatment, a histological examination of the remote focus is mandatory.
After the cure, patients are registered at the dispensary (examined once every 3 months), with complete recovery and no recurrence within 2 years, they are deregistered.
Controls the correctness of carrying out diagnostic and therapeutic procedures, the operation of instruments, apparatus and equipment, the rational use of reagents and drugs, compliance with safety and labor protection rules by middle and junior medical personnel. Participates in training sessions to improve the skills of medical personnel.
Plans its work and analyzes the performance of its activities. Ensures timely and high-quality execution of medical and other documentation in accordance with established rules. Carries out sanitary-educational work. Complies with the rules and principles of medical ethics and deontology. Participates in the examination of temporary disability and prepares the necessary documents for medical and social examination.
Russian Federation and other regulatory legal acts regulating the activities of healthcare institutions; – current regulatory and methodological documents regulating the activities of medical institutions; - methods and rules for the provision of medicinal and emergency medical care; — the content of oncology as a separate clinical discipline; – organization, structure, tasks, staffing and equipment of the oncological service; - all legal regulations in your specialty; – methods for prevention, diagnosis, treatment and rehabilitation of the patient; – planning of activities and all reporting of the oncological service; - the methodology and procedure for monitoring their service; — rules and norms of labor protection, industrial sanitation, safety and fire protection; - basics labor law Russian Federation - internal labor regulations; 1.6.
ONCOLOGIST JOB INSTRUCTIONS
I. General provisions
- The main tasks of the oncologist of the polyclinic is to provide specialized medical diagnostic and advisory assistance to cancer patients and patients with suspected oncological diseases living in the area of the polyclinic, as well as from among the workers and employees of attached enterprises.
- The appointment and dismissal of an oncologist is carried out by the chief physician of the polyclinic in accordance with applicable law.
- The oncologist in his work reports directly to the deputy chief physician for medical affairs, and in his absence, to the chief physician of the polyclinic.
- The oncologist is subordinate to the average medical staff of the office.
- In his work, the oncologist is guided by:
- the current legislation of Ukraine,
- instructions and orders of municipal health authorities,
- this job description, as well as guidelines for improving medical care for cancer patients. - _________________________________________________________________.
II. Job Responsibilities
- Carry out outpatient appointments according to the schedule approved by the administration of the polyclinic, regulating the flow of visitors through the rational distribution of repeat patients.
- Ensure early detection, qualified and timely examination and specialized treatment for cancer or suspected cancer.
- Represent, if necessary, patients for a consultation with a district oncologist or a city oncology dispensary.
- Carry out dispensary observation of oncological patients and persons with suspected oncological disease.
- Ensure the correct examination of temporary disability and the timely referral of patients with cancer to CEC and MSEC.
- Carry out, in accordance with the indications, timely hospitalization of patients.
- Consult patients in the direction of doctors of other specialties of the institution, including at home.
- Ensure continuity between the outpatient facility and the hospital in the care and treatment of patients.
- Keep a record of people with identified oncological diseases in the area of activity of the polyclinic.
- Follow the principles of deontology in your work.
- Supervise and supervise the work of paramedical staff of the oncology room.
- Timely analyze advanced cases of oncological diseases with clarification of the causes and appropriate discussion at medical conferences.
- Carry out organizational measures to increase the level of knowledge of the medical and nursing staff of the institution in matters of early diagnosis of oncological diseases.
- Organize and conduct among the population the promotion of sanitary and hygienic knowledge on the prevention of cancer.
- Systematically improve their professional qualifications and the level of medical knowledge of the paramedical staff of the office.
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III. The rights
The oncologist has the right:
- make proposals to the administration of the polyclinic on improving the organization of medical and preventive care for the population, working conditions for the medical staff of the office;
- participate in meetings on the organization of oncological care;
- prescribe and cancel any therapeutic and preventive measures, based on the patient's condition;
- receive information necessary for the performance of official duties;
- to present subordinates at work to the nursing staff for incentives and make proposals for the imposition of penalties in case of violation of labor discipline, unsatisfactory performance of official duties.
- _________________________________________________________________.
- _________________________________________________________________.
IV. Responsibility
The oncologist is responsible for:
- poor quality work and erroneous actions;
- inaction and failure to make decisions that fall within the scope of his duties and competence, in accordance with the current legislation of Ukraine.
- _________________________________________________________________.
- _________________________________________________________________.