Appointed by the head doctor where to start. Job description of the chief doctor of a cosmetology clinic

We want to believe that we trust our lives to real specialists, that we are driven in buses by professional drivers, that we are cut in hairdressers by real masters of their craft, that we are treated by real doctors who give everything for the lives of their patients. What should be the leading specialist in the clinic where you came - chief physician? This will be discussed in this article.

Chief Physician

Who is that? Is he a doctor by training, does he have the right to treat people? And what rights does he have? What are his responsibilities? And what are the job descriptions of the head physician?

The head physician in a hospital is like the director of any other institution. The job description of the chief physician of a private medical center and a public hospital will be described in detail below.

What is it like to be a leader?

The hospital is so complex mechanism, which is insanely difficult and responsible to manage. That is, you can’t just take and hang on the head doctor all administrative work which he must fulfill. In addition, he must participate in the immediate life of the hospital, be the same specialist as his colleagues. And in order to cope with this task, which is not feasible for everyone, it is necessary to assemble a team of those people who will clearly follow the requirements, that is, a team of like-minded people. This is extremely important in work, and especially in one that is somehow connected with medicine.

The most important

The top priority for the chief physician, of course, should be the well-being of clients - patients. After all, this is not just another tour operator, but a hospital in which people come to be treated, and not to be maimed in any way. Therefore, when carrying out any activities and making decisions, one should remember this, and not only the head doctor, but also everyone. health worker.

What the Chief Medical Officer Should Know

So, let's go directly to the list of what a hospital manager needs to know and be able to do. In another way, this is called the job description of the head physician of the medical center:

A person whose professional work experience is at least five years can become a chief physician.
He must know the legislation of his country on excellent level, which is associated with the most different situations that may occur in the hospital.
The head is obliged to know at least the theoretical norms of social hygiene, to understand the organization of health care.
Understand the financial and economic activities of any healthcare enterprise, including planned activities, too.
Navigate in budget-insurance medicine and economic calculations.
Must understand the features, causes and consequences of problems that are associated with the health of the population.
Know correct order completion and conclusion of various contracts.
Responsible for regular preventive health checks.
Must conduct social rehabilitation of workers in the clinic and
The head physician must understand the sanitary and epidemiological examinations and take appropriate measures, if necessary.
Should propagate to the people healthy lifestyle life, quit smoking, alcohol and drugs, conduct health education and hygiene education.
Requires knowledge of labor and labor protection legislation.
The manager must know the norms and rules of labor, sanitation, hygiene, safety precautions and ensure that they are also observed in the clinic and among the population.

A sample job description for the head physician of a private clinic is identical to that of a specialist in a public institution.

During the absence of the head, his deputy is obliged to follow the job description. He takes responsibility for the clinic and the performance of all duties, and also has certain rights, which will be discussed later.

Responsibilities

According to the job description of the head physician of the clinic, the duties of a specialist are:

Implementation of health care enterprise management in accordance with the current legislation, which determines the activities of health authorities and institutions.
Representation of a healthcare company in the state, judicial, insurance and arbitration sectors, depending on the situation.
Organization of work and attitude of your team to provide timely, correct and, most importantly, high-quality medical and medical care to patients.
Ensuring the treatment-and-prophylactic, administrative, economic and financial activities of their clinic.
Implementation of the analysis of the work of the healthcare enterprise. Based on statistics and evaluation of his performance indicators, the manager takes the necessary measures to improve the methodology and methods of work medical institution.
Consideration and confirmation of the regulations on the structural divisions of the hospital and job descriptions of its staff.
Monitoring compliance with the requirements, internal labor regulations, safety, labor protection, technical operation devices, equipment and mechanisms.

As you can see, complying with the job description of the head physician of the clinic is not so simple as it might seem at first glance. There is not enough here medical education. It is necessary to have tremendous endurance, awareness, be responsible for the lives of your patients, be able to contact people (which is extremely important for every doctor in connection with different situations that occur in the lives of patients), that is, to be psychologically stable. This is what a real leader should be. Only then will he become a true advanced specialist, able not only to treat people, but also to organize a team.

Rights

What rights should the chief physician have? Job descriptions of the head include not only lists of duties of a specialist. In them certain place also occupies the list of rights that a medical director has. Such a specialist has the right:

Request from your staff necessary information and important documents.
Provide employees with mandatory requirements.
Make decisions such as the imposition of material and disciplinary action on hospital employees (who do not perform or improperly perform their work duties) and reward employees (who have distinguished themselves or achieved some success).
Take part in various meetings, conferences, sections, which discuss issues related to professional competence.

These are the basic rights that, according to the job description of the head physician of the polyclinic, managers have. These same rights are transferred to the deputies, who remain to carry out their duties during the absence of leadership.

A responsibility

In addition to rights and obligations, the head of medical institutions must bear responsibility, and considerable. For what, let's look below.

So, the head physician is responsible for:

Incorrect performance or non-performance of their direct duties, which are provided for by the modern job description of the chief physician of the hospital - within the limits that are regulated by the current labor legislation in many CIS countries.
Offenses that were committed in the course of his official activities - within the limits determined by the current administrative, criminal and civil legislation.
For causing material damage - within the limits determined by the current labor and civil legislation.

Thus, it is clear that the entire responsibility of the head of the hospital is enshrined at the legislative level. The head physician will answer for his negligence or bad faith before the law within the framework established by regulatory documents.

Competence

The chief physician is, first of all, a competent specialist. At the same time, this does not mean at all that he is obliged to teach newly arrived personnel how to treat people, give injections, bandage wounds or operate on patients.

He just needs to be well versed in all these issues and have a certain idea about them. The specialist must find mutual language with the clinic staff in order to be able to work as a team. Everyone has known for a long time that only teamwork in such huge enterprises with great responsibility allows you to achieve success and at the same time maintain order within the institution.

This is the secret of the success of many medical organizations. Job description The head doctor stipulates that the leader must understand what he wants from his blued ones, and help them work in a team. As one well-known doctor Aleksey Viktorovich Svet said: “It is impossible to manage a hospital without a team of like-minded people.”

How to become a head physician

You will not find a clear algorithm in any sample job description for the chief physician on how to become the head of such a serious enterprise. However, having carefully analyzed the duties and requirements for this specialist, it becomes clear what such a leader should know and what qualities to possess. It is also very important to follow a few guidelines:

It is necessary to have at least minimal contacts with employees and, preferably, to arrange them positively.
Clearly determine for yourself what exactly needs to be changed in the management of the hospital.
To gain credibility not only among employees, colleagues, but also among senior management.

From this it turns out that it is not so easy to be a chief physician.

Any enterprise needs a leader, and medicine is no exception. Each hospital is run by a chief physician. What is hidden in this position?

What does the chief physician do?

The chief physician of a modern medical institution is specialist with the highest level qualifications. But this does not mean that he is obliged to explain to the surgeon the correct sequence of the operation or to discuss with the obstetrician-gynecologist the procedure for conducting labor. Maintaining the proper level of knowledge is necessary for professional communication with colleagues, including in providing assistance, if required, and making decisions on complex medical situations.

The next thing, without which it is impossible to manage an institution, regardless of its scale, is ability to quickly accept right decisions . At the same time, medical experience alone will not save, because a hospital cannot exist without accounting, economic and legal structures.

AT recent times Violent debate often unfolds around the question of who should run a medical institution: chief medical officer or qualified manager?

So, a global study of the activities of 400 hospitals located in the United States showed that the efficiency rate is 30-40% higher in those hospitals that are run by doctors, not managers.

General provisions of the instruction

Appoint a chief physician to a position or release him from his post, may either the founder or head of the health department(if we are talking about budgetary medicine).

The leader must monitor compliance with the order in all areas of the hospital: hygiene, epidemiology, sports rehabilitation, medical work, culture, etc.

A person who has a higher medical education, a certificate of internship (residency), a certificate confirming the fact of obtaining knowledge in the field of organization and management of healthcare, as well as At least 5 years experience in management.

The chief physician manages the entire hospital, respectively, he is subordinate to: heads of structural units, chief nurse, head of household, planning and economic service, etc.

If the manager needs to leave for some time workplace(undergo training, go on vacation, etc.), then he must appoint a person to act in his capacity, which can be only one of the managers.

The standard job description states that the chief medical officer must be proficient in:

necessary knowledge in the field of organization and management of the hospital;
information contained in resolutions, orders, normative documents relating to the work of the institution;
information on promising technical, social and economic directions of development of the institution;
effective ways of enterprise management;
the procedure to be followed when concluding and executing contracts for economic and other purposes;
rights governing the service life of equipment and the period of its repair;
staffing;
the procedure for carrying out sanitary and hygienic measures;
official duties of subordinate employees;
the basic principles of medical care;
a regulatory framework describing the procedure for issuing medical documents;
etc.

Responsibilities and tasks

The head doctor can manage a budget hospital, a paid clinic, a private medical center or a dispensary. Regardless of the place of work, he must adhere to the general provisions:

effectively organize the work of subordinates who strive to provide patients with quality medical care qualitatively and in a timely manner;
when managing a hospital, comply with the current legal framework;
be a representative of the institution in any state, insurance, judicial, etc. structure;
provide medical, financial and administrative activities hospitals;
control the implementation of internal labor regulations, compliance fire safety in the workplace, etc.;
evaluate the performance of the institution and constantly strive to improve performance.

Requirements for a specialist

To become the chief physician of any medical structure must have the following mandatory components:

diploma of higher medical education;
a certificate confirming the fact of obtaining a certain specialty;
certificate of completion of a course considering organizational issues in the health sector;
At least 5 years of experience in a managerial position.

Responsibility and rights

Any worker in the medical field is endowed with duties to provide care to patients, but within the limits of their profile and skill level. In general, the chief physician can also be viewed through the prism general principles, because he, like an ordinary full-time doctor, is trying to provide citizens with proper treatment. True, he uses slightly different tools (monitors effective work hospitals, directs medical practice, worries that the institution has the necessary medicines, consumables, etc.), and the attending physician receives patients and prescribes treatment (has direct contact with the patient).

The very position of a doctor suggests that the complex of his rights and obligations can be considered from 3 sides:

common, which means that he, like any other citizen of a civilized society, has the right to live, study, freely express personal opinion etc.;
special, involving additional features for example, providing medical care to patients in accordance with a higher education diploma, license, skill level, etc.;
personal, related to specific person and a certain situation.

The status of the chief physician includes the rights and obligations established by the current legislative framework. So far, no single order has been created, regulating the behavior of the head of a medical organization.

Often, the job description of the chief representative of the hospital enshrines the following rights:

hiring, terminating an existing labor relationship, making a decision to reward an employee or to impose a penalty;
publication of orders, orders and other internal local acts;
instructing the deputy head of the structural unit, in accordance with his official position, to perform duties that are not reflected in the job description, but corresponding to the qualification level;
implementation of replacements dictated by production necessity;
attraction public attention to measures aimed at improving the activities of the institution and material issues;
creation new service(office) on the basis of an analysis of the needs of citizens in specialized medical care;
control over subordinates in terms of conscientious following official duties fixed in the internal local act and compliance with the regulations in force on the territory of the medical institution;
raising the level of qualifications through the passage of an appropriate training course.

To assess the effectiveness of the leader, the higher-level health service considers and evaluates the following factors:

qualitative and quantitative indicators of the functioning of the hospital;
the degree of compliance with the rules and requirements reflected in the regulatory documents by the chief physician;
public efficiency, etc.

The head of a medical institution is responsible both for his own poor performance of duties and for his subordinates. Responsibility may be different character: from administrative to criminal. The controlling structure, after identifying any violations, may decide to impose a fine.

If it's about individual, then the amount will be several times less than when punishing legal entity(of the hospital as a whole, which is represented by the chief physician).

How to become the chief physician of a dental clinic or medical center?

Decree of the Government of the Russian Federation No. 291 dated April 16, 2012, states the procedure for obtaining a license. One of the conditions requires that the head of the hospital, heads of structural divisions and other persons responsible for providing medical support to patients had documents confirming the receipt of higher education, postgraduate training and additional professional knowledge.

Order of the Ministry of Health of the Russian Federation No. 1183 n, issued at the end of 2012, provides that a person holding one of the following positions may be at the helm of a medical institution:

chief physician (a citizen with a higher medical education and sufficient experience in a leadership position);
director (manager top management);
Deputy chief physician (during the absence of the head).

That is, he can manage a medical institution as a citizen with a higher medical education (if the job description provides for the provision of specialized assistance patients, the requirement for education is mandatory), and the manager (economist, lawyer), who has higher education, special training in health and experience in fulfilling the job description of the management team. But, this does not mean that one excludes the other. Appointment to a managerial position is possible only if staffing includes both positions: both the chief physician and the director (without medical education).

The same conditions apply to all dental clinics and private medical centers. The activity of any of the above institutions is not possible without a license, and in order to obtain it, you must comply with the requirements Government Decree No. 291 of April 16, 2012.

How to fire a manager?

The main difficulty in terminating an employment relationship with the head of a medical institution lies in the duties he performs. In accordance with regulations Ministry of Health, the chief physician of the hospital is required to perform both medical and administrative functions, for example, signing financial statements.

Dismiss the head doctor of a budgetary medical institution only the head of the health department of the relevant locality . Modern Private medical Center usually has not only a leader with a medical education, but also a general director. At the same time, the following functions are assigned to the latter:

monitors the quality of medical services;
supervises medical activity;
conducts staff recruitment;
develops work standards, orders and other internal documentation.

AT this case termination of employment relationship with the head physician is possible by decision (signing the order) CEO . Competently compiled labor contract always allows you to find a reason for dismissal, even if we are talking about the head.

A good career as a chief physician can only be made by a person who works by vocation - then he will not have to be fired. A doctor is a profession where love for people, attention and desire to help are very important. pure heart. Watch this video about people whose calling is to help people.

The staff of heads of medical organizations in the capital over the past six years has already "younger" by seven years. Photo: YUVK

City officials will open competition and, based on its results, they will form a personnel reserve of managers medical institutions and heads of departments for metropolitan polyclinics and hospitals. This decision was made at a regular meeting of the Moscow Government.

Three hundred "Spartans"

“Today we are coming up with the initiative to carry out a large-scale, very important for the industry new personnel project, which is called “Leader. Honey". Given the opportunity of this project, we will be able to find promising, talented employees in the network who, in near term will be able to lead and replenish the composition the best leaders of our medical organizations,” said Alexei Khripun, head of the Moscow Health Department.

All Moscow doctors, nurses and managers will be invited to participate in the competition, who, as the decree says, “share the goals of modernizing the capital’s health care and feel the strength and ability to fill leadership positions” and have additional competencies, including education in law and economics. As the head of the health department noted, the authorities intend to attract about 5,000 people to participate in the competition, which will be held in three stages. At the first stage, applicants will be asked to complete a questionnaire and complete a number of tasks online. Then, 1,000 of the best will be selected from the participants, whose work and abilities will be evaluated by the commission. It will be created on the basis of the University of Management of the Government of Moscow.

“Thus, we are counting on the formation of about 300 young, ambitious managers who will make up a team of like-minded people capable of solving very serious tasks, - Alexey Khripun explained the essence of the competition.

The authorities intend to attract about 5,000 people to participate in the competition. Photo: YUVK

Make way for the young and literate

Aleksey Khripun noted that the staff of heads of medical organizations in the capital over the past six years has already “loosen younger” by seven years. Average age head of the Moscow polyclinic and hospital has decreased from 54 to 47 years. At the same time, in order for new leaders to comply high standards Moscow healthcare, they have to constantly learn.

“More than 1,000 Moscow doctors have already been trained in various foreign clinics, and this is also a part of our training, just like the work of the simulation center at the Botkin Hospital,” he explained.

Today, out of 250 chief physicians of medical organizations in the capital, about a quarter have been trained at the University of Management of the Government of Moscow, almost the same number have completed an internship abroad, and every fifth chief physician continues this study today.

Status Exam

Per last years the government of the capital has done a lot to strengthen the human resources potential of Moscow medicine and create conditions for continuous growth professional level doctors working today in the city. As early as September of this year, examinations for assignment begin. high status Moscow Doctor. Special extra education there are doctors who work with patients suffering from chronic diseases, and Moscow therapists are offered a retraining course for the specialty "general practitioner".

Hello, Dear friends. In this article, we will consider the question of how to become the Minister of Health in Russia, we will study life paths most famous figures in this area, we will compile the most likely algorithm of actions for those who wish.

At a minimum, to become a minister, you need to finish medical academy(institute in Soviet time) and go to work in their specialty. A smart and competent specialist can quite easily become the chief doctor of a hospital, clinic or sanatorium, but the minister is the only one among all doctors.

It's not very hard

Nowadays, it has become easier to become a minister, because now in each region the governor and mayor have their own cabinet of ministers. So, in principle, the chances of becoming a minister are now much higher than in Soviet times.

It remains only, after working for several years as a doctor, to get a job in the Ministry of Health and you can start climbing the career ladder.

There is still a chance to become a minister, tracking the appeared ministerial vacancies in all regions of the country and submit your application for participation in the competitive selection.

Defend your dissertation

It seems that without a scientific degree it is still not worth taking on such a thing. So first take care of defending a candidate's, then a doctoral dissertation in a medical profile.

And then, as a regional minister, you can, like Sobyanin ( former governor Tyumen region) please the president and become the minister of the whole country.

It is desirable that you prove yourself in some way, propose any reforms that improve the quality medical care population or reducing the cost of medicine, or something that can only be guessed at.

If you are rich

If you have an extra half a million US dollars, then you can simply buy the post of minister. The truth will have to start in advance the right connections, no one will even talk to a stranger from the street on such topics. But with desire, perseverance and money, any issues can be resolved.

Your chances of becoming a minister will increase many times if you are from Leningrad (St. Petersburg), you are a man, you are over 50 years old, you have worked in state security, and, ideally, are familiar with Putin. Most of today's top-level officials are just like that.

Learning from examples

Which of the ministers of health did not have a medical education, and is this possible in principle? - you ask. An example is Mikhail Zurabov, who served as Minister of Health and Social Development from 2004 to 2007.

He has 2 educations: economic and cybernetic (system studies). He dealt with issues of insurance medicine, heading the MAKS company. He was an adviser to Yeltsin social issues, then headed the pension fund.

Being the Minister of Health, he offered to treat patients free of charge in a hospital only for the first 5 days. Then various corruption deals and connections were revealed, and Zurabov was removed from the ministers and transferred from place to place, until in 2010 he was sent as an ambassador to Ukraine.

There he proved himself to be a quarrelsome upstart, and in 2014 he was transferred as a special representative to the conflict zone in eastern Ukraine. In 2016, he retired and is in the status of a pensioner. Although, in principle, he can be considered a random person in the ministerial chair.

Ideal Minister

Since 2012, Veronika Skvortsova, a physician from great experience work. A fifth-generation doctor from Moscow is serious. Doctor medical sciences and professor, specialization - neurologist and neurophysiologist. Several times she provided medical assistance directly at government meetings and on the plane.

The merits include the creation of the first neuro-reanimation service and the leadership of the Stroke Research Institute. A real minister, a professional, and, surprisingly, not from Leningrad, does not make friends with Putin, and is not a man.

Incomprehensible Minister

Between Zurabov and Skvortsova, Tatyana Golikova, a labor economist from the Moscow region, a doctor of economic sciences, also visited the ministers of health from 2007 to 2012.

A good Dissernet site found that Golikova's dissertation has significant inclusions from other sources that are not reflected in the list of references. After the removal of ministerial powers, she spent a year as an assistant to the president, and now heads the Accounts Chamber.

Before the medical path, she worked in the Ministry of Finance. During the years of ministerial rule, she was seen in several corruption scandals.

Drawing conclusions

At present, not a random person is sitting in the chair of the Minister of Health, but a real doctor who has great experience and undoubted merit. So everyone who wants to become a minister will have to look for vacancies in regional ministries. And maybe, in time, you will be able to become the minister of the whole country, who knows.

In Soviet times, health ministers came from medical circles. But for some reason, no one stayed in this chair for a long time: a year or two at the most. Boris Petrovsky stayed in it the longest, he was a minister for 15 years. He was a surgeon with great experience and knew the problems of medicine from the inside.

With that, let me say goodbye. Subscribe to new topical articles of our website and share them with your friends and relatives on social networks.

It is interesting to observe how the basic dialectical laws work in practice. It is enough to be able to draw a number of necessary parallels. Come on and something to keep in own memory: Google and Wikipedia are, of course, cool and large-scale, but you need to know what to ask them about.

Eighty-two and a half years ago, the graduates of military academies heard the phrase "Cadres decide everything." And not so much as a slogan, but in the context of a change in priorities: they say, if before that technology solved everything, now it is, so the question arose of who will manage and operate all this.

Something similar is happening now in medicine - in any case, in medicine in the capital. I have already written, and more than once, about what, in bureaucratic terms, the material and technical base has been created here. Starting from hospital buildings and ending with new medical equipment, ambulance cars and helicopters for disaster medicine. Now the second question arises: who should steer all this magnificence? And most importantly - how?

I remember that during one of my trips to Switzerland with Oksana, we talked with the head physician of the Genolier clinic in Zurich. By the way, he does not have a medical education - he is just a manager with rich experience. And he expressed himself very interestingly about himself and about the team of doctors and nurses in this very clinic: they say, can you imagine the impresario of a prima ballerina? His worries, his headache? Well, I've got two hundred prima ballerinas here.

I agree with him: it is quite difficult to manage a medical team. The effect is that each of them is a personality that not everyone seeks to dissolve in the team. And the fact that their work, if we are talking about really good doctors, is not so much a craft as an art. And the guild system is on the verge of caste. And almost total Jacobinism and rejection of anyone's authorities. In this case, the hospital or clinic should work. In quite conflicting conditions. And the head doctor, like that same UN peacekeeper: he receives his blue helmet from the team, from patients, and from higher authorities. Well, except that the salary somehow compensates for these difficult working conditions.

I think that it was quite the right step on Sobyanin's part to create a personnel reserve of medical managers in the past year. Kind of like a job fair. Sooner or later, this decision had to be made: protectionism and clannishness are not particularly beneficial to the cause. Therefore, in August 2017, the Leader.Med program was launched. Its main goal is to select talented employees who in the future will be able to take the positions of heads of medical institutions.

The people - and this is in total 6033 people - wrote tests, essays on the topic “Why do I feel a pathological tendency to leadership”, filmed videos about myself, participated in brainstorming sessions on management topics, passed selection and screening according to a large list of parameters - and as a result, 300 people were still selected in personnel reserve of the Department of Health. No, they will not be made head physicians and heads of departments right away. But they will have in mind - for the not so distant future. Again, now there is an incentive for the current head physicians: they say, if anything ...

The personnel reserve for the capital's health care was created in 5 areas. Thus, in the category "Chief Physician / Director of a Medical Organization" 98 people were included in the list of reservists, in the category "Deputy Chief Physician / Director of a Medical Organization" - 116 people, in the category "Chief Nurse" - 14 people, in the category "Head of the Department / structural subdivision" - 51 people, in the category "Head of department / deputy head / head of organization (with non-medical education)" - 21 people.

How viable and successful such a personnel reserve will be - time will tell. But, in my opinion, the very fact of its creation is not bad news. Less random people in key positions, less personal in the process of being appointed to a leadership position - you see, something will begin to change for the better.

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