Functions of a pathologist doctor in a medical institution. Pathologist, core competencies. Legal advice on medicine

A pathologist is a doctor who opens corpses with an established cause of death and either confirms the diagnosis that led to the death, or refutes it, stating a medical error.

In addition, the pathologist is engaged in identifying the pathology that caused the death, indicates it in the conclusion about the death of the patient. He conducts an autopsy (examination of the tissues of a corpse) and examination of the cells taken for a biopsy or postoperative material. If there is a discrepancy between the clinical and pathological anatomical diagnosis, the case of a fatal outcome is subject to detailed analysis at a consultation of doctors or a medical conference.

The work of a pathologist involves:

• Study of disease triggers and the mechanism of its development.
• Identification of complications and characteristic morphological changes.
• Predicting the possible outcome of the disease.
• Description of the patterns of occurrence and course of pathology, which is necessary for medical students and practicing doctors.
• Study of problems that have arisen as a result of improper treatment of a patient, both with medicines and by surgery, physiotherapy, exercise therapy, medical manipulations.
• Intravital or postmortem histological diagnosis.

The work of pathologists allows the Ministry of Health to obtain reliable data on the mortality rate from various pathologies and to develop preventive measures to reduce it.

It should be noted that autopsies are not always carried out in a medical organization. Relatives have the right to refuse an autopsy for religious or other reasons. The Ministry of Health of the Russian Federation has established a clear list of reasons that make it possible not to open the deceased.

The pathologist contacts colleagues of all specialties, as he deals with the results of their treatment, assesses the correctness of the diagnosis. Especially close - with pediatricians, surgeons, oncologists. There is a separate specialization in pathological anatomy: a pediatric pathologist who performs autopsies on children of all ages and fetuses at a late stage of development.

The profession of a pathologist is extremely in demand, since it takes decades to achieve professional excellence. However, very few doctors, by their nature and personal qualities, can become good specialists.

The specialist performs autopsy and histological examinations.

What is the difference between a pathologist and a forensic expert?

The experience, skill and quality of the doctor's work are usually assessed qualification categories, which can be obtained by defending a research paper. During the defense, the commission assesses the doctor's skills in the field of diagnosis, treatment, prevention, as well as the relevance of his knowledge.

What are the qualification categories:

• the second - over 3 years of experience;
• the first - more than 7 years of experience;
• the highest - more than 10 years of experience.

The qualification category allows you to occupy high positions in medical institutions, gives the right to a salary increase, gives status in a professional environment and high confidence on the part of patients. Even more respect can be gained by speaking at conferences, symposia and writing scientific articles and papers.

The doctor has the right not to qualify, but this will complicate his career and professional growth.

Pathologist salary

The total income range is as follows: pathologists earn from 11,000 to 130,000 rubles a month. Pathologists are in dire need of Novosibirsk Region, Krasnoyarsk Territory, Kemerovo Region. We found the smallest salary at a doctor in one of the hospitals in the Stavropol Territory - 11,000 rubles a month. The maximum was found in GB No. 40 of St. Petersburg - 130,000 rubles per month.

The average salary of a pathologist is 40,000 rubles a month.

Where to get training

In addition to tertiary education, there are a number of short-term studies on the market, usually from a week to a year.

The Interregional Academy of Continuing Professional Education (MADPO) teaches in the specialization "" and issues a diploma and certificate.

The Medical University of Innovation and Development invites you to take distance courses for retraining or advanced training in the "" direction with obtaining a diploma or state certificate. The training lasts from 16 to 2700 hours, depending on the program and your level of training.

We bring to your attention a typical example of the job description of a pathologist, a sample of 2019/2020. should include the following sections: general position, duties of a pathologist, the rights of a pathologist, responsibility of a pathologist.

Job description of a pathologist refers to the section " Qualifications of health care workers".

In the job description of a pathologist, the following points should be reflected:

Responsibilities of a pathologist

1) Job responsibilities. Conducts qualified pathological diagnostics using modern research methods. Performs microscopic examination of histological preparations, analyzes the results of additional studies and makes the appropriate entries in the autopsy report. Provides advisory assistance to doctors of other departments of medical organizations in their specialty. Fills in a medical certificate of death, gives oral information about the nature of the disease and the cause of death to the relatives of the deceased. Supervises the work of the subordinate middle and junior medical personnel (if any), assists them in the performance of their official duties. Supervises the correct operation of instruments, apparatus and equipment, the rational use of reagents, the observance of labor protection rules by middle and junior medical personnel. She plans her work and analyzes her performance indicators. Provides timely and high-quality processing of medical and other documentation in accordance with the established rules. Participates in the preparation and conduct of clinical and anatomical conferences. Participates in the preparation of the annual report on the work of the department.

The pathologist must know

2) A pathologist, when performing his duties, should know: The Constitution of the Russian Federation; laws and other regulatory legal acts of the Russian Federation in the field of healthcare; modern methods of treatment, diagnosis and drug provision for patients; the basics of medical and social expertise; rules of action when a patient is found with signs of especially dangerous infections, HIV infection; the procedure for interaction with other medical specialists, various services, institutions, organizations, including insurance companies, medical associations, etc .; the fundamentals of the functioning of budgetary insurance medicine and voluntary medical insurance, the provision of sanitary-prophylactic and drug assistance to the population; medical ethics; psychology of professional communication; fundamentals of labor legislation; internal labor regulations; rules for labor protection and fire safety.

Requirements for the qualifications of a pathologist

3) Qualification requirements. Higher professional education in the specialty "General Medicine", "Pediatrics", postgraduate and (or) additional professional education and a certificate of a specialist in the specialty "Pathological Anatomy" without any requirements for work experience.

Job description of a pathologist - sample 2019/2020. The duties of a pathologist, the rights of a pathologist, the responsibility of a pathologist.

1. General Provisions

1. This job description defines the job responsibilities, rights and responsibilities of a pathologist.
2. A person with a higher medical education, postgraduate training or specialization in the specialty "Pathological Anatomy" shall be appointed to the post of a pathologist.
3. The pathologist must know the basics of the legislation of the Russian Federation on healthcare; regulatory documents regulating the activities of healthcare institutions; the basics of organizing medical and prophylactic care in hospitals and outpatient clinics, ambulance and emergency medical care, disaster medicine service, sanitary and epidemiological service, drug supply to the population and health care facilities; theoretical foundations, principles and methods of medical examination; organizational and economic foundations of the activities of health care institutions and medical workers in the conditions of budgetary and insurance medicine; fundamentals of social hygiene, organization and economics of health care, medical ethics and deontology; legal aspects of medical practice; general principles and basic methods of clinical, instrumental and laboratory diagnostics of the 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 disability and medical and social examination; the basics of health education; internal labor regulations; rules and regulations of labor protection, safety, industrial sanitation and fire protection.
In his specialty, a pathologist must know modern methods of pathological diagnostics; content and sections of pathological anatomy as an independent scientific and practical discipline; tasks, organization, structure, staffing and equipment of the pathological service; current regulatory and instructional-methodological documents in the specialty; rules for processing medical documentation; the procedure for conducting pathological examinations; principles of planning and reporting of the pathological service; methods and procedure for monitoring its activities.
4. A pathologist is appointed and dismissed by the order of the chief physician of a medical facility in accordance with the current legislation of the Russian Federation.
5. The pathologist is directly subordinate to the head of the pathological department, and in his absence, to the head of the medical facility or his deputy.

2. Job responsibilities

Carries out qualified pathological anatomical diagnostics using modern research methods approved for use in medical practice. Provides advisory assistance to doctors of other departments of health care facilities in their specialty. Supervises the work of the subordinate middle and junior medical personnel (if any), assists them in the performance of their official duties. Supervises the correct operation of instruments, apparatus and equipment, the rational use of reagents, the observance of safety regulations and labor protection by middle and junior medical personnel. Participates in conducting training courses for medical personnel. She plans her work and analyzes her performance indicators. Provides timely and high-quality processing of medical and other documentation in accordance with the established rules. Observes the rules and principles of medical ethics and deontology. Skillfully and in a timely manner fulfills orders, orders and instructions of the institution's management, as well as regulatory legal acts for their professional activities. Complies with the 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 health care institution, its employees, patients and visitors. He systematically improves his qualifications.

The pathologist has the right to:
1. to independently establish a pathological diagnosis, to involve, if necessary, doctors of other specialties for consultations;
2. to make proposals to the management of the institution to improve the treatment and diagnostic process, improve the work of administrative and 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 the framework of their official duties and demand their strict execution, make proposals to the management of the institution to encourage them or impose penalties;
4. to request, receive and use information materials and regulatory documents necessary for the performance of their official duties;
5. take part in scientific and practical conferences and meetings at which issues related to its work are considered;
6. to undergo certification in accordance with the established procedure with the right to receive the appropriate qualification category;
7. to improve their qualifications at advanced training courses at least once every 5 years.
The pathologist enjoys all labor rights in accordance with the Labor Code of the Russian Federation.

4. Responsibility

The pathologist 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, orders and instructions of the management, regulatory legal acts on their activities;
3. Compliance with internal regulations, fire safety and safety measures;
4. timely and high-quality registration of medical and other service documentation provided for by the current regulatory documents;
5. provision of statistical and other information on their activities in accordance with the established procedure;
6. ensuring compliance with executive discipline and the performance of their duties by employees subordinate to him (if any);
7. Prompt adoption of measures, including timely informing of the management, to eliminate violations of safety, fire and sanitary rules that pose a threat to the activities of the health care institution, its employees, patients and visitors.
For violation of labor discipline, legislative and regulatory acts, a pathologist may be brought to disciplinary, material, administrative and criminal liability in accordance with the current legislation, depending on the severity of the offense.

3.1. The training of a pathologist is carried out in universities, medical academies and universities and faculties of postgraduate (postgraduate) professional education.

3.2. A specialist who has mastered the training program in accordance with professional qualification requirements and has received a specialist certificate is appointed to the position of a pathologist's doctor.

3.3. The doctor pathologist is guided in his work by this regulation, legislative and regulatory documents of the Russian Federation on the protection of public health and the activities of the pathological service.

3.4. Control over the activities of the pathologist doctor is carried out in accordance with the established procedure by the health authorities at the place of his work.

3.5. The main duties of a pathologist doctor are:

- Carrying out pathological autopsies (autopsies) with the preparation of the necessary documentation in the prescribed manner;

- registration and issuance of medical death certificates;

- analysis of the quality of clinical diagnosis and treatment based on clinical and anatomical comparisons;

- participation in the preparation and conduct of clinical and anatomical conferences, participation in the work of (sub) commissions for the study of lethal outcomes;

- intravital morphological diagnosis of diseases and pathological conditions based on the materials of diagnostic and operational biopsies;

- submission to health authorities in the prescribed manner of information on infectious diseases detected in the course of work;

- maintenance of approved forms of accounting and reporting documentation, participation in the preparation and execution of annual and quarterly reports of pathological departments;

- advanced training through training in various forms of the postgraduate education system.

3.6. The pathologist doctor has the right to:

- conclude contracts for the provision of medical services within the framework of compulsory and voluntary medical insurance programs with any authorities and enterprises;

- receive a salary for medical services not provided for by the terms of the contract on the basis of additional contracts;

- to make proposals to higher authorities on improving the activities of the pathological service;

- to improve their qualifications, including in the system of postgraduate professional education and in any other medical institution on the terms of an agreement with payment both at the expense of the employer's funds and at their own expense;

- to file claims in court, arbitration and to answer them;

- engage in private practice in the manner prescribed by the legislation of the Russian Federation.

3.7. The physician pathologist is responsible, within the limits of his rights, for the decisions made independently, the diagnostic conclusions made. For unlawful acts or omissions that resulted in damage to health care or death of patients, is responsible in the prescribed manner.

4. Qualification characteristics of a specialist

(Order of the Ministry of Health of the USSR N 579 of June 21, 1988, "On the approval of qualification characteristics")

Code and namespecialty by nomenclature040113 pathological anatomy (Appendix N 1 to the order of the Ministry of Health of Russia N 337 of August 27, 1999, "On the nomenclature of specialties in healthcare institutions of the Russian Federation")

Professional appointment and compliance of the specialty with the position of a specialist... (Appendix No. 2 to the order of the Ministry of Health of Russia No. 337 of August 27, 1999, "On the nomenclature of specialties in healthcare institutions of the Russian Federation"):

A specialist pathologist - a doctor with a higher medical education, who has the legal right to independently carry out autopsy and biopsy work in medical institutions of the health care system. A specialist who has mastered the training program in accordance with the requirements of the qualification characteristics and has received a certificate is appointed to the position of a specialist pathologist. The training of a specialist pathologist is carried out in medical universities, medical academies and medical universities, as well as at the faculties of postgraduate vocational education (according to a special curriculum, in general improvement cycles using full-time, intermittent and field forms of training). Doctor specialist pathologist carries out his professional activities individually or jointly with other doctors, in public medical institutions (hospital, medical unit, pathological bureau, hospital, medical research institution, etc.). A specialist pathologist doctor can work under a contract (agreement) with state, municipal authorities, medical insurance companies, medical institutions. A specialist pathologist physician independently performs autopsies on deceased patients with the preparation of appropriate medical documentation and the issuance of a medical certificate of death, conducts biopsy diagnostic work, participates in clinical and anatomical conferences, and can be involved as an expert in resolving issues of insurance and forensic medicine. Control over the activities of a specialist pathologist doctor is carried out in accordance with the established procedure by the health authorities at the doctor's place of work.

QUALIFICATION REQUIREMENTS FOR A DOCTOR SPECIALIST PATHOLOGY

In his specialty, a pathologist must know modern methods of pathological diagnostics; content and sections of pathological anatomy as an independent scientific and practical discipline; tasks, organization, structure, staffing and equipment of the pathological service; current regulatory and instructional-methodological documents in the specialty; rules for processing medical documentation; the procedure for conducting pathological examinations; principles of planning and reporting of the pathological service; methods and procedure for monitoring its activities. 4. A pathologist is appointed and dismissed by the order of the head physician of a medical facility in accordance with the current legislation of the Russian Federation. 5.

Job description of a pathologist

The pathologist is directly subordinate to the head of the pathological department, and in his absence, to the head of the medical facility or his deputy. 2. Responsibilities Carries out qualified pathological anatomical diagnostics using modern research methods that are approved for use in medical practice.

Attention

Provides advisory assistance to doctors of other departments of health care facilities in their specialty. Supervises the work of the subordinate middle and junior medical personnel (if any), assists them in the performance of their official duties.

Supervises the correct operation of instruments, apparatus and equipment, the rational use of reagents, the observance of safety regulations and labor protection by middle and junior medical personnel. Participates in conducting training courses for medical personnel.

The pathologist must know: - the laws of the Russian Federation and other regulations governing the activities of healthcare institutions; - current regulatory and methodological documents regulating the activities of medical institutions; - the basics for organizing medical and preventive care in polyclinics, hospitals, ambulance services, medical catastrophes, sanitary and epidemiological services, providing medicines to the population and medical institutions; - modern methods of pathological diagnostics; - sections and content of pathological anatomy as a separate discipline; - organization, scientific and practical tasks, staff, structure, and equipment of the pathological service; - rules for conducting pathological examinations; - the basics of planning activities, all the reporting of the pathoanatomical service, as well as the procedure for its control.

Important

A pathologist is appointed and dismissed by order of the head of a medical organization in accordance with the current legislation of the Russian Federation. 5. The pathologist is directly subordinate to the head of the pathological department, and in his absence, to the head of the medical organization or his deputy.

2. Responsibilities Carries out qualified pathological diagnostics using modern research methods. Performs microscopic examination of histological preparations, analyzes the results of additional studies and makes the appropriate entries in the autopsy report.
Provides advice to doctors of other departments of medical organizations in their specialty. Fills in a medical certificate of death, gives oral information about the nature of the disease and the cause of death to the relatives of the deceased.

Job instructions

Of the Russian Federation - internal labor regulations; 1.6. During the absence of a pathologist (business trip, vacation, illness, etc.), his duties are performed in the prescribed manner by an appointed person who bears full responsibility for their proper execution.

II. Responsibilities of the Pathologist: 2.1. In its specialty, it provides qualified medical care, using modern methods of diagnosis, prevention, treatment and subsequent rehabilitation of the patient. 2.2.

In accordance with the established rules and standards, he chooses the tactics of managing the patient, develops a plan for his examination, and also specifies the scope and methods of examining the patient in order to obtain a reliable and complete diagnosis of the disease in the shortest possible time. 2.4. On the basis of the collected data, he performs an analysis, as well as prescribes and conducts the necessary treatment and procedures 2.5.

AIDS); - pathological anatomy of chronic alcoholism; - pathological anatomy of trauma and radiation injuries; - pathological anatomy of radiation sickness; - pathological anatomy of the wound process; - pathological anatomy of burns and frostbite in combat conditions; - morphology of diseases, tumors of the organs of the maxillofacial system ; -drug pathomorphism and morphology of complications of resuscitation and intensive care; -prenatal pathology. Diseases of progenesis and kymatogenesis (gametopathies, blastopathies, infectious and non-infectious fetopathies); - pathology of the placenta; - perinatal pathology (prematurity and postmaturity, asphyxiation of the fetus and newborn, pneumopathy and pneumonia, birth trauma); - pathological anatomy of infections dysontogenetic tumors and tumors from cambial and embryonic tissues in children. 4.

404 error page does not exist

Rights. A doctor-pathologist has the right to: 1. Submit proposals on their activities for consideration by their immediate management. 2. Receive from the specialists of the institution the information necessary for the implementation of their activities. 3.

Sign documents within their competence. 4. Require the management of the institution to assist in the performance of their duties.

IV. Responsibility: The pathologist is responsible for: 1. For non-fulfillment or improper fulfillment of their obligations under this instruction, in accordance with the current labor legislation. 2.

For offenses committed during the period of their activities - in accordance with the current civil, administrative and criminal legislation. 3.

403 forbidden

Conducts daily examination of the patient in the hospital. 2.6. Changes the patient's treatment plan as needed. 2.7. Consults doctors of health care facilities in their specialty 2.8.

Supervises subordinate medical personnel 2.9. Monitors the correctness of diagnostic and medical procedures, as well as the operation of equipment and apparatus, instruments, drugs, reagents. 2.10 Monitors the observance of health and safety regulations by lower medical personnel. 2.11. Timely and efficiently executes orders, instructions and instructions of the institution's management 2.12. Complies with the internal regulations. 2.13. Complies with the rules of labor protection, industrial sanitation and safety measures. III. Rights Physician-pathologist has the right to: 3.1.

Job description of a doctor - pathologist

Rights A pathologist has the right to: 1. independently establish a pathological diagnosis, involve, if necessary, doctors of other specialties for consultations; 2. to make proposals to the management of the institution to improve the treatment and diagnostic process, improve the work of administrative and economic and paraclinical services, the organization and conditions of their work; 3. control the work of subordinate employees (if any), give them orders within the framework of their official duties and demand their strict implementation, make proposals to the management of the institution to encourage them or impose penalties; 4. to request, receive and use information materials and regulatory documents necessary for the performance of their official duties; 5.

Job descriptions of a pathologist

Of the Russian Federation - internal labor regulations; 1.6. During the absence of a pathologist (business trip, vacation, illness, etc.), his duties are performed in the prescribed manner by an appointed person who bears full responsibility for their proper execution.

II. Responsibilities of the Pathologist: 2.1. In its specialty, it provides qualified medical care, using modern methods of diagnosis, prevention, treatment and subsequent rehabilitation of the patient. 2.2. In accordance with the established rules and standards, he chooses the tactics of managing the patient, develops a plan for his examination, and also specifies the scope and methods of examining the patient in order to obtain a reliable and complete diagnosis of the disease in the shortest possible time. 2.4. On the basis of the collected data, he performs an analysis, as well as prescribes and conducts the necessary treatment and procedures 2.5.

Responsibilities of a pathologist

Supervises the work of the subordinate middle and junior medical personnel (if any), assists them in the performance of their duties Supervises the correct operation of instruments, apparatus and equipment, the rational use of reagents, the observance of labor protection rules by middle and junior medical personnel.

She plans her work and analyzes her performance indicators. Provides timely and high-quality processing of medical and other documentation in accordance with the established rules.

Participates in the preparation and conduct of clinical and anatomical conferences. Participates in the preparation of the annual report on the work of the department. 3. Rights A pathologist has the right to: 1. independently establish a pathological diagnosis, if necessary, in accordance with the established procedure, involve doctors of other specialties for consultations; 2.