1, under the leadership of the director, responsible for medical treatment, teaching, scientific research and other business work in the ward. With good medical ethics and service attitude, it plays an exemplary role for junior doctors.
2, organize regular rounds, at least twice a week (medical rounds, teaching rounds); Conscientiously implement the principle of "reasonable diagnosis, reasonable examination, reasonable treatment and rational drug use"; Presided over the discussion of difficult cases and deaths, personally participated in the diagnosis and treatment of acute, dangerous, suspicious and difficult cases, carefully grasped the quality of diagnosis and treatment of acute, dangerous, suspicious and difficult patients and patients with other special circumstances, wrote relevant records as needed, and decided to consult outside the hospital on call in case of major rescue.
3, responsible for the quality of ward medical records, pay attention to the timeliness, authenticity, integrity and standardization of medical records. And give specific guidance and supervision according to the situation. Check each discharged medical record and sign the full name on the first page of the medical record to show the ultimate responsibility.
4, the use of advanced experience at home and abroad, to carry out new technologies, new projects, sum up experience and lessons, and constantly improve the quality of medical care and medical technology.
5, guide junior doctors to do a good job in medical work, take the initiative to care about the attending physician, resident, refresher doctors and interns business learning and skills improvement. Carry out basic skills training in a planned way, hold business lectures, attend lectures (at least once every six months), introduce the progress of related majors, and supervise and inspect the teaching and clinical research work of junior doctors.
6, urge junior doctors to seriously implement the rules and regulations and medical operation procedures, and is responsible for quantifying and assessing the work performance of attending doctors and residents.
7, the chief physician in the hospital to participate in medical, teaching, scientific research and other business work time, at least 4 days a week (including approved by the relevant functional offices to go out for consultations, meetings, etc.). ), according to the operation examination and approval system to do a good job of examination and approval, at least twice a week to participate in surgery (including guiding surgery), regularly participate in outpatient work, as the administrative leader of the department, can reduce the business workload as appropriate, but still should participate in business work such as rounds, surgery and outpatient service every week.
8. Pay attention to the construction of medical ethics, be responsible for the satisfaction of patients in this group, and handle the complaints of patients in charge in time.
9. Those who fail to comply with the requirements of their duties will be dealt with by the competent authorities.
Responsibilities of clinical attending physician
1, under the guidance of the director and the director (deputy director) doctor, is responsible for completing the medical treatment, teaching, scientific research and prevention work within the scope of this specialty, has a good service consciousness and service attitude, and can correctly treat the reasonable requirements of patients.
2. Preside over the daily clinical work of the ward, be fully responsible for the diagnosis and treatment of patients in the ward, attend the morning shift meeting, check new patients in time, and make diagnosis and treatment opinions within 24 hours; Lead junior doctors to make rounds on time every day, and make rounds on critically ill patients at least once in the afternoon, so as to keep abreast of the changes of patients' condition. When patients are dying, dying or have other important problems, they should be able to deal with them in time and report to their superiors on their own initiative; Participate in and guide residents to carry out special diagnosis and treatment operations; Do a good job in applying for examination and approval according to the regulations on surgical examination and approval; Participate in planned surgery, at least three times a week; Organize the preparations for ward round and case discussion of the department director.
3. Check and modify the medical documents written by junior doctors in time to meet the quality standards of medical records; Deciding to discharge patients and checking (transferring) hospital medical records; Decide on in-hospital consultation and accompany doctors outside the hospital for consultation.
4, under the guidance of the chief physician to carry out new technologies and new projects, and constantly improve the medical technology level of undergraduate course room.
5, conscientiously implement the rules and regulations of the hospital and technical operation routine, lead residents, advanced doctors and interns to complete various medical tasks and regular assessment (including rotation assessment), and make records. Assist the head nurse in ward management, outpatient (emergency) diagnosis management and patient ideological work, ensure the normal operation of medical work, continuously improve service quality and medical quality, and prevent mistakes and accidents.
6, to participate in duty, consultation, home visits, strictly implement the system of duty, succession; Attend regular outpatient (emergency) consultations.
7. Those who fail to comply with the requirements of their duties will be dealt with by the competent authorities.
Responsibilities of clinical residents
1, under the guidance of the director and superior doctors, do a good job in various medical work, and have a good service consciousness and attitude.
2, fully responsible for patients, attend the morning meeting succession; Make preparations for the attending physician before rounds, report the patient's condition in detail during rounds, and put forward suggestions for diagnosis and treatment; Strictly implement the diagnosis and treatment decisions of superior doctors; Closely observe the changes of the disease; At least once a day in the morning and afternoon, and record the course of disease; Please consult other departments, should be accompanied by consultation opinions; After work, we should abide by the handover system, do a good job of written handover, and hand over critically ill patients face to face or bedside; Strictly implement the duty system.
3. Carefully write a written document and complete the admission record of new patients within 24 hours; Write a course record, usually once every two to three days for patients, and record it at any time for critically ill patients; Carefully record the contents of the director's rounds and record the conversations of family members; Write the stage summary in turn every month, and do a good job of preoperative conversation record, preoperative summary and surgical records for surgical patients, which must be completed in time after surgery; Complete the discharge summary of discharged patients in time and fill in the first page of medical history; Check and modify interns' medical records and related records. Doctors in the first year should write a large medical history, with no less than 10 cases.
4, timely report the patient's diagnosis, treatment and condition changes to the superior competent physician, put forward the need to change one's major or leave the hospital, in case of difficult cases, ask for instructions from the superior physician in time, and shall not shirk the patient or even delay the illness.
5, conscientiously implement the rules and regulations of the hospital and technical operation routine, operation or guide nurses to carry out all kinds of important examination and treatment, and constantly improve the quality of service and medical care, to prevent medical errors and accidents.
6. Under the guidance of superior doctors, study hard, assiduously study business technology, learn the basic methods and skills of teaching and scientific research, actively participate in various academic activities and reading parties held by hospitals and departments, take good reading notes, and be responsible for the teaching of interns.
7. Abide by the rules and regulations of the hospital, stick to your post, do not leave your post at work, consult the inspection report in time, and deal with the patient's condition changes in time.
8, the chief resident in addition to complete the duties of residents, timely cross-departmental consultation, but also must assist the director to do a good job in various administrative work.
9. Those who fail to comply with the requirements of their duties will be dealt with by the competent authorities.