The daughter underwent the Hydrosonography procedure and it was discovered that no fluid had entered the right and left paraovarian and retrouterine spaces. What does this mean and how dangerous is it? Is laparoscopy necessary?
Hello! Unfortunately, we do not comment on survey results in absentia. In order for you to receive correct assessment your condition, the diagnostic results should be interpreted by the doctor who prescribed you this examination. If you want to hear the opinion of an independent doctor, then the consultation must be face-to-face so that the doctor has the opportunity to obtain an objective assessment of your condition. You can contact our multidisciplinary center. Get more detailed information, and you can also make an appointment by calling 8-495-223-22-22 from 08.00 to 23.00 daily. Thank you for your request.
Hello! Is it possible in your clinic to terminate a pregnancy at 20 weeks for medical reasons?
Hello! Our clinic does not perform abortions at 20 weeks, only up to 12 weeks of pregnancy. Best regards, On Clinic.
What is included and how it happens medical abortion? Is hospital required?
Hello. A medical abortion includes a doctor’s consultation, ultrasound, pharmaceuticals, and separate tests. The hospital is recommended only by the doctor in conjunction with the current condition. Gynecologists of our center will provide you with a face-to-face consultation necessary help. You can make an appointment by phone. 8 495 223 22 22 from 08.00-23.00 daily. Thank you for your request.
Hello! Please help me figure it out: during the ultrasound, the gynecologist said that the endometrium was thickened. It has a thickness of 7.5 and increases in a certain place to 10 mm. (This is 7-8 days from the start of menstruation). The doctor insists on a uterine biopsy. Is this really necessary? Or is this thickness within normal limits? (I’m 40 years old, nothing bothers me, I had a colposcopy and everything is fine)
Hello! The question of the appropriateness of this manipulation cannot be decided in absentia. Data from anamnesis, clinical picture, examination are required, additional methods instrumental and hardware diagnostics. To get advice from a highly qualified specialist, you can contact our clinic. The appointment is conducted by doctors highest category, candidates and doctors medical sciences with extensive experience. Make an appointment with a gynecologist for convenient time and day you can call 8-495-223-22-22. We will be happy to help you!
Hello! I ask you to please advise me. I am 31 years old, height 173, weight 60 kg. I have not given birth, I had an abortion 7 years ago. On this moment the menstrual cycle is normal. The problems are: 1) for 4 years now I have had pain in the lower right abdomen, and often in the lumbosacral region of the back on the right. The tests are normal, both smears and ultrasounds, it hurts CONSTANTLY, but it gets worse during PA and after lifting minor weights and walking. Gynecologists do not make a single diagnosis, they treated with everything possible, hormones, etc., in general - CPP of unknown origin. And two years ago they did diagnostic laparoscopy, and they found endometriosis and adhesions on it, removed the adhesions, cauterized the foci of endometriosis, prescribed Visanne for six months, it didn’t work for me (there was blood on it constantly for two months), and I was transferred again to Duphaston, and again no sense, the pain did not go away even after the operation - it remained there in the same place. They also sent me to other doctors: a urologist, a neurologist, a gastroenterologist - well, I probably have everything like everyone else - colitis, and a couple of protrusions in lumbar region, which, in my opinion, cannot cause constant pain in a stomach. Neurologists have also prescribed me sooo many different antidepressants and antipsychotics over the years, which do not help me. And yes, by the way, I have also been tormented by constant headaches for 3 years now. What do you think about this? Problem 2) About a year ago, discomfort appeared in the vagina and its vestibule - in the form of pinching, including during sexual intercourse, i.e. sex life it is impossible to lead. I took all the smears, found: gardnerella and eubacterium - more than 10 to 4 degrees, was treated, all the symptoms remained the same, two weeks after treatment I took smears again, no gardnerella, eubacterium remained, again treatment, again the symptoms did not go away. And it's been like that for a year! I’m being treated - I’m passing, I’m being treated - I’m passing. I've probably already tried the whole pharmacy. My husband also had a smear test - everything was clear for him, and he actually never had any complaints. What to do next? Vicious circle some kind. Problem 3) My period started on August 8 this month, and on August 12, discomfort began on the left side of the lower abdomen, which turned into pain, which continues to this day. Also on the morning of August 8, before the onset of my period, I did an ultrasound of the pelvis, where they found a small cyst on the left ovary, and the ultrasound specialist said to redo the ultrasound on the 7th day of the cycle, that perhaps it would go away after the period on its own. Tell me what should I do now? Thank you in advance for your answer!
Hello! Unfortunately, we do not have sufficient information on your condition, so we cannot comment on your situation in absentia. You should ask your attending physician any questions you have. However, you have the right to independent consultation with another specialist, but this consultation can only be face-to-face so that the doctor can obtain all the necessary information about your state of health for an expert opinion. You can receive such advice at an appointment with specialists at our clinic. You can find out more detailed information and also make an appointment by calling 8-495-223-22-22 daily from 08.00 to 23.00. Sincerely, On Clinic!
Good afternoon
I have been taking the COC Jess for the second month, I fell ill with a sore throat, and was prescribed Ceftriaxone.
On the 12th day of the cycle I had an unprotected PA, I’m still doing injections.
Tell me, does the effect of Jess decrease with this antibiotic?
What is the probability of getting pregnant?
Hello! We recommend that you ask your question to the doctor who prescribed treatment with this antibiotic. When prescribing a drug, the doctor must take into account its interaction with other medicines which the patient takes. To diagnose the likelihood of pregnancy, we recommend consulting with a gynecologist in person. If you wish, you can make an appointment with the specialists of our center by calling 8-495-223-22-22. Sincerely, On Clinic!
Hello.
I am interested in removing a uterine polyp (0.5) with a laser from August 26. to 29.08. Cost of polypectomy. Necessary tests.
Hello! Unfortunately, our clinic does not perform laser removal endometrial polyps. Best regards, On Clinic.
Hello! DEKA's innovation - innovative methodology treatment of female reproductive system and vaginal atrophy: in addition to improving the aesthetic aspect, new method treatment allows you to solve and prevent many problems that arise before and during menopause. Held this procedure once every 45 days. For older ladies, 3 procedures are recommended - the number of procedures depends not on age, but on the presence of indications and contraindications. For younger ladies, 1-2 procedures - the number depends on the indications and contraindications. Everything is determined by the doctor during a face-to-face consultation, after an examination. The effect lasts for life, if after the procedure the woman does not give birth or undergo surgery. You can find out more detailed information and also make an appointment by calling 8-495-223-22-22 from 07.00 to 23.00 daily. We are waiting for your call!
Discharge yellow color cereal. How to treat?
Hello! Before prescribing treatment, it is necessary to find out the nature of the discharge. Consult a gynecologist, go full examination. After the final diagnosis is made, you will be prescribed medications. Absentee treatment is not prescribed. You can contact our multidisciplinary center. Get advice from an experienced specialist. Undergo full diagnostics using the most modern equipment in short time. We invite you to our clinic. For more detailed information, as well as to make an appointment, you can call 8-495-223-22-22 from 07.00 to 23.00 daily. We are waiting for your call!
Removal of Bartholin's gland? What method and what cost?
Hello! All treatment methods are used. The technique is selected by the doctor during a face-to-face consultation. Enucleation (removal) of a Bartholin gland cyst from RUB 35,000. We offer operative gynecology in full. Our clinic employs experienced surgeons with extensive experience. Surgical rooms equipped with the most modern surgical equipment from the world's leading medical equipment manufacturers, there is a comfortable day hospital. You can find out more detailed information and also make an appointment by calling 8-495-223-22-22 daily from 07.00 to 23.00 hours. Sincerely, On Clinic!
Hello!
At 9-10 weeks she was kept in storage - there were brown discharge, ultrasound showed a reduction of the cervix to 31 mm and opening of the internal pharynx. Actovegin and noshpa were dripped. Now we support Utrozhestan, Duphaston, and also magnesium B6. Now I am 11 weeks old, according to ultrasound the cervix is 36 mm, the pharynx is closed, the placenta (chorion) is 11 mm along the anterior wall. In a week there will be a 500 km trip. Are there risks and what is better to choose - a car or a train? Thank you!
Hello! Regarding your question, you should either talk in detail with your doctor, or contact (in person) another specialist for clarification. Unfortunately, we do not have sufficient information on your condition, so we have no right to recommend anything. We invite you to our center. You can make an appointment with a specialist by phone on any day and time convenient for you: 8-495-223-22-22 from 08.00 to 23.00 hours. Sincerely, On Clinic!
When is it better to take hCG sexual intercourse was 3 ago
Hello! 7-10 days from the expected day of conception. We invite you to our center. The clinic has its own modern laboratory. Contact phone number 8-495-223-22-22 from 07.00 to 23.00 hours. We are waiting for your call.
I was diagnosed with endometrial hyperplasia; according to ultrasound, the endometrium of the uterus was 21 mm. I am 62 years old. I haven’t had my period for 10 years, 6.07. it was a mess. I passed all the tests, but the diagnosis was scheduled only for July 22. You can somehow calm yourself down: check the endometrial cells for atypicality and how quickly, please answer.
Hello! In our clinic necessary examination and treatment can be completed as soon as possible, in the near future. If necessary - on the day of application. The clinic is open seven days a week from 8 a.m. to 9 p.m. We have our own laboratory and medical equipment latest generation, modern operating rooms, comfortable hospital. You can get detailed information and sign up for the clinic by calling 8-495-223-22-22. We will be happy to help you!
They suspect thrush and have told you to get tested, is it necessary? Is it possible to prescribe treatment online?
Hello! Treatment is prescribed after receiving the examination results and clarifying the phase of the disease. Treatment of thrush (candidiasis) is complex, it usually includes the use antifungal drugs(systemic and local), anti-inflammatory drugs, immunomodulators, vitamins. You can contact our multidisciplinary center. Get advice from an experienced specialist. Undergo full diagnostics using the most modern equipment in a short time. We invite you to our clinic. For more detailed information, as well as to make an appointment, you can call 8-495-223-22-22 from 07.00 to 23.00 daily. We are waiting for your call!
Hello!
Interested in choosing a contraceptive method?
What tests need to be done for this in your clinic and what will be the final cost?
Thank you!
Hello. Regarding your question, you should contact your obstetrician-gynecologist. Come to our center for routine examinations. OnClinic has all the conditions, its own laboratory, and general practitioners. You can make an appointment and ask questions by phone. 8 495 223 22 22 from 08.00 to 23.00 daily. Thank you for your request.
Hello! I am 17 years old. On June 23 there was sexual contact. I `m A virgin. There was an eruption, but it didn’t hit me, it hit the sofa. I was scared and left. Deg took Postinor according to the instructions. There were side effects (dizziness, nagging pain in the abdomen), but after 2 weeks (July 7), dark brown spotting (not abundant) without odor began. I read that this is the norm, but tell me, why did it start after 2 weeks? Is this the norm? I am very worried!! And am I pregnant? I’m very worried. Your period should start in 3 days
Hello! It is difficult to comment on your case in absentia. Only a gynecologist can rule out or confirm the fact of pregnancy after an in-person examination and diagnosis. To avoid possible complications, you should not take medications without a doctor’s prescription. Means and methods of contraception should be selected only together with an experienced gynecologist, who will first conduct an examination and give recommendations taking into account the characteristics of your body. We recommend that you contact gynecologists at On Clinic. The doctor will help clarify your condition and also give appropriate recommendations. We will be happy to help you! Make an appointment by phone: 8-495-223-22-22 from 08.00 to 23.00 daily. We are waiting for your call!
Can you remove the IUD?
Hello! Removal of an intrauterine contraceptive device (IUD) spiral from 2000 rub. depending on the difficulty category. We invite you to our center. Our center employs experienced specialists. For more detailed information, as well as to make an appointment, you can call 8-495-223-22-22 from 07.00 to 23.00 daily. We are waiting for your call!
Do you carry out IVF?
Hello! Unfortunately, we do not have such a service. The clinic provides preparation for IVF and pregnancy management after embryo transfer. Best regards, On Clinic.
Is it possible to shift the menses of the day by 4?
Hello! Delaying the onset of menstruation is only possible if you regularly take hormonal contraceptives. On your own, without preliminary examination You should not start taking these medications from a gynecologist. If you wish, you can contact a gynecologist for an individual face-to-face consultation. You can make an appointment with a doctor by calling 8-495-223-22-22. We will be happy to help you!
Hello! I am 17 years old. On June 23, there was an unprotected PA through the anus. I `m A virgin. There was an ejaculation, but he managed to pull it out and everything ended up on the sofa. But I got scared and drank it right away. Day "Postinor" as per instructions. There were side effects (dizziness, nagging pain in the abdomen), dark green calv mixed with regular (brown), but it went away. Now, on July 7 (2 weeks later), spotting dark brown discharge began, not copious. I read that this is the norm. Tell me, is this so? And could it be pregnancy? I worry! Your period should start in 5 days.
Hello. In your case, pregnancy is excluded. For competent consultation and selection of contraception, you can contact a gynecologist at our center. Make an appointment by phone: 8-495-223-22-22.
Delayed. I live in PA. There was an unprotected contact. On what day is it better to take hCG test? How much does it cost?
Hello! An hCG blood test is taken 7-10 days after the expected conception. Our clinic has the latest technical facilities and a modern laboratory, which allows us to carry out comprehensive examination. You can find out more detailed information and also sign up for tests by calling 8-495-223-22-22 daily from 07.00 to 23.00. We will be happy to provide you with qualified assistance!
Is there an increase in leukocytes in a smear? Is this dangerous?
Hello! Elevated white blood cells may indicate an inflammatory process. If deviations from the norm are detected, further examination is recommended. And a face-to-face consultation with a gynecologist. We invite you to our center. Our center employs experienced specialists. For more detailed information, as well as to make an appointment, you can call 8-495-223-22-22 from 08.00 to 23.00 daily. We are waiting for your call!
Hello. My mother (65 years old) had an endometrial polyp removed several years ago. In early spring, during a routine examination, he was found again in the same place. The doctor said to watch until the fall, and then they might have an operation to remove it. Please tell me, is it possible to take her to relax at the seaside before the operation (in September) (we don’t plan to sunbathe under the scorching sun)? Or are travel abroad not recommended for such diagnoses? Thank you.
Hello. Any recommendations are given only by the doctor in conjunction with clinical picture illness or current condition. If you want to hear the opinion of our doctor, the consultation must be face-to-face so that the doctor has the opportunity to obtain an objective assessment of your health. You can contact our multidisciplinary center. You can make an appointment by phone. 8 495 223 22 22, from 08.00 to 23.00 daily. Thank you for contacting us.
Good afternoon. Can a mucus plug come out mixed with blood? And is it possible to continue treatment with Terzhinan after its withdrawal?
Hello. Any changes in drug prescriptions are recommended only by a doctor in conjunction with the clinical picture of your disease or current condition. If you want to hear the opinion of our doctor, the consultation must be face-to-face so that the doctor has the opportunity to obtain an objective assessment of your health. You can contact our multidisciplinary center. You can make an appointment by phone. 8 495 223 22 22, from 08.00 to 23.00 daily. Thank you for contacting.
Hello, at 37.3 weeks of pregnancy, the length of the cervix was determined to be 10mm and the v-shaped opening of the internal os was 8mm. Since the city is small and there are no competent specialists, a problem has arisen, some doctors say that it’s time to give birth, others say that there’s nothing left to do but walk and walk. I don’t know who to listen to.
Hello. Unfortunately, we do not comment on survey results in absentia. The diagnostic results should be interpreted by the doctor who prescribed this examination for you. If you want to hear comments from an independent doctor, the consultation must be face-to-face so that the doctor has the opportunity to get an objective assessment of your condition. You can contact our multidisciplinary center. For more detailed information, as well as to make an appointment, you can call 8-495-223-22-22 from 08.00 to 23.00 daily. Thank you for your request.
Where the anus has formed, should I see a gynecologist? Do you remove it with a laser?
Hello! IN in this case Consultation with a coloproctologist is required. In our center this specialist accepts. If we are talking about condylomas, then our center presents laser vaporization genital warts(group of condylomas). We invite you to our clinic. For more detailed information, as well as to make an appointment, you can call 8-495-223-22-22 from 08.00 to 23.00 daily. We are waiting for your call!
, June 12, 2019
Hello. You should discuss this issue with the doctor who is caring for your pregnancy. We do not have complete information about your health status, development and course of pregnancy. If you wish, you can contact an obstetrician-gynecologist at On Clinic for independent advice or diagnosis. For more detailed information, as well as to make an appointment, you can call 8-495-223-22-22 from 07.00 to 23.00 daily. Sincerely, On Clinic!
Good afternoon
An endometrial polyp was discovered. Please tell me if it is possible to remove it laser method at your clinic. If possible, how to get an appointment with a doctor, what tests need to be taken, how long you will need to stay in the clinic, the cost of services. Thank you in advance for your response.
Sincerely,
Snezhina
Hello. To clarify the scope of the operation, a face-to-face consultation with a gynecologist is necessary. Polyps are removed in our center. Only the doctor will answer after the examination to clarify the scope of the tests. The cost of the operation is from 35,000 rubles. OnClinic has all the conditions for examination, its own laboratory, and general practitioners. We invite you to our clinic. You can make an appointment by phone. 8 495 223 22 22 from 08.00-23.00 daily. Thank you for your request.
Hello, I'm 13 weeks pregnant. Found ureaplasma parvum to the 4th degree. Tell me how to treat?
Hello! We do not prescribe treatment in absentia. The question of the need and timing of treatment during pregnancy is decided strictly individually only during a face-to-face consultation. Drugs are also selected individually based on the results of laboratory diagnostics, taking into account the sensitivity of microorganisms to them. You should contact your obstetrician-gynecologist to prescribe treatment and do not look for an answer on the Internet. Take care of yourself! Best regards, On Clinic.
It is the responsibility of any medical practitioner to improve their knowledge and skills. Certification is considered one of the methods of training, which has its own requirements and characteristics, based on the results of which specialists are assigned the appropriate category. Each category of doctors occupies a certain level in the hierarchy of the medical field.
Goal and tasks
Participation in the certification process is voluntary. In the process, the specialist’s personal worth, level of knowledge, practical skills, suitability for the position held, and professionalism are assessed.
Certification of doctors for a category carries with it a certain interest:
- It's prestigious. Allows you to borrow more high position allows you to draw management's attention to yourself. Quite often, the categories of doctors are indicated on signs at the entrance to their office.
- In some cases, the highest category allows you to reduce moral or physical responsibility to the patient’s relatives. Like, if such a person could not solve the problem, then it is difficult to think what would have happened if a less experienced doctor had been in his place.
- Material side. Medical categories of doctors and promotion through the levels of the medical hierarchy allow for an increase in the basic salary.
Types of certifications
The legislation distinguishes several types of certification activities:
- assignment of the title “specialist” after determining theoretical and practical skills;
- qualification category of doctors (obtaining);
- category confirmation.
Determining the level of knowledge for assigning a “specialist” is mandatory event before appointment as a doctor. Conducted by special commissions in postgraduate education institutions. The following candidates will be considered:
- after internship, master's degree, residency, postgraduate study, if there is no diploma "doctor-specialist";
- those who have not worked for more than 3 years in a narrow specialty;
- those who did not undergo certification in a timely manner to obtain qualifications;
- persons who are denied the opportunity to receive the second category for objective reasons.
Each doctor has the right to receive a category in several specialties at the same time, if they are related. The main requirement is work experience in the required specialization. The category of general practitioner is an exception.
Basic rules and requirements
There are second, first and highest categories of doctors. There is a rule of consistency in receiving, but there are exceptions. The requirements are discussed in the table.
| Qualification category of doctors | Outdated requirements | Requirements for current orders |
| Second | 5 years of practicing experience or more | At least 3 years of practical experience in the specialty |
| Submitting a work report | Personal appearance, including participation in an interview, testing | |
| First | Department Head or Leadership level required | At least 7 years of practical experience in the specialty |
| Upon receipt - appearance, confirmation occurs in absentia | ||
| Higher | Manager position required | More than 10 years of practicing experience in the specialty |
| Personal appearance in any case | Personal appearance, including participation in report evaluation, interview, testing |
Validity periods
According to the old orders, there were certain circumstances that were classified as social benefits and made it possible to extend the period of the current qualification. These included:
- pregnancy and child care under 3 years of age;
- a month after dismissal due to reduction;
- business trip;
- state of temporary disability.
The benefits are not valid at this time. The certification commission may decide to extend the validity period at the request of the head physician of the medical institution. If a doctor refuses to appear for the commission, his category is automatically removed after a five-year period from the date of assignment.
Documentation
A report on the work done over the past few years, approved by the chief physician of the healthcare facility and the personnel department where the certified person works, is also filled out. Copies of education documents are also sent to the commission, work book and assignment of current qualifications.
Attestation report
The introduction includes information about the identity of the doctor and the medical institution where he holds a position. The characteristics of the department, its equipment and staff structure, and the performance indicators of the department in the form of statistical data are described.
The main part consists of the following points:
- characteristics of the population undergoing treatment in the department;
- possibility of carrying out diagnostic measures;
- carried out therapeutic work with the specified results for specialized diseases;
- deaths over the past 3 years and their analysis;
- implementation of innovations.
The conclusion of the report consists of a summary of the results, indications possible problems and examples of their solutions, opportunities for improvement. If published materials are available, a copy is attached. Indicated and studied over the past few years.
Points for promotion
Each specialist receives points that are used in making decisions about qualifications. They are awarded for attending conferences, including international congresses, lecturing to colleagues or average medical personnel, distance learning with obtaining a final certificate, training courses.
Additional points are awarded for the following achievements:
- publishing of textbooks, manuals, monographs;
- publication of an article;
- obtaining a patent for an invention;
- presentation at symposiums with a report;
- speaking in institutions and the media;
- obtaining a title;
- defense of the thesis;
- awards by public authorities.
Composition of the commission
The commission consists of a committee, whose work takes place during breaks between meetings, and a narrowly focused expert group, which directly conducts certification of a specialist (exam, testing). Both the committee and the expert group consist of persons holding the following positions:
- The chairman, who oversees the work and divides responsibilities between the members of the commission.
- The deputy chairman performs the functions of the chairman in full in his absence.
- The secretary is responsible for registering incoming documents, preparing materials for the work of the commission, and recording decisions.
- The deputy secretary replaces the secretary and performs his duties during absence.
Each expert group includes specialists from related specialties. For example, the category of dentist and its receipt/confirmation requires being in the group of periodontist, orthodontist, pediatric dentist, therapist.
Order of the meeting
Certification is scheduled no later than three months from the date of receipt of data about the specialist by the committee. If the data does not match the requirements for the latter, the documentation will be refused (no later than 2 weeks from the date of receipt). The secretary of the committee agrees with the chairman of the expert group of the required specialization on the date of the examination.
Members of the expert group review the certification documents for the category, completing a review for each of them, displaying the following data:
- level of practical skills of a specialist;
- participation in social projects related to the medical field;
- availability of published materials;
- self-education of the certified person;
- compliance of knowledge and skills with the declared category of doctors.
The examination must take place within two weeks from the date of receipt of the report. The result of the review is an indicator of the possible outcome of the certification. The secretary informs the specialist of the date of the meeting, which includes an interview and testing. More than 70% of correct answers allow you to consider the test passed. The interview takes place by questioning the person being certified according to theory and practice, the knowledge of which must correspond to the requested qualification.
The meeting is accompanied by the preparation of a protocol, which is signed by the members of the expert group and the chairman. The final decision is noted on the qualification sheet. A specialist receives the right to retake the exam only after a year. Within 7 days, the certified person receives a document confirming the promotion, reduction or refusal to assign a category.
Extreme measures
Administration medical institution may send a request to the commission so that the doctor is dequalified or promoted ahead of schedule. In this case, documents are sent to justify the decision. The commission considers the issue in the presence of a specialist. No-show without good reason allows decisions to be made in his absence.
Protest
From the day the decision is made, the doctor or medical institution can appeal the result to month period. To do this, it is necessary to fill out an application specifying the reasons for disagreement and send it to the commission under the Ministry of Health.
0.1. The document comes into force from the moment of approval.
0.2. Document developer: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _.
0.3. The document has been approved: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _.
0.4. Periodic check of this document carried out at intervals not exceeding 3 years.
1. General Provisions
1.1. The position "Obstetrician-gynecologist of the 1st qualification category" belongs to the category "Professionals".
1.2. Qualification requirements- complete higher education(specialist, master's degree) in the field of training "Medicine", specialty "General Medicine". Specialization in the specialty "Obstetrics and Gynecology" (internship, specialization courses). Advanced training (advanced courses, internships, pre-certification cycles, etc.). Availability of a medical specialist certificate and a certificate of assignment (confirmation) of the 1st qualification category in this specialty. Work experience in the specialty for more than 7 years.
1.3. Knows and applies in practice:
- current legislation on health care and regulatory documents regulating the activities of governing bodies and health care institutions, the fundamentals of law in medicine, the organization of obstetric and gynecological care;
- rights, duties and responsibilities of an obstetrician-gynecologist;
- performance indicators of obstetric and gynecological institutions and departments;
- work of medical advisory and medical-social expert commissions;
- modern classification gynecological diseases;
- topographic anatomy, normal and pathological physiology of the woman’s body;
- physiology and pathology of pregnancy, childbirth and postpartum period;
- basics of hematopoiesis and hemostasis, water-electrolyte metabolism and acid-base balance of blood, immunology and pharmacology;
- general and special examination methods that are used in obstetrics and gynecology;
- modern methods prevention, diagnosis, treatment, rehabilitation and medical examination of obstetric and gynecological diseases, prevention unwanted pregnancy;
- modern methods of childbirth;
- prevention of miscarriage and post-term pregnancy, resuscitation, intensive care newborns;
- modern techniques performing obstetric and urgent care gynecological operations and manipulations, as well as resuscitation;
- principles of preoperative preparation of patients and postoperative monitoring of them;
- identification, monitoring, treatment of pregnancy complications and postpartum rehabilitation;
- rules of asepsis and antiseptics;
- basics of pharmacotherapeutic methods used in obstetrics and gynecology;
- basics of prevention and timely diagnosis malignant neoplasms;
- clinic, causes, diagnosis, treatment methods infectious diseases And " acute abdomen" in gynecology, acquired immunodeficiency syndrome (AIDS), venereal diseases and etc.;
- issues of sexopathology;
- basics of endocrinology, urology, surgery, gynecological oncology;
- basic methods of physiotherapy and physical therapy, used in obstetrics and gynecology;
- design rules medical documentation;
- modern literature on the specialty and methods of its generalization.
1.4. Appointed to a position and dismissed from a position by order of the organization (enterprise/institution).
1.5. Reports directly to _ _ _ _ _ _ _ _ _ _ .
1.6. Supervises the work of _ _ _ _ _ _ _ _ _ _ .
1.7. During absence, he is replaced by a person appointed in accordance with the established procedure, who acquires the corresponding rights and is responsible for the proper performance of the duties assigned to him.
2. Characteristics of work, tasks and job responsibilities
2.1. It is guided by the current legislation of Ukraine on health care and regulations that determine the activities of governing bodies and health care institutions, the organization of obstetric and gynecological care to the population.
2.2. Provides pregnancy diagnostics, monitoring of pregnant women, obstetric care, early detection complications of pregnancy and childbirth, treatment and supervision of women in labor; organizes and conducts clinical examination of gynecological patients.
2.3. Applies modern methods of prevention, treatment and rehabilitation within his specialty; masters all methods of outpatient and inpatient treatment, full volume surgical interventions, including hysterectomy, ligation of the hypochondrial arteries, microsurgical and plastic surgeries.
2.4. Provides emergency services medical care obstetric and gynecological patients.
2.5. Monitors adverse reactions/effects of medications.
2.6. Provides consultations on referrals from doctors of other specialties, including at home.
2.7. Conducts work ability assessments.
2.8. Plans work and analyzes its results.
2.9. Maintains medical documentation.
2.10. Adheres to the principles of medical deontology.
2.11. Promotes legal protection for women in accordance with current legislation.
2.12. Supervises the work of nursing staff.
2.13. Takes an active part in disseminating medical knowledge among the population and conducting mass preventive examinations.
2.14. Constantly improves his professional level.
2.15. Knows, understands and applies current regulations relating to his activities.
2.16. Knows and complies with the requirements of regulations on labor protection and environment, complies with the standards, methods and techniques of safe work performance.
3. Rights
An obstetrician-gynecologist of the first qualification category has the right to:
3.1. Take action to prevent and correct any violations or non-compliances.
3.2. Receive all social guarantees provided for by law.
3.3. Request assistance in fulfilling your job responsibilities and exercise of rights.
3.4. Require the creation of organizational and technical conditions necessary for the performance of official duties and the provision necessary equipment and inventory.
3.5. Get acquainted with draft documents relating to its activities.
3.6. Request and receive documents, materials and information necessary to fulfill their job duties and management orders.
3.7. Improve your professional qualifications.
3.8. Report all violations and inconsistencies identified in the course of its activities and make proposals for their elimination.
3.9. Familiarize yourself with the documents defining the rights and responsibilities of the position held, and the criteria for assessing the quality of performance of official duties.
4. Responsibility
An obstetrician-gynecologist of the first qualification category is responsible for:
4.1. Failure to fulfill or untimely fulfillment of the requirements set forth herein job description obligations and (or) non-use of granted rights.
4.2. Failure to comply with internal labor regulations, labor protection, safety regulations, industrial sanitation and fire protection.
4.3. Disclosure of information about an organization (enterprise/institution) related to a trade secret.
4.4. Failure to comply or improper fulfillment of internal requirements regulatory documents organization (enterprise/institution) and legal orders of management.
4.5. Offenses committed in the course of their activities, within the limits established by the current administrative, criminal and civil legislation.
4.6. Causing material damage to an organization (enterprise/institution) within the limits established by current administrative, criminal and civil legislation.
4.7. Illegal use of granted official powers, as well as their use for personal purposes.
This job description has been automatically translated. Please note that automatic translation is not 100% accurate, so there may be minor translation errors in the text.
| Instructions for the position " Obstetrician-gynecologist, I qualification category", presented on the website, meets the requirements of the document - "DIRECTORY qualification characteristics workers' professions. Issue 78. Healthcare. (As amended in accordance with orders of the Ministry of Health No. 131-O dated June 18, 2003, No. 277 dated May 25, 2007, No. 153 dated March 21, 2011, No. 121 dated February 14, 2012)", which was approved by order of the Ministry of Health of Ukraine on March 29, 2002 N 117. Agreed by the Ministry of Labor and social policy Ukraine. The document status is "valid". |
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Preface to the job description
0.1. The document comes into force from the moment of approval.
0.2. Document developer: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _.
0.3. The document has been approved: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _.
0.4. Periodic verification of this document is carried out at intervals not exceeding 3 years.
1. General Provisions
1.1. The position "Obstetrician-gynecologist of the 1st qualification category" belongs to the category "Professionals".
1.2. Qualification requirements - complete higher education (specialist, master's degree) in the field of training "Medicine", specialty "General Medicine". Specialization in the specialty "Obstetrics and Gynecology" (internship, specialization courses). Advanced training (advanced courses, internships, pre-certification cycles, etc.). Availability of a medical specialist certificate and a certificate of assignment (confirmation) of the 1st qualification category in this specialty. Work experience in the specialty for more than 7 years.
1.3. Knows and applies in practice:
- current legislation on health care and regulatory documents regulating the activities of governing bodies and health care institutions, the fundamentals of law in medicine, the organization of obstetric and gynecological care;
- rights, duties and responsibilities of an obstetrician-gynecologist;
- performance indicators of obstetric and gynecological institutions and departments;
- work of medical advisory and medical and social expert commissions;
- modern classification of gynecological diseases;
- topographic anatomy, normal and pathological physiology of the woman’s body;
- physiology and pathology of pregnancy, childbirth and the postpartum period;
- basics of hematopoiesis and hemostasis, water-electrolyte metabolism and acid-base balance of blood, immunology and pharmacology;
- general and special examination methods that are used in obstetrics and gynecology;
- modern methods of prevention, diagnosis, treatment, rehabilitation and medical examination of obstetric and gynecological diseases, prevention of unwanted pregnancy;
- modern methods of childbirth;
- prevention of miscarriage and post-term pregnancy, resuscitation, intensive care of newborns;
- modern methods of performing obstetric and urgent gynecological operations and manipulations, as well as resuscitation;
- principles of preoperative preparation of patients and postoperative monitoring of them;
- identification, monitoring, treatment of pregnancy complications and postpartum rehabilitation;
- rules of asepsis and antiseptics;
- basics of pharmacotherapeutic methods used in obstetrics and gynecology;
- basics of prevention and timely diagnosis of malignant neoplasms;
- clinic, causes, diagnosis, methods of treatment of infectious diseases and “acute abdomen” in gynecology, acquired immunodeficiency syndrome (AIDS), sexually transmitted diseases, etc.;
- issues of sexopathology;
- basics of endocrinology, urology, surgery, gynecological oncology;
- basic methods of physiotherapy and physical therapy used in obstetrics and gynecology;
- rules for processing medical documentation;
- modern literature on the specialty and methods of its generalization.
1.4. An obstetrician-gynecologist of the first qualification category is appointed to the position and dismissed from the position by order of the organization (enterprise/institution).
1.5. An obstetrician-gynecologist of the first qualification category reports directly to _ _ _ _ _ _ _ _ _ _ .
1.6. An obstetrician-gynecologist of the first qualification category supervises the work of _ _ _ _ _ _ _ _ _ _ .
1.7. During absence, an obstetrician-gynecologist of the first qualification category is replaced by a person appointed in accordance with the established procedure, who acquires the appropriate rights and is responsible for the proper performance of the duties assigned to him.
2. Characteristics of work, tasks and job responsibilities
2.1. It is guided by the current legislation of Ukraine on health care and regulations that determine the activities of governing bodies and health care institutions, the organization of obstetric and gynecological care to the population.
2.2. Provides pregnancy diagnosis, monitoring of pregnant women, obstetric care, early detection of complications of pregnancy and childbirth, treatment and supervision of women in labor; organizes and conducts clinical examination of gynecological patients.
2.3. Applies modern methods of prevention, treatment and rehabilitation within his specialty; masters all methods of outpatient and inpatient treatment, the full range of surgical interventions, including hysterectomy, ligation of the hypochondrial arteries, microsurgical and plastic surgeries.
2.4. Provides emergency and emergency medical care to obstetric and gynecological patients.
2.5. Monitors adverse reactions/effects of medications.
2.6. Provides consultations on referrals from doctors of other specialties, including at home.
2.7. Conducts work ability assessments.
2.8. Plans work and analyzes its results.
2.9. Maintains medical documentation.
2.10. Adheres to the principles of medical deontology.
2.11. Promotes legal protection for women in accordance with current legislation.
2.12. Supervises the work of nursing staff.
2.13. Takes an active part in disseminating medical knowledge among the population and conducting mass preventive examinations.
2.14. Constantly improves his professional level.
2.15. Knows, understands and applies current regulations relating to his activities.
2.16. Knows and complies with the requirements of regulations on labor protection and environmental protection, complies with the norms, methods and techniques for the safe performance of work.
3. Rights
3.1. An obstetrician-gynecologist of qualification category I has the right to take actions to prevent and eliminate cases of any violations or inconsistencies.
3.2. An obstetrician-gynecologist of the first qualification category has the right to receive all social guarantees provided for by law.
3.3. An obstetrician-gynecologist of the first qualification category has the right to demand assistance in the performance of his official duties and the exercise of his rights.
3.4. An obstetrician-gynecologist of the first qualification category has the right to demand the creation of organizational and technical conditions necessary for the performance of official duties and the provision of the necessary equipment and inventory.
3.5. An obstetrician-gynecologist of the first qualification category has the right to get acquainted with draft documents relating to his activities.
3.6. An obstetrician-gynecologist of the first qualification category has the right to request and receive documents, materials and information necessary to fulfill his job duties and management orders.
3.7. An obstetrician-gynecologist of qualification category I has the right to improve his professional qualifications.
3.8. An obstetrician-gynecologist of the first qualification category has the right to report all violations and inconsistencies identified in the course of his activities and make proposals for their elimination.
3.9. An obstetrician-gynecologist of the first qualification category has the right to familiarize himself with documents defining the rights and responsibilities of the position held, and criteria for assessing the quality of performance of official duties.
4. Responsibility
4.1. An obstetrician-gynecologist of the first qualification category is responsible for failure to fulfill or untimely fulfillment of the duties assigned by this job description and (or) non-use of the granted rights.
4.2. An obstetrician-gynecologist of the first qualification category is responsible for non-compliance with internal labor regulations, labor protection, safety precautions, industrial sanitation and fire protection.
4.3. An obstetrician-gynecologist of the first qualification category is responsible for disclosing information about an organization (enterprise/institution) that is a trade secret.
4.4. An obstetrician-gynecologist of the first qualification category is responsible for failure to comply or improper fulfillment of the requirements of internal regulatory documents of the organization (enterprise/institution) and legal orders of management.
4.5. An obstetrician-gynecologist of the first qualification category is responsible for offenses committed in the course of his activities, within the limits established by the current administrative, criminal and civil legislation.
4.6. An obstetrician-gynecologist of the first qualification category is responsible for causing material damage to an organization (enterprise/institution) within the limits established by the current administrative, criminal and civil legislation.
4.7. An obstetrician-gynecologist of the first qualification category is responsible for the unlawful use of the granted official powers, as well as their use for personal purposes.
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Diagnosis of gynecological diseases
The capabilities of modern gynecology have expanded significantly with the advent of new diagnostic methods.
Now the examination of the patient is accompanied not only by palpation and an objective examination of the doctor, but also by various diagnostic procedures for visualization and assessment of the condition of those areas of the reproductive organs that are hidden from the eyes and hands of the gynecologist. Modern examinations differ in accuracy and information content. It is thanks to high-tech equipment and laboratory methods analysis, frequency full recovery at gynecological diseases has increased significantly.
IN medical center"SM-Clinic" correct diagnosis gynecological pathologies has a separate important role. Only based on the results of high-precision studies will the doctor be able to select effective treatment. Our center has implemented modern technologies, which facilitate the collection of information about the disease and increase the chances of successful treatment. SM-Clinic has its own laboratory, which allows you to obtain objective results in the shortest possible time.
Advisory diagnostic method
If you experience pain in the lower abdomen, uncharacteristic vaginal discharge, itching or burning sensation in the intimate areas, failures menstrual cycle, a consultation with a gynecologist is indicated. Already at this stage, the diagnostic process begins - collecting complaints, anamnesis and conducting a gynecological examination.
The gynecological chair is equipped so that the specialist can objectively assess the condition of the woman’s genital organs. Upon examination and palpation, the doctor may suspect an inflammatory process, the appearance of neoplasms, the presence infectious process etc. Inspection is necessary and extremely important stage diagnostics, during which the doctor differentiates the pathology and prescribes clarifying studies.
The gynecological office at the SM-Clinic is equipped with last word technology. Thanks to special lighting, the doctor will notice even initial changes in the mucous membranes. The use of disposable sterile instruments provides additional protection against infectious diseases. The experience and accuracy of a specialist is the key to comfort during the examination and the formation of a trusting relationship with the patient.
Hardware diagnostics in gynecology
We use only modern and most informative diagnostic methods in the field of gynecology. This provides high accuracy the results obtained, as well as financial savings for our patients. Each informative research reduces the need for other types of diagnostics and the need to repeat them. The following methods are performed at SM-Clinic:
- Video colposcopy – hardware examination of the vagina and cervical canal. It is carried out using digital optical equipment with the image displayed on a monitor. If necessary, the doctor makes tests to identify areas of mucosal cell dysplasia and other pathologies. The procedure is painless.
- Hysteroscopy. Examination of the uterine cavity using a hysteroscope. Allows you to assess the condition of the endometrium and ostia fallopian tubes. If necessary, during diagnosis, minor operations are immediately performed (dissection of adhesions, removal of polyps). Diagnosis is performed under anesthesia.
- Hysterosalpingography. An X-ray type of examination that allows you to evaluate the shape and size of the uterus, the condition of all layers of the myometrium, as well as patency fallopian tubes. Digital equipment for x-ray examination at SM-Clinic minimizes radiation exposure and allows you to get high-quality images.
- Ultrasound. Often used in gynecology, it is a safe and painless diagnostic method. Reveals various diseases and provides additional information about the character pathological process. Ultrasound is widely used to monitor pregnancy.
To diagnose complex diseases, doctors at our clinic prescribe the maximum informative methods– computer and magnetic resonance imaging.
Laboratory tests for the most effective treatment
In gynecology, making a correct diagnosis cannot be done without laboratory tests. Laboratory diagnostics provides clarifying information and is very important in the process of selecting treatment. In gynecology they actively use:
- detection of infection using the polymerase method chain reaction– sets a specific infectious cause inflammatory process, provides information about the nature of the pathogen;
- smears - examination of vaginal and cervical canal secretions to determine the qualitative and quantitative composition of the microflora;
- bacterial cultures - allow you to determine the sensitivity of pathogenic microflora to antibiotics, on the basis of which therapy is selected;
- determination of hormone levels - used to identify the causes of infertility, hormone-dependent tumors, dysfunctional disorders of hormone-producing organs;
- cytological examination biopsy samples - used to identify atypical cells in biomaterial;
- assessment of the level of tumor markers – used for a comprehensive assessment of the risk of development malignant process in organism;
- level analysis human chorionic gonadotropin– used to diagnose pregnancy in case of questionable ultrasound results.
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