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Ob-07 AGREEMENT Between UNC School of Medicine <br />And Orange County Health Department <br />Page 5 of 9 <br />a. The Department and OCHD shall indicate their mutual agreement to <br />the designation of the Medical Director and designated back-up <br />Department physicians available to be scheduled in the absence of <br />the Medical Director by signing the "Designation of Medical Director" <br />attachment to this contract. Any changes in these designations will be <br />mutually agreed to by the Chair of the Department and OCHD Health <br />Director. In the event that the Medical Director or any designated <br />back-up Department physician becomes unwilling or unable to <br />perform the duties required by this agreement, the Department and <br />OCHD shall attempt to mutually agree upon replacement(s). If such <br />mutual agreement is not achieved, then this agreement shall terminate <br />and any payment due as of the date of termination shall be paid as <br />provided for in paragraph 18 of this agreement. <br />b. Substitutions in the scheduling of the Medical Director or designated <br />back-up Department physician will be the responsibility of the <br />Department in consultation with OCHD Health Director. Vacation <br />leave, continuing education, and other assignments requiring <br />temporary back-up coverage will be mutually agreed upon by the <br />Chair of the Department and OCHD Health Director. <br />7. The Medical Director or designated back-up Department physician shall <br />provide a total of 20 hours per week of the foregoing Clinical Services on-site <br />at OCHD Outpatient Clinics or other sites as provided therefor. Days and times <br />and the identity of the person or persons scheduled to be on-site to provide <br />this coverage on behalf of the Department will be mutually agreed to by the <br />Department and OCHD. Although the Department is not required to provide <br />the attendance of a Medical Director or back-up Department physician on <br />the premises of OCHD outpatient facilities or other sites provided therefor at <br />other times, access should be made available during other days and times as <br />stipulated in this agreement. Substitute coverage by a back-up Department <br />physician is expected during vacations and other anticipated absences of the <br />Medical Director or back-up Department physician originally scheduled to be <br />available. The Medical Director or designated back-up Department physician <br />shall be responsible for notifying OCHD of schedule changes. If attendance <br />as scheduled of the Medical Director or designated back-up Department <br />physician is impossible due to unremediable circumstances, phone coverage <br />of a designated back-up Department physician must be provided and nurse <br />practitioner charts will be signed by the appropriate designated Department <br />physician or back up Department physician on call within five (5) working <br />days. In addition to the foregoing described days and hours, at the request of <br />OCHD Health Director, the Medical Director or designated back-up <br />Department physician will provide on-site medical supervision at OCHD <br />L:\CONTRACTS\06-07 Contract Drafts\UNC Family Medicine -Medical Director 2006-07.doc <br />