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AGREEMENT Befween UNC School of Medicine <br />And Orange County Health Department <br />Page 5 of 9 <br />6. On-site physician attendance shall occur for a total of 20 hours per week in the <br />clinical setting. Days and times of this coverage will be mutually agreed to by <br />the- Department and OCHD. Although Medical Director or back-up physician <br />attendance is not required on premises at other times, it should be available <br />as stipulated above. At least 4 hours of direct administrative/consultative time <br />shall be available to OCHD staff weekly. On-site back-up coverage is <br />expected during vacations and other anticipated absences. Physicians are <br />responsible for notifying OCHD of schedule changes. If physician attendance <br />is impossible due to unremediable circumstances, physician phone coverage <br />will be provided and nurse practitioner charts will be signed within five (5) <br />working days. <br />7. The Medical Director or other designated physicians will be available at least 4 <br />hours per week for phone consultation during business hours and after-hours <br />coverage, and emergency phone consultation shall be available as needed <br />during non-business hours through a pager system. Phone coverage will also <br />be provided for consultation and direction for communicable <br />disease/epidemic control. At the request of the Health Director, the physician <br />will provide on-site medical supervision during communicable disease <br />incidents. <br />8. The Department agrees to provide the equivalent of .70 FTE to carry out the <br />duties described above. The clinical and administrative services will be <br />provided primarily by the Medical Director, with other designated physicians <br />C:\windows\temp\UNC Family Medicine -Medical Director Final 2004-05.doc <br />