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AGREEMENT Between UNC School of Medicine <br />And Orange County Health Department <br />Page 3 of 9 <br />health (CH), adolescent (ADOL), tuberculosis (TB), sexually transmitted disease <br />(STD), general communicable disease control (GEN), adult health preventive <br />services (AH /HP), and Jail Health (JH), within State and Federal guidelines and <br />program rules. Clinical duties shall include: <br />a. Collaborative development and approval of clinic protocols; for the mutual <br />benefit of the Department, OCHD and its prenatal patients, it is agreed by both <br />parties that prenatal patients will be managed according to OCHD established <br />protocols. These will be reviewed annually and be consistent with protocols <br />used at UNC Department of OB /GYN and Family Medicine outlying clinics. <br />b. Primary technical supervision of the nurse practitioners who are employees of <br />the OCHD; <br />c. Co- signing charts of patients seen by new nurse practitioners of the OCHD <br />within five (5) working days for at least the first six months of their practice, and <br />face -to -face consultation on a weekly basis for the first month after approval and <br />at least monthly for the succeeding five months; <br />d. Routine medical services during scheduled on -site clinic times, including <br />documentation of clinical services per OCHD protocol; <br />e. Medical consultation visits to OCHD patients during scheduled on -site clinic <br />times; <br />f. Continuing education consultation for nurse practitioners and other staff to <br />include regular informal consultation and periodic formal sessions as <br />appropriate. <br />3. The Chair of the Department shall designate the name of the Medical Director and <br />the names of any physicians who will provide clinical services. The Medical <br />Director shall be board certified in Family Medicine or an equivalent certification. <br />a. Any changes in these designations will be mutually agreed to by the Chair of the <br />Department and the Health Director. <br />b. The Department and OCHD shall indicate their mutual agreement to the <br />designation of the Medical Director and any other physicians involved as <br />described above by signing the "Designation of Medical Director" attachment to <br />this contract. <br />\ \WHITTED1 \SYS \DOHADMIN \CONTRACTS \UNC FAMILY MEDICINE \2001 UNC Family Medicine.doc <br />