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4 <br /> AGREEMENT Between UNC School of Medicine <br /> and Orange County Health Department <br /> Page 3 of 8 <br /> Clinical duties shall include: <br /> a. Collaborative development and approval of clinic protocols; <br /> b. Primary technical supervision of the nurse practitioners who <br /> are employees of the OCHD; <br /> C. Co-signing charts of patients seen by the nurse practitioners <br /> of the OCHD within five (5) working days; <br /> d.' Medical consultation visits to OCHD patients during scheduled <br /> on-site clinic times; <br /> e. Routine medical services as needed during scheduled on-site <br /> clinic times when the nurse practitioner is not available or <br /> clinic is extremely heavy; <br /> f. Continuing education consultation for nurse practitioners and <br /> other staff to include regular informal consultation and <br /> periodic formal sessions as appropriate. <br /> 3 . The Chair of the Department shall designate the name of the <br /> Medical Director and the names of any physicians who will provide <br /> clinical services or will serve as back-up to the Medical Director <br /> when this person is unavailable. <br /> a. Any changes in these designations will be mutually agreed to <br /> by the Chair of the Department and the Director of OCHD. <br /> b. The Department and OCHD shall indicate their mutual agreement <br /> to the designation of the Medical Director and any other <br /> physicians involved as described above by signing the <br /> "Designation of Medical Director" attachment to this contract. <br /> 4 . This agreement covers the following clinics: FP/STD on Monday <br /> (afternoon) , Tuesday (all day) , and Friday (morning) in <br /> Hillsborough and Wednesday (all day) and Thursday (afternoon) in <br /> Carrboro; PNC on Thursday; CH half-days on Monday and Wednesday; <br /> general clinic -adult health and communicable disease on Monday in <br /> Hillsborough and Tuesday in Carrboro; adult health promotion once <br /> a month at each location; county employee health promotion <br /> scheduled as needed; TB patients are scheduled during FP/STD <br /> clinics in the afternoons. <br />