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06-07 AGREEMENT Between UNC School of Medicine And Orange County Health Department Page 5 0( 9 education, and other assignments requiring temporary back-up coverage will be mutually agreed upon by the Chair of the Department and OCHD Health Director. 7. The Medical Director or designated back-up Department physician shall provide a total of 20 hours per week of the foregoing Clinical Services on-site at OCHD Outpatient Clinics or other sites as provided therefor. Days and times and the identity of the person or persons scheduled to be on-site to provide this coverage on behalf of the Department will be mutually agreed to by the Department and OCHD. Although the Department is not required to provide the attendance of a Medical Director or back-up Department physician on the premises of OCHD outpatient facilities or other sites provided therefor at other times, access should be made available during other days and times as stipulated in this agreement. Substitute coverage by a back-up Department physician is expected during vacations and other anticipated absences of the Medical Director orback-up Department physician originally scheduled to be available. The Medical Director or designated back-up Department physician shall be responsible for notifying OCHD of schedule changes, If attendance as scheduled of the Medical Director or designated back-up Department physician is impossible due to unremediable circumstances, phone coverage of a designated back-up Department physician must be provided and nurse practitioner charts will be signed by the appropriate designated Department physician or back up Department physician on call within five (5) working days. In addition to the foregoing described days and hours, at the request of OCHD Health Director, the Medical Director or designated back-up Department physician will provide on-site medical supervision at OCHD Outpatient Clinics or other sites provided therefor, as necessary, during communicable disease incidents or other public health-related emergencies. 8, The Medical Director or designated back-up Department physician shall be available at least 4 hours per week for phone consultation during business hours and after-hours program coverage, and emergency phone consultation shall be available as needed during non-business hours through a pager system. Phone coverage will also be provided by the Medical Director or designated back-up Department physician for consultation and direction for communicable disease/epidemic control. 9. The Medical Director or designated back-up Department physician shall be available at least 4 hours per week for direct administrative and/or consultative services as outlined in General Consultation Services (Paragraph 2). 10. The Department will maintain current registration and licensure of the Medical Director and designated back-up Department physicians and shall provide copies to OCHD as appendices to the Designation of Medical Director attachment to this contract. 11. The Department will assure that the Medical Director and designated bark-up Department physicians are in, and maintain, compliance with OSHA guidelines regarding bloodborne pathogens including Hepatitis B and TB status as well as documentation of immunization against measles, mumps, rubella and varicella. In the event of a bloodborne pathogen exposure, the Department will be responsible htlps://owa orangeco co orange.nc.us/exchange/GWilder/Inbox/Contrad renewals (or May 16 agenda.EMVUNC Family Medicine - Medical Director 2006-07.dodC58EA28C-i8C0-4x97-9Af2-036E93DDAF83/UNC Family Medicine -Medical Director 2006- 07 doc?attach =1