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Medical Examiners . To the maximum practicable extent, OCHD shall <br /> include the medical director in the hiring process of APPs . As the hiring <br /> authority for the Health Department , the health director shall consult the <br /> medical director prior to any final hiring decisions . Should the medical <br /> director ' s schedule not permit participation and/or consultation , the health <br /> director shall consult with the Chair of Family Medicine in the medical <br /> director ' s absence or unavailability . The health director and medical director <br /> or Chair of Family Medicine shall mutually agree on the final hiring <br /> decision of an APP . If such mutual agreement is not achieved , then this <br /> agreement shall terminate and any payment due as of the date of termination <br /> shall be paid as provided in this agreement . <br /> 4) Develop medical policies and protocols , in consultation with the Personal <br /> Health Services Director, which conform to standards set by the North <br /> Carolina Department of Health and Human Services (DHHS ) , and the U . S . <br /> Department of Health and Human Services , <br /> 5 ) Sign protocols and standing orders that will allow professional working with <br /> OCHD to utilize the optimum range of procedures/medical treatment legally <br /> allowed by their Licensure Boards , <br /> 6 ) Provide 24/7 on - call consultation services for OCHD Communicable <br /> Disease Programs . <br /> 7 ) Attend OCHD Leadership Team or Board of Health meetings as requested <br /> by the Health Director , <br /> 8 ) Provide medical direction to the Communicable Disease Program via <br /> meetings , TB Management and Outbreak Management . <br /> 9) Provide medical direction to school health programs in both school systems <br /> in Orange County and medical consultation to both school and OCHD staff <br /> working in or with school health programs . <br /> 10 ) Attend and complete required trainings to include but not limited to the NC <br /> Department of Public Health (DPH) Annual Tuberculosis Symposium , Title <br /> X Training , NC DPH Annual STD Update , etc . <br /> 11 ) Other miscellaneous duties as provided for in the agreement . <br /> 12) Discharge the above described responsibilities through and with prior <br /> knowledge of OCHD Health Director . <br /> lie Clinical Services . The Medical Director Services provided by the Department <br /> shall include Clinical Services in compliance with State and Federal guidelines , <br /> program rules and all OCHD clinical practice guidelines and standards for all <br /> Outpatient Clinics conducted by OCHD , including without limitation the <br /> following OCHD Outpatient Clinics : Family Planning (FP ) , Prenatal Care (PNC ) , <br /> Child Health (CH) , Adolescent Health (ADOL ) , Tuberculosis (TB ) , Sexually <br /> Transmitted Disease ( STD) , General Communicable Disease Control (GEN) , <br /> Adult Health Preventive Services (AH/HP ) , Primary Care (PC ) , and Refugee <br /> 3 <br />