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Health (RH) . The Clinical Services provided by the Department shall include the <br /> following . <br /> 1 ) Collaboration with OCHD to develop and approve protocols for Outpatient <br /> Clinics . For the mutual benefit of the Department , OCHD , and its prenatal <br /> patients , prenatal patients will be managed according to OCHD established <br /> protocols . These protocols will be reviewed annually and will be developed <br /> in a manner that attempts to be consistent with protocols used at UNC <br /> Department of OB /GYN and Family Medicine outlying clinics . <br /> 2) Primary medical supervision of the Advanced Practice Practitioners (APPs ) <br /> who are employees of OCHD to include ongoing monitoring and evaluation <br /> of the medical acts performed by the APPs . Meeting with APPs at least <br /> once every six months to identify and document clinical problems , progress <br /> toward improving outcomes and recommendations for changes in treatment <br /> plans . Documentation of clinical issues discussed and actions taken will be <br /> signed , dated , retained by the APP and physician and be available for <br /> review . <br /> 3 ) During the first six months of practice , meet with new APPs monthly to <br /> discuss practice - relevant clinical issues and quality improvement measures . <br /> Documentation of clinical issues discussed and actions taken will be signed , <br /> dated , and retained by the APP and physician and be available for review . <br /> 4 ) Weekly case conference meetings with clinical staff at each site according to <br /> an agreed upon schedule to discuss high -risk patient care , treatment <br /> changes , and clinical operation issues . <br /> 5 ) Overall responsibility for medical residents and medical students working in <br /> clinics . This includes orientation , supervision of practice and assurance of <br /> compliance with OCHD program and documentation requirements . <br /> Advance notice of medical resident and student placement will be made to <br /> the Personal Health Director . Medical students are limited to those involved <br /> in special projects with the Medical Director . All medical residents and <br /> students must be in compliance with OCHD immunization requirements and <br /> maintain documentation of such on file at UNC . <br /> 6 ) Provision of routine medical services during scheduled on- site times at <br /> OCHD Outpatient Clinics , including documentation of Clinical Services , <br /> follow -up on all labs , patient calls and medication refills for all Medical <br /> Director Sessions provided per established OCHD protocols . <br /> 7) Medical consultation to OCHD APPs as needed when the Medical Director <br /> is not on - site at OCHD outpatient clinics . <br /> 8 ) Continuing education consultation for OCHD APPs and other OCHD staff <br /> to include regular informal consultation and periodic formal sessions as <br /> appropriate . <br /> 9 ) After-hours medical consultation for patients of OCHD . UNC Health Care ' s <br /> HealthLink program provides initial triage of after-hours calls for all <br /> 4 <br />