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08-09 AGREEMENT Between UNC School of Medicine <br />And Orange County Health Department <br />May 21, 2008 <br />Page 5 of 9 <br />physicians, to be "available" to provide the General Consultation and <br />Clinical Services identified in this agreement. <br />a. The Department and OCHD shall indicate their mutual agreement to <br />the designation of the Medical Director and designated back-up <br />Department physicians available to be scheduled in the absence of <br />the Medical Director by signing the "Designation of Medical Director' <br />attachment to this contract. Any changes in these designations will be <br />mutually agreed to by the Chair of the Department and OCHD Health <br />Director. In the event that the Medical Director or any designated <br />back-up Department physician becomes unwilling or unable to <br />perform the duties required by this agreement, the Department and <br />OCHD shall attempt to mutually agree upon replacement(s). If such <br />mutual agreement is not achieved, then this agreement shall terminate <br />and any payment due as of the date of termination shall be paid as <br />provided for in paragraph ~ of this agreement. <br />11 <br />b. Substitutions in the scheduling of the Medical Director or designated <br />back-up Department physician will be the responsibility of the <br />Department in consultation with OCHD Health Director. Vacation <br />leave, continuing education, and other assignments requiring <br />temporary back-up coverage will be mutually agreed upon by the <br />Chair of the Department and OCHD Health Director. <br />µ~ ~~~ <br />7. The Medical Director or designated back-up Department physician shall <br />provide a total of twenty-two (22) hours per week of the foregoing Clinical <br />Services on-site at OCHD Outpatient Clinics or other sites as provided therefor. <br />Days and times and the identity of the person or persons scheduled to be on- <br />site to provide this coverage on behalf of the Department will be mutually <br />agreed to by the Department and OCHD. Although the Department is not <br />required to provide the attendance of a Medical Director or back-up <br />Department physician on the premises of OCHD outpatient facilities or other <br />sites provided therefor at other times, access should be made available during <br />other days and times as stipulated in this agreement. Substitute coverage by a <br />back-up Department physician is expected during vacations and other <br />anticipated absences of the Medical Director or back-up Department <br />physician originally scheduled to be available. The Medical Director or <br />designated back-up Department physician shall be responsible for notifying <br />OCHD of schedule changes. If attendance as scheduled of the Medical <br />Director or designated back-up Department physician is impossible due to <br />unremediable circumstances, phone coverage of a designated back-up <br />Department physician must be provided and nurse practitioner charts will be <br />signed by the appropriate designated Department physician or back up <br />Department physician on call within five (5) working days. In addition to the <br />foregoing described days and hours, at the request of OCHD Health Director, <br />S:\Managers Working Files\Contracts\PERSONAL HEALTH - UNCFM\FY 2009 Contracts with UNC Family <br />Medicine\UNC Family Medicine -Medical Director 2008-09.doc <br />