AHSC STUDENT ROTATION AGREEMENT.PDF

Maricopa County — Formal (2025-01-29)

Extracted text (via pymupdf) 35911 characters

UNIVERSITY OF ARIZONA HEALTH SCIENCES

STUDENT ROTATION TRAINING AGREEMENT

This Student Rotation Training Agreement (“Agreement”) sets forth the terms of
the clinical educational rotation of students from the Arizona Board of Regents acting on
behalf of The University of Arizona Health Sciences1 pursuant to Arizona Revised
Statutes Title 15, Chapter 13, Article 2, Section 1625.B.2 (“AHSC”), whose principal office
is located at 1670 E. Drachman St., 9th Floor, Tucson, AZ 85721, to Maricopa County, by
and for its Department of Public Health (“MCDPH”), whose principal office is located at
4041 N. Central Ave., Ste. 1400, Phoenix, AZ 85012 for educational training and
experience.

1. Rotation Goals and Objectives

A. The educational goals and objectives for any rotation will be provided by AHSC to
the applicable MCDPH preceptor prior to the start of the rotation. If these goals
and objectives are acceptable to MCDPH, the MCDPH preceptor will sign a
statement agreeing to meet the goals and objectives of the rotation and will return
a copy to AHSC.

B. AHSC shall retain full control and responsibility for the overall education of the
students.

C. The purpose of this Agreement is to establish coordinated clinical educational
programs and guidelines for the education and training of health sciences
students, externs, interns, residents and/or fellows from AHSC, (“Student or
Students”).

D. The accreditation bodies (“Accreditation Agencies”) responsible for the
accreditation of the academic programs within each of these colleges, include but
are not limited to the following:

1.D.1. Accreditation Review Commission on Education for the Physician
Assistant, Inc. (“ARC-PA”) for the Physician Assistant Program.

1.D.2. Commission on Accreditation in Physical Therapy Education (“CAPTE”)
for the Doctor of Physical Therapy Program.

1.D.3. Accreditation Council for Genetic Counseling (“ACGC”) for the Genetic
Counseling Program.

1.D.4. Accreditation Commission for Midwifery Education (“ACME”) for the
Midwifery Program.

1 Including but not limited to: College of Health Sciences; College of Medicine-Phoenix; College of
Medicine-Tucson; College of Nursing; College of Pharmacy; and College of Public Health.

1.D.5. Liaison Committee on Medical Education ("LCME") for the medical
student curriculum.

1.D.6. Commission on Collegiate Nursing Education ("CCNE") for nursing
programs.

1.D.7. Council on Accreditation of Nurse Anesthesia Educational Programs
(”COA”) for the nurse anesthesia programs.

1.D.8. Accreditation Council for Pharmacy Education ("ACPE") for the pharmacy
programs.

1.D.9. Council on Education for Public Health ("CEPH") for the public health
programs.

2. Responsibilities of AHSC for Rotations

A. Provide qualified faculty and a properly structured educational experience to
Student Participants in accordance with the accreditation standards of the
applicable Accreditation Agency identified in Section 1D.

B. Agree to notify Students of MCDPH’s requirement that Students participating in
the clinical educational program at MCDPH adhere to existing rules and
regulations of MCDPH.

C. Agree to notify Students of MCDPH’s requirement that each Student participating
in the clinical educational program at MCDPH meets the same health standards
that are required of all employees at MCDPH. MCDPH may request upon
reasonable notice a physical examination and/or laboratory or other diagnostic
tests for any Student. The Student shall have the option to either agree to such
physical examinations, labs, and tests or AHSC will withdraw the Student from
MCDPH. MCDPH and AHSC shall not be responsible for any cost or charges
incurred for such physical examinations, labs, or tests.

D. Agree to notify Students of MCDPH’s requirement of Students’ duty not to release
any material relative to practical experiences that has not been approved by
MCDPH for release for publication or to third parties, or that is confidential by law.

E. Agree to notify Students of MCDPH’s requirement that that Student dress and
grooming shall be appropriate for MCDPH and for health care workers. Students
will comply with the MCDPH dress code.

F. Notwithstanding any provision to the contrary, AHSC agrees that the Students
enrolled at MCDPH shall not be employees or agents of MCDPH or Maricopa
County, and shall not be entitled to any defense or indemnity under Maricopa
County’s Declaration of Trust for Maricopa County, Arizona, Self-Insured Risk
Trust Fund, benefits, conditions, terms or rights of MCDPH employees including

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workers’ compensation, medical or hospitalization insurance or benefits, pension,
retirement or vacation pay, credit or other benefits or rights of MCDPH employees.
MCDPH may, at its own election, decide to provide Students a stipend. MCDPH
employees employed by AHSC as faculty members on their own time (non-
MCDPH pay status) will be subject to the same restrictions.

G. Upon MCDPH’s request, AHSC will remove from MCDPH any Student for
unsatisfactory performance or failure to follow MCDPH's administrative and
patient care policies, procedures, rules and regulations, or any applicable laws of
the State of Arizona.

H. Reimburse MCDPH for damage to equipment or supplies, provided MCDPH
provides evidence that such damage was caused by Students or faculty
observers.

I.
Designate a person or persons to assist in the coordination of Student learning
experiences, including planning with MCDPH staff to assign Students to specific
learning experiences that are appropriate for the program(s).

J. Provide at least 30-day’s advance notice for Students assigned to a rotation.

3. Responsibilities of MCDPH for Rotations

A. Provide training experiences and make available the related facilities at MCDPH
for Students enrolled in any program. MCDPH, together with its professional staff,
has complete and total authority and responsibility for control over the details and
means for the training experiences.

B. MCDPH staff will teach and supervise Students while assigned to MCDPH
experiences. Any direct patient care or client services provided by Students shall
be under the direct, immediate and exclusive supervision of qualified staff
employed by MCDPH. All patient/client orders and staff instructions, methods,
techniques and procedures initiated and/or performed by Students will be subject
to prior review, approval and counter signature by appropriate MCDPH personnel.
MCDPH, together with its professional staff, agrees to maintain exclusive control
over MCDPH's services to its patients/clients and be the responsible party for all
decisions related to such services. Students will not have independent authority.

C. Designate a person or persons or MCDPH unit to assist in the coordination of the
Students’ learning experiences, including planning with MCDPH staff for the
assignment of Students to specific learning experiences which are appropriate for
the Students’ program. MCDPH agrees to notify its staff of the obligations covered
by and agreed to in this Agreement.

D. Keep AHSC informed of changes in policy that affect Students.

E. MCDPH will provide for the prompt and appropriate transfer of a Student to an
appropriate facility in the event a Student requires emergency medical care and/or

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treatment for a life-threatening situation. In such case, MCDPH does not assume
the associated expenses for such medical treatment, including costs of transfer
and further treatment.

F. MCDPH agrees to provide Students any additional training beyond training in
Human Blood and Body Fluid Precautions that meets OSHA Regulations; if
required by MCDPH 's facilities and programs.

G. MCDPH agrees to promptly provide the AHSC a written statement describing the
reason or reasons for the removal of a Student due to the Student’s unsatisfactory
performance or failure to follow Student’s administrative and patient care policies,
procedures, rules and regulations, or any applicable law of the State of Arizona.

H. In accordance with accreditation guidelines by the appropriate Accreditation
Agency identified in Section 1D, MCDPH will comply with, at a minimum, the
following requirements:

3.H.1. Ensure responsibility for the control and operation of MCDPH’s facilities
and its programs.

3.H.2. Cooperate with AHSC and acknowledge the AHSC’s sole authority with
respect to academic programs.

3.H.3. Use its best efforts to ensure that its environment promotes the
development of appropriate professional attributes in the Students
assigned thereto.

I.
MCDPH will permit representatives of AHSC and academic accreditation
agencies to inspect its facilities, the services made available for the placement of
Students, Student records, and other information relevant to the placement.

J. MCDPH will, at the commencement of a Student’s placement, provide the Student
with an orientation about MCDPH’s policies, procedures, standards and practices
relevant to the Student’s placement including information regarding safety and
emergency procedures. If applicable, MCDPH will also provide to Students HIPAA
(as defined herein) policies and procedures that are unique to MCDPH’s facilities.

K. To the extent MCDPH generates or maintains educational records related to
participating Student(s), MCDPH agrees to comply with the Family Educational
Rights and Privacy Act ("FERPA"), to the same extent as such laws and
regulations apply to AHSC and shall limit access to only those employees or
agents with a need to know. For the purposes of this Agreement, pursuant to
FERPA, AHSC hereby designates MCDPH as a school official with a legitimate
educational interest in the educational records of the participating Student(s) to
the extent that access to AHSC’s records is required by MCDPH to carry out the
clinical educational program.

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L. MCDPH will provide for the prompt and appropriate transfer of a Student to an
appropriate facility in the event a Student is exposed to a potentially infectious
agent or hazardous material (i.e. an exposure by skin, eye, mucous membrane,
or parenteral contact with blood or other potentially infectious materials that may
result from the participation in the clinical training activities or an exposure by
inhalation, skin, eye, or mucous membrane to substances defined as hazardous
chemicals that may be present in the training site). MCDPH will not be responsible
for any post-exposure testing and further prophylactic drug treatment. Students
are responsible for costs of the initial assessment, initial prophylactic treatment,
and necessary tests including labs related to the exposure. MCDPH will provide
copies of all incident reports documenting the circumstances of the exposure to:
University of Arizona Risk Management Services, P.O. Box 210300, Tucson,
Arizona 85721-0300, Attn: Director of Occupational and Environmental Health
and Safety.

4. Mutual Responsibilities of MCDPH and AHSC

A. The personnel of MCDPH and the faculty of AHSC assigned to the program will
confer at such times as may be mutually agreed upon to evaluate the educational
program.

B. The personnel of MCDPH and the faculty of AHSC assigned to the program shall
cooperate in providing a sound educational environment.

C. Students are assigned for practical training experiences in the appropriate
MCDPH unit. Both parties shall mutually agree upon the number of Students and
the appropriate MCDPH unit for training.

D. Upon request, each party will complete program evaluation forms for Students,
faculty, or learning experiences.

E. Students will not have implied, presumptive or apparent authority or independent
health care responsibilities for MCDPH’s patients and clients and are not to be
considered as ostensible agents, independent health care providers, patients’
advocates, MCDPH's employees or agents, or individuals practicing in an
extended role while participating in an education program pursuant to the terms
of this Agreement.

F. Students will not share in either the allocation of the duty of care responsibilities,
determination of service utilization, or establishment of criteria for standard of care
for MCDPH 's patients.

G. The withdrawal, dismissal or removal of a Student in accordance with Section 3G
of this Agreement, will not affect continuation of this Agreement or the continued
training of other Students.

H. For purposes of the Health Insurance Portability and Accountability Act (HIPAA),
AHSC and MCDPH acknowledge that Students are part of MCDPH’s “workforce,”

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as defined in the HIPAA Privacy Regulations at 45 C.F.R. 160.103, and as such,
no Business Associate agreement is required between AHSC and MCDPH.

I.
In keeping with all federal and state rules and regulations regarding patient/client
confidentiality, AHSC will notify the Students that they are responsible for
maintaining the confidentiality of patient/client information. AHSC expects that
MCDPH will not permit Students to access, or have the right to review, any
medical or epidemiological record, except where necessary in the regular course
of the training program covered by this Agreement or in furtherance of any
litigation arising out of Student’s affiliation. Additionally, because of AHSC’s
potential reliance upon MCDPH for information required by federal, state and/or
accreditation requirements, MCDPH agrees to provide AHSC access to such
information for those purposes. AHSC will advise Students that they are not
permitted to discuss, transmit or otherwise communicate, in any form, any
patient/client information of a personal nature, medical or otherwise, obtained by
the Students, except as a necessary part of the training programs covered by this
Agreement. AHSC will affirm that all Students have received training required by
Federal Rules and Regulations for the protection of patients' protected health
information ("PHI") and that departmental records of completion of such training
will be available to MCDPH upon written request. AHSC expects that MCDPH will
provide any additional training to Students as members of its workforce. AHSC
agrees to notify Students of such requirement and MCDPH will provide AHSC with
records of such attendance.

5. Term and Termination

A. The term of this Agreement shall be from January 29, 2025, through June 30,
2029. The Agreement may be renewed for additional terms by the mutual consent
of both parties.

B. This Agreement may be terminated by either party upon thirty (30) days prior
written notice to the other party; provided, however, Students participating at
MCDPH at the time of termination shall be given an opportunity to complete their
participation.

6. Insurance

AHSC is insured under the provisions of Arizona Revised Statues §41-621, as
administered by the Arizona Department of Administration, Risk Management
Division. Maricopa County, which includes MCDPH, is self-insured pursuant to
Arizona Revised Statutes § 11-981 as governed, defined, and controlled by the
terms of the Revised Restated Declaration of Trust for Maricopa County, Arizona
Self-Insured Risk Trust Fund, approved by the Maricopa County Board of
Supervisors and maintained and administered by the Maricopa County Risk
Management Department. Insurance coverage provided by these statutory
programs is deemed sufficient for the purposes of this Agreement.

7. Miscellaneous

A. AHSC and MCDPH shall not discriminate against any individual on the basis of
race, color, sex, pregnancy, childbirth or medical conditions related to pregnancy
or childbirth, political or religious affiliation or ideas, culture, creed, social origin or
condition, genetic information, sexual orientation, gender identity or expression,
national origin, ancestry, age, disability, military service or veteran status, or
marital status, whether as to employees, applicants for employment, students,
faculty, or clients. To the extent applicable to this Agreement, both parties agree
to comply with all state and federal employment laws, rules, regulations, and
executive orders, including Executive Order 2009-09 as amended by Executive
Order 2023-01, relating to equal employment opportunity and non-discrimination.
Additionally, in the course of carrying out duties pursuant to this Agreement,
MCDPH agrees that, if a Student makes an allegation or complaint either to
MCDPH or to AHSC that s/he has been subjected to unlawful discrimination by
MCDPH, MCDPH agrees to cooperate with AHSC to investigate and resolve such
allegations or complaints.

B. Nothing in this Agreement shall be deemed or construed as creating a
relationship of principal and agent or of partnership or of joint venture between
the parties. Students shall not be considered servants, agents, or employees of
MCDPH.

C. This Agreement shall be construed and enforced in accordance with the laws of
the State of Arizona. Exclusive venue and jurisdiction for any actions or
proceedings related to or stemming from this Agreement will be in the state or
federal courts sitting in Phoenix, Arizona.

D. This Agreement shall be binding upon and shall inure to the benefit of both parties
and their respective successors, heirs, assigns and legal representatives. This
Agreement may not be assigned in part or whole without the prior written consent
of both parties.

E. The Parties have authorized the undersigned individuals to execute this
Agreement on their behalf.

F.
This Agreement contains the entire understanding of the parties relating to the
subject matter of this Agreement. Any prior agreements, promises, negotiations
or representations between the parties, either oral or written, relating to the
subject matter of this Agreement that are not expressly included are of no force
or effect. Any modifications or amendments must be agreed to by both parties in
writing.

G. During the term of this Agreement, the parties shall take such actions, including
revising this Agreement, as necessary or advisable to comply fully with all laws,
rules, and regulations applicable to the performance of this Agreement, including
without limitation the Health Insurance Portability and Accountability Act
(“HIPAA”) and the FERPA.

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H. Service of all notices under this Agreement will be sufficient if mailed to that
party’s address set forth herein, by overnight courier service or by certified or
registered mail, return prepaid, addressed to the party as follows:

i. MCDPH:
Specialized Services Supervisor

Maricopa County Dept. of Public Health

4041 N. Central Ave. Ste. 1400

Phoenix, AZ 85012

ii. AHSC:
UAHS Contracts

1670 E. Drachman Street, 9th Floor

PO Box 210216

Tucson, Arizona 85721-0216

Notices given in the manner described above will be deemed received by the
addressee Party on the third business day after the date of mailing.

I.
Each party (as Indemnitor) agrees to indemnify, defend and hold harmless the
other party (as Indemnitee) from and against any and all claims, losses, liability,
costs, or expenses (including reasonable attorney's fees) (hereinafter collectively
referred to as "claims") arising out of bodily injury of any person (including death)
or property damage, but only to the extent that such claims, which result in
vicarious, derivative liability to the Indemnitees, are caused by the act, omission,
negligence, misconduct, or other fault of the Indemnitor, its officers, officials,
agents, employees, volunteers, or (as to AHSC) Students.

J.
Compliance Requirements for A.R.S. § 41-4401, Government Procurement; E-
Verify Requirement:

i.
AHSC warrants compliance with all federal immigration laws and
regulations relating to employees and warrants its compliance with A.R.S.
§ 23-214(A), which states, “After December 31, 2007, every employer,
after hiring an employee, shall verify the employment eligibility of the
employee through the e-verify program and shall keep a record of the
verification for the duration of the employee’s employment or at least three
years, whichever is longer”.
ii.
A breach of warranty regarding compliance with immigration laws and
regulations shall be deemed a material breach of this Agreement and
AHSC may be subject to penalties up to and including termination of the
contract.
iii.
Failure to comply with a state audit process to randomly verify the
employment records of contractors and subcontractors shall be deemed a
material breach of this Agreement and AHSC may be subject to penalties
up to and including termination of the Agreement.
iv.
The State of Arizona retains the legal right to inspect the papers of any
employee who works on this Agreement to ensure that the contractor or
subcontractor is complying with the warranty under Paragraph i.

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v.
For questions about E-Verify AHSC should visit the following web site:
http://www.uscis.gov.

K. This Agreement may be cancelled in accordance with A.R.S. § 38-511.

L. The parties recognize that the ability to perform under this Agreement may be
dependent upon the availability of funds. The Parties agree that if an appropriation
is reduced or canceled, either Party may reduce its scope of involvement in this
Agreement or cancel the Agreement without further duty or obligation by
delivering written notice to the other party as soon as reasonably possible after
the unavailability of funds comes to a party’s attention.

M. The parties acknowledge that disputes arising from this Agreement may be
subject to arbitration in accordance with applicable law and court rules.

N. Special Provisions:

The Special Provisions, which may be attached, will set forth additional particular
responsibilities of the parties hereto and, are, by this reference, made for all
purposes a part of this Agreement. They are not intended to limit the parties from
developing Special Provisions for other programs covered by this Agreement. In
cases where the representations of the Special Provisions differ from those in the
General Provisions, the representations in the General Provisions will control.

Special Provisions will be added or amended as necessary to reflect changes
including work statement activities, reporting periods, frequency of reports, report
formats, payment, personnel or supervisor changes, and will be attached to and
become a part of this Agreement when such Special Provisions have been
mutually agreed to and signed by the appropriate and authorized persons from
each party.

O. The University of Arizona, College of Medicine-Phoenix’s Diversity Mission
Statement (“Diversity Statement”) is attached and incorporated into this
Agreement. The Diversity Statement is applicable only to AHSC. It does not
impose any duty, obligation, or liability on Maricopa County, MCDPH, or any of
their officers, officials, agents, employees, or volunteers.

The persons executing this Agreement represent and certify that they have the full power
and authority to enter into this Agreement on behalf of the entities for which they are
signing.

(signature page follows)

IN WITNESS WHEREOF, MCDPH and AHSC have executed this Agreement.

MARICOPA COUNTY
Acting for and on behalf of
the Department of Public Health
ARIZONA BOARD OF REGENTS
ACTING ON BEHALF OF THE
UNIVERSITY OF ARIZONA

By:

Chairman,
Maricopa County Board of
Supervisors

Name:

Date

Elisha Johnson, JD

Title:

Sr. Director, Clinical Trials &
Contracting
Attest:

Clerk of the Board

Date

Approved as to Form

Date
Deputy County Attorney

Elisha Johnson (Dec 18, 2024 14:48 MST)
Elisha Johnson

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Special Provisions

I.
These Special Provisions are intended to cover, but not be limited to, the training
of Global MD students (“Program Participants”) from the College of Health
Sciences, University of Arizona while they are at MCDPH.

II.
Items of Agreement
A. Access to Professional Development

1. Newly recruited clinical teaching faculty may be unfamiliar with
competency-based assessment strategies used in the clinical clerkship
phase of the University’s College of Health Sciences Global MD Program
(“Global MD Program”) and will require adequate training. A
development program will be provided by the Global MD Program for
MCDPH’s employed clinical teaching faculty supervising Program
Participants at MCDPH sites (“MCDPH Clinical Teaching Faculty”) to
help them understand how to teach, evaluate, and optimize Program
Participant performance. An accrediting body of the Global MD Program
is the Australian Medical Council.

2. In addition, Global MD’s Associate Dean for Faculty Affairs will identify
and prioritize instructional development needs of MCDPH Clinical
Teaching Faculty for the Global MD Program. Other deliverables provided
by the Global MD Program will include the development and
implementation of instructional methods including assisting MCDPH
Clinical
Teaching
Faculty
in
integrating
technology
across
teaching/learning experiences, recruitment of MCDPH Clinical Teaching
Faculty for inclusion in program development, implementation and
development of resource and materials for MCDPH Clinical Teaching
Faculty on a continual basis to guide teaching and/or assessment
practices.

3. MCDPH Clinical Teaching Faculty with faculty appointments must
complete faculty development learning modules which will cover all
aspects of training from greeting and orientation through assessment and
examination. Learning modules will provide MCDPH Clinical Teaching
Faculty with continuing medical education credits.

B. Minimum Time Requirements
1. Effective clinical teaching requires dedicated time and a planned
balance between clinical care/service and teaching. MCDPH
Clinical Teaching Faculty will have dedicated time to assure optimal
Program Participant learning.

2. Global MD Clerkship Directors will collaborate with site specific
MCDPH Clinical Teaching Faculty to not only recruit high quality
MCDPH Clinical Teaching Faculty, but also assure the quality time
commitment is in place.

C. Maintenance of University Standards

1. Global MD Leadership will complete clinical site visits at MCDPH site at a
minimum annually. MCDPH clinical sites with new Clinical Teaching
Faculty may expect quarterly visits to assess progress, needs and assure
needed resources are available.

2. Global MD will oversee the management and collection of academic data
essential for academic planning, program assessment, and program
improvement to include but not limited to the following:

(a) Regular, online surveys will be administered to Program
Participants and MCDPH Clinical Teaching Faculty at the
conclusion of each education unit or clerkship.

(b) Findings from these surveys will be communicated quarterly
to the clerkship coordinators and clerkship directors by the
Director of Assessment and Evaluation and presented to the
Clinical Curriculum Committee (“CCC”). In this way, Global
MD faculty and student representatives will receive the
feedback of program and curricular evaluation and can
partner with the Global MD Curricular Affairs leadership to
affect necessary improvements or modifications of the
curriculum to meet the needs of the Program Participants and
MCDPH Clinical Teaching Faculty.

(c) Additional expected sources of input regarding curriculum
evaluation will include Program Participant focus groups
conducted by the Director of Assessment and Evaluation and
regular directed communication with the Program Participants
via their Student Affairs leadership and Program Participant
mentors.

(d) Further, a confidential process will be deployed wherein
Program Participants can anonymously report concerns to the
Global
MD
Curricular
Affairs
leadership.
Information
generated by all such means will flow directly back to the
Global MD Executive and Global MD CCC, along with survey
findings to drive required improvements or modifications of
the curriculum.

3. The Health Service Provider agrees:

(a) To use all reasonable endeavors to ensure that for the duration of
the Agreement, Program Participants act only under the supervision
of a suitably experienced, qualified, and (where relevant) registered
clinician at all times when participating in the Global MD Program;

(b) That discipline of Program Participants is the responsibility of Global
MD Program subject to the right of the Health Service Provider to
instruct a Program Participant in connection with any clinical learning
experience arising in the course of the Global MD Program;

(c) To notify the Global MD Clerkship Director if a complaint is received
by the Health Service Provider in relation to a Program Participant or
a member of the Global MD staff regarding the Global MD Program;

(d) To provide the facilities, subject to the operational requirement of the
Health Service Provider, to enable Global MD staff to conduct clinical
education discussion with the Program Participants; and

(e) At the discretion of the Health Service Provider to provide (at no cost)
Program Participant with protective garments for hygiene and
infection control for use during the Global MD Program.

D. Appointment of Faculty to the Medical Staff
When appropriate as determined by the Global MD Program, certain faculty
at clerkship sites may become faculty in the College of Health Sciences. This
may come with appointment and fractional FTE in the Global MD Program.

E. Design of the Curriculum
1. The Global MD Program shall be responsible for:

(a) The administration and development of the education program course
content;

(b) Clinical and practical programs;

(d) Taking reasonable steps to inform the Health Service Provider of the
specific learning objectives for Program Participants during their
participation in the Global MD Program;

(e) Taking reasonable steps to inform the Health Service Provider of the
extent and nature of prior experience of Program Participants as
relevant to the Global MD Program; and

(f) Taking reasonable steps to inform the Health Service Provider of
specific matters which may affect a Program Participant’s learning
capacity as relevant to the Global MD Program and all related matters.

F. Evaluation of Program Participant Performance

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1. The Global MD Program shall be responsible for Program Participant
assessment, unless it is otherwise agreed in writing by the Parties that
the content of placement and assessment is to be conducted in
collaboration with the Health Service Provider employees.

2. Oversight of Program Participants will be provided by the MCDPH
Clinical Teaching Faculty assigned to a particular Program Participant.
The MCDPH Clinical Teaching Faculty will be assigned one (1) Program
Participant per rotation. Program Participant assessment will be
provided by that Affiliate Clinical Teaching Faculty and Program
Participants have the opportunity to provide feedback (via either
identified or anonymous mechanisms) on the Affiliate Clinical Teaching
Faculty, as well as the facility and staff.

III.
These Special Provisions are not intended to limit the Parties to this Agreement
from developing Special Provisions for other programs covered by this
Agreement.

IV.
If a conflict arises between these Special Provisions and the General Provisions
of this Agreement, the General Provisions shall govern.

V.
Section and clause headings are used herein solely for convenience of reference
and are not intended as substantive parts of the Parties’ agreement.

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15
Special Provisions

I.
These Special Provisions are intended to cover, but not be limited to, the training
of Physician Assistant Program students (“Program Participants”) from the
College of Health Sciences, University of Arizona while they are at MCDPH.

II.
Items of Agreement

A.
The Physician Assistant Program Director is responsible for the general
administration of the program, including those activities related to the
recruitment, selection, instruction, supervision, counseling, evaluation,
discipline and advancement of Program Participants and the maintenance
of records related to program accreditation.

B.
Supervisory MCDPH Staff (on-site). Preceptors shall include Physicians
who are specialty board certified in their area of instruction, NCCPA certified
physician assistants, and/or Other licensed health care providers qualified
in their area of instruction including but not limited to: nurse practitioners,
certified nurse midwives, clinical social workers, and psychologists
(“Preceptors”).

C.
Educational Goals and Objectives. Course syllabus and learning objectives
shall be provided to each Preceptor prior to the start of each clinical rotation.
Program Participants shall have access to the physical facilities, patient
populations, and clinical supervision necessary for fulfilling program
learning outcomes.

D.
Assignment of Program Participants. Program Participants will be assigned
to a Preceptor in accordance with the Preceptor’s preferences and
availability.

E.
Program Participant Evaluation, Supervision and Teaching. The Physician
Assistant Program and Preceptors shall have shared responsibility for the
evaluation and provision of feedback for Program Participants per ARC-PA
requirements. MCDPH agrees to comply with initial and ongoing evaluation
of clinical sites and Preceptors in accordance with accreditation standards.
Program Participants shall have access to educational resources and
supervised clinical training experiences inclusive of the opportunity to (a)
perform supervised comprehensive patient assessments, (b) participate in
patient care decision making, and (c) assist in the development a plan for
patient management. For clarity, MCDPH, together with its Preceptor,
agrees to maintain exclusive control over MCDPH's patients’ care and be
the responsible party for all decisions related to such health care and
treatment.

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III.
These Special Provisions are not intended to limit the Parties to this Agreement
from developing Special Provisions for other programs covered by this
Agreement.

IV.
If a conflict arises between these Special Provisions and the General Provisions
of this Agreement, the General Provisions shall govern.

Maricopa County Department of Public Health
UAHS A-A 94366
Final Audit Report
2024-12-18
Created:
2024-12-18
By:
Manny Moreno (mmoreno945@arizona.edu)
Status:
Signed
Transaction ID:
CBJCHBCAABAAqP_Wrrf-cCUdU-BXYVG1vApYT8wv4kSE
"Maricopa County Department of Public Health UAHS A-A 9436
6" History
Document created by Manny Moreno (mmoreno945@arizona.edu)
2024-12-18 - 7:19:46 PM GMT- IP address: 150.135.165.68
Document emailed to Elisha Johnson (elishajohnson@arizona.edu) for signature
2024-12-18 - 7:21:03 PM GMT
Email viewed by Elisha Johnson (elishajohnson@arizona.edu)
2024-12-18 - 9:48:14 PM GMT- IP address: 93.180.200.246
Document e-signed by Elisha Johnson (elishajohnson@arizona.edu)
Signature Date: 2024-12-18 - 9:48:34 PM GMT - Time Source: server- IP address: 150.135.165.120
Agreement completed.
2024-12-18 - 9:48:34 PM GMT