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Professional service charges for anesthesia shall be made through the Surgery Departmental Operational Account of the Private Patient Service. Annual salary shall be paid, and development of the Section aided by the Department of Surgery in a manner similar to that for the other surgical specialties through the Surgical Departmental Operational Fund.

Fees for professional services of anesthesiologists shall be established on a rate schedule in line with current charges in this geographical area. Private inpatients and private outpatients receiving the services of the professional staff in Anesthesiology shall be rendered a bill for these professional services within the framework of the private patient service.

Since most of these professional services will be rendered private patients undergoing surgery in the operating room of the N. C. Memorial Hospital, the Hospital charges for these services shall be included in the operating room charge customarily made by hospitals and will be a part of the Hospital bill to the patient.

When anesthesia service is rendered by a Resident to patients whose professional anesthesia charges are specified and paid by Blue Shield or other third parties, the fees collected shall accrue to the Residents' Fund after the Hospital charges have been paid in full.

C. Pathology

It is recognized that Pathology is one of the basic medical sciences. Increasing application of the science of Pathology to diagnosis and care of patients has resulted in increasing demands upon pathologists for clinical services. To meet these demands, pathologists in the Department of Pathology devote part-time, aside from their teaching and research duties, to the practice of Pathology. Hence the Department of Pathology is included in the private patient service, but with the appropriate modifications necessitated by the nature of the specialty of Pathology. Pathology practice activities are in two areas:

(1) The furnishing of a pathologic service to patients at the North Carolina Memorial Hospital (intramural service); and

(2) The furnishing of a pathologic service to certain community and state hospitals, physicians, coroners, medical examiners, and other (extramural service).

Each of these services is complex, with its own peculiar problems, and each needs to be self-supporting, with separate Operational Funds.

1. Intramural Service

The North Carolina Memorial Hospital shall pay each year for professional pathology services a specific amount to be determined jointly by the Head of the Department of Pathology and the Hospital Director before the beginning of each fiscal year on the basis of both estimated work-load and operating experience. These funds shall be transferred by the Hospital monthly to a Pathology Departmental Operational Fund. These funds shall be used by the Department of Pathology for the support of professional services performed for the Hospital, in accordance with the general policies for expenditures from Departmental Operational Funds.

2. Extramural Service

Income derived from other professional activities will be collected by extramural service and used first for necessary operational expenses of this service, including technical assistance, salaries, travel, supplies, equipment, postage, and other costs.

Remaining funds will be used for professional expenses and compensation of the professional staff of the Department of Pathology, for other departmental needs, and for transfer to the Medical School Trust Fund, in accordance with the general policies for expenditures for Departmental Operational Funds.