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File #: RES 26-029    Name: Create Unit FL & OB Fellow Classification
Type: BoS Resolution Status: Natividad Medical Center - Consent
File created: 2/17/2026 In control: Board of Supervisors
On agenda: 3/10/2026 Final action:
Title: Adopt a Resolution to: a. Amend Personnel Policies and Practices Resolution (PPPR) No. 98-394 Section IV Employee/Bargaining Units to establish Unit FL for unrepresented Obstetrics (OB) Fellows as indicated in Attachment A; b. Amend Personnel Policies and Practices Resolution (PPPR) No. 98-394 Appendices A and B to create the classification of Obstetrics (OB) Fellow with the salary range as indicated in Attachment B, effective March 7, 2026; and c. Authorize and direct the County Human Resources Department and the Auditor Controller’s Office to take the necessary actions to create Unit FL in the Advantage Human Resources Management (HRM) system.
Attachments: 1. Board Report, 2. Attachment A - Unit FL, 3. Attachment B - Create OB Fellow, 4. Board Resolution - Create OB Fellow Classification
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Title
Adopt a Resolution to:
a. Amend Personnel Policies and Practices Resolution (PPPR) No. 98-394 Section IV Employee/Bargaining Units to establish Unit FL for unrepresented Obstetrics (OB) Fellows as indicated in Attachment A;
b. Amend Personnel Policies and Practices Resolution (PPPR) No. 98-394 Appendices A and B to create the classification of Obstetrics (OB) Fellow with the salary range as indicated in Attachment B, effective March 7, 2026; and
c. Authorize and direct the County Human Resources Department and the Auditor Controller’s Office to take the necessary actions to create Unit FL in the Advantage Human Resources Management (HRM) system.

Report
RECOMMENDATION:
It is recommended that the Board of Supervisors consider adopting a Resolution to:
a. Amend Personnel Policies and Practices Resolution (PPPR) No. 98-394 Section IV Employee/Bargaining Units to establish Unit FL for unrepresented Obstetrics (OB) Fellows as indicated in Attachment A;
b. Amend Personnel Policies and Practices Resolution (PPPR) No. 98-394 Appendices A and B to create the classification of Obstetrics (OB) Fellow with the salary range as indicated in Attachment B, effective March 7, 2026; and
c. Authorize and direct the County Human Resources Department and the Auditor Controller’s Office to take the necessary actions to create Unit FL in the Advantage Human Resources Management (HRM) system.

SUMMARY:
Natividad Medical Center (NMC) is seeking to work with the Human Resources Department to establish a bargaining unit and create a new classification for unrepresented Obstetrics (OB) Fellows.
DISCUSSION:
As part of the foundational contract negotiations with the Union of American Physicians and Dentists (UAPD), parties agreed that OB Fellows would not be covered under the negotiated Memoranda of Understanding (MOU) provisions. Therefore, County staff have identified a need to establish a new employee/bargaining unit, identified as Unit FL, to which OB Fellows could be moved a...

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