2016 general council proceedings fixed - cma · shawn whatley, md québec pierre harvey, md ......

Proceedingsof the 149th

Annual Meetingand transactionsof General Council

August 21 to 24, 2016 – Vancouver

NOTE: Readers should refer to the 2016 Reports to GeneralCouncil while reviewing these transactions to relate the decisionsof General Council to the background information provided inthe reports.

TABLE OF CONTENTS Elected Officials .......................................................................................................................................................... 1

Secretariat ................................................................................................................................................................... 2

2016 Delegates, member observers and non-member observers ............................................................................. 3

Proceedings .............................................................................................................................................................. 10

Introduction and official opening ....................................................................................................................... 10

General Council procedure ................................................................................................................................. 10

Keynote Address: Health consequences of climate change ............................................................................... 11

Strategic Session 1: Health consequences of climate change ............................................................................ 12

Committee on Ethics report ................................................................................................................................ 12

Emerging issues dialogue .................................................................................................................................... 13

General motions .................................................................................................................................................. 16

Address by the federal minister of health ........................................................................................................... 21 Board of Directors’ report ................................................................................................................................... 21

Audit and Finance Committee report ........................................................................................................... 21

Membership fees ........................................................................................................................................... 22

Governance Committee report (Bylaws) ...................................................................................................... 22

Nominations and elections .................................................................................................................................. 23

Valedictory address .............................................................................................................................................. 26

Awards .................................................................................................................................................................. 27 Strategic Session 2: Integrated care lessons and opportunities ......................................................................... 27

Strategic Session 3: Strengthening resilience in medical training and practice ................................................ 29

Installation of president and inaugural address ................................................................................................. 30

Annual General Meeting ........................................................................................................................................... 32

Business session .................................................................................................................................................. 32

CMA Enterprise stewardship panel ..................................................................................................................... 32

New business ....................................................................................................................................................... 32

Bylaws .................................................................................................................................................................. 33

© 2017 Canadian Medical Association

These proceedings are prepared for discussion with members of the medical profession only; they are protected by copyright and may not be reproduced or quoted in whole or in part or paraphrased in any manner without written permission from the Canadian Medical Association.

For additional copies, please contact:

Canadian Medical Association, 1867 Alta Vista Drive, Ottawa ON K1G 5W8

Tel.: 800 267-9703; 613 731-9331.

2016 GENERAL COUNCIL PROCEEDINGS │ 1

ELECTED OFFICIALS General Council Speaker and Deputy Speaker 2016

Speaker

Deputy Speaker

Maria Alexiadis, MD

Ernst Shuster, MD

Board of Directors 2015-16

Chair

President

President-Elect

Past President

Honorary Treasurer

Brian Brodie, MD*

Cindy Forbes, MD*

Granger Avery, MD*

Christopher Simpson, MD*

Brendan Lewis, MD (NL)*

Yukon Rao Tadepalli, MD

Northwest Territories Ewan Affleck, MD

British Columbia

William Cunningham, MD 1

Nasir Jetha, MD*

Shelley Ross, MD

Carole Williams, MD 2

Alberta

Michael Giuffre, MD

Linda Slocombe, MD

Saskatchewan Guruswamy Sridhar, MD

Manitoba Maurice Roy, MD

Ontario

Kiran Cherla, MD 3

Christopher Jyu, MD

Atul Kapur, MD

Adam Steacie, MD

Virginia Walley, MD 4

Shawn Whatley, MD

Québec

Pierre Harvey, MD

Laurent Marcoux, MD

New Brunswick Ann Collins, MD

Nova Scotia Celina White, MD

Prince Edward Island Frank MacDonald, MD

Newfoundland & Labrador Brendan Lewis, MD*

Residents Thomas McLaughlin, MD

Students Anthea Lafreniere, MD

* Members, CMA Executive Committee 1 Until September 2015, 2 Effective November 2015, 3 Effective February 2016, 4 Until February 2016

2 │ 2016 GENERAL COUNCIL PROCEEDINGS

SECRETARIAT* Canadian Medical Association

Chief Executive Officer Chief Policy Advisor Vice-President, Strategy Vice-President, Medical Professionalism Vice-President (Acting), Enterprise Marketing and Communications Vice-President, Member Relevance Vice-President, Patient and Public Engagement Vice-President, Legal, Governance and Meeting Services Chief Financial Officer Manager, Board Administrative Services and Recording Secretary

Joule

Chief Executive Officer Chief Business Transformation Officer Vice-President, Product Marketing and Communications Vice-President, People and Culture Vice-President, Business Development Vice-President, Product Management

MD Financial Management

President and Chief Executive Officer Executive Vice-President, CMA Companies, Quebec Executive Vice President, Member Experience Executive Vice President, Member and Community Engagement *In attendance

Tim Smith Owen Adams, PhD Terry Albert Jeff Blackmer, MD Lisa Brazeau John Feeley Joseph Mayer Jean Nelson Torindo (Tony) Panetta Heather Nowlan

Lindee David Lisa Chillingworth Watson Sheila Beehler-Walsh Nancy Crain Steve Mortimer Deborah Scott-Douglas

Brian Peters François Durocher Daniel Labonté Allison Seymour


DELEGATES, OBSERVERS AND NON-MEMBER OBSERVERS

Delegates

Acharya, Dr. Sanjay, Nepean, Ont. Adams, Dr. Howard, Windsor, Ont. Affleck, Dr. Ewan, Yellowknife, NWT Albuquerque, Dr. Joy, Toronto, Ont. Alexiadis, Dr. Maria, Halifax, NS Allain, Dr. Suzanne, Thunder Bay, Ont. Alloo, Dr. Javed, North York, Ont. Ananth, Dr. Shobana, Toronto, Ont. Anderson, Dr. Leslie, Winnipeg, Man. Andrusky, Dr. Kathryn, Edmonton, Alta. Athaide, Dr. Gregory, Whitby, Ont. Avery, Dr. Granger, Port McNeill, BC Balko, Dr. Justin, Edmonton, Alta. Banerjee, Dr. Lopita, Brampton, Ont. Barron, Dr. Lesley, Limehouse, Ont. Bartosik, Dr. Lukasz, Ottawa, Ont. Barzelai, Dr. Larry, Vancouver, BC Beck, Dr. Gail, Ottawa, Ont. Blumenauer, Dr. Barb, Kamloops, BC Boldon, Dr. John, Victoria, BC Bonin, Dr. Pierre, Sudbury, Ont. Boucher, Dr. Paul, Calgary, Alta. Brcic, Dr. Vanessa, Vancouver, BC Breen, Dr. Katherine, Yellowknife, NWT Brehmer, Dr. Larry, Whitehorse, Yukon Brodie, Dr. Brian, Chilliwack, BC Burke, Dr. Jennifer, Lethbridge, Alta. Cadesky, Dr. Eric, Burnaby, BC Campbell, Dr. Scott, Vernon River, PEI Canil, Dr. Katherine, Iqaluit, Nunavut Cannon, Dr. Crystal, Portland, Ont. Carey, Dr. Mark, Vancouver, Ont. Cargill, Dr. Darren, Windsor, Ont. Carr, Dr. Padraic, Edmonton, Alta. Carson, Dr. George, Regina, Sask. Chan, Dr. Elisa, Quispamsis, NB Chan, Dr. Sherry, Vancouver, BC Chang, Dr. Ernie, Victoria, BC

Charters, Dr. Jane, Oakville, Ont. Cheng, Dr. Catherine, Edmonton, Alta. Cherla, Dr. Kiran, Richmond Hill, Ont. Chiu, Dr. Aaron, Winnipeg, Man. Chris, Dr. Stephen, North York, Ont. Clarke, Dr. Andrew, Vancouver, BC Cleve, Dr. Richard, Surrey, BC Collins, Dr. Ann, Fredericton, NB Collins-Nakai, Dr. Ruth, Edmonton, Alta. Colman, Dr. Laurence, Etobicoke, Ont. Coolican, Dr. Paul, Morrisburg, Ont. Cooper, Dr. Neil, Calgary, Alta. Corbett, Dr. Mark, Coldstream, BC Cox, Dr. Christopher, St. John’s, NL Cox, Dr. Robin, Calgary, Alta. Cram, Dr. David, Souris, Man. Cressey, Dr. Christopher, Palmerston, Ont. Curran, Mr. Michael, Conception Harbour, NL Curtis, Dr. Anne, North York, Ont. Damji, Mr. Ali, Toronto, Ont. Dandurand Bolduc, Ms. Claudie, Montreal, Que. de Gara, Dr. Chris, Edmonton, Alta. Desbiens, Mr. Louis, Québec, Que. Doig, Dr. Anne, Saskatoon, Sask. Doig, Dr. Chip, Calgary, Alta. Donohue, Dr. Lee, Gloucester, Ont. Dow, Dr. Michelle, Meteghan Centre, NS Doyle, Dr. Mary, Sydney, NS Duggan, Dr. Shelley, Edmonton, Alta. Dwyer, Dr. Lynn, St. John’s, NL Ekong, Dr. Chris, Regina, Sask. Elhalwi, Mr. Alexandre, Montreal, Que. Esser, Dr. David, North York, Ont. Falconer, Dr. John, Kelowna, BC Fedorak, Dr. Richard, Edmonton, Alta. Fitzgerald, Dr. Charlene, Happy Valley-Goose Bay, NL Flower, Dr. David, Fredericton, NB Flynn, Dr. Greg, Toronto, Ont. Forbes, Dr. Cynthia, Waverley, NS


Forman, Dr. Rachel, Toronto, Ont. Francescutti, Dr. Louis Hugo, Sherwood Park, Alta. Freeland, Dr. Alison, Ottawa, Ont. Freeman, Dr. Alison, Whitehorse, Yukon Fritz, Dr. Brad, Vancouver, BC Galanopoulos, Dr. Panagiotis, Burnaby, BC Gallagher, Dr. Kathy, Bedford, NS Gass, Dr. David, Halifax, NS Gerschman, Dr. Tommy, Vancouver, BC Gillespie, Dr. Ian, Victoria, BC Giuffre, Dr. Michael, Calgary, Alta. Goel, Dr. Ritika, Toronto, Ont. Goel, Dr. Sanjeev, Brampton, Ont. Golbey, Dr. Michael, Kelowna, BC Gow, Dr. Alan, Osoyoos, BC Greenland, Dr. Jonathan, St. John’s, NL Grégoire, Dr. Édith, Magog, Que. Gregson, Dr. Daniel, Calgary, Alta. Grisdale, Dr. Noel, Black Diamond, Alta. Guimond, Mr. Eric, Laval, Que. Gupta, Dr. Samir, North York, Ont. Haddad, Dr. Camille, Miramichi, NB Haddad, Dr. Maha, Winnipeg, Man. Hains, Dr. Mathieu, Compton, Que. Harvey, Dr. Pierre, Rivière-du-Loup, Que. Hefford, Dr. Brenda, White Rock, BC Hemans, Dr. Clover, Oakville, Ont. Horvat, Dr. Dan, Prince George, BC Howard, Dr. Courtney, Yellowknife, NWT Hudak, Dr. Alan, Orillia, Ont. Hutchison, Dr. Susan, Edmonton, Alta. Ikeji, Dr. Ngozi, Whitehorse, Yukon Jen, Dr. Yun, Montreal, Que. Jetha, Dr. Nasir, Vancouver, BC Jevremovic, Dr. Tatiana, London, Ont. Johnson, Dr. Darcy, Winnipeg, Man. Johnston, Dr. Richard, Edmonton, Alta. Jyu, Dr. Christopher, Scarborough, Ont. Kalra, Dr. Neil, Saskatoon, Sask. Kapur, Dr. Atul, Ottawa, Ont. Kapur, Dr. Sandeep, Halifax, NS Karunakaran, Dr. Siva, Regina, Sask. Kelleher, Dr. Barbara, Brandon, Man.

Kelly, Dr. Kimberley, Edmonton, Alta. Kennedy, Dr. Stewart, Thunder Bay, Ont. Kenny, Dr. Stephanie, Ottawa, Ont. Kim, Ms. Laura, Vancouver, BC Kosar, Dr. Stephen, Sudbury, Ont. Kraft, Dr. Claudia, Yellowknife, NWT Kraus, Dr. Steven, Yellowknife, NWT Krawchenko-Shawarsky, Dr. Adriana, Winnipeg, Man. L’Heureux, Dr. Bruno, Laval, Que. Lafontaine, Dr. Alika, Grande Prairie, Alta. Lafreniere, Dr. Anthea, Ottawa, Ont. Landry, Dr. Marlène, La Baie, Que. Larsen, Dr. Darren, Thornhill, Ont. Larsen Soles, Dr. Trina, Golden, BC Laureijs, Dr. Pauweliena, Yellowknife, NWT Lees, Dr. Caitlin, Halifax, NS Lefebvre, Dr. Lisa, North York, Ont. Lewis, Dr. Brendan, Corner Brook, NL Liao, Dr. Pamela, North York, Ont. Liu, Ms. Bonnie, Saskatoon, Sask. Lougheed, Dr. Taylor, Ottawa, Ont. Lu, Ms. Daphne, Vancouver, BC Ly, Dr. Linh, Toronto, Ont. MacDonald, Dr. Frank, Charlottetown, PEI Macdonald, Dr. Sally, Whitehorse, Yukon MacKay, Dr. Hugh, Ottawa, Ont. Mann, Dr. Renwick, Peterborough, Ont. Mansfield, Dr. Pamela, Moncton, NB Marcoux, Dr. Laurent, Longueuil, Que. Mariano, Dr. Maria, Richmond, BC Maybaum, Dr. Lloyd, Calgary, Alta. McEwen, Dr. Jill, Vancouver, BC McGregor, Dr. Fiona, Vernon, BC McLaughlin, Dr. Thomas, Toronto, Ont. McMillan, Dr. Colin, Charlottetown, PEI Melanson, Dr. Serge, Pointe-du-Chêne, NB Milburn, Dr. Christopher, Sydney, NS Miller, Dr. Ashley, St. John’s, NL Milne, Dr. David, Bedford, NS Molnar, Dr. Christine, Calgary, Alta. Muldowney, Dr. Siobhan, Perth, Ont. Murphy-Kaulbeck, Dr. Lynn, Moncton, NB Ng, Dr. Albert, Windsor, Ont. Nicholas, Mr. Mathew, Toronto, Ont. Nohr, Dr. Carl, Medicine Hat, Alta.


O’Shea, Dr. Patrick, St. John’s, NL Oppel, Dr. Lloyd, Vancouver, BC Otte, Dr. Jessica, Nanaimo, BC Owsianik, Dr. Walter, Hamilton, Ont.

Padayachee, Ms. Larissa, Saskatoon, Sask. Pan, Dr. Larry, Charlottetown, PEI Pardhan, Dr. Kaif, Toronto, Ont. Parks, Dr. Paul, Medicine Hat, Alta. Parmar, Dr. Jasneet, Edmonton, Alta. Patil, Dr. Nikhilesh, Halifax, NS Pelletier, Dr. Michèle, Montreal, Que. Pillay, Dr. Intheran, Gravelbourg, Sask. Pinto, Dr. Christopher, Toronto, Ont. Pope, Dr. James, Grande Prairie, Alta. Prud’homme, Dr. Shannon, Treherne, Man.

Qureshi, Dr. Amer, Stephenville, NL Raza, Dr. Danyaal, Toronto, Ont. Read, Dr. Robert, Halifax, NS Reddoch, Dr. Allon, Marsh Lake, Yukon Reid, Dr. Anna, Yellowknife, NWT Rinaldi, Dr. Fredrykka, Medicine Hat, Alta. Rizzuti, Mr. Franco, Rocky View County, Alta. Ross, Dr. Shelley, Burnaby, BC Roy, Dr. Maurice, Ste. Anne, Man. Ruddiman, Dr. Alan, Oliver, BC Rumbolt, Dr. Brian, Winnipeg, Man. Satija, Mr. Paras, Ponoka, Alta. Saunders, Dr. Kris, Charlottetown, PEI Schieck, Dr. David, Elora, Ont. Schuster, Dr. Ernst, Edmonton, Alta. Scully, Dr. Hugh, Toronto, Ont. Shabah, Dr. Abdo, Montreal, Que. Sharma, Dr. Soniya, Toronto, Ont. She, Dr. Alex, Vancouver, BC Sheikh, Dr. Hasan, Toronto, Ont. Simpson, Dr. Christopher, Kingston, Ont. Singh, Dr. Dharm, Dalhousie, NB Singh, Dr. Stephen, Ancaster, Ont. Singhal, Dr. Rajni, North York, Ont. Sinha, Dr. Nachiketa, Woodstock, NB Sivertson, Dr. Joanne, Prince Albert, Sask. Slater, Dr. Jennifer, Vancouver, BC Slavik, Dr. Dalibor, Saskatoon, Sask.

Smith, Dr. Louis, Grande Pointe, Man. Snelgrove, Dr. Natasha, Burlington, Ont. Spicer, Dr. Sharron, Calgary, Alta. Sridhar, Dr. Guruswamy, Regina, Sask. Steacie, Dr. Adam, Brockville, Ont. Steeves, Dr. Jeffrey, Rothesay, NB Stewart, Dr. James, Toronto, Ont. Stone, Dr. James, Calgary, Alta. Stroz, Dr. Marianne, Kingston, Ont. Sullivan, Dr. John, Halifax, NS Swenson, Dr. Robert, Ottawa, Ont. Tadepalli, Dr. Rao, Whitehorse, Yukon Tang, Dr. Jennifer, Ancaster, Ont. Tardif, Dr. Daniel, Cantley, Que. Tassi, Dr. Hisham, Thompson, Man. Templeton, Dr. Christina, St. John’s, NL Theman, Dr. Trevor, Edmonton, Alta. Thériault, Dr. Guylène, Gatineau, Que. Thompson, Dr. Kristjan, Winnipeg, Man. Thornton, Dr. Jane, London, Ont. Tigchelaar, Dr. Sandra, Orillia, Ont. Tootoosis, Dr. Janet, North Battleford, Sask. Toth, Dr. Michael, Aylmer, Ont. Townsend, Dr. Derek, Edmonton, Alta. Tytus, Dr. Rick, Burlington, Ont. Varshney, Dr. Vishal, Vancouver, BC Viens, Dr. Hugo, Saint-Lambert, Que. Vohra, Dr. Manoj, Valley, NS Walley, Dr. Virginia, Peterborough, Ont. Walton, Dr. Nigel, West Vancouver, BC Wasylenko, Dr. Eric, Okotoks, Alta. Webb, Dr. Charles, Vancouver, BC Weir, Dr. Doug, Toronto, Ont. Welt, Dr. Michel, Montreal, Que. Whatley, Dr. Shawn, Mount Albert, Ont. Whelan, Dr. John, Rothesay, NB White, Dr. Celina, Amherst, NS Wilgenbusch, Dr. Chelsea, Saskatoon, Sask. Williams, Dr. Carole, Duncan, BC Williams, Dr. Kimberly, Calgary, Alta. Wilson, Dr. Scott, Calgary, Alta. Wilton, Dr. David, Vancouver, BC Wong, Dr. Janice, Vancouver, BC Woo, Dr. Allan, Saskatoon, Sask. Wooder, Dr. Scott, Stoney Creek, Ont.


Woodside, Dr. Blake, North York, Ont. Xie, Dr. Edward, Toronto, Ont. Yamashiro, Dr. Hirotaka, Richmond Hill, Ont. Yammine, Dr. Nadine, Chatham, Ont. Yanchar, Dr. Natalie, Halifax, NS Yao, Dr. Jennifer, Vancouver, BC Yelland, Dr. Joel, Saskatoon, Sask. Young, Dr. Joanne, Vancouver, BC Zhao, Mr. Eric, Vancouver, BC Zygmunt, Dr. Austin, Halifax, NS

Member observers

Abohweyere, Dr. Anierhe, Courtice, Ont. Acharya Van Horne, Dr. Sheila, Calgary, Alta. Adams, Dr. Evan, West Vancouver, BC Allibhai, Dr. Fatima, North Vancouver, BC Amyot, Dr. Marc-André, Saint-Charles-Borromée, Que. Appleton, Dr. Geoffery, Terrace, BC Arseneau, Mr. Thierry, Montreal, Que. Bach, Dr. Paxton, Vancouver, BC Bal, Ms. Chandandeep Kaur, Calgary, Alta. Barr, Mr. Bryce, Winnipeg, Man. Bastrash, Ms. Marie-Pier, Lasalle, Que. Bennett, The Hon. Dr. Carolyn, Toronto, Ont. Benoit, Dr. Marc, High Prairie, Alta. Bentaleb, Dr. Jouhayna, Longueuil, Que. Bernard, Dr. André, Halifax, NS Bérubé, Dr. Martine, Sherbrooke, Que. Bhate, Dr. Tahara, Calgary, Alta. Bhui, Dr. Raj, Surrey, BC Bhui, Dr. Ravinder, Burnaby, BC Blackmer, Dr. Jeffrey, Ottawa, Ont. Blais, Dr. Paul Clifford, Dorval, Que. Blake, Dr. Jennifer, Ottawa, Ont. Bouchard, Dr. Braden, Victoria, BC Brar, Ms. Parveen, Sherwood Park, Alta. Britton, Ms. Heidi, Vancouver, BC Brooks, Dr. Jane, Middleton, NS Bzura, Dr. Thomas, Winnipeg, Man. Carrier, Dr. Jean-Daniel, Sherbrooke, Que. Chaimowitz, Dr. Gary, Ancaster, Ont.

Chan, Dr. Jessica, Vancouver, BC Chavda, Ms. Swati, Edmonton, Alta. Cheema, Ms. Marvi, Calgary, Alta. Choi, Ms. Jung-In, Surrey, BC Chu, Dr. Sammy, Burnaby, BC Clarke, Dr. Barbara Jean, Vancouver, BC Cleghorn, Dr. Scott, Winnipeg, Man. Cloutier, Dr. Louise, Wolfville, NS Cohen, Dr. Jordan, Calgary, Alta. Cook, Ms. Amy, Edmonton, Alta. Cormier, Dr. Alana, Halifax, NS Cottrell, Mr. Justin, London, Ont. Crosby, Dr. Edward, Ottawa, Ont. Das, Dr. Debarsi, Winnipeg, Man. Das, Dr. Debraj, Edmonton, Alta. Davies, Dr. Timothy, Dundas, Ont. Day, Dr. Brian, Vancouver, BC Dean, Dr. Jonathan, Saskatoon, Sask. Deshauer, Dr. Dorian, Toronto, Ont. Desrosiers, Dr. Michel, Westmount, Que. Dhillon, Dr. Satpal, Yellowknife, NWT Dou, Ms. Carol, Vancouver, BC Drew, Mrs. Barbara, Ottawa, Ont. Dubland, Dr. Edward, Burnaby, BC Duchcherer, Dr. Maryana, Edmonton, Alta. Dunkley, Dr. Jessica, Vancouver, BC Dutt, Dr. Monika, Sydney, NS Edgar, Dr. Melvin, Vancouver, BC Farrell, Dr. Gerard, St. John’s, NL Fernandez, Dr. Renee, Richmond, BC Ferris, Dr. Dwight, Kelowna, BC Frame, Dr. Alexander, Delta, BC Francœur, Dr. Diane, Montreal, Que. Frey, Dr. Matthew, Calgary, Alta. Fung, Dr. Kenneth, Richmond, BC Fung, Dr. Vincent, Vancouver, BC Funnell, Dr. Ronald Clark, Vancouver, BC Gandham, Dr. Sandip, Edmonton, Alta. Gerace, Dr. Rocco, Toronto, Ont. Gill, Dr. Shavinder, Abbotsford, BC Giuliani, Dr. Meredith, Toronto, Ont. Godin, Dr. Louis, Westmount, Que. Goldman, Dr. Ran, Vancouver, BC Goondi, Mr. Damanjit, Edmonton, Alta.


Goranson, Dr. David, Salt Spring Island, BC Graham, Dr. Jamie, Corner Brook, NL Grandy, Mr. Jamie, St. John’s, NL Gray, Dr. John, Ottawa, Ont. Greenhill, Dr. Alexandra, Vancouver, BC Grisdale, Miss Mackenzie, Calgary, Alta. Gudapati, Dr. Sumathi, Whitehorse, Yukon Hackett, Miss Finola, Edmonton, Alta. Haddad, Dr. Henry, Sherbrooke, Que. Hall, Dr. Jennifer, Mississauga, Ont. Halparin, Dr. Elliot, Georgetown, Ont. Hanson, Dr. Dana, Fredericton, NB Hasal, Dr. Simona, Saskatoon, Sask. Henry, Dr. Bonnie, Victoria, BC Herriot, Dr. Ryan, Vancouver, BC Holland, Dr. Timothy, Fall River, NS Howatt, Dr. Eric, Kentville, NS Htun, Dr. Ye, Waterloo, Ont. Imrie, Dr. Kevin, Toronto, Ont. Jalil, Dr. Rabiya, Calgary, Alta. Jetha, Dr. Shamim, Vancouver, BC Johnson, Dr. Jadah, Calgary, Alta. Johnston, Dr. Mary, Blind Bay, BC Jorgensen, Dr. Sally, Bridgewater, NS Kancir, Dr. Jesse, Ottawa, Ont. Karunakaran, Dr. Kumudhini, Regina, Sask. Kazimirski, Dr. Judith, Falmouth, NS Kelsall, Dr. Diane, Ottawa, Ont. Kendel, Dr. Dennis, Saskatoon, Sask. Khamis, Ms. Noren, Vancouver, BC Kim, Dr. David, Nanaimo, BC Kirwan, Dr. Margaret, Victoria, BC Krejcik, Dr. Vera, Calgary, Alta. Kunimoto, Mr. Brenden, Edmonton, Alta. Kwok, Dr. Winnie, Richmond, BC Lacombe, Mr. Cédric, L’Ancienne-Lorette, Que. Lam, Ms. Samantha, Edmonton, Alta. Lavoie, Dr. Lionel, Melfort, Sask. Lee, Mr. Dong-Ho, Burnaby, BC Lee, Ms. Olivia, Ottawa, Ont. Lehndorff, Ms. Azalea Rose, Calgary, Alta. Lemaire, Dr. Jane, Calgary, Alta. Lemire, Dr. Francine, Toronto, Ont.

Leung, Dr. Constant, Vancouver, BC Li, Dr. Jiwei, Burnaby, BC Loree, Dr. Scott, Calgary, Alta. Lou, Dr. Cindy, Coquitlam, BC MacCarthy, Dr. Dan, Vancouver, BC MacDonald, Dr. Noni, Halifax, NS Maher, Mr. Anthony, St. John’s, NL Marchenko, Dr. Alexander, North Vancouver, BC Margittai, Dr. Katalin, Toronto, Ont. Markham, Dr. Ray, Valemount, BC Marr, Ms. Kirsten, Calgary, Alta. Martinovic, Dr. Laurie Ann, Etobicoke, Ont. Masson, Mr. Maxime, Terrebonne, Que. Mazowita, Dr. Garey, West Vancouver, BC McCall, Dr. Annette, West Vancouver, BC McKennitt, Dr. Daniel, Edmonton, Alta. McLean, Dr. Donald, Vancouver, BC McPherson, Dr. Alex, Edmonton, Alta. Middleton, Dr. James, Portland, Ont. Millar, Dr. Brenda, Squamish, BC Mitchell, Ms. Emma, Vancouver, BC Mitra, Dr. Goldis, Richmond, BC Moineau-Beanlands, Dr. Geneviève Maria, Orléans, Ont. Moradhassel, Dr. Fariedeh, Peterborough, Ont. Moran, Mr. Christopher, Halifax, NS Moran, Dr. Michael, Prince George, BC Mourad, Mr. Ahmed, Edmonton, Alta. Murji, Dr. Latif, Toronto, Ont. Naylor, Dr. David, Toronto, Ont. Nazarali, Ms. Safia, Edmonton, Alta. Ngo, Dr. Jennifer, Calgary, Alta. O’Brien-Bell, Dr. John, Surrey, BC Oberholzer, Dr. Werner, Saskatoon, Sask. Ogunyemi, Dr. Boluwaji, Vancouver, BC Oleksinski, Dr. Stan, Prince Albert, Sask. Orbinski, Dr. James, Guelph, Ont. Osei, Dr. William, Prince George, BC Ouellet, Dr. Robert, Montreal, Que. Owen, Dr. Martin, Calgary, Alta. Pabani, Dr. Shehnaz, Sudbury, Ont. Padmos, Dr. Andrew, Ottawa, Ont. Palay, Mr. Joshua, Winnipeg, Man. Paredes, Dr. Jaime, Burnaby, BC Patel, Dr. Sunil, Gimli, Man.


Patton, Dr. William, Edmonton, Alta. Perry, Dr. Douglas, Edmonton, Alta. Pétrin-Desrosiers, Ms. Claudel, Montreal, Que. Philpott, The Hon. Dr. Jane, Ottawa, Ont. Puri, Dr. Nitasha, Vancouver, BC Rae, Dr. Angus, Victoria, BC Rajapakse, Dr. Thilinie, Calgary, Alta. Rajwani, Mr. Alykhan, Burnaby, BC Ramlakhan, Dr. Larita, Gravelbourg, Sask. Randhawa, Dr. Gurdeeshpal, St. John’s, NL Randhawa, Dr. Harkamal, Dundas, Ont. Ratti, Dr. Jillian, Calgary, Alta. Rowlinson, Dr. Tony, Collingwood, Ont. Roye, Dr. Charmaine, Brantford, Ont. Ruel-Laliberté, Mrs. Jessica, Québec, Que. Saini, Dr. Kirandeep, Calgary, Alta. Saunders, Dr. Robin, Victoria, BC Schonfeld, Dr. Mark, Vancouver, BC Schumacher, Dr. Albert, Windsor, Ont. Schwartz, Mrs. Anna, Winnipeg, Man. Scott, Dr. Tracy, Vancouver, BC Shaw, Dr. Karen, Saskatoon, Sask. Shaw, Dr. Susan, Saskatoon, Sask. Shott, Mr. Rory, Edmonton, Alta. Sidiqi, Dr. Ahmad, Markham, Ont. Simard-Chiu, Dr. Leslie, Winnipeg, Man. Smith, Dr. Adrienne, Vancouver, BC Smith, Dr. Christopher, Woodstock, Ont. Smith, Ms. Lucy, St. John’s, NL Soles, Dr. John, Clearwater, BC Spelliscy, Dr. Shawn, Kelowna, BC Spencer, Dr. Justine, North Vancouver, BC Stern, Dr. Hartley, Ottawa, Ont. Strasberg, Dr. Suzanne, North York, Ont. Swiggum, Dr. Susan, Kanata, Ont. Sze, Dr. Shirley, Kamloops, BC Tcholakov, Dr. Yassen, Saint-Laurent, Que. Tenby, Dr. Lionel, Richmond, BC Tong, Dr. Jennifer, Burnaby, BC Traboulsi, Dr. Danya, Calgary, Alta. Trang, Dr. Diana, Burnaby, BC Trudeau, Dr. Jean-Bernard, Montreal, Que. Tsang, Dr. Conrad, Vancouver, BC Turchen, Dr. Barry, Abbotsford, BC Turner, Dr. John, Vancouver, BC

Tytus, Dr. Stephen, Burlington, Ont. Unwala, Dr. Fatima, Edmonton, Alta. Vincent, Dr. Denis, Edmonton, Alta. Wallace, Dr. Gordon, Nepean, Ont. Wang, Dr. Caroline, Richmond, BC Wang, Dr. Li, Vancouver, BC Warsi, Mr. Nebras, Montreal, Que. White Ulysse, Dr. Carl, Montreal, Que. Wong, Dr. Frank, Winnipeg, Man. Woo, Dr. Nobby, Winnipeg, Man. Woollard, Dr. Robert, Vancouver, BC Yamamoto, Dr. Midori, Victoria, BC Yin, Dr. Vivian, Vancouver, BC Yip, Dr. Kirsten, Vancouver, BC Yorke, Dr. Elisabeth, Toronto, Ont. Yoshida, Ms. Elaine, Vancouver, BC Ziomek, Dr. Anna, Winnipeg, Man.

Non-member observers

Adair, Ms. Marisa, Vancouver, BC Aikman, Mr. Jim, Vancouver, BC Attara, Ms. Gail, Vancouver, BC Barter, Ms. Lynn, St. John’s, NL Bellavance, Mr. Sylvain, Montreal, Que. Blanchette, Mr. Denis, Westmount, Que. Blevis, Mr. Mark, Ottawa, Ont. Bourgoin, Mrs. Mélissa, Montreal, Que. Brossart, Ms. Bonnie, Saskatoon, Sask. Burton, Ms. Andrea, Vancouver, BC Chong, Mrs. Elaine, New Westminster, BC Cloutier, Mr. Michael, Burlington, Ont. Coakeley, Mr. Simon, Ottawa, Ont. Colledge, Mr. Mike, Ottawa, Ont. Coopee, Mr. Todd, Ottawa, Ont. Cordell, Ms. Cathy, Vancouver, BC Côté, Ms. Connie, Ottawa, Ont. Courchesne, Ms. Chantal, Ottawa, Ont. Coyne, Mr. Andrew, Toronto, Ont. Cram, Mr. Robert, Winnipeg, Man.


Crolly, Ms. Allison, Winnipeg, Man. Dahlgren, Dr. Hans, Stockholm, Sweden Davie, Mr. George, Port Carling, Ont. Deau, Dr. Xavier, Épinal, France Deevey, Ms. Roxanne, Ottawa, Ont. Ecker, Ms. Janet, Ajax, Ont. Emberley, Mr. Philip, Ottawa, Ont. Fischer, Ms. Debbie, Toronto, Ont. Florizone, Mr. Allan, Edmonton, Alta. Gormley, Mr. Michael, Edmonton, Alta. Gurman, Dr. Andrew, Chicago, IL Hicks, Mr. Tim, New Westminster, BC Jones, Ms. Mary-Margaret, Toronto, Ont. Kennedy, Mr. Simon, Ottawa, Ont. Kirsh, Dr. Joel, Toronto, Ont. Kitts, Ms. Jennifer, Ottawa, Ont. Kloiber, Dr. Otmar, Ferney-Voltaire, France Knight, Mr. Anthony, Fredericton, NB Kralj, Dr. Boris, Toronto, Ont. Laberge, Mr. Normand, Montreal, Que. Larsen, Mr. Craig, Nanaimo, BC Lauber, Ms. JoAnn, New Westminster, BC LeBlanc, Ms. Barb, Toronto, Ont. Lessard, Mr. Daniel, Ottawa, Ont. Libin, Mr. Alvin, Calgary, Alta. Lytton, Mr. Stephen, Victoria, BC MacCready-Williams, Ms. Nancy, Halifax, NS Maher, Mr. John, Fredericton, NB Mallam, Ms. Katie, Dartmouth, NS Mamakwa, Mr. Sol, Regina, Sask. Mantler, Mr. Edward, Ottawa, Ont. Maruca, Mr. Matthew, Winnipeg, Man. Meagher, Mr. Sean, Toronto, Ont. Milford, Ms. Nancy, Dartmouth, NS

Morgan, Mr. Edward, Ottawa, Ont. Murray, Mrs. Melissa, Halifax, NS Nelson, Mr. Patrick, Ottawa, Ont. Pavri, Mr. Yezdi, North York, Ont. Peacock, Ms. Joy, Vancouver, BC Plitt, Mr. Cameron, Edmonton, Alta. Porter, Dr. Mark, London, England Pratt, Mr. Courtney, Vancouver, BC Quewezance, Mr. Ted, Regina, Sask. Rabeau, Mr. Alain, Ottawa, Ont. Raj, Ms. Althia, Ottawa, Ont. Rupnarain, Ms. Shannon, Emonton, Alta. Safarov, Mr. Artem, Mississauga, Ont. Saulnier, Mr. Marcel, Ottawa, Ont. Saunders, Ms. Kate, Vancouver, BC Sawyer, Mr. Rick, Winnipeg, Man. Seckel, Mr. Allan, Vancouver, BC Shore, Ms. Sharon, Vancouver, BC Silas, Ms. Linda, Ottawa, Ont. Simpson, Mr. Jim, Toronto, Ont. Stensmyren, Dr. Heidi, Stockholm, Sweden Stich, Mr. Doug, Edmonton, Alta. Taylor, Dr. Gregory, Ottawa, Ont. Thi, Ms. Helen, Vancouver, BC Thienes, Mr. Barry, Ottawa, Ont. Thompson, Mr. Robert, St. John’s, NL Valois, Ms. Melanie, Ottawa, Ont. Venosa, Ms. Franca, Toronto, Ont. Viccars, Ms. Deborah, Vancouver, BC Welsh, Mrs. Lorie, Vancouver, BC Whitewood, Ms. Amanda, Bedford, NS Wiley, Dr. Elizabeth, Pasadena, MD Wong, Ms. Carolyn, Fredericton, NB Wong, Mr. Jon, Vancouver, BC Wood, Ms. Diane, Burnaby, BC

10 │ 2016 G

Introduct

The 1.Wes

On M2.intro

General

Dr. A3.of D

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Dr. A4.

Geneame

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Genespea

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Geneame

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GENERAL COUN

tion and of

149th Annual Mtin Hotel in Van

Mon., Aug. 22, 2oductory remark

Council pr

Alexiadis said thDrs. Ernst Schust

es and rules

Alexiadis sought

eral Council appnded.

lution 16-1

eral Council appker or General C

lution 16-2

eral Council appnded).

lution 16-3

eral Council will m the Office of the

lution 16-4

eeping with Cana meeting outlined

lution 16-5

Proceedings of th

lution 16-6

NCIL PROCEED

PRfficial open

Meeting of the Cncouver, Aug. 21

2016, the meetinks were provide

rocedure

hat she had estabter (deputy spea

of conduct

t consideration

roves ‘en bloc’ th

roves the use of eCouncil for a spec

roves the propose

l allow member o Speaker and wit

adian Medical Asd on pages 2-6 of t

he 148th Annual M

DINGS

ROCEning

Canadian Medica1-24, 2016. Gene

ng was declared ed.

blished a Resoluaker and chair),

of the procedur

he procedural mo

electronic voting cific vote.

ed 2016 agenda a

observers to addrthout having to se

ssociation bylaw the 2016 Reports

Meeting (2015) of

EEDIN

al Association (Ceral Council met

to be duly cons

utions Committe Joel Yelland, Al

ral motions ‘en b

otions outlined on

during its 2016 m

as outlined on pa

ress delegates fromeek permission to

18.1, the rules of to General Counc

f the Canadian M

NGS

CMA) was held int Aug. 22-24, 20

stituted and in s

ee and introduclan Gow, Daniel

bloc’.

n page 7 of the 20

meeting unless m

age 1 of the 2016

m a member obseo speak in each in

f conduct and procil are adopted.

Medical Associatio

n the Grand Bal016.

session. Welcom

ced the 2016 mel Tardif and Jam

016 Reports to Ge

manual voting is r

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erver microphonnstance.

ocedural rules an

on are approved

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eneral Council as

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e with managem

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nd guidelines for

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The Canadian following officefor a term of ththree years from

Dr. Maria AlexDr. Ernst SchusDr. David GassDr. Janice WonDr. Eric WasyleDr. Jennifer TaDr. Paul RobinDr. Kathryn BigDr. Jane BrookDr. Renwick MaDr. Noel GrisdaDr. Blake Wood Resolution 16-7

The Canadian proceedings un

Resolution 16-8

Dr. Alexiadis iof president-eProcedures: …first day of Geof the Commisession.

ote addre

Dr. Ewan AffleDr. James Orb

Dr. Orbinski his consensus trelentless and

Dr. Orbinski osea levels, lossis a crucial clinre-emergenceHe also notedfamine, food a

He stressed thUnited States environmenta

Medical Associaters, committee chhree years each (rm the closing of G

xiadis, Speaker of ster, Deputy Speas, Chair, Committng, Member, Comenko, Member, Co

ang, Member, Comnson, Member, Cogsby, Member, Co

ks, Member, AuditMann, Member, Au

ale, Member, Govdside, Member, G

7

Medical Associatnless otherwise di

8

ndicated that unelect, which shal…any 5 delegateeneral Council.” ittee on Nomina

ss: Health

eck introduced pbinski.

highlighted that that global warmd cascading in wa

outlined the effes of permafrost nical and global e of climate sensd that the poor aand water secur

hat it is false to c is in solar poweal determinants

tion resolves that hairs and memberenewable once),General Council 2

f General Counciker tee on Ethics

mmittee on Ethics ommittee on Ethimmittee on Ethicsommittee on Ethicommittee on Ethict and Finance Coudit and Financevernance CommiGovernance Comm

tion will not recoirected by Genera

nder the CMA bll be carried out es provided that The speaker anations through t

h consequ

physician, huma

climate changeming will happenays that cannot

ects of climate cand massive inc public health chsitive disease (e. are most affected

ity are some of

claim a choice ber. He noted tha of health; infect

t it was the intenters elected by Gen, and General Co 2015:

il

ics s cs cs ommittee e Committee ittee mittee

ord voting results al Council.

bylaw 12.3.4 (c) “ in accordance wt such nominati

nnounced that an he Resolutions

ences of c

anitarian practiti

e is the greatest gn more profoun be anticipated o

hange includingcreases in extremhallenge with dig., malaria) andd and that clima the many cause

between climate at adaption and tious disease sur

2016 G

tion of General Cneral Council at iouncil hereby re-a

s (official counts)

“The following mwith the Associaion is presented

any further nomi Committee by t

climate ch

ioner, advocate

global health thndly than project or controlled.

g carbon dioxideme weather evenirect effects on h

d the spread of vate change also es of war.

and the economd mitigation are r

rveillance; stren

GENERAL COU

Council, at the tim its meeting on Auaffirms their app

) for motions or i

may submit a noation’s Operatind to General Couinations must b

the end of Mond

ange

, and leading sc

hreat of the 21st ted. He noted th

e level increasesnts. He highligh

health from hea vector-borne dis affects global se

my; the fastest g required includingthening health

NCIL PROCEED

me of the electionug. 25, 2015 be appointment for a te

its elections in its

omination for thng Rules and uncil in session e presented to tday’s General C

cholar in global h

century and thahat it is contem

s, air pollution, hted that climateat, droughts, flooseases (e.g., Wesecurity and stabi

growing economing managemenh systems resilie

DINGS │ 11

ns, that the ppointed erm of

Carried

Carried

he office

on the the chair ouncil

health,

at there porary,

rising e change ods, the st Nile). ility;

my in the nt of the ence to

12 │ 2016 G

extrerene(e.g.

Strategic

The 10.

GeneAssoc

Resol

The 11.

Man12.procinforthe esourCMAvia s

The Ccons Resol

GeneComdeve

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Committee

Dr. D13.provwithinterentit

GENERAL COUN

eme weather evew its engageme., phase out coa

c session 1

speaker noted

eral Council adjociation documen

lution 16-9

following strate

How shou

Do develo

In Canadaof climate

How can wemployme

ny issues were dicesses (e.g., fracrmation to be d

ecological footprces; examples oA could engage i

social media) wa

Committee of the sequences of clim

lution 16-10

eral Council diremmittee of the Whoelopment of CMA p

lution 16-11

e on Ethics

David Gass, chavided an overvieh physicians andrvention at the Stled: Principles-

NCIL PROCEED

vents; and the alent on climate cal and end fracki

1: Health c

the session wou

ourns and movesnt entitled “Health

egic questions w

uld the medical p

oped nations hav

a, should the foc change?

we mitigate healent disruptions)

iscussed includicking); the excluisseminated (e.g

print of CMA eve of physician leadin climate healthas part of the Co

Whole will rise frmate change” and

ects the Canadianole discussion on policy.

report

air of the Commew of CMA’s mud the public; mee Supreme Court -based Approac

DINGS

lleviation of povhange. He also ing).

consequen

uld move into C

s into Committee h consequences o

were presented t

profession enga

ve a moral oblig

cus be on mitiga

lth consequence)?

ing scientific eviusion of climate g., the path of vents, activities andership and advh matters. It waommittee of the

from consideratio report to Genera

n Medical Associan the document en

ittee on Ethics, lti-year strategicetings with prov of Canada in th

ch to Assisted Dy

verty. He also no highlighted the

nces of cli

ommittee of the

of the Whole to c of climate change

to General Coun

age on global en

gation to work to

ation strategies o

es related to eco

idence confirmi change informa

vector-borne disnd practices; ec

vocacy on climatas noted that me Whole discussi

on of the Canadiaal Council.

ation (CMA) Boarntitled “Health co

and Dr. Jeff Blacc initiative on envincial/territoria

he Carter case; aying in Canada

oted the role of e need to leave 8

imate cha

e Whole format

consider and disce.”

ncil for feedback

nvironmental iss

o protect vulner

or adaptation to

onomic and soc

ing the negativeation in medicalseases); initiativonomic strategite change; and tembers’ virtual pion.

an Medical Assoc

rd of Directors toonsequences of c

ckmer, vice-prend-of-life care thal medical associ and the develop. It was noted t

doctors and the80% of fossil fue

nge

to inform CMA

cuss the Canadia

k:

sues that impact

rable population

o protect against

cial determinant

e impacts of fossl education; the ves to ‘green’ hoies to support rethe possible me participation in

ciation documen

o ensure the contclimate change” is

esident of Medichat has compriseiations and gove

pment of a regul that the framewo

e need for CMA els in the ground

A policy in this ar

an Medical

Carrie

t health?

ns worldwide?

t the health effe

ts (e.g.,

sil fuels extractioe need for clinicaospitals and clinienewable energans through wh the session (i.e

nt entitled “Health

Carrie

tent of the s reflected in the

Carrie

cal Professionalised consultation ernment officiallatory frameworork is updated

to d

rea.

ed

ects

on al ics;

gy hich e.,

h

ed

ed

sm, ls; rk

14.

15.

Emerg

16.

17.

Physic

18.

19.

regularly and pSupreme Cou

Dr. Blackmer make related Assent in Juneor patients witfacilities; nor tcontinue to wpatients who qvulnerable pat

Questions werprovincial/terr

ging issues

The speaker inemerging issuphysician engthe emerging rate the impor

General Counc

Resolution 16-1

The Speaker n

Conaddi

Wha

Why

cian autonom

On the questiprovincial/terrunderstandingexamine the rjustice; systemunion framewexperiences; m

The following

provides Canadrt of Canada’s d

provided an ove amendments toe 2016. It was hith mental illness

the issue of manwork to ensure th qualify will havetients will be pro

re entertained oritorial medical

dialogue

ntroduced the nues: physician auagement and ste issues dialogue rtance of each e

cil adjourns and

12

noted that each

sidering what Citional policy de

at are the likely o

y the CMA is (or

my and advoc

on of physician ritorial governmgs of physician areasons for the em functioning; ‘aworks; the need f medical professi

emerging issue

ians with accessdecision in Carte

erview of elemeo other Acts (meghlighted that ts only; the abilitndatory referral he views of physe access to mediotected.

on the issue of m associations and

new session andutonomy and adewardship; and would be provi

emerging issue t

moves into Comm

topic area dialo

CMA has indicateevelopment, ren

opportunities fo

is not) best-pos

acy

autonomy and ment positions in autonomy (i.e., erosion of physiautonomy’ as a s for leadership; tionalism; and ph

es dialogue prop

s to medical assier while still sup

ents contained inedical assistanc

he Act does notty to use advanc and central coosicians are reflecical assistance in

mandatory referd other organiza

d noted it woulddvocacy; federal marijuana legisided to the Boar

topic over the co

mittee of the Who

ogue would be fr

ed it has alreadyewed advocacy

or advocacy on t

sitioned to take

advocacy, manyn these areas; th clinical care vs. cian autonomy;

surrogate for ph the need to examhysician and po

positions (EIDPs

2016 G

istance in dying pporting physici

n Bill C14 An Acce in dying) whit cover medical ce directives; theordination mechcted clearly in len dying, that phy

rral, the absenceations in relation

d inform CMA po taxation; Indigelation. It was nord for dispositioourse of the dia

ole to consider an

framed through

y done in the are or both?

this issue over t

this issue forwa

y issues were dishe need for evid billing) and the; the social conthysician-centeremine how best pulation accoun

s) were noted fo

GENERAL COU

g in the circumstians.

ct to amend the ich was now law assistance in dye issue of faith-b

hanisms. It was egislation and reysician rights wi

e of time-framesn to these issue

olicy developmeenous health; heoted that the dison; members woalogue.

nd discuss the Em

the following q

ea, is this topic m

the next 12 mon

ard and, if not, w

scussed includindence-based dece need to first detract; the need tedness; physician to link providerntability.

or reference onl

NCIL PROCEED

tances outlined

Criminal Codew, having receiveying for mature mbased health car noted that CMAegulations so thill be respected

s, and the role oes.

ent on the followealth system redscussion flowingould also be pol

merging Issues Dia

questions:

more suited to

nths?

who is?

ng various cision-making; define it; the need to advocate for n payment modrs; the need to s

ly:

DINGS │ 13

by the

e and to ed Royal minors re A would hat and that

of

wing design — g from lled to

alogue.

Carried

different d to social dels; share

14 │ 2016 G

Federal tax

An o20.dedu

Issue21.teacto th

Indigenous

On t22.of ththe nrembeyoand

The 23.

The C

Resol

GeneEmerprior

Resol

GeneEmer

Resol

GENERAL COUN

EIDP 1: The Calegislation to pinterference or

EIDP 2: The Caassuming a pop

xation

overview was preuctions and cou

es discussed inching and resear

he potential for

health

the question of he impact of the need for health,ote health care ond policy statem individual phys

following EIDP

EIDP 3: The Caneeds and outc

EIDP 4: The Canegotiation and

Committee of the

lution 16-13

eral Council direrging issues dialority setting and p

lution 16-14

eral Council direrging issues dialo

lution 16-15

NCIL PROCEED

anadian Medicalprotect the right r adverse emplo

anadian Medicalpulation-based s

esented on the uld affect physici

cluded business rch; the need for success.

Indigenous heae residential scho, education and delivery; the imments to actionician advocacy o

s were noted fo

anadian Medicalcomes with Indi

anadian Medicald implementatio

Whole will rise fr

ects the Canadianogue - physician a

policy developmen

ects the Canadianogue - federal tax

DINGS

l Association cal and duty of me

oyment consequ

l Association enc social responsib

2016 federal buians in group pr

autonomy; the r advocacy in th

alth, many issuesool system; the other funding;

mportance of Indn; the possibility on these issues.

or reference only

l Association wiligenous Peoples

l Association calon of the next fe

from consideratio

n Medical Associa autonomy and ant process.

n Medical Associaxation - in CMA’s

ls for amendmeedical officers of uences.

courages physicbility.

udget proposal tractice and acad

anticipated neghis area; and the

s were discussed poor availability the social deterdigenous commuy of establishing

y:

ll create a clear as.

ls for the engagederal/provincia

on of the Emergin

ation (CMA) Boaradvocacy - and its

ation (CMA) Boar priority setting a

ents to provinciaf health to speak

cians to optimize

that would chandemic health scie

gative impact one investment of o

d including the y of potable watrminants of healunities’ self-dete a CMA working

and collaborativ

gement of Canadal/territorial hea

ng Issues Dialogu

rd of Directors tots associated prop

rd of Directors toand policy develo

al/territorial pubk publicly witho

e health care m

nge eligibility forences.

n group practiceorganizational r

need for physicter in First Natiolth; the challengermination; the

g group on this i

ve process ident

da’s Indigenous alth accord.

ue.

o consider the conpositions (EIDP-1

o consider the conopment process.

blic health out political

management by

r small business

es, patient care, esources relativ

cians to be awaron communitiesges of rural and e need to move issue; and for CM

tifying health

Peoples in the

Carrie

ntent of the 1, EIDP-2) in CMA

Carrie

ntent of the

Carrie

ve

e s;

MA

ed

A’s

ed

ed

24.

Health

25.

26.

27.

Marijua

28.

29.

30.

31.

General CouncEmerging issueand policy dev

Resolution 16-1

Discussion on e

General Counc

Resolution 16-1

system rede

An overview wprovincial/terr

The following

EIDP 5: Tnations th

Many issues wphysician trainremuneration physician pendevelopment

ana legislatio

An overview wintroduce legireducing pote

The following

EIDP 6: Tchild and

Many issues wreasons for cotypes of ingesstandardized dgovernment a

Dr. Brian Brodthe CMA Boar

cil directs the Canes dialogue - Indigelopment process

16

emerging issues r

cil adjourns and

17

esign

was provided in ritorial medical

EIDP was noted

The Canadian Mhat have implem

were discussed inning in governm options; physicsions; integrate of guidelines; sc

on

was provided onislation in 2017 tential harms asso

EIDP was noted

The Canadian Md youth marijuan

were discussed inonsumption; opttion; distributio

dosage for mediaccountability.

die summarizedrd would endeav

nadian Medical Agenous health - as.

resumed on Wed.

moves into Comm

terms of physic associations’ dis

d for reference o

edical Associatiomented an integ

ncluding differement relations; a cians’ contracts d care and posscopes of practic

n issues and deve to legalize marijociated with ma

d for reference o

edical Associationa poisoning.

ncluding the efftions for public

on controls; age ical use; the Can

d the feedback hvor to carry out

Association (CMAand its associated

, Aug. 24, 2016.

mittee of the Who

ians’ stewardshispute resolution

only:

on will explore tgrated care mod

ences between Ca lack of underst that prohibit jobsible CMA creatice; the social con

elopments in rejuana; membersarijuana use was

only:

on supports the

fect of marijuana education; THC limit for consumnadian Paediatri

he heard during the direction pr

2016 G

A) Board of Direcd propositions (EI

ole to consider an

ip of the health ns processes and

the lessons leardel.

Canadian, U.S. atanding about hb action; possibion of a patient hntract; and the n

elation to the feds’ survey feedba also outlined.

e establishment

a on the develoC as an intoxicanmption; packagiic Society’s cann

each of the emerovided on eme

GENERAL COU

ctors to consider IDP-3, EIDP-4) in

nd discuss the Em

care system in d relationships w

rned from all Gr

and internationahealth care costsble CMA advocac health ‘cloud’; p need for patient

deral governmeack and the role

of national base

ping brain; mednt; its harm vs. ting standardizatnabis surveillanc

erging issues dierging issues in

NCIL PROCEED

the content of then CMA’s priority s

merging Issues Dia

relation to with governmen

roup of Twenty (

al systems; the las; physician cy on the issue opossible CMA t involvement.

ent’s intention to CMA could play

eline data on the

dical vs. recreati tobacco and alcotion; options force program; and

alogues. He not keeping with th

DINGS │ 15

e setting

Carried

alogue.

Carried

nt.

(G20)

ack of

of

o y in

e rates of

onal use; ohol; r d

ted that he

16 │ 2016 G

stratdisp

The C

Resol

Geneemerpolic

Resol

Geneemerpolic

Resol

General m

Consent ag

The 32.

Gene30, GGM5

Resol

Medical Profe

The Censu

Resol

The Chealt

Resol

The Clead

Resol

GENERAL COUN

tegic plan with aposition of emer

Committee of the

lution 16-18

eral Council direrging issues dialocy development p

lution 16-19

eral Council direrging issues dialocy development p

lution 16-20

motions

genda resolut

following resolu

eral Council appGM5-23, GM5-24, G5-13, GM5-14, GM5

lution 16-21

essionalism

Canadian Medicures education on

lution 16-22

Canadian Medicthy relationships

lution 16-23

Canadian Medicdership.

lution 16-24

NCIL PROCEED

a view to fit, focurging issues in du

Whole will rise fr

ects the Canadianogue - health systeprocess.

ects the Canadianogue - marijuanaprocess.

tions

utions were carr

roves the followin GM5-31, GM5-25, 5-26, GM5-21, GM

cal Association sun the prescription

cal Association su among all health

cal Association wi

DINGS

us and relevancue course.

from consideratio

n Medical Associaem redesign - and

n Medical Associaa legislation - and

ried on Aug. 22,

ng motions conta GM5-38, GM5-17

M5-42, GM5-43 an

upports national n of physical activ

upports educatingh care profession

ill develop a gend

e. It was noted t

on of the Emergin

ation (CMA) Board its associated p

ation (CMA) Board its associated p

, 2016.

ained in the Gene7, GM5-18, GM5-19nd GM5-15.

curriculum devevity and exercise

g health care teamnals.

der-diversity poli

that General Co

ng Issues Dialogu

rd of Directors toproposition (EIDP

rd of Directors toproposition (EIDP

eral motions con9, GM5-2, GM5-32

elopment within e.

ms to foster colla

icy to increase rep

ouncil would be

ue.

o consider the conP-5) in CMA’s prio

o consider the conP-6) in CMA’s prio

nsent agenda: GM2, GM5-33, GM5-4

Canada’s medica

aborative approa

epresentation in a

apprised of the

Carrie

ntent of the ority setting and

Carrie

ntent of the ority setting and

Carrie

M5-22, GM5-29, GM4, GM5-34, GM5-3

Carrie

al schools that

Carrie

aches and promot

Carrie

all levels of medi

Carrie

e

ed

ed

ed

M5-35,

ed

ed

te

ed

cal

ed


Medical Professionalism – Education

The Canadian Medical Association calls for inclusion of the ethical and medicolegal aspects of medical tourism as part of the medical school curriculum.

Resolution 16-25 Carried

The Canadian Medical Association calls for emphasis on considerations of appropriateness in health care as part of the medical school curriculum.


The Canadian Medical Association supports enhanced continuing medical education training to help identify, assess, involve and support family caregivers.


The Canadian Medical Association calls on the federal government to reinstate MD/PhD funding from the Canadian Institutes of Health Research.


National Voice – Health Accord

The Canadian Medical Association recommends research into and education for health care providers concerning the unique challenges of managing pain in older adults.


The Canadian Medical Association recommends that the Canadian Guideline for Safe and Effective Use of Opioids for Chronic Non-Cancer Pain include consideration of pharmacokinetic and pharmacodynamic factors specific to older adults.


The Canadian Medical Association supports the development of a national strategy to formally recognize family caregivers as partners in health care delivery.


The Canadian Medical Association advocates for the development of national standardized non-pharmacologic order sets for the treatment of older adults with delirium.


The Canadian Medical Association will engage with federal decision-makers to pursue a renewed national health accord.



The Canadian Medical Association calls for the addition of low-risk guidelines specific to people aged 65 or older to augment “Canada’s Low-Risk Alcohol Drinking Guidelines.”


The Canadian Medical Association will raise the federal government’s awareness of the inequitable access to public long-term care homes that is experienced by patients with financial, cultural and/or linguistic barriers.


National Voice – Integrated Care

The Canadian Medical Association supports the development of patient navigator models, particularly for vulnerable patient populations.


The Canadian Medical Association supports the integration of care between specialist/acute care physicians and family physicians as patients move between primary and secondary/acute care.


The Canadian Medical Association calls for the development of policy guidance and provision of adequate resources to enable the transfer of acute care services to the community.


Healthy Population

The Canadian Medical Association endorses public funding of insulin and other diabetes-related supplies for all patients with insulin-dependent diabetes.


The Canadian Medical Association supports Bill C-224, Good Samaritan Drug Overdose Act.


The Canadian Medical Association will become a member of the “Coalition for Healthy School Food.”


Healthy Population – Climate Change

The Canadian Medical Association supports the development of practice contingency plans to respond to emergencies or disasters that disrupt primary care service delivery.


33.

Medical

Medical

Nationa

The Canadian emergency hea

Resolution 16-4

The Canadian greywater.

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Medical Associatalth services durin

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45

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tion supports initng and after disa

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tion supports incth-impact assessm

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tion will create a

tion calls for reguocedures or tests

tion supports the istance in dying f

tion recommends

tion recommends to access and con

tiatives to enhancasters.

governments at a

corporating full-cments for projects

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NCIL PROCEED

physicians to prov

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The Canadian Medical Association calls for health care system funding mechanisms to promote innovation in health care.


National Voice – End-of-life Care

The Canadian Medical Association acknowledges that palliative and end-of-life care has public health implications.


The Canadian Medical Association recognizes that an assessment for eligibility for medical assistance in dying is distinct from a formal consultation for palliative care.


The Canadian Medical Association supports Bill C-277, An Act providing for the development of a framework on palliative care in Canada.


Healthy Population

The Canadian Medical Association supports inclusion of the cost of neuropsychological assessments of all patients suspected of fetal alcohol spectrum disorder as an insured-benefit.


The Canadian Medical Association supports the elimination of non-medical exemptions from vaccination in provinces that have legislation mandating children be vaccinated in order to attend school.


The Canadian Medical Association urges Canadian blood service providers and Health Canada to adjust eligibility criteria for blood donors so that these criteria are behaviour-based and do not consider sexual orientation.


Healthy Population – Climate Change

The Canadian Medical Association will produce educational materials to disseminate its policies and evidence on the impact of climate change on health.


Motion

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34.

35.

36.

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NCIL PROCEED

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NCIL PROCEED

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GENERAL COUN

Stanley providedund population h a focus on highghborhood), carults and that the anization; hospit

Nohr spoke of in a stewardship m

ountability. He inssed that innova same processes it was not a que

ward to hearing d

following strate

How supportivDo you believDo you believmedicine? How likely wo

eral Council adjociation documen

lution 16-73

ny issues were diring physicians

e); the ‘experienport medically cloring health caried vision and c

Committee of the egrated care: lesso

lution 16-74

eral Council diremmittee of the Whoelopment of CMA p

lution 16-75

NCIL PROCEED

d an overview o health and accoh-quality, efficienre management, strongest are thtal-centric, volum

ntegrated care imodel through tndicated that thation is essential. He also stresseestion of whethe delegates’ discu

egic questions w

ve are you of ane that an accoune an accountabl

ould you be to p

ourns and movesnt entitled “Integr

iscussed includi into the stewardnce of care’ vs. pcomplex patientre integration inatalyst for chang

Whole will rise frons and opportun

ects the Canadianole discussion on policy.

DINGS

of his experienceountable care ornt and value-bas data and analyt

hose with physicme-based, fee-fo

in the Canadian the prudent usehe foundations ol; that we cannoed the importaner or when to h

ussion.

were presented t

n integrated carentable care-like le care-like mod

ractice in such a

s into Committee rated care: lesson

ing multiple paydship model; paatient satisfactios; the roles CMA

n Canada (e.g., tge in Canada.

from considerationities” and repor

n Medical Associan the document en

es in leading initrganizations (ACsed patient caretics are core comcian leadership, or-service organ

context and noe of resources w

of integrated carot move forwardnce of the social ave integrated c

to General Coun

e model such as structure would

del would positiv

a model?

of the Whole to cns and opportunit

yers’ (i.e., insureayment models’ on; funding modA and provincial

he possibility of

on of the Canadiart to General Cou

ation (CMA) Boarntitled “Integrate

tiatives in U.S. hCOs). He highlige and that netwomponents. He s a primary care

nizations have st

oted that the beswhere each partyre are informatiod by doing the sa contract betwe

care but how to

ncil for feedback

s the Accountabd enhance patievely impact you

consider and discties.”

ers) affect on pa affect on patiendels’ erosion of l/territorial medf a task force); a

an Medical Assocncil.

rd of Directors toed care: lessons an

health care focusghted that the Aork (medical hoaid that ACOs h base and a conntruggled.

st way to expresy has some authon, innovation aame thing or sp

een physicians a do so, and that

k:

le Care Organizent care in Canadur satisfaction in

cuss the Canadia

atient outcomesnt care (i.e., righf primary care; fudical association and opportunitie

ciation documen

o ensure the contnd opportunities

sed specifically ACOs are set up ome and have yielded mixnected

ss professionalishority and and interest. Hepending more onnd society and t he looked

zation? da? practising

an Medical

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95.

96.

97.

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egic sessing from rh

Dr. Forbes intCanadian FedeWellness ComVancouver’s S

Ms. Bastrash hresearch with medical stude

Ms. Bastrash oabilities as resenvironment aof irrational fesign of resilien

Dr. Dean outliworking to creMental Readinis necessary; tsupport for th

Dr. Scott outlicommunicatiointeractions wimproving wecommunity anprevent it.

The following

How is t What ba

through How can

Many issues ana climate of retraining; and t

utions

ent agenda

The following

on 3: Strehetoric to a

troduced the seseration of Medic

mmittee; and Dr.St. Paul’s Hospita

highlighted the m the Fédération

ents.

outlined three kilient beings (e.and reducing stu

ear of failure. Shncy rather than a

ined examples oeate a skills-baseness Program. H hat it be integrahe development

ined the concepon; active listeni

with patients; andll-being and for

nd that we shou

strategic questi

the concept of rerriers (internal aout the medical

n resilience be s

nd observationsespect (e.g., com the importance

resolutions

motion was rem

engtheningaction

ssion and presecal Students (CF. Tracy Scott, Asal.

medical student médicale étudia

key strategies ong., nutritional, mudent mistreatm

he highlighted th as a sign of wea

of resiliency teched resiliency cur

He noted the neeated into post-gr of policies, reso

pt of ‘mindfulneing; self-awarened a reduction in action. She not

uld be able to dis

ions were prese

esilience a critic and external) anl career lifecycletrengthened?

s were shared inmplaints collecti of providing pla

moved from the

g resilience

nters Ms. Marie-FMS); Dr. Jonathsistant Program

t perspective anante du Québec

n how resilience mental, physicalment (i.e., addrehe need for the kness.

hniques in medrriculum based oed for stakeholdraduate trainingources and initia

ss’ and noted itess; regulation o

n professional ised that burnoutscuss this amon

ented to Genera

cal issue across tnd enablers exise?

ncluding the neeon systems); theatforms for thes

e consent agend

2016 G

e in medic

-Pier Bastrash, Vhan Dean, Co-ch

m Director in the

nd the recent woc on a health an

e can be strengthl, and social/acaessing system de medical commu

dicine and noted on the Departmders to agree thag as a core requiatives that span

ts benefits includ of attention andolation. She alsot has a moderat

ngst our colleagu

al Council for fee

the medical caret to putting stra

ed to address lee importance of

se important issu

da.

GENERAL COU

cal training

Vice President ohair of Resident

e general surgery

ork the CFMS ind wellbeing surv

hened: increasiademic balance)eficiencies); andunity to recogni

d that Resident Dment of Nationalat formalized nairement; and tha the entire phys

ding improved ed emotions; nono highlighted retely high prevaleues and to make

edback:

eer lifecycle? ategies in place t

arner mistreatmf formal, early anues.

NCIL PROCEED

g and prac

of Student Affairst Doctors of Canry residency prog

ncluding its jointvey of over 5,00

ing students’ inh; improving the

d addressing theize help-seeking

Doctors of Canal Defence’s Roadational resiliencyat there be ongosician lifecycle.

empathy; n-judgmental ecommendationence in the mede a concerted ef

to strengthen re

ment; how best tnd continuous r

DINGS │ 29

ctice:

s for the nada’s gram at

t 00

herent e learning e culture g as a

ada is d to y training oing

ns for dical ffort to

esilience

to foster resiliency

30 │ 2016 G

The prot

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Dr. G103.

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Dr. A105.physinterPeop

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GENERAL COUN

Canadian Medictection for medi

following resolu

eral Council app 9-6.

lution 16-76

Canadian Medicmeditation and se

lution 16-77

Canadian Mediccerning resident p

lution 16-78

Canadian Medicadian accreditat

lution 16-79

deputy speaker

Canadian Medicdical students and

lution 16-80

on of pres

Granger Avery o

Forbes introduc

Avery began by sicians’ hard wornational rankinples.

Avery said that te requirements aeased role for p

erminants of heaaningful, open an

NCIL PROCEED

cal Association sical students and

utions were carr

roves the followin

cal Association suelf-reflection.

cal Association su physician duty ho

cal Association sution standards an

r entertained de

cal Association wid residents.

sident and

of British Colum

ced Dr. Avery an

saying that Canaork, the cherisheng and highlight

the health care s and the chronic

atients and famialth and healthynd honest discu

DINGS

supports a policd residents in al

ried on consent

ng motions conta

upports the develo

upports appropriaours are being de

upports the inclusnd elements.

ebate of the follo

ill undertake a n

inaugural

mbia was installed

nd invited him to

adian health cared system is no ed, in particular

system must pro and complex caily caregivers in

y living. He also ussion between

cy of “opt-out” rll Canadian juris

t on Wed., Aug.

ained in the Strat

opment of health

ate considerationeveloped.

sion of wellness a

owing Strategic

nationwide study

address

d as the 149th p

o address delega

re is not working longer keeping r, the tragically p

ovide patient-ceare needs of the the care proces said we must fo all parties.

rather than “optsdictions.

24, 2016.

tegic Session 3 co

and wellness pla

n of health and sa

and resiliency cu

Session 3 motio

y to analyze the w

president of the

ates.

g as it could or pace. He said th

poor health out

entered, integrate growing and agss; and support

orm a true health

t-in” disability in

onsent agenda: SS

ans for residents

afety issues when

rricula in medic

on.

working and prac

CMA.

should and thathat Canada has tcomes of Canad

ted, continuing ging population efforts to improh care collabora

nsurance

S3 9-2, SS3 9-3 and

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that include tool

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n regulations

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cal education and

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ctice conditions o

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t, despite slipped in its da’s Indigenous

care; meet acutn; recognize the ove the social ative with

d

ed

ls

ed

ed

d

ed

of

ed

te

107.

Appre

Adjou

108.

In closing, he practitioners tindicated that need to step u

eciation

General Counca) Dr. Cindb) the BoarCanadian Mc) Doctors d) the Speabusiness of

Resolution 16-8

General CouncGeneral Counc Resolution 16-8

urnment

The 149th meet Resolution 16-8

The 149th me

noted that the pthat together ca the profession

up and lead the

cil expresses its sindy Forbes for her rd of Directors, th Medical Associat of BC for its warm

aker and Deputy Sf General Council

81

cil expresses its thcil.

82

ting of General Co

83

eeting of Genera

profession is blean return Canada must remain un way to a better

ncere appreciati leadership durinhe Executive Comtion; m hospitality; an Speaker of Generl.

hanks to members

Council is now adj

al Council adjou

essed with talena’s health care snited, stand up f future.

on to: ng the year;

mmittee, the comm

d ral Council for th

s of the Resolutio

djourned.

urned at 12:34 pm

2016 G

nted, hard-worki system to its righ for patients and

mittees and staff f

he expeditious ma

ons Committee for

m on Wed., Aug

GENERAL COU

ing, dedicated ahtful place as a w

d support colleag

for their excellen

anner in which t

r their efforts in f

g. 24, 2016.

NCIL PROCEED

and thoughtful world-leader. Hgues. He highlig

nt work on behalf

they have conduc

facilitating the bu

DINGS │ 31

e ghted the

f of the

cted the

Carried

usiness of

Carried

Carried

32 │ 2016 G

ABusiness

On T109.

CMA ent

Dr. A110.Suza

Dr. F111.The “helof ca

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The 116.

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Reso

GENERAL COUN

ANNUs session

Tues., Aug. 23, 2

terprise ste

Alexiadis introduanne Strasberg;

Forbes began th panel highlightp physicians carare products, se

el members outlfession and indive products and nnels to providedreds of CMA mtegy, and a new

estions were entding in Ottawa; ociation; clinical

siness

mbers were invit

ember rose to eping with the CM

Canadian Medicitor to review the

lution AGM 16-1

ment

legislative and b

Business Session o

lution AGM 16-2

NCIL PROCEED

UAL G

2016, the legisla

ewardship

uced the CMA E Messrs. Tim Sm

he session by invted the importanre for patients”; ervices and innov

lined many chalvidual CMA mem services; to knoe products and smembers; MD’s s financial planni

tertained on issu the possibility o teachers’ fundi

ted to raise any

express his concMA’s core values

cal Association (Ce policies, procedu

business session

of the 2016 Annu

DINGS

GENE

ative and busines

p panel

Enterprise Chairmith and Brian Pe

viting each panence of connectin the value providvation initiative

llenges includinmbers; pressureow what produc services. Opportsupport of physing tool and imp

ues including th of joint leadersh

ng; and CMA’s a

new business.

cern and view ths.

CMA) urges the MDures and practice

n of the 2016 an

al Meeting is adj

ERAL

ss session of the

r and CEO paneleters; and Mss. D

elist to provide ing with those wded in accessings.

ng the difficulty ies on physician its and services btunities noted insicians through aprovement to th

e strategic plannhip offerings betw advocacy work o

hat his client serv

MD Financial Holdes of MD Private

nnual meeting ad

journed.

L MEE

e annual meetin

l comprising Dr Debbie Fischer

insights they wowith whom you sg MD’s services

in being relevan income; the neebest help membncluded engage an increased nuhe investment of

ning process; pltween Joule and on seniors’ care

rvice experience

dings Board of D Trust to ensure t

djourned at 10:4

ETIN

ng was called to

rs. Brian Brodie, and Lindee Dav

ould share with share values; the and Joule’s kno

nt to the needs oed to better infobers; and the usement with thouumber of advisorffering.

lans and costs fod the Canadian Me.

e with MD Privat

Directors to retain they adhere to CM

42 am, on Tues.

G

order at 9:56 am

, Cindy Forbes avid.

a non-member.e CMA’s vision towledge and po

of a diverse orm members ofse of multiple usands rather thrs, a digital

or the CMA offic Medical Protecti

te Trust was not

n an independenMA’s core values.

Carrie

., Aug. 23, 2016.

Carrie

m.

and

to

int

f

han

ce ive

t in

nt

ed

ed

117.

Bylaw

118.

Adjou

119.

Owing to a quthe annual methe bylaw ame

ws

Dr. Alexiadis nvoting at the b

The changes an

Resolution AGM

urnment

The legislative

The Business Se

Resolution AGM

uestion raised dueeting, on Wed.endments. The s

noted that chang business session

nd amendments t

M 16-3

e and business s

ession of the 2016

M 16-4

uring General C, Aug. 24, 2016,

session was calle

ges in bylaws ben.

to the Bylaws, as

session of the 20

6 Annual Meeting

Council’s conside a special sessioned to order at 9

ecome effective

adopted by the 14

016 annual meet

g is adjourned.

2016 G

eration of bylawn of the annual

9:09 am.

when passed by

49th General Cou

ting adjourned a

GENERAL COU

w amendments a meeting was he

y a majority of m

uncil, are approv

at 9:10 am, on A

NCIL PROCEED

and due to the teld in order to c

members presen

ved.

Aug. 24, 2016.

DINGS │ 33

timing of consider

nt and

Carried

Carried

2016 general council proceedings fixed - cma · shawn whatley, md québec pierre harvey, md ......

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