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2002 General Council Resolutions

Corporate/Administrative

Resolution 02-1
That the Speaker be given the mandate and opportunity to meet with the Resolutions Committee in advance of the next General Council to look into ways of improving the agenda and conduct of business.

Resolution 02-16 to 02-45
That proposed Bylaw changes as presented on pages 53 to 70 of the 2002 Reports to General Council, be adopted as amended.

Health Care Issues

Resolution 02-46
That CMA urge federal, provincial, territorial and municipal governments to take the appropriate steps to eliminate smoking in all public areas and workplaces and provide public education of this policy.

Resolution 02-47
That CMA, in order to decrease mother to child transmission of HIV, advocates and recommends to the relevant governments, health authorities and physicians the adoption of a routine prenatal HIV screening test with an "opt out" policy.

Resolution 02-48
That CMA work with the federal government and others to develop a national action plan to increase Canadians' level of participation in physical activity and sport as a major step in reducing the increasing prevalence of obesity in Canada and to improve the health status of Canadians.

Resolution 02-52
That CMA urge federal, provincial and territorial governments to fund appropriate additions to the vaccination schedule, as new vaccines are developed, within the context of a national immunization strategy.

Resolution 02-53
That CMA urge physicians and other health professionals to discuss advance health care planning directives with seniors and other adult patients with life-limiting illnesses, at a time when patients are capable and not acutely ill.

Resolution 02-55
That CMA urge Health Canada to develop a National Dementia Strategy, in collaboration with federal, provincial and territorial governments, the CMA and other partners such as the Alzheimer Society of Canada and universities.

Resolution 02-54
That CMA urge Health Canada to develop recommendations necessary to protect the public from the risks arising due to unsubstantiated statements and claims about health products and other health matters made in direct-to-consumer advertising.

Resolution 02-59
That CMA call upon federal, provincial and territorial governments to use a portion of tobacco tax revenues to fund clinical tobacco treatment services, including physician-based clinical tobacco intervention services and up to 12 weeks stop-smoking medication annually per smoker.

Resolution 02-62
That CMA work with others to develop a system for public health reporting in Canada, which would include: discussion of major public health issues; substantial health status reports; national health goals and priorities; implementation options, and ongoing outcome-based evaluation and renewal.

Resolution 02-63
That CMA call on the federal, provincial and territorial governments to adopt strategies to deal with the current absence of an adequate network of community housing for the chronically mentally ill, including adequate resources, coordination and appropriate supervision of standards.

Resolution 02-65
That CMA recognize the growing problem of pathological gambling and develop a position on the role of physicians in prevention of this problem and treatment for compulsive gamblers.

Resolution 02-68
That CMA advocate for the reduction in disabling facial injuries in hockey players by lobbying for the mandatory use of full facial protection by all amateur and professional hockey players in Canada.

Resolution 02-70
That CMA urge Health Canada to make current voluntary recalls of natural health products containing ephedra/ephedrine compounds compulsory.

Resolution 02-77
That CMA, the federal government and Aboriginal communities develop ways of reducing the incidence and prevalence of smoking amongst Aboriginal youth in Canada.

Resolution 02-80
That CMA support the development of appropriate safeguards in the prescribing and dispensing of pharmaceuticals by nurse practitioners.

Resolution 02-81
That CMA urge federal, provincial and territorial governments to develop and support initiatives to reduce the risk of older persons from falling and sustaining fractures and other serious medical complications.

Romanow/Kirby Submissions

Resolution 02-116
That CMA, divisions and affiliates continue a consultative process with Canada's health ministers and other key decision-makers to advocate for the adoption of CMA's Prescription for Sustainability.

Resolution 02-117
That CMA, divisions and affiliates urge governments to meet regularly with physicians in leadership roles and other health professionals when developing implementation plans for the recommendations of federal, provincial and territorial commission and task force reports pertaining to health policy.

Resolution 02-118
That CMA urge the Institute of Health Services and Policy Research, in consultation with the official bodies of Canadian health care providers, to urgently pursue studies to establish acceptable, reliable, valid outcome measures appropriate to individual health outcomes that accurately reflect how service delivery changes and government program and service cuts impact health status and health care costs.

Resolution 02-119
That CMA, divisions and affiliates take a proactive role in the development and implementation of an action plan resulting from the report of the Commission on the Future of Health Care.

Resolution 02-120
That CMA urge the federal government to establish the Canadian Health Commission with the mandate, membership and operating methods defined in the August 2002 Health Commission at a Glance.

Quebec Bill 114

Resolution 02-85
That CMA and divisions support the QMA and the physicians of Quebec in their opposition to Bill 114 and strongly condemn any coercive legislation that constitutes an assault on professional autonomy.

Resolution 02-86
That CMA, divisions and affiliates urge all levels of government to provide Canadians with timely access to quality medical care by working in collaboration with the physicians to promptly implement known and proven non-coercive means of addressing physician resource shortages.

Resolution 02-87
That CMA, divisions and affiliates strongly oppose any government legislation that would enforce restrictions on the freedom of choice of physicians and patients, thus undermining the provision of quality patient care.

Resolution 02-88
That CMA support the divisions in their efforts to maintain professional autonomy and self-regulation for physicians.

Resolution 02-89
That CMA and divisions obtain legal advice on the lawfulness of Quebec Bill 114 that appears to violate the fundamental rights and freedoms guaranteed to all Canadians and take appropriate action to safeguard those rights and freedoms.

Resolution 02-91
That CMA uphold the principle of self-regulation of the medical profession.

Resolution 02-92
That CMA condemn Quebec Bill 114 because of its potential for negative impact on patient safety and care.

Health Human Resources

Resolution 02-60
That CMA support collaborative care models in which the scope of practice of nurse practitioners is clearly defined, and reflected by appropriate legislation.

Resolution 02-66
That CMA work with others to develop a health human resource strategy aimed at improving:

  • Recruitment, training, retention of Aboriginal physicians and other health care workers;
  • Integrated, holistic primary care service delivery relevant to the needs of the Aboriginal community and under community control.

Resolution 02-67
That CMA support the concept that liability for individual practitioner actions in any collaborative care model must be clearly delineated and appropriately insured.

Resolution 02-75
That CMA clearly define guidelines on transfer of care responsibilities and shared responsibilities amongst all practitioners in a collaborative practice model.

Resolution 02-125
That CMA, divisions and affiliates urge governments in Canada to adopt a policy of self-sufficiency in the supply of physicians and other health professionals such that Canadians will have access to healthcare services at the time and to the extent of their needs.

Resolution 02-126
That CMA, divisions and affiliates urge governments in Canada to increase appropriately funded first year enrolment of medical students in Canadian medical schools from 2000 to at least 2500 per year by 2007.

Resolution 02-127
That CMA assess present and future needs for physician resources in general specialties and propose strategies to address meeting these needs.

Resolution 02-128
That CMA, divisions and affiliates urge governments in Canada to immediately increase direct funding to Canadian medical schools.

Resolutions 02-129
That CMA, divisions and affiliates urge governments in Canada to immediately increase the amount of financial aid available to medical students in Canadian medical schools.

Resolution 02-130
That CMA assess the impact of the development of alternative models of delivery of medical care, including hospitalists, on the requirements and structure of medical training programs.

Resolution 02-131
That CMA support the World Medical Association in its efforts to engage relevant international organizations in a study of the international migration, recruitment and retention of physicians.

Resolution 02-134
That CMA assess the impact of the increasing administrative burden borne by physicians, and the impact of increasing patient knowledge about and requests for medical services, on the overall problem of physician shortages.

Resolution 02-135
That CMA recommend to all relevant organizing bodies the restoration of flexibility of career choice for medical students, residents and practising physicians.

Resolution 02-136
That CMA and its divisions and affiliates urge governments to take all necessary action in order to ensure the quality of undergraduate and postgraduate training.

Resolution 02-137
That CMA, divisions and affiliates urge government to match any increases in undergraduate medical enrolment with an equal or greater number of post-graduate training positions towards a target of 120 ministry funded post-graduate positions per 100 Canadian medical graduates.

Environmental Issues

Resolution 02-51
That CMA urge the Prime Minister to commit to choosing a climate change strategy that satisfies Canada's international commitments while maximizing the clean air co-benefits and smog-reduction potential of any greenhouse gas reduction initiatives.

Resolution 02-56
That CMA urge the federal government to ratify the Kyoto Agreement and adopt a strategy that will reduce Canada's greenhouse gas emissions by at least 6% below 1990 levels by 2012.

Resolution 02-64
That CMA urge the federal Environment and Health Ministers to move quickly to ensure that a national Air Quality Index be established so that real-time air quality information and predictive forecasting is made available to all Canadians.

Resolution 02-69
That CMA express its concern with regard to the risk to public health in rural areas that is presented by the development of industrial hog farms.

Resolution 02-71
That CMA ask federal, provincial and territorial governments for a moratorium on the expansion of the hog industry until scientific data on the attendant health risks are known.

Resolution 02-73
That CMA urge federal, provincial and territorial Environment Ministers to strengthen Canada's position when addressing United States' attainment of its current commitments and when negotiating with it for future cross-border pollution reductions by defining and making transparent Canada's plan to meet it's international smog reduction commitments.

Resolution 02-74
That CMA urge federal, provincial and territorial governments to initiate and support research into contaminants associated with industrial hog farms.

Resolution 02-76
That CMA recommend that the federal Environment and Health Ministers commit their departments to improved health-based reporting by regularly updating the health effects information for pollutants of concern.

Resolution 02-82
That CMA work with the federal Ministers of Health and the Environment to develop national strategies to reduce the unacceptably high levels of persistent organic pollutants amongst the peoples of the Arctic coast.

Resolution 02-83
That CMA ask Environment Canada and Health Canada to initiate a review of the current Canadian one hour guideline for maximal exposure level to both indoor and outdoor NO2.

Physicians at the table

Resolution 02-93
That CMA, divisions and affiliates work with governments at all levels to create mechanisms to ensure the participation and input of physicians who are representative of the practising profession at all levels of health care decision-making.

Resolution 02-94
That CMA urge the federal Health Minister to convene a Ministerial Roundtable on Health Policy comprised of representatives from national medical and health organizations:

  • that will hold an inaugural meeting two weeks after the release of the final report of the Commission on the Future of Health Care to discuss the federal response; and
  • that will provide input and advice to the Minister on matters of national health policy.

Resolution 02-95
That CMA, divisions and affiliates maintain, enhance and improve access to their continuing professional development programs to provide physicians with the skills needed to participate fully in the management and governance of health care.

Resolution 02-96
That CMA recommend to the federal government that a formal and direct process be established to appoint practising physicians to policy formulating bodies that deal with investing major financial resources in and distributing them to organizations such as the Canadian Institute for Health Information and the Canadian Institutes of Health Research.

Resolution 02-97
That CMA convene a roundtable on health policy in the event that the Federal Minister of Health does not do so. This roundtable comprised of representatives from national medical and health organizations:

  • will hold an inaugural meeting two weeks after the release of the final report of the Commission on the Future of Health Care to discuss the final submission of Commissioner Romanow to the federal government; and
  • will provide input and advice to the Minister on matters of national health policy.

Physician Health and Well Being

Resolution 02-49
That CMA work with divisions, affiliates and the Canadian Physician Health Network to assess the health needs of Canadian physicians, physicians in training and their families, to better plan comprehensive services for physician health and well-being programs, in accordance with the CMA Board 2003 Strategic Priorities.

Resolution 02-50
That CMA promote awareness of physician mental health and wellness issues and reduction of the stigma associated with the need to seek personal assistance for these issues.

Resolution 02-57
That CMA, in partnership with divisions, affiliates and the Canadian Physician Health Network, examine specific mechanisms to maintain the health of members through prevention and promotion activities and reduce the risks associated with low physician morale and work overload, in accordance with the CMA Board 2003 Strategic Priorities.

Resolution 02-72
That CMA and its divisions advocate for the promotion of the safety of all health professionals working in emergency rooms.

Membership dues

Resolution 02-14
That the CMA ordinary membership fee for the year 2003 be $300.

Resolution 02-15
That, until changed by General Council, the following formula be adopted to set membership fees in other membership categories:

  • Member-at-large - 100% of ordinary membership fee
  • Retired member - 35% of ordinary membership fee
  • Resident member - $12
  • Student member - $12

Committee on Finance

Resolution 02-13
That PricewaterhouseCoopers be retained as the Canadian Medical Association's auditors for the Association year 2003.

Other

Resolution 02-10
That the Canadian Society of Physician Executives be approved as an affiliated society of the Canadian Medical Association.

Resolution 02-11
That the Canadian Association of Physicians with Disabilities be approved as an affiliated society of the Canadian Medical Association.

Resolution 02-58
That CMA continue to advocate for the right of all physicians to claim GST input tax credits.

Resolution 02-61
That CMAH devote additional resources to MD Practice Management to study obstacles and deficiencies in practice structure and management that are contributing to problems with recruitment/retention of physicians across the country.

Resolution 02-79
That CMAH make resources more widely available to practising physicians in order to assist with practice viability and sustainability.

New Business Motions considered by GC and referred to Board of Directors

Resolution 02-78
That CMA, in support of the work of the Emergency Preparedness Program in its development of a means to rapidly immunize all potentially exposed Canadian front-line health care and emergency workers against smallpox, call upon the Program to operationalize its plan with CMA's assistance.

Resolution 02-90
That CMA and divisions obtain legal advice on the lawfulness of any legislation subsequent and similar to Quebec Bill 114 that appears to violate the fundamental rights and freedoms guaranteed to all Canadians and take appropriate action to safeguard those rights and freedoms.

Resolution 02-121
That CMA organize a stakeholder conference to develop strategies to promote and enhance the delivery of primary obstetrical care by family physicians in Canada.

Resolution 02-122
That CMA recognize the importance of independent medical clinics as organizational entities making a positive contribution to the health system.

Resolution 02-123
That CMA initiate and support research on the contribution of independent medical clinics throughout Canada.

Resolution 02-124
That CMA initiate and support applications to various levels of government to obtain more reliable funding for independent medical clinics.

Resolution 02-132
That CMA work towards the establishment of a national specialist and family physician locum pool.

Resolution 02-133
That CMA work with the divisions to develop a secure electronic negotiations information clearinghouse to assist the divisions in obtaining contemporary data regarding the outcomes of negotiations and settlements.

30 April 2003