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Resolutions Adopted

146th Annual Meeting of the Canadian Medical Association
19-21 August 2013 - Calgary, AB

Please note: The resolutions passed in any given year may have been revised or superseded by more recent policy. Please consult the CMA Policy Database to obtain the most current policy.

  1. The Canadian Medical Association (CMA) approves the Canadian Academy of Sport and Exercise Medicine's application for CMA affiliate status. (BD 1-1)
  2. The Canadian Medical Association adopts the Board of Directors' final report and recommendations on governance review as outlined in Appendix 4 to the 2013 Reports to General Council. (BD 1-3)
  3. General Council directs the Canadian Medical Association (CMA) Board of Directors to ensure the content of the Committee of the Whole discussion on the document entitled "End-of-Life Care in Canada" is reflected in the development of CMA policy. (SP 0-14)
  4. The Canadian Medical Association accepts the 2012 audited financial statements, attached as Schedule A to the 2013 Audit Committee Report to General Council. (AUD 3-1)
  5. The Canadian Medical Association will retain PricewaterhouseCoopers as auditors for the 2014 association fiscal year. (AUD 3-2)
  6. The Canadian Medical Association full membership fee for the year 2014 will be $495. (BD 1-2)

Strategic Session 2 - Physician Resources

  1. The Canadian Medical Association will investigate the impact of changes to resident duty hours on physician resource planning. (SS 2 8-1)
  2. The Canadian Medical Association supports supply-and-demand projection models for health human resources using standardized methodology. (SS 2 8-2)
  3. The Canadian Medical Association supports measures to facilitate the acculturation of international medical graduates. (SS 2 8-11)
  4. The Canadian Medical Association supports curriculum development within Canada's medical schools that ensures trainees are educated on the importance of gender-sensitive care. (SS 2 8-4)
  5. The Canadian Medical Association will work with stakeholders to help new graduates of Canadian residency programs seek job opportunities across Canada. (SS 2 8-13)
  6. The Canadian Medical Association supports strategies that will utilize untapped health infrastructure resources to better meet Canadians' health care needs. (SS 2 8-7)
  7. The Canadian Medical Association will investigate reports of and implications of unemployment and underemployment within all specialties. (SS 2 8-3)
  8. The Canadian Medical Association will review the current physician human resource needs of psychiatry in Canada. (SS 2 8-5)
  9. The Canadian Medical Association encourages family physicians to maintain their skills in comprehensive family medicine, while supporting their choice to acquire additional skills that will better serve the needs of their community. (SS 2 8-6)
  10. The Canadian Medical Association will establish a national working group identifying key gaps in Canadian physician human resources and propose plans for action. (SS 2 8-15)
  11. The Canadian Medical Association will develop a policy statement on the impact emerging technologies and models of care are having on health human resource planning. (SS 2 8-8)
  12. The Canadian Medical Association supports the development of more structured mentorship programs featuring a formal career counselling component as part of all residency curricula in Canada. (SS 2 8-12)
  13. The Canadian Medical Association supports in principle the transfer process suggested in the Canadian Association of Internes and Residents' "Principles on Resident Transfers." (SS 2 8-10)
  14. The Canadian Medical Association will establish and maintain a national repository of physician professional opportunities in Canada. (SS 2 8-14)

Strategic Session 3 - Clinical Decision-making

  1. The Canadian Medical Association will advocate for adequate physician input in the selection of evidence used to address costs and quality related to clinical practice variation. (SS 3 9-3)
  2. The Canadian Medical Association will work with stakeholders to develop standardized processes to ensure access to comprehensive psychiatric assessment and treatment for people detained within the correctional system. (SS 3 9-6)
  3. The Canadian Medical Association believes that fiscal benefits and cost savings of exercises in accountability and appropriateness in clinical care are a by-product rather than the primary focus of these exercises. (SS 3 9-7)
  4. The Canadian Medical Association adopts the following definition for appropriateness in health care: It is the right care, provided by the right providers, to the right patient, in the right place, at the right time, resulting in optimal quality care. (SS 3 9-1)
  5. The Canadian Medical Association will form a collaborative working group to develop specialty-specific lists of clinical tests/interventions and procedures for which benefits have generally not been shown to exceed the risks. (SS 3 9-2)
  6. The Canadian Medical Association will revise its proposed framework for a National Dementia Strategy to include education on the assessment and management of pain prior to the initiation of anti-psychotic therapy. (SS 3 9-4)
  7. The Canadian Medical Association will make recommendations regarding training in and the use of standardized processes for assessing risk for violence in persons with mental illness. (SS 3 9-5)
  8. The Canadian Medical Association supports the development of data on health care delivery and patient outcomes to help the medical profession develop an appropriateness framework and associated accountability standards provided that patient and physician confidentiality is maintained. (SS 3 9-8)
  9. The Canadian Medical Association advocates that should outsourcing of medical services by health authorities or hospitals occur, Canadian training and certification standards must be met. (SS 3 9-9)

Delegates' Motions

    End-of-life Care
  1. The Canadian Medical Association advocates for the integration of accessible quality palliative care services into community and chronic care service delivery models. (DM 5-51)
  2. The Canadian Medical Association supports the integration of the palliative care approach into the management of life-limiting chronic disease. (DM 5-52)
  3. The Canadian Medical Association supports efforts that will assist physicians in helping patients and families understand and develop advance care plans. (DM 5-4)
  4. The Canadian Medical Association supports the development and availability to all physicians of training in advance care planning. (DM 5-6)
  5. The Canadian Medical Association recommends that all relevant legislation be amended to recognize that any person whose medical condition warrants it is entitled to receive palliative care. (DM 5-18)
  6. The Canadian Medical Association requests that all Canadian faculties of medicine create a curriculum for training in palliative care suitable for physicians at all stages of their medical education and in appropriate settings to the locale in which they practice. (DM 5-53)
  7. The Canadian Medical Association supports the right of any physician to exercise conscientious objection when faced with a request for medical aid in dying. (DM 5-22)
  8. The Canadian Medical Association believes that every person nearing the end of life who wishes to receive palliative care services at home should have access to them. (DM 5-23)
  9. The Canadian Medical Association encourages all members to complete their own advanced care plan. (DM 5-44)
  10. Environment
  11. The Canadian Medical Association supports the development of a national strategy for the creation of community and regional maps that track noise levels in Canada. (DM 5-1)
  12. The Canadian Medical Association supports integration of the concepts of population health and impact assessment into urban planning and design. (DM 5-33)
  13. The Canadian Medical Association will advocate for more federal assistance to support ongoing, systematic efforts to mitigate, prevent, respond to and recover from extreme weather events and their consequences on human health. (DM 5-50)
  14. Collaborative Practice
  15. The Canadian Medical Association recommends strengthening collaborative approaches to mental health care for children and youth. (DM 5-5)
  16. The Canadian Medical Association recommends that conflict-of-interest issues be considered when any scope-of-practice expansion that allows allied health professionals to both prescribe and dispense medication is considered. (DM 5-2)
  17. The Canadian Medical Association encourages that changes to the scope of practice for allied health professionals occur only in the presence of a defined, transparent evaluation process that is based on clinical criteria and protects patient safety. (DM 5-15)
  18. The Canadian Medical Association urges the Canadian Medical Protective Association to develop a comprehensive strategy to minimize the liability risk of physicians due to the changing scopes of practice of other health care providers. (DM 5-16)
  19. The Canadian Medical Association supports the implementation of a collaborative palliative care model. (DM 5-29)
  20. The Canadian Medical Association will develop a strategy to improve understanding of scope of practice and roles for and by all members of a multidisciplinary health care team. (DM 5-12)
  21. The Canadian Medical Association supports the creation of provincial/territorial councils on eye health. (DM 5-17)
  22. Health Care Delivery and Access
  23. The Canadian Medical Association will advocate for the development of an accreditation process for mobile applications for health. (DM 5-38)
  24. The Canadian Medical Association will support the establishment of national triage guidelines for prioritizing magnetic resonance imaging appointments. (DM 5-3)
  25. The Canadian Medical Association calls for biennial testing of disaster management planning in hospitals. (DM 5-11)
  26. The Canadian Medical Association calls for timely and efficient referral processes to link workplaces with primary care physicians. (DM 5-54)
  27. The Canadian Medical Association supports appropriate data collection and analysis to monitor the equitable distribution of health services and the appropriateness of care in all provinces and territories. (DM 5-32)
  28. The Canadian Medical Association supports the right of family members of Canadian military personnel and retiring/releasing military members and their families to have continuous access to local physicians as they relocate to new military bases and communities across Canada. (DM 5-35)
  29. The Canadian Medical Association strongly advocates for continued governmental investment to support interoperability and connectivity of e-health systems. (DM 5-48)
  30. The Canadian Medical Association supports the exploration of a complementary patient-controlled electronic health record. (DM 5-7)
  31. The Canadian Medical Association recommends that physicians be encouraged and adequately supported to participate in community-based interventions that target the social determinants of health. (DM 5-9)
  32. Health Promotion and Disease Prevention
  33. The Canadian Medical Association recommends that there be an increased emphasis on public health-oriented approaches by regulatory authorities responsible for psychoactive substances. (DM 5-10)
  34. The Canadian Medical Association supports programs and services that help people with mental illness find and maintain employment. (DM 5-55)
  35. The Canadian Medical Association will advocate for a pan-Canadian strategy to support the care of seniors that is based on the Principles to Guide Health Care Transformation in Canada. (DM 5-31)
  36. The Canadian Medical Association will advocate for legislation to protect Canadians from continued exposure to bisphenol A. (DM 5-39)
  37. The Canadian Medical Association calls for a strategy to combat obesity that includes requiring package and retail display warnings about health risks associated with excess consumption of high-calorie, low- nutritional-value junk foods/drinks. (DM 5-40)
  38. The Canadian Medical Association advocates for a national standard of support for the family caregivers of individuals living with mental and physical disabilities. (DM 5-42)
  39. The Canadian Medical Association calls for a reconsideration of proposed federal legislation that restricts supervised consumption (safe injection) sites. (DM 5-13)
  40. The Canadian Medical Association condemns the National Hockey League executives and owners regarding violence within their sport. (DM 5-20)
  41. The Canadian Medical Association supports a ban on the sale of energy drinks to Canadians younger than the legal drinking age in their jurisdiction. (DM 5-25)
  42. The Canadian Medical Association will conduct an analysis with recommendations on the effect of industry advertising promoting the consumption of alcohol and energy drinks on the youth of Canada. (DM 5-58)
  43. The Canadian Medical Association supports the development and implementation of comprehensive strategies to promote mental health and the management of mental health conditions in the workplace. (DM 5-56)
  44. The Canadian Medical Association calls for a strategy to combat obesity that includes restrictions on the sale of high-calorie, low- nutritional-value junk foods/drinks in recreational facilities frequented by young people. (DM 5-41)
  45. The Canadian Medical Association supports the development of a national system to identify and report the identities and quantities of antibiotics acquired domestically or imported for use in food animals. (DM 5-8)
  46. The Canadian Medical Association supports campaigns to prevent fetal alcohol spectrum disorder in Aboriginal communities in Canada. (DM 5-36)
  47. The Canadian Medical Association recommends that the Food and Drugs Act and its regulations be amended to close the "own use" provision for the unmanaged importation of antibiotics for agricultural use. (DM 5-37)
  48. Advocacy and Representation
  49. The Canadian Medical Association supports the proclamation of a specific annual date as "Doctors' Day in Canada." (DM 5-26)
  50. The Canadian Medical Association will advocate for the inclusion of health as a required consideration in decision-making by the federal Cabinet. (DM 5-30)
  51. The Canadian Medical Association will develop and implement a strategy to encourage collaborative action on the recommendations raised during its recent town-hall consultations on the social determinants of health. (DM 5-34)
  52. The Canadian Medical Association will develop a suggested curriculum for advocacy skills training for medical students and residents. (DM 5-59)
  53. Ethics
  54. The Canadian Medical Association supports timely public access and transparency to the results of and information from government-funded research. (DM 5-57)
  55. The Canadian Medical Association will create and distribute an inventory of existing documents to guide physicians facing ethical dilemmas within the context of their professional practices. (DM 5-21)
  56. The Canadian Medical Association condemns the Russian Federation's legislation banning "propaganda of non-traditional sexual relations." (DM 5-49)
  57. Emerging (Advocacy and Leadership)
  58. The Canadian Medical Association expresses its deep concern about the safety of Dr. Tarek Loubani as well as Mr. John Greyson, and urges Canadian officials to ensure due and fair process as well as physical and emotional safety for those two individuals. (EI 0-1)
  59. Late (Clinical Decision-making)
  60. The Canadian Medical Association supports the full use of national medical services instead of international outsourcing. (LM 0-2a)
Resolutions adopted