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Compensating clinical physicians who teach
https://policybase.cma.ca/en/permalink/policy141
- Last Reviewed
- 2017-03-04
- Date
- 2003-08-20
- Topics
- Health human resources
- Physician practice/ compensation/ forms
- Resolution
- GC03-43
- That Canadian Medical Association and its divisions and affiliates ask Canadian universities and governments to accurately document and appropriately compensate clinical physicians who are teaching, in recognition of their substantial contribution to the professional education of physicians in Canada.
- Policy Type
- Policy resolution
- Last Reviewed
- 2017-03-04
- Date
- 2003-08-20
- Resolution
- GC03-43
- That Canadian Medical Association and its divisions and affiliates ask Canadian universities and governments to accurately document and appropriately compensate clinical physicians who are teaching, in recognition of their substantial contribution to the professional education of physicians in Canada.
- Text
- That Canadian Medical Association and its divisions and affiliates ask Canadian universities and governments to accurately document and appropriately compensate clinical physicians who are teaching, in recognition of their substantial contribution to the professional education of physicians in Canada.
Joint statement on scopes of practice
https://policybase.cma.ca/en/permalink/policy219
- Policy Type
- Policy endorsement
- Last Reviewed
- 2017-03-04
- Date
- 2003-03-01
- Topics
- Health human resources
- Text
- Joint Statement on Scopes of Practice (February 2003) Canada's physicians, nurses, pharmacists and other health professionals recognize that a sustainable health workforce is a key challenge facing our health care system. In this regard, scopes of practice is an important issue that needs to be addressed. The Canadian Medical Association (CMA), the Canadian Nurses Association (CNA) and the Canadian Pharmacists Association (CPhA) have approved the following principles and criteria for the determination of scopes of practice. The primary purposes of such determinations are to meet the health care needs of Canadians, and to serve the interests of patients and the public safely, efficiently and competently. The CPhA, CNA and CMA believe that policy decisions taken in this area must put patients first. Secondly, they should be grounded in principles that reflect our commitment to professionalism, lifelong learning and patient safety. Thirdly, that there be recognition of the need for legislative and regulatory changes to support evolving scopes of practice. Moreover, we believe that health professionals must be involved in decision-making processes in this area. Principles Focus: Scopes of practice statements should promote safe, ethical, high-quality care that responds to the needs of patients and the public in a timely manner, is affordable and is provided by competent health care providers. Flexibility: A flexible approach is required that enables providers to practise to the extent of their education, training, skills, knowledge, experience, competence and judgment while being responsive to the needs of patients and the public. Collaboration and cooperation: In order to support interdisciplinary approaches to patient care and good health outcomes, physicians, nurses and pharmacists engage in collaborative and cooperative practice with other health care providers who are qualified and appropriately trained and who use, wherever possible, an evidence-based approach. Good communication is essential to collaboration and cooperation. Coordination: A qualified health care provider should coordinate individual patient care. Patient choice: Scopes of practice should take into account patients' choice of health care provider. Criteria Accountability: Scopes of practice should reflect the degree of accountability, responsibility and authority that the health care provider assumes for the outcome of his or her practice. Education: Scopes of practice should reflect the breadth, depth and relevance of the training and education of the health care provider. This includes consideration of the extent of the accredited or approved educational program(s), certification of the provider and maintenance of competency. Competencies and practice standards: Scopes of practice should reflect the degree of knowledge, values, attitudes and skills (i.e., clinical expertise and judgement, critical thinking, analysis, problem solving, decision making, leadership) of the provider group. Quality assurance and improvement: Scopes of practice should reflect measures of quality assurance and improvement that have been implemented for the protection of patients and the public. Risk assessment: Scopes of practice should take into consideration risk to patients. Evidence-based practices: Scopes of practice should reflect the degree to which the provider group practices are based on valid scientific evidence where available. Setting and culture: Scopes of practice should be sensitive to the place, context and culture in which the practice occurs. Legal liability and insurance: Scopes of practice should reflect case law and the legal liability assumed by the health care provider including mutual professional malpractice protection or liability insurance coverage. Regulation: Scopes of practice should reflect the legislative and regulatory authority, where applicable, of the health care provider. Principles and criteria to ensure safe, competent and ethical patient care should guide the development of scopes of practice of health care providers. This document is based on a January 2002 policy developed by the Canadian Medical Association whicb has been endorsed by the Canadian Nurses Association and the Canadian Pharmacists Association. We welcome the support of other health care providers for these principles and criteria regarding scopes of practice.
Documents
Medical direction and administrative responsibility
https://policybase.cma.ca/en/permalink/policy703
- Last Reviewed
- 2017-03-04
- Date
- 1981-08-28
- Topics
- Health systems, system funding and performance
- Health human resources
- Resolution
- GC81-17
- That the following be adopted as Canadian Medical Association policy: Medical direction and administrative responsibility: a) service departments which carry out prescribed medical diagnostic tests and/or therapy in hospitals or clinics must have a medical director who is accountable to the hospital board through the hospital administrator and professionally accountable through the normal channels to the organized medical staff. Such medical service departments include medical laboratory services, radiological services, respiratory technology, physiotherapy and nuclear medicine services. The appointment of a medical director for each such service department is essential in order to ensure the best possible service to the patient and to the hospital and to coordinate the related medical programs for the patient, b) the size and complexity of some service departments which carry out medical diagnostic tests and/or therapy may require the appointment of administrative assistants to the medical director, and these may be trained in the disciplines of physiotherapy, radiography, medical laboratory technology, respiratory technology, nuclear medicine technology, etc. They should be responsible to the medical director of the hospital services department and should not be head of the department reporting directly to the hospital administrator. In the small centres where there is not a full-time medical specialist on the medical staff the medical director of the service department should be a qualified physician. Such a non- specialized medical director should establish regular communication with a specialist in the field who may be consulted on general and specific questions, c) it is also recognized that some allied health personnel working in service departments have advanced technical and/or treatment skills. These should be recognized and profitably utilized always under the supervision and accountability of the medical director of the specific service.
- Policy Type
- Policy resolution
- Last Reviewed
- 2017-03-04
- Date
- 1981-08-28
- Resolution
- GC81-17
- That the following be adopted as Canadian Medical Association policy: Medical direction and administrative responsibility: a) service departments which carry out prescribed medical diagnostic tests and/or therapy in hospitals or clinics must have a medical director who is accountable to the hospital board through the hospital administrator and professionally accountable through the normal channels to the organized medical staff. Such medical service departments include medical laboratory services, radiological services, respiratory technology, physiotherapy and nuclear medicine services. The appointment of a medical director for each such service department is essential in order to ensure the best possible service to the patient and to the hospital and to coordinate the related medical programs for the patient, b) the size and complexity of some service departments which carry out medical diagnostic tests and/or therapy may require the appointment of administrative assistants to the medical director, and these may be trained in the disciplines of physiotherapy, radiography, medical laboratory technology, respiratory technology, nuclear medicine technology, etc. They should be responsible to the medical director of the hospital services department and should not be head of the department reporting directly to the hospital administrator. In the small centres where there is not a full-time medical specialist on the medical staff the medical director of the service department should be a qualified physician. Such a non- specialized medical director should establish regular communication with a specialist in the field who may be consulted on general and specific questions, c) it is also recognized that some allied health personnel working in service departments have advanced technical and/or treatment skills. These should be recognized and profitably utilized always under the supervision and accountability of the medical director of the specific service.
- Text
- That the following be adopted as Canadian Medical Association policy: Medical direction and administrative responsibility: a) service departments which carry out prescribed medical diagnostic tests and/or therapy in hospitals or clinics must have a medical director who is accountable to the hospital board through the hospital administrator and professionally accountable through the normal channels to the organized medical staff. Such medical service departments include medical laboratory services, radiological services, respiratory technology, physiotherapy and nuclear medicine services. The appointment of a medical director for each such service department is essential in order to ensure the best possible service to the patient and to the hospital and to coordinate the related medical programs for the patient, b) the size and complexity of some service departments which carry out medical diagnostic tests and/or therapy may require the appointment of administrative assistants to the medical director, and these may be trained in the disciplines of physiotherapy, radiography, medical laboratory technology, respiratory technology, nuclear medicine technology, etc. They should be responsible to the medical director of the hospital services department and should not be head of the department reporting directly to the hospital administrator. In the small centres where there is not a full-time medical specialist on the medical staff the medical director of the service department should be a qualified physician. Such a non- specialized medical director should establish regular communication with a specialist in the field who may be consulted on general and specific questions, c) it is also recognized that some allied health personnel working in service departments have advanced technical and/or treatment skills. These should be recognized and profitably utilized always under the supervision and accountability of the medical director of the specific service.
National locum licence
https://policybase.cma.ca/en/permalink/policy120
- Last Reviewed
- 2017-03-04
- Date
- 2003-08-20
- Topics
- Physician practice/ compensation/ forms
- Health human resources
- Resolution
- GC03-65
- That Canadian Medical Association and the Divisions work with the Federation of Medical Licensing Authorities of Canada and the provincial/territorial licensing bodies to develop a national locum licence.
- Policy Type
- Policy resolution
- Last Reviewed
- 2017-03-04
- Date
- 2003-08-20
- Resolution
- GC03-65
- That Canadian Medical Association and the Divisions work with the Federation of Medical Licensing Authorities of Canada and the provincial/territorial licensing bodies to develop a national locum licence.
- Text
- That Canadian Medical Association and the Divisions work with the Federation of Medical Licensing Authorities of Canada and the provincial/territorial licensing bodies to develop a national locum licence.
Needs of retired physicians
https://policybase.cma.ca/en/permalink/policy135
- Last Reviewed
- 2017-03-04
- Date
- 2003-08-20
- Topics
- Health human resources
- Resolution
- GC03-37
- That Canadian Medical Association, in collaboration with the divisions, address specific needs of retired physicians in the Canadian Medical Association's physician health and well-being program.
- Policy Type
- Policy resolution
- Last Reviewed
- 2017-03-04
- Date
- 2003-08-20
- Topics
- Health human resources
- Resolution
- GC03-37
- That Canadian Medical Association, in collaboration with the divisions, address specific needs of retired physicians in the Canadian Medical Association's physician health and well-being program.
- Text
- That Canadian Medical Association, in collaboration with the divisions, address specific needs of retired physicians in the Canadian Medical Association's physician health and well-being program.
Physician availability and practice information
https://policybase.cma.ca/en/permalink/policy704
- Last Reviewed
- 2017-03-04
- Date
- 1981-08-28
- Topics
- Health human resources
- Resolution
- GC81-47
- That the Canadian Medical Association recommend to the divisions that they study methods for making available to the public, information concerning physician availability and nature of practice.
- Policy Type
- Policy resolution
- Last Reviewed
- 2017-03-04
- Date
- 1981-08-28
- Topics
- Health human resources
- Resolution
- GC81-47
- That the Canadian Medical Association recommend to the divisions that they study methods for making available to the public, information concerning physician availability and nature of practice.
- Text
- That the Canadian Medical Association recommend to the divisions that they study methods for making available to the public, information concerning physician availability and nature of practice.
Physician stress and burnout
https://policybase.cma.ca/en/permalink/policy123
- Last Reviewed
- 2017-03-04
- Date
- 2003-08-20
- Topics
- Health human resources
- Resolution
- GC03-68
- That Canadian Medical Association work with divisions, affiliates and other stakeholders, through the Canadian Medical Association Centre for Physician Health and Well-Being, to address issues of physician stress and burn-out.
- Policy Type
- Policy resolution
- Last Reviewed
- 2017-03-04
- Date
- 2003-08-20
- Topics
- Health human resources
- Resolution
- GC03-68
- That Canadian Medical Association work with divisions, affiliates and other stakeholders, through the Canadian Medical Association Centre for Physician Health and Well-Being, to address issues of physician stress and burn-out.
- Text
- That Canadian Medical Association work with divisions, affiliates and other stakeholders, through the Canadian Medical Association Centre for Physician Health and Well-Being, to address issues of physician stress and burn-out.
Recruitment to general specialty training
https://policybase.cma.ca/en/permalink/policy116
- Last Reviewed
- 2017-03-04
- Date
- 2003-08-20
- Topics
- Health human resources
- Resolution
- GC03-29
- That Canadian Medical Association, with the relevant national medical associations, study the reduced enrollment in the general specialty training programs (family medicine, general surgery, general obstetrics and gynecology, general internal medicine and general pediatrics) and propose strategies to reverse this trend.
- Policy Type
- Policy resolution
- Last Reviewed
- 2017-03-04
- Date
- 2003-08-20
- Topics
- Health human resources
- Resolution
- GC03-29
- That Canadian Medical Association, with the relevant national medical associations, study the reduced enrollment in the general specialty training programs (family medicine, general surgery, general obstetrics and gynecology, general internal medicine and general pediatrics) and propose strategies to reverse this trend.
- Text
- That Canadian Medical Association, with the relevant national medical associations, study the reduced enrollment in the general specialty training programs (family medicine, general surgery, general obstetrics and gynecology, general internal medicine and general pediatrics) and propose strategies to reverse this trend.
Shortage of primary care physicians
https://policybase.cma.ca/en/permalink/policy124
- Last Reviewed
- 2017-03-04
- Date
- 2003-08-20
- Topics
- Health systems, system funding and performance
- Health human resources
- Resolution
- GC03-69
- That Canadian Medical Association in its strategic planning process identify as a priority the crisis in primary medical care delivery and study the ongoing loss of physicians providing comprehensive primary medical care and develop a strategy to reverse this pattern.
- Policy Type
- Policy resolution
- Last Reviewed
- 2017-03-04
- Date
- 2003-08-20
- Resolution
- GC03-69
- That Canadian Medical Association in its strategic planning process identify as a priority the crisis in primary medical care delivery and study the ongoing loss of physicians providing comprehensive primary medical care and develop a strategy to reverse this pattern.
- Text
- That Canadian Medical Association in its strategic planning process identify as a priority the crisis in primary medical care delivery and study the ongoing loss of physicians providing comprehensive primary medical care and develop a strategy to reverse this pattern.