CMA 2014 OTTAWA PROCEEDINGS · CMA 2014 OTTAWA NOTE: Readers should ... Michelle Masson . Amit...

OF THE 147TH ANNUAL MEETING AND TRANSACTIONS OF GENERAL COUNCIL, AUGUST 17–20, 2014

PROCEEDINGS CMA 2014 OTTAWA

NOTE: Readers should refer to the 2014 Reports to General Council while reviewing these transactions to relate the decisions of General Council to the background information provided in the reports.

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

Secretariat .......................................................................................................................... 3

2014 Delegates and Observers ............................................................................................ 5

Proceedings ..................................................................................................................... 21

Introduction and official opening .................................................................................................... 21

Address by the Minister of Health ................................................................................................. 22

General Council procedure ............................................................................................................. 24

Board of Directors stewardship report ........................................................................................... 26

Bylaws ............................................................................................................................................... 27

Strategic Session 1: Social responsibility and the medical profession........................................... 28

Strategic Session 2: End-of-life care in Canada .............................................................................. 31

Delegates’ motions ........................................................................................................................... 33

Nominations and elections .............................................................................................................. 42

Valedictory address .......................................................................................................................... 48

Presentation to CMA of the Canadian Forces Medallion for Distinguished Service ................. 49

Audit Committee report .................................................................................................................. 49

Membership fees .............................................................................................................................. 50

Committee on Ethics report ............................................................................................................ 50

CMA’s Group of subsidiary companies ......................................................................................... 51

Address by the Leader of the Opposition....................................................................................... 51

Inaugural address of incoming president ....................................................................................... 52

Annual General Meeting .................................................................................................. 55

Business session ................................................................................................................................ 55

Bylaws ............................................................................................................................................... 55

New business .................................................................................................................................... 56

Installation Ceremony and Awards ................................................................................... 57

Honorary memberships and awards ................................................................................................ 58

Installation of the president ............................................................................................................ 62

I

© 2015 Canadian Medical Association

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II

ELECTED OFFICIALS General Council Speaker and Deputy Speaker 2014

Speaker

Deputy Speaker

Blake Woodside, MD

Maria Alexiadis, MD

Board of Directors 2013-14

Chair President President-Elect Past President Honorary Treasurer

Brian Brodie, MD* Louis Hugo Francescutti, MD* Christopher Simpson, MD* Anna Reid, MD* Jane Brooks, MD*

Yukon Ngozi Ikeji, MD*

Northwest Territories Ewan Affleck, MD

British Columbia

Nasir Jetha, MD Shelley Ross, MD

Alberta

Christopher (Chip) Doig, MD Linda Slocombe, MD

Saskatchewan Boyd Stewart, MD

Manitoba Margaret Speer, MD

Ontario

Gail Beck, MD Christopher Jyu, MD Stewart Kennedy, MD Tim Nicholas, MD Virginia Walley, MD

Quebec

Pierre Harvey, MD Laurent Marcoux, MD

New Brunswick Ann Collins, MD

Nova Scotia Jane Brooks, MD*

Prince Edward Island Frank MacDonald, MD

Newfoundland & Labrador Brendan Lewis, MD

Residents Kaif Pardhan, MD

Students Jesse Kancir, MD * Members, CMA Executive Committee

2014 GENERAL COUNCIL PROCEEDINGS 1

Canadian Medical Foundation

Board of Trustees Chair

Trustees

Ruth Collins-Nakai, MD

Manon Charbonneau, MD

John Haggie, MD

Mike Gormley

Michelle Masson

Amit Monga

Jean Schnob

Tim Smith

Ian Warrack, MD

CMA’s Group of subsidiary companies

CMA Holdings (2009) Inc. Board of Directors Director and Chair

Director, President and CEO

Directors

John Rapin, MD

Brian Peters

Brian Brodie, MD

Jane Brooks, MD

Patricia Croft

George Davie

Jeffrey Gandz, PhD

Robert Hollinshead, MD

Eric Howatt, MD

Mark Norton

Frank Penny

Courtney Pratt

Tim Smith

Suzanne Strasberg, MD

Joanne Vézina

Wendy Watson

2 2014 GENERAL COUNCIL PROCEEDINGS

SECRETARIAT* Canadian Medical Association Interim Chief Executive Officer Chief of Staff and Senior Advisor Executive Assistant Executive Assistant Chief Financial Officer and Director of Operations Vice-President, Advocacy and Public Affairs Director, Communications Senior Manager, Strategic Affairs Senior Advisor, Public Engagement and Alliance Development Manager, Communications and Public Outreach Manager, Parliamentary Affairs Senior Advisor, Government Relations Coordinator, Advocacy and Public Affairs Communications Officer Project Manager, Strategic Affairs Senior Advisor, Communications

Senior Communications Advisor, Editor and Speech Writer Manager, Government Relations and Policy

Manager, Public Engagement and Alliance Development Support Specialist

Vice-President, Community Building Director, Members and PTMAs Director, Professional Affairs and Strategic Health Alliances Director, PTMA Relations Associate Director, Healthcare Partnerships Associate Director, Member Engagement Senior Editor Relationship Manager Executive Assistant Vice-President, Health Policy and Research Executive Director, Ethics, Professionalism and International Affairs Director, Research and Policy Development Senior Advisor and Strategist, Population Health Manager Research and Information Support Research Specialist Senior Health Economist Health Economist Project Manager Intern Vice-President, Professional Services and Leadership (Acting) Editor-in-Chief, CMAJ Managing Editor, Member Communications Director, Physician Learning and Professional Development Director, CMAJ Publications and Business Operations Director, Clinical Products and Services Manager, Online Channel Online Channel Analyst

Tim Smith Joseph Mayer Julie Perron Nunzia Parent Torindo (Tony) Panetta Jacques Lefebvre Steve Wharry Jennifer Arnold François Lessard Lucie Boileau Renée Bélanger Azin Moradhassel Alison Smith Dominique Jolicoeur Jasmine Neeson Kristin Smith Gord McIntosh Pascal Charron Charles Bergeron Caroline Bourbonnière Martin Vogel, MD John Feeley Charmaine Roye, MD Nick Farinaccio Monika MacLaren Carole Deburggraeve Pat Sullivan Emmanuelle Morin Nadia Potvin-Piché Owen Adams Jeff Blackmer, MD Stephen Vail Jill Skinner Debbie Ayotte Jenny Buckley Kelly Higdon Aly Pira Tara Chauhan Jennie Ding Deborah Scott-Douglas John Fletcher, MD Patrick (Pat) Rich Emily Gruenwoldt-Carkner Glenda Proctor Renée De Gannes-Marshall Judith Plumadore Kyle Brown

* Staff in attendance


Clinical Information Specialist Infobase Information Specialist Coordinator and Editor, cma.ca Executive Assistant Executive Assistant Vice-President, Strategy and Organization Effectiveness Director, Governance and Legal Services, Senior Counsel, Chief

Privacy Officer Director, Human Resources and Organizational Development Director, Meetings and Travel Management Business Support Specialist Associate Director, Corporate Services Associate Director, Governance Services Manager, Board Administrative Services and Recording Secretary Program Manager Manager, Annual Meeting Senior Meeting Planner Coordinator Coordinator, Registration and Travel Summer Intern Administrative Assistant (summer intern) Canadian Medical Foundation President and Chief Executive Officer Communications and Administrative Officer MD Physician Services President and Chief Executive Officer Chief Financial Officer Chief Investment Officer Executive Vice-President, Member Experience Executive Vice-President, Organization Experience Executive Vice-President, Technology and Operations Vice-President, CMA Marketing Assistant Vice-President, Enterprise Marketing Assistant Vice-President, Segment Development and Strategy Regional Vice-President, Financial Services Marketing Program Manager Public Relations and Communications Manager Assistant Regional Manager Marketing Manager Marketing and Events Coordinator Membership Marketing Lead Buyer Senior Network Analyst Senior PC Tech, Team Lead System Administrator

Elizabeth Czanyo Nan Bai Marla Fletcher Chantal Nadeau Chantal Cellard Steve Mortimer Jean Nelson Nancy Crain Michelle Gravelle Jacqueline Ethier Melinda Lauzon Marie Claire Bédard Heather Nowlan Cherise Araujo Sandra Wood Wendy Carnegie Jocelyn Weidenhaupt Ilonka Gutman Shay Samarasighe Christine Beaudoin Lee Gould Amy Baldry Brian Peters John Riviere William Horton, Jr. François Durocher Michelle Masson Paul Mason Wanda Cadigan Sheila Beehler-Walsh Allison Seymour Elizabeth Matz Alison Forestell Maria Grant Stephen Hunt Kim Peters Rebecca Breslin Mary Elizabeth Hickey Kristina Coffin William Brière Jay Remillard Daniel Hughes


DELEGATES AND OBSERVERS

2014 General Council Delegates

Acharya, Dr. Sanjay, Nepean, Ont. PTMA representative Adams, Dr. Howard, Windsor, Ont. Representative, Canadian Society of Plastic Surgeons Affleck, Dr. Ewan, Yellowknife, NWT Member, CMA Board of Directors Alexiadis, Dr. Maria, Halifax, NS Deputy Speaker, CMA General Council Alloo, Dr. Javed, North York, Ont. PTMA representative Andrusky, Dr. Kathryn, Edmonton, Alta. PTMA representative Arnold, Dr. Ken, Thunder Bay, Ont. PTMA representative Athaide, Dr. Gregory, Whitby, Ont. PTMA representative Badenhorst, Dr. Charl, Fort St. John, BC PTMA representative Bannon, Dr. David, Kensington, PEI President, Medical Society of Prince Edward Island Barker, Dr. Eric, Wiarton, Ont. PTMA representative Barnsdale, Dr. Peter, Mission, BC PTMA representative Barwich, Dr. Doris, Delta, BC Representative, Canadian Society of Palliative Care

Physicians

Bates, Dr. Sarah, Calgary, Alta. PTMA representative Beck, Dr. Gail, Ottawa, Ont. Member, CMA Board of Directors Behl, Dr. Pearl, Markham, Ont. PTMA representative Berbrayer, Dr. David, Thornhill, Ont. PTMA representative Bernier, Dr. Jean-Robert, Ottawa, Ont. Surgeon General, Canadian Forces Health Services

Group

Blair, Dr. Geoffrey, Vancouver, BC Chair, Specialist Forum Bonang, Dr. Lisa, Musquodoboit Harbour, NS Chair, Forum on General and Family Practice Issues Boucher, Dr. Paul, Calgary, Alta. PTMA representative Bourque, Dr. Jean-Marc, London, Ont. PTMA representative Brehmer, Dr. Larry, Whitehorse, Yukon PTMA representative Broad, Dr. Robert, Edmonton, Alta. Chair, CMA Audit Committee Brodie, Dr. Brian, Chilliwack, BC Chair, CMA Board of Directors Bronaugh, Dr. Thomas, Souris, PEI PTMA representative Brooks, Dr. Jane, Middleton, NS CMA Honorary Treasurer Brown, Dr. Mark, Moose Jaw, Sask. PTMA representative Cadesky, Dr. Éric, Burnaby, BC PTMA representative Cameron, Dr. Bruce, Moncton, NB PTMA representative


Canil, Dr. Katherine, Iqaluit, Nunavut PTMA representative Cargill, Dr. Darren, Windsor, Ont. PTMA representative Carr, Dr. Padraic, Edmonton, Alta. PTMA representative Cavers, Dr. William, Vancouver, BC President, Doctors of BC Chaimowitz, Dr. Gary, Ancaster, Ont. PTMA representative Charters, Dr. Jane, Oakville, Ont. PTMA representative Chau, Dr. Huy, Whitehorse, Yukon PTMA representative Cherla, Dr. Kiran, Richmond Hill, Ont. PTMA representative Chiu, Dr. Aaron, Winnipeg, Man. PTMA representative Choy, Dr. Jonathan, Edmonton, Alta. PTMA representative Chris, Dr. Stephen, North York, Ont. PTMA representative Clarke, Dr. Andrew, Vancouver, BC PTMA representative Collins, Dr. Ann, Fredericton, NB Member, CMA Board of Directors Collins-Nakai, Dr. Ruth, Edmonton, Alta. Chair, CMA Committee on Archives; Chair, Canadian

Medical Foundation Board; CMA President, 2005

Collis, Dr. Ernest, Torbay, NL PTMA representative Colman, Dr. Laurence, Etobicoke, Ont. PTMA representative Cook, Dr. Sarah, Yellowknife, NWT PTMA representative Coolican, Dr. Paul, Morrisburg, Ont. PTMA representative Cooper, Dr. Neil, Calgary, Alta. PTMA representative Corbett, Dr. Mark, Westbank, BC PTMA representative Correia, Dr. Amelia, Medicine Hat, Alta. PTMA representative Cox, Dr. Christopher, St. John’s, NL PTMA representative Cox, Dr. Robin, Calgary, Alta. PTMA representative Cram, Dr. David, Souris, Man. PTMA representative Cressey, Dr. Christopher, Palmerston, Ont. PTMA representative Cunniffe, Dr. Jill, Charlottetown, PEI PTMA representative Cunningham, Dr. William, Victoria, BC PTMA representative Curtis, Dr. Anne, North York, Ont. PTMA representative

Dalal, Dr. Bakul, Vancouver, BC PTMA representative Dandurand Bolduc, Ms. Claudie, Pierrefonds, Que.

PTMA representative

de Gara, Dr. Christopher, Edmonton, Alta. PTMA representative Dellandrea, Dr. David, North Bay, Ont. PTMA representative Demers, Dr. Vincent, Montreal, Que. PTMA representative Dindo, Dr. Luay, Surrey, BC PTMA representative Dixon, Dr. Shannon, Treherne, Man. PTMA representative Doig, Dr. Anne, Saskatoon, Sask. CMA President, 2009


Doig, Dr. Christopher, Calgary, Alta. Member, CMA Board of Directors Domke, Dr. Sheila, Winnipeg, Man. PTMA representative Don, Dr. Joan, Lindsay, Ont. PTMA representative Donohue, Dr. Alicia, Gloucester, Ont. PTMA representative Doyle, Dr. Mary, Sydney, NS PTMA representative Drew, Mrs. Barbara, Ottawa, Ont. CMA Acting Secretary General, 2001-2002 and 2008-

2009

Drouin, Dr. Denis, Quebec, Que. PTMA representative Ducas, Dr. Anne, Winnipeg, Man. PTMA representative Dutt, Dr. Monika, Sydney, NS PTMA representative Dwyer, Dr. Lynn, St. John’s, NL PTMA representative

Ekong, Dr. Chris, Regina, Sask. PTMA representative; CMA Honorary Member

Fleming, Dr. Michael, Fall River, NS PTMA representative Flower, Dr. David, Fredericton, NB PTMA representative Flynn, Dr. Greg, Toronto, Ont. PTMA representative Foley, Dr. Garrett, Cornwall, Ont. PTMA representative Forbes, Dr. Cindy, Waverley, NS PTMA representative Forman, Dr. Rachel, Toronto, Ont. PTMA representative Francescutti, Dr. Louis Hugo, Sherwood Park, Alta.

CMA President

Freeland, Dr. Alison, Ottawa, Ont. PTMA representative

Gallagher, Dr. Kathleen, Bedford, NS PTMA representative Garbutt, Dr. Allan, Bellevue, Alta. President, Alberta Medical Association; CMA Honorary

Member

Gass, Dr. David, Halifax, NS Chair, CMA Committee on Ethics Gelber, Dr. Tobias, Pincher Creek, Alta. PTMA representative Ghuman, Dr. Jaspinder, Surrey, BC PTMA representative Gibson, Dr. Neil, Sturgeon County, Alta. PTMA representative Giuffre, Dr. Michael, Calgary, Alta. PTMA representative Golbey, Dr. Michael, Kelowna, BC Chair, CMA Board of Directors, 2009-2013 Gorman, Dr. Mary, Antigonish, NS PTMA representative Gow, Dr. Alan, Salmon Arm, BC PTMA representative Graham, Dr. Wendy, Channel-Port-aux-Basques, NL

President, Newfoundland and Labrador Medical Association

Greenland, Dr. Jonathan, St. John’s, NL PTMA representative Gupta, Dr. Samir, North York, Ont. PTMA representative Hackett, Mr. Cian, Edmonton, Alta. PTMA representative


Haddad, Dr. Camille, Miramichi, NB PTMA representative Haggie, Dr. John, Gander, NL CMA President, 2011 Hajela, Dr. Raju, Calgary, Alta. PTMA representative Hansen, Dr. Lynn, Fredericton, NB President, New Brunswick Medical Society Harvey, Dr. Pierre, Rivière-du-Loup, Que. Member, CMA Board of Directors Hellyer, Dr. Deborah, Windsor, Ont. PTMA representative Horvat, Dr. Daniel, Prince George, BC PTMA representative Houston, Dr. Patricia, Toronto, Ont. Representative, Canadian Anesthesiologists’ Society Howard, Dr. Courtney, Yellowknife, NWT PTMA representative Howatt, Mr. Jonathan, Halifax, NS PTMA representative Huang, Dr. Felicia, Whitehorse, Yukon PTMA representative Hudak, Dr. Alan, Orillia, Ont. PTMA representative Hutchison, Dr. Susan, Edmonton, Alta. PTMA representative

Ikeji, Dr. Ngozi, Whitehorse, Yukon Member, CMA Board of Directors

Jamieson, Dr. Peter, Calgary, Alta. PTMA representative Jen, Dr. Yun, Montreal, Que. PTMA representative Jetha, Dr. Nasir, Vancouver, BC Member, CMA Board of Directors Jevremovic, Dr. Tatiana, London, Ont. PTMA representative Johnsen, Dr. Jon, Thunder Bay, Ont. PTMA representative Johnson, Dr. Darcy, Winnipeg, Man. PTMA representative Johnson, Ms. Taneille, Vancouver, BC PTMA representative Johnston, Dr. Richard, Edmonton, Alta. PTMA representative Jones, Dr. Ralph, Chilliwack, BC PTMA representative Jyu, Dr. Christopher, Scarborough, Ont. Member, CMA Board of Directors

Kancir, Dr. Jesse, Toronto, Ont. Member, CMA Board of Directors Kapur, Dr. Atul, Ottawa, Ont. PTMA representative Karaivanov, Dr. Yordan, Happy Valley-Goose Bay, NL

PTMA representative

Kassner, Dr. Rachel, Charlottetown, PEI PTMA representative Kelleher, Dr. Barbara, Brandon, Man. PTMA representative Kendler, Dr. David, Vancouver, BC PTMA representative Kennedy, Dr. Stewart, Thunder Bay, Ont. Member, CMA Board of Directors Khandelwal, Dr. Sanjay, Surrey, BC PTMA representative Kiefer, Dr. Gerhard, Calgary, Alta. PTMA representative Kim, Dr. Joseph, Saskatoon, Sask. PTMA representative Kippen, Dr. Robert, Winnipeg, Man. President, Doctors Manitoba


Kirwan, Dr. Margaret, Grande Prairie, Alta. Speaker, CMA General Council 2006-2010 Knudson, Dr. Gail, Victoria, BC PTMA representative Kosar, Dr. Stephen, Sudbury, Ont. PTMA representative Kozroski, Dr. Clare, Gull Lake, Sask. PTMA representative Kushneriuk, Mr. Brendan, Saskatoon, Sask. PTMA representative

L’Heureux, Dr. Bruno, Laval, Que. PTMA representative, CMA President, 1994 Labine, Mrs. Laurence, Quebec, Que. PTMA representative Lafontaine, Dr. Alika, Grande Prairie, Alta. PTMA representative Lam, Dr. Andrew, Toronto, Ont. PTMA representative Lane, Dr. Carolyn, Calgary, Alta. Chair, CMA Committee on Health Policy and

Economics

Larsen, Dr. Darren, Thornhill, Ont. PTMA representative Laverty, Mr. Colin, Sherbrooke, Que. PTMA representative Lee, Dr. Winston, Saint John, NB PTMA representative Lefebvre, Dr. Lisa, North York, Ont. PTMA representative Lévesque, Dr. Jacques, Quebec, Que. Representative, Canadian Association of Radiologists Lewis, Dr. Brendan, Corner Brook, NL Member, CMA Board of Directors Liao, Dr. Pamela, North York, Ont. PTMA representative Logie, Dr. Natalie, Edmonton, Alta. PTMA representative Ludwig, Dr. John, Omemee, Ont. PTMA representative

MacDonald, Dr. Frank, Charlottetown, PEI Member, CMA Board of Directors Mackie, Dr. Bill, Vancouver, BC PTMA representative Mann, Dr. Renwick, Peterborough, Ont. PTMA representative Marcoux, Dr. Laurent, Longueuil, Que. Member, CMA Board of Directors; President, Quebec

Medical Association

Mazurek, Dr. Karen, St. Albert, Alta. PTMA representative McEwen, Dr. Jill, Vancouver, BC Representative, Canadian Association of Emergency

Physicians

McGregor, Dr. Douglas, Victoria, BC PTMA representative McGregor, Dr. F. Fiona Keller, Vernon, BC Representative, Canadian Psychiatric Association McMillan, Dr. Colin, Charlottetown, PEI PTMA representative; CMA President, 2006; Chair,

CMA Board of Directors 1993-1997

Miller, Dr. Ashley, St. John’s, NL PTMA representative Milliken, Dr. Donald, Victoria, BC PTMA representative Milne, Dr. David, Bedford, NS PTMA representative Molnar, Dr. Frank, Nepean, Ont. Representative, Canadian Geriatrics Society Moore, Dr. Kieran, Kingston, Ont. PTMA representative Morin, Dr. Marie, Arcola, Sask. PTMA representative


Murdock, Dr. Ward, Fredericton, NB Representative, Society of Obstetricians and Gynaecologists of Canada

Naidoo, Dr. Surayia, Yellowknife, NWT PTMA representative Ng, Dr. Albert, Windsor, Ont. PTMA representative Nicholas, Dr. Timothy, Aurora, Ont. Member, CMA Board of Directors Nohr, Dr. Carl, Medicine Hat, Alta. PTMA representative Nowik, Dr. Christina, Kingston, Ont. Representative, Canadian Association of Internes and

Residents

O’Neill, Dr. Kiley, Charlottetown, PEI PTMA representative Oppel, Dr. Lloyd, Vancouver, BC PTMA representative O’Shea, Dr. Eoghan, Ottawa, Ont. PTMA representative O’Shea, Dr. Patrick, St. John’s, NL PTMA representative Ouellet, Dr. Robert, Montreal, Que. CMA President, 2008 Owsianik, Dr. Walter, Hamilton, Ont. PTMA representative

Papanikolaou, Dr. Frank, Toronto, Ont. PTMA representative Pardhan, Dr. Kaif, Toronto, Ont. Member, CMA Board of Directors Parks, Dr. Paul, Medicine Hat, Alta. PTMA representative Parmar, Dr. Jasneet, Edmonton, Alta. PTMA representative Pillay, Dr. Intheran, Gravelbourg, Sask. PTMA representative Pinto, Dr. Christopher, Toronto, Ont. PTMA representative Pontin, Dr. David, Yellowknife, NWT President, Northwest Territories Medical Association

Quong, Dr. James Kenneth, Whitehorse, Yukon President, Yukon Medical Association

Ranger, Ms. Nicole, Alban, Ont. PTMA representative Read, Dr. Robert, Halifax, NS PTMA representative Reid, Dr. Anna, Yellowknife, NWT CMA President, 2012 Robinson, Dr. Paul, Gatineau, Que. PTMA representative Rodriguez-Qizilbash, Mr. Samuel, Montreal, Que.

PTMA representative

Ross, Dr. Shelley, Burnaby, BC Member, CMA Board of Directors Rouabhia, Mrs. Dounia, Quebec, Que. PTMA representative Routledge, Dr. Robin, Duncan, BC PTMA representative Roy, Dr. Claude, Montreal, Que. PTMA representative Roy, Dr. Maurice, Winnipeg, Man. PTMA representative Ruddiman, Dr. Alan, Oliver, BC PTMA representative Sampson, Dr. John, Charlottetown, PEI PTMA representative


Samson, Dr. Isabelle, Quebec, Que. PTMA representative Sargent, Dr. Randall, Canmore, Alta. PTMA representative Saunders, Dr. Robin, Sooke, BC PTMA representative Sauve, Dr. Michel, Fort McMurray, Alta. PTMA representative Schokking, Dr. Ian, Prince George, BC PTMA representative Schumacher, Dr. Albert, Windsor, Ont. PTMA representative; CMA President, 2004 Schuster, Dr. Ernst, Edmonton, Alta. PTMA representative Shannon, Dr. Janet, Eagle Ridge, Sask. PTMA representative Sharma, Ms. Soniya, Richmond Hill, Ont. PTMA representative She, Dr. Alex, Vancouver, BC PTMA representative Sheikh, Dr. Shoaib, Clarenville, NL PTMA representative Simpson, Dr. Chris, Kingston, Ont. CMA President-Elect Singhal, Dr. Rajni, North York, Ont. PTMA representative Sivertson, Dr. Joanne, Prince Albert, Sask. PTMA representative Slavik, Dr. Dalibor, Saskatoon, Sask. President, Saskatchewan Medical Association Slocombe, Dr. Linda, Calgary, Alta. Member, CMA Board of Directors Smith, Dr. Thirza, Saskatoon, Sask. PTMA representative Snelgrove, Dr. Natasha, Hamilton, Ont. PTMA representative Sommers, Dr. Frank, Toronto, Ont. PTMA representative Speer, Dr. Margaret, Lockport, Man. Member, CMA Board of Directors Sridhar, Dr. Guruswamy, Regina, Sask. PTMA representative Steacie, Dr. Adam, Brockville, Ont. Chair, CMA Committee on Health Care and Promotion Stephan, Dr. Gary Paul, Scarborough, Ont. PTMA representative Stewart, Dr. Boyd, Weyburn, Sask. Member, CMA Board of Directors Stewart, Dr. Jim, North Bay, Ont. PTMA representative Studniberg, Dr. Allan, Scarborough, Ont. PTMA representative Sullivan, Dr. John, Halifax, NS President, Doctors Nova Scotia Swenson, Dr. Robert, Ottawa, Ont. PTMA representative Sze, Dr. Shirley, Kamloops, BC PTMA representative

Tadepalli, Dr. Rao, Whitehorse, Yukon PTMA representative Talwar, Dr. Manoj, Petersburg, Ont. PTMA representative Tandan, Dr. Ved, Hamilton, Ont. President, Ontario Medical Association Tanner, Dr. Wayne, Toronto, Ont. PTMA representative Tardif, Dr. Daniel, Cantley, Que. PTMA representative Thorne, Dr. Carter, Newmarket, Ont. Representative, Canadian Rheumatology Association Toth, Dr. Michael, Aylmer, Ont. PTMA representative Tracey, Dr. John, Brampton, Ont. PTMA representative Turchen, Dr. Barry, Abbotsford, BC Chair, CMA Political Action Committee


Tytus, Dr. Richard, Hamilton, Ont. PTMA representative

Vaidya, Dr. Ann, Calgary, Alta. PTMA representative Vander-Stelt, Dr. Ruth, Gatineau, Que. PTMA representative Viens, Dr. Hugo, Saint-Lambert, Que. PTMA representative

Walley, Dr. Virginia, Peterborough, Ont. Member, CMA Board of Directors Webb, Dr. Charles, Vancouver, BC PTMA representative Weir, Dr. Douglas, Toronto, Ont. PTMA representative Weiss, Dr. Andrew, Winnipeg, Man. PTMA representative Welsh, Dr. Lawrence, Mission, BC PTMA representative Welt, Dr. Michel, Montreal, Que. PTMA representative Wexler, Dr. Denise, London, Ont. Representative, Canadian Dermatology Association Whatley, Dr. Shawn, Mount Albert, Ont. PTMA representative Whelan, Dr. John, Rothesay, NB PTMA representative White, Dr. Celina, Amherst, NS PTMA representative Whitehead, Dr. Lori, Hamilton, Ont. PTMA representative Willett, Dr. Janice, Sault Ste. Marie, Ont. Chair, CMA Committee on Education and Professional

Development

Williams, Dr. Kimberly, Calgary, Alta. Representative, Canadian Federation of Medical Students

Wirtzfeld, Dr. Debrah, Winnipeg, Man. Representative, Canadian Association of General Surgeons

Wooder, Dr. Scott, Stoney Creek, Ont. PTMA representative Woodside, Dr. Blake, North York, Ont. Speaker, CMA General Council Woollam, Dr. Gabriel, Happy Valley-Goose Bay, NL

PTMA representative

Yamashiro, Dr. Hiro, Richmond Hill, Ont. PTMA representative Yammine, Dr. Nadine, Chatham, Ont. Representative, Canadian Society of Otolaryngology -

Head and Neck Surgery

Yelland, Dr. Joel, Saskatoon, Sask. PTMA representative Young, Dr. Joanne, Vancouver, BC PTMA representative

Zygmunt, Mr. Austin, Halifax, NS PTMA representative


2014 General Council Observers

Achyuthan, Dr. Geeta, Regina, Sask. Member Adair, Ms. Marisa, Vancouver, BC Doctors of BC Agboola, Dr. Olusegun, Ottawa, Ont. Member Amin, Mr. Khizer, Maple, Ont. Medical Student Ambrose, The Honorable Rona, Ottawa, Ont. Member of Parliament and Minister of Health Canada Amyot, Dr. Marc-André, Saint-Charles-Borromée, Que.

Member

Asrar, Dr. Farhan, Mississauga, Ont. CMA Award for Young Leaders Recipient Attara, Ms. Gail, Vancouver, BC Gastrointestinal Society

Bach, Dr. David, London, Ont. CMA Honorary Member Barnsdale, Dr. Emily, Mission, BC Member Baron, Dr. Michel, Sherbrooke, Que. CMA Honorary Member Barter, Dr. Lynn, St. John’s, NL Newfoundland and Labrador Medical Association Bechard, Ms. Melanie, Georgetown, Ont. Medical Student Bellavance, Mr. Sylvain, Montreal, Que. Fédération des médecins spécialistes du Québec Bennett, Dr. Carolyn, Toronto, Ont. Member of Parliament Bergeron, Ms. Diane, Edmonton, Alta. Canadian National Institute for the Blind Bernard, Dr. André, Halifax, NS CMA Representative to the WMA Council Bérubé, Dr. Martine, Sherbrooke, Que. Member Bindlish, Dr. Vinita, Kitchener, Ont. Member Blackmer, Dr. Jeffrey, Ottawa, Ont. Member Blake, Dr. Jennifer, Ottawa, Ont. Society of Obstetricians and Gynaecologists of Canada Blaker, Dr. Jessica, Whitehorse, Yukon Member Boadway, Dr. Ted, Richmond Hill, Ont. CMA Physician Misericordia Award Recipient Boisjoly, Dr. Hélène, Montreal, Que. Université de Montreal Boivin, Mr. Claude Paul, Ottawa, Ont. Canadian Dental Association Bonfanti, Ms. Angela, Toronto, Ont. Canadian National Institute for the Blind Bourgoin, Mrs. Mélissa, Montreal, Que. Quebec Medical Association Bowmer, Dr. Ian, Ottawa, Ont. Medical Council of Canada Brazeau, Ms. Lisa, Ottawa, Ont. Canadian Nurses Association Bridges, Dr. Ronald, Calgary, Alta. Member Brimacombe, Mr. Glenn, Ottawa, Ont. Canadian Psychiatric Association Brown, Mr. Gavin, Ottawa, Ont. Member of Parliament Brunet-Colvey, Ms. Jennifer, Ottawa, Ont. Canadian Ophthalmological Society Bryden, Ms. Lea, Stratford, PEI Medical Society of Prince Edward Island Buckley, Dr. Brian, North Bay, Ont. Member


Burns, Dr. Ken, Maple Ridge, BC Member Busser, Dr. James Robert, Vancouver, BC Member Butler-Jones, Dr. David, Ottawa, Ont. CMA Medal of Service Recipient

Campbell, Dr. Garth, Beausejour, Man. Member Cannon, Dr. Crystal, Portland, Ont. Federation of Medical Women of Canada Carnovale, Ms. Anna, Toronto, Ont. Ontario Medical Association Carpenter, Mr. Dallas, Saskatoon, Sask. Saskatchewan Medical Association Ceacero, Ms. Sylvia, Ottawa, Ont. National Association of Federal Retirees Chan, Dr. Jason, Charlottetown, PEI Medical Society of Prince Edward Island Chapman, Mr. Kevin, Dartmouth, NS Doctors Nova Scotia Charbonneau, Dr. Manon, Sept-Îles, Que. Member Charest, Mr. Jean, Montreal, Que. Presenter Chouinard, Mr. Joseph, Ottawa, Ont. Member Cloutier, Dr. Louise, Wolfville, NS Chair, CMA Board of Directors 2004-2008 Cordell, Ms. Cathy, Vancouver, BC Doctors of BC Correa, Miss Natasha, Mississauga, Ont. Medical Student Courchesne, Dr. Cyd, Gloucester, Ont. Member Cram, Mr. Robert, Winnipeg, Man. Doctors Manitoba Crolly, Ms. Allison, Winnipeg, Man. Doctors Manitoba Csamer, Ms. Jennifer, Toronto, Ont. Ontario Medical Association

Dalinghaus, Dr. Kathleen, Whitehorse, Yukon Member Dankwa, Dr. Kweku, St. Anthony, NL Member Dapont, Mr. George, Ottawa, Ont. Deputy Minister of Health, Health Canada Davie, Mr. George, Toronto, Ont. Member, CMAH Board of Directors Davies, Mrs. Libby, Vancouver, BC Member of Parliament Deneault, Dr. Jocelyn, Ottawa, Ont. Member Desrosiers, Dr. Michel, Westmount, Que. Member Dickson, Dr. Catherine, Ottawa, Ont. Member Dirnfeld, Dr. Victor, Richmond, BC CMA President, 1997 Dobson, Dr. Larry, Nepean, Ont. Member Dowdall, Ms. Catherine, Toronto, Ont. Ontario Medical Association Durafourt, Mr. Bryce, Montreal, Que. Medical Student

Eggleton, Hon. Art, Toronto, Ont. Member of Parliament Eisenschmid, Mr. Perry, Ottawa, Ont. Canadian Pharmacists Association Eng, Ms. Susan, Toronto, Ont. Canadian Association of Retired Persons


Fanning, Dr. Elizabeth, Edmonton, Alta. CMA F.N.G. Starr Recipient Farrell, Dr. Gerard Joseph, St. John’s, NL Member Fifield, Ms. Adele, Ottawa, Ont. Canadian Association of Radiologists Florizone, Mr. Allan, Edmonton, Alta. Alberta Medical Association Fournier, Dr. Marcien, Quebec, Que. CMA President, 1989 Fralick, Ms. Pamela, Ottawa, Ont. Canadian Cancer Society Francoeur, Dr. Diane, Montreal, Que. Fédération des médecins spécialistes du Québec Frank, Mr. Stephen, Toronto, Ont. Canadian Life and Health Insurance Association Fraser, Mr. John, Ottawa, Ont. Member of Parliament Frazee, Dr. Pamela, Tofino, BC Member Fréchette, Mrs. Danielle, Ottawa, Ont. Royal College of Physicians and Surgeons of Canada Freedhoff, Dr. Yoni, Ottawa, Ont. Member Freeman, Ms. Norma, Ottawa, Ont. Canadian Nurses Association Fritz, Miss Karyn, Vancouver, BC Doctors of BC Fry, Dr. Hedy, Ottawa, Ont. Member of Parliament Gabel, Dr. Marc, Toronto, Ont. College of Physicians and Surgeons of Ontario Gandz, Dr. Jeffrey, London, Ont. Member, CMAH Board of Directors Gasser, Mrs. Carolyn, Ottawa, Ont. Royal Canadian Legion Dominion Command Geller, Dr. Brian, Saskatoon, Sask. Saskatchewan Medical Association Genge, Dr. Angela, Westmount, Que. Presenter Gerace, Dr. Rocco, Toronto, Ont. College of Physicians and Surgeons of Ontario Gilbert, Mr. Rodrigue, Gatineau, Que. Public Affairs Group Giles, Dr. Sarah, Orleans, Ont. Member Gill, Dr. Peter, Edmonton, Alta. CMA Award for Young Leaders Recipient Gimon, Ms. Tamara, Toronto, Ont. Medical Student Girdwood, Miss Anthea, Ottawa, Ont. Medical Student Godin, Dr. Louis, Westmount, Que. Fédération des médecins omnipraticiens du Québec Goldman, Dr. Brian, Toronto, Ont. Presenter Gormley, Mr. Michael, Edmonton, Alta. Alberta Medical Association Graham, Dr. Jamie, Corner Brook, NL Member Graham, Dr. Shelley, Calgary, Alta. Member Groves, Dr. Lawrence, Brandon, Man. Canadian Medical Protective Association Gudapati, Dr. Sumathi, Whitehorse, Yukon Member Guichon, Ms. Juliet, Calgary, Alta. CMA Medal of Honour Recipient Haddad, Dr. Henry, Sherbrooke, Que. CMA President, 2001 Hall, Mr. Justin, London, Ont. Medical Student Halparin, Dr. Elliot, Georgetown, Ont. Member


Han, Dr. Thomas, Markham, Ont. Member Hanson, Dr. Dana, Fredericton, NB CMA President, 2002; Speaker, CMA General Council

1999-2001

Harris, Dr. Kenneth, Ottawa, Ont. Royal College of Physicians and Surgeons of Canada Harterre, Dr. Donald, Peterborough, Ont. CMA Honorary Member Headley, Ms. Kate, Ottawa, Ont. Canadian Nurses Association Heathcote, Dr. John Christopher, Surrey, BC Member Hnydyk, Dr. William, Edmonton, Alta. Alberta Medical Association Hobday, Mr. Ed, Saskatoon, Sask. Saskatchewan Medical Association Hollinshead, Dr. Robert, Calgary, Alta. Member, CMAH Board of Directors Holmes, Ms. Samantha, Dartmouth, NS Doctors Nova Scotia Howatt, Dr. Eric, Kentville, NS Member, CMAH Board of Directors Huston, Mr. Jim, Edmonton, Alta. Alberta Medical Association Hutchison, Ms. Sarah, Toronto, Ont. Ontario Medical Association Imrie, Dr. Kevin, Toronto, Ont. Royal College of Physicians and Surgeons of Canada Jagdeo, Dr. Arun, Vancouver, BC Resident Jerome, Mr. David, St. John’s, NL Newfoundland and Labrador Medical Association Jetha, Dr. Shamim, Vancouver, BC Member

Kanjeekal, Dr. Rajh, Belle River, Ont. Member Kazimirski, Dr. Judith Carmen, Falmouth, NS CMA President, 1996; Chair, CMA Board of Directors,

1989-1993

Kendel, Dr. Dennis, Saskatoon, Sask. Member Kenny, Dr. Stephanie, Ottawa, Ont. Resident Keresteci, Ms. Maggie, Toronto, Ont. Ontario Medical Association Khare, Dr. Umesh, Calgary, Alta. Member Khatter, Dr. Kapil, Ottawa, Ont. Canadian Association of Physicians for the Environment Kitts, Ms. Jennifer, Ottawa, Ont. Canadian Healthcare Association Knight, Mr. Anthony, Fredericton, NB New Brunswick Medical Society Kralj, Dr. Boris, Toronto, Ont. Ontario Medical Association Laberge, Mr. Normand, Montreal, Que. Quebec Medical Association Laberge, Dr. Roger, Lery, Que. CMA Honorary Member Landry, Dr. Léo-Paul, Boucherville, Que. CMA Secretary General, 1986-1999 Lariviere, Dr. Katherine, Ottawa, Ont. Member Larsen, Mr. Craig, Ottawa, Ont. Chronic Disease Prevention Alliance of Canada Lau, Dr. Timothy, Ottawa, Ont. Member


Lauriault, Dr. Claude, Ottawa, Ont. Member Lavoie, Dr. Curtis, Ottawa, Ont. Member Lavoie, Dr. Lionel, Melfort, Sask. CMA President, 1990 Lawrence, Dr. Kathy, Mississauga, Ont. College of Family Physicians of Canada LeBlanc, Ms. Barb, Toronto, Ont. Ontario Medical Association Lefebvre, Dr. Fleur-Ange, Ottawa, Ont. Federation of Medical Regulatory Authorities of Canada Lemire, Dr. Francine, Toronto, Ont. College of Family Physicians of Canada Lermer, Dr. Miriam, Hamilton, Ont. Medical Resident Levy, Dr. Isra G., Nepean, Ont. Member Linton, Mr. David, Calgary, Alta. Medical Student Lougheed, Dr. Taylor, Stouffville, Ont. Resident MacCready-Williams, Ms. Nancy, Dartmouth, NS

Doctors Nova Scotia

MacDiarmid, Dr. Margaret, Vancouver, BC Sir Charles Tupper Award for Political Action Recipient MacKay, Dr. Hugh Colin, Ottawa, Ont. Canadian Forces Health Services Group MacLean, Mr. Andrew, Fredericton, NB New Brunswick Medical Society Maher, Mr. John, Fredericton, NB New Brunswick Medical Society Maher, Ms. Kathy, Stratford, PEI Medical Society of Prince Edward Island Mandal, Dr. Amalendu, Windsor, Ont. Member Mang, Mr. Eric, Mississauga, Ont. College of Family Physicians of Canada Mantler, Mr. Edward, Ottawa, Ont. Mental Health Commission Marcus, Ms. Louise, Ottawa, Ont. Federation of Medical Regulatory Authorities of Canada Martiquet, Dr. Paul, Gibson, BC Member Maruca, Mr. Matthew, Winnipeg, Man. Doctors Manitoba Masser, Mr. Brandon, Kingston, Ont. Medical Student McPherson, Dr. Alex, Edmonton, Alta. CMA President, 1984 Meunier, Lieut. Bethann, Kingston, Ont. CMA John McCrae Memorial Medal Recipient Microys, Dr. Gisele, Ottawa, Ont. Member Milford, Ms. Nancy, Dartmouth, NS Doctors Nova Scotia Miller, Ms. Carol, Ottawa, Ont. Canadian Physiotherapy Association Milovanovic, Mr. Lazar, Hamilton, Ont. Medical Student Moineau, Dr. Geneviève, Ottawa, Ont. Association of Faculties of Medicine of Canada Morrison, Mr. Jeff, Ottawa, Ont. Canadian Pharmacists Association Murray, Mrs. Melissa, Dartmouth, NS Doctors Nova Scotia Nelson, Mr. Patrick, Ottawa, Ont. Canadian Association of Physician Assistants Niro, Mrs. Christine, Ottawa, Ont. Accreditation Canada Nixon, Mr. Mark, Ottawa, Ont. Presenter


Norton, Mr. Mark, Brockville, Ont. Member, CMAH Board of Directors

O’Brien, Dr. John, Tofino, BC Member O’Brien-Bell, Dr. John, Surrey, BC CMA President, 1988

Padmos, Dr. Andrew, Ottawa, Ont. Royal College of Physicians and Surgeons of Canada Palmer, Mr. Bruce, Toronto, Ont. Ontario Medical Association Pan, Dr. Larry, Charlottetown, PEI Medical Society of Prince Edward Island Park, Ms. Sarah, Toronto, Ont. Canadian Association of Retired Persons Pasman, Ms. Chandra, Ottawa, Ont. Member of Parliament Patel, Dr. Sunil, Gimli, Man. CMA President, 2003 Paterson, Dr. Erik, Creston, BC CMA Honorary Member Patrick, Dr. Larry, London, Ont. CMA Honorary Member Penny, Mr. Frank, Toronto, Ont. Member, CMAH Board of Directors Pereira, Dr. Ian, Mississauga, Ont. Resident Perry, Dr. Douglas, Edmonton, Alta. Chair, CMA Board of Directors, 2000-2004; Speaker,

CMA General Council, 1993-1998

Phelps, Mr. Fred, Ottawa, Ont. Canadian Association of Social Workers Plitt, Mr. Cameron, Edmonton, Alta. Alberta Medical Association Porter, Dr. Mark, Coventry, United Kingdom British Medical Association Pratt, Mr. Courtney, Toronto, Ont. Member, CMAH Board of Directors Proulx, Ms. Laurie, Ottawa, Ont. Canadian Arthritis Patient Alliance

Ramlakhan, Dr. Larita, Gravelbourg, Sask. Member Ramsay, Ms. Dawna, Ottawa, Ont. Academy of Medicine Ottawa Ramsdale, Dr. Helen, Burlington, Ont. Member Rapin, Dr. John, Kingston, Ont. Chair, CMAH Board of Directors Raza, Dr. Danyaal, Toronto, Ont. Member Reddoch, Dr. Allon, Marsh Lake, Yukon CMA President, 1998; CMA Honorary Member Rexe, Ms. Katie, Ottawa, Ont. Canadian Physiotherapy Association Reznick, Dr. Richard, Kingston, Ont. Faculty of Health Sciences, Queen’s University Rivet, Ms. Colette, Ottawa, Ont. Canadian Association of Internes and Residents Ross, Ms. Debbie, Ottawa, Ont. Canadian Nurses Association Rourke, Dr. James, St. John’s, NL Member Rowland, Dr. Gerald, Tillsonburg, Ont. CMA Honorary Member Roye, Dr. Charmaine, Brantford, Ont. Member Rupnarain, Ms. Shannon, Edmonton, Alta. Alberta Medical Association

Sapsford, Mr. Ron, Toronto, Ont. Ontario Medical Association Saulnier, Mr. Marcel, Ottawa, Ont. Health Canada


Schonfeld, Dr. Mark David, Vancouver, BC Member Scott, Mr. W. Iain, Toronto, Ont. Member, CMAH Board of Directors Scully, Dr. Hugh, Etobicoke, Ont. CMA President, 1999 Seckel, Mr. Allan, Vancouver, BC Doctors of BC Shi, Mr. Hao, London, Ont. Medical Student Shipley, Dr. William, Belleville, Ont. Member Shouldice, Dr. Elizabeth, Ottawa, Ont. Member Simpson, Mr. Jim, Toronto, Ont. Ontario Medical Association Sinha, Dr. Samir, Toronto, Ont. CMA Award for Young Leaders Recipient Siu, Dr. Sidney, London, Ont. Occupational and Environmental Medical Association of

Canada

Slade, Mr. Steven, Ottawa, Ont. Association of Faculties of Medicine of Canada Smith, Dr. Derryck, Vancouver, BC CMA Honorary Member Smith, Dr. Nicholas, Sault Ste. Marie, Ont. Member Smith, Mr. Sean, Edmonton, Alta. Alberta Medical Association Soles, Dr. John, Clearwater, BC Society of Rural Physicians of Canada St-Pierre, Mrs. Nathalie, Ottawa, Ont. Canadian Association of Physician Assistants Stern, Dr. Hartley, Ottawa, Ont. Canadian Medical Protective Association Strasberg, Dr. Suzanne, Toronto, Ont. Chair, Presidents’ Forum; Member, CMAH Board of

Directors

Stubbs, Dr. Barbara, Toronto, Ont. May Cohen Award for Women Mentors Recipient Sutherland Boal, Ms. Anne, Ottawa, Ont. Canadian Nurses Association Swales, Dr. David, Peterborough, Ont. CMA Honorary Member

Tang, Dr. Sephora, Ottawa, Ont. Resident Theman, Dr. Trevor, Edmonton, Alta. Federation of Medical Regulatory Authorities of Canada Thompson, Mr. Robert, St. John’s, NL Newfoundland and Labrador Medical Association Thornton, Mrs. Jane, Mississauga, Ont. Medical Student Trudeau, Dr. Jean-Bernard, Montreal, Que. Member Turnbull, Dr. Jeffrey, Ottawa, Ont. CMA President, 2010

Vakil, Dr. Catherine, Kingston, Ont. Member van Wijlick, Mr. Eric Royal Dutch Medical Association Venosa, Ms. Franca, Toronto, Ont. Ontario Medical Association Vézina, Ms. Joanne, Verdun, Que. Member, CMAH Board of Directors Viccars, Ms. Deborah, Vancouver, BC Doctors of BC Vogel, Dr. Martin, Ottawa, Ont. Member Vornbrock, Ms. Jennifer, Ottawa, Ont. Mental Health Commission of Canada

Wah, Dr. Robert, Chicago, Illinois American Medical Association


Wapner, Ms. Leah, Ramat Gan, Israel Israeli Medical Association Ware, Dr. Mark, Montreal, Que. Presenter Warrack, Dr. Ian, Kemptville, Ont. Chair, CMA Board of Directors, 1997-2000 Wasylenko, Dr. Eric, Okotoks, Alta. Dr. William Marsden Award in Medical Ethics Recipient Webb, Ms. Nancy, Toronto, Ont. Ontario Medical Association White, Mr. Bobby, Ottawa, Ont. Spinal Cord Injury Canada Whitney, Ms. Krista, North Bay, Ont. Medical Student Woollard, Dr. Robert, Vancouver, BC Member Xu, Ms. Josie, Toronto, Ont. Medical Student Xu, Mr. Yan, Kingston, Ont. Medical Student Yorke, Ms. Lisette, Toronto, Ont. Medical Student Zairns, Mr. Harry, Ottawa, Ont. Brain Injury Association of Canada Zelmer, Dr. Jennifer, Toronto, Ont. Canada Health Infoway Zidaric, Ms. Sandra, Toronto, Ont. Ontario Medical Association


PROCEEDINGS Introduction and official opening

The 147th Annual Meeting of the Canadian Medical Association (CMA) was held in the Canada 1.Hall, Ottawa Convention Centre in Ottawa, Aug. 17-20, 2014. General Council met Aug. 18-20, 2014.

The 988 registrants included 640 members, observers, non-members, medical students, honorary 2.members, visitors and staff, 227 spouses and guests, 83 youth and 38 media representatives.

On Monday, Aug. 18, 2014, at 8:30 am, the speaker of General Council, Dr. Blake Woodside, 3.declared the meeting to be duly constituted and in session.

Dr. Ruth Collins-Nakai, Chair of the Committee on Archives and Awards, led delegates in a minute 4.of silence to honour CMA members who had passed away since the last General Council meeting.

Dr. Collins-Nakai encouraged members to attend the Wednesday evening ceremonial and awards 5.session.

Interim CEO Mr. Tim Smith presented the CMA Board of Directors and highlighted their role in 6.undertaking CMA business and policy development between meetings of General Council. He noted that the Board looks forward to receiving delegates’ input into future policy development and reviewing the proposed disposition of General Council resolutions in relation to the CMA’s strategic plan that sets the course of the association for 2015 and beyond.

Mr. Smith then introduced the Past Officers in attendance and expressed CMA’s appreciation for 7.their guidance and leadership over the years.

Dr. Louis Hugo Francescutti, CMA President, welcomed delegates to the 147th annual meeting and 8.highlighted that it was appropriate for delegates to gather in Ottawa for the “Parliament of Canadian Medicine” in close proximity to the Parliament of Canada. He highlighted the important topics on the agenda and said that these sessions would provide the CMA with direction for the coming year.

Dr. Francescutti also highlighted that the CMA had established a student ambassador program to 9.bring ten Ontario students to General Council; students in attendance were invited to stand to be recognized.

Dr. Woodside called upon Dr. Ved Tandan who brought greetings on behalf of the Ontario 10.Medical Association (OMA).

Dr. Tandan welcomed delegates to Ottawa and said that it was an honour to host the CMA in 11.Ontario and to serve as the 133rd President of the OMA. He highlighted his focus on the role of physicians and in building relationships based upon a framework of joint decision-making in


creating the health care system of the future. In closing, he said he looked forward to the coming year and to productive meetings in the days ahead.

Address by the Minister of Health

Dr. Francescutti introduced the Hon. Rona Ambrose, Minister of Health, to General Council. 12.

Minister Ambrose thanked delegates for the invitation to address General Council. She began by 13.acknowledging Dr. Francescutti’s achievements as an advocate for injury prevention and noted that the government has committed to collaborating with injury prevention organizations to reduce the injury rate in Canada. She also congratulated Dr. Chris Simpson on his work on wait times and his presidency and said that she looked forward to working with him in the year to come.

Ms. Ambrose noted that her previous address to General Council had included a promise to have 14.an open mind and an open door. She said that she had travelled across the country and met with hundreds of health groups, organizations and individuals. She noted her pride in the public health care system and the incredible frontline health care providers as well as Canada’s global reputation in health care.

Ms. Ambrose stressed the importance of medical science and data-based evidence in guiding 15.decisions on health sector regulation and resource allocation, and expressed appreciation for the input of the CMA and other health organizations that is invariably grounded in facts and reason.

Ms. Ambrose said that the introduction of Vanessa’s law (Protecting Canadians from Unsafe Drugs Act) 16.would make a real difference in protecting Canadians; it was hoped that it would receive royal assent soon. She also highlighted the launch of the Regulatory Transparency and Openness Framework and Action Plan and stressed that Canadians deserve to have confidence in the consumer products they buy, the pharmaceutical products they use and the medical devices they rely on.

Ms. Ambrose highlighted that Canada has the second highest opioid use per capita (behind only the 17.United States) and referenced recent statistics including an Ontario report that stated annual opioid deaths in that province had jumped by 242% between 1991 and 2010. She noted that she had hosted a symposium in January with governments, physicians, pharmacists, First Nations representatives, law enforcement, addiction specialists and the CMA to discuss how to collectively address this issue. She said that the government’s efforts include having budgeted $45 million to expand the national anti-drug strategy to include prescription drug abuse as well as other initiatives.

Ms. Ambrose said that she had spoken to General Council the previous year on two personal 18.priorities: family violence and innovation. She thanked the CMA and others for working with the Public Health Agency of Canada on the issue of family violence and promised to share more on this initiative in the coming months. She also applauded the Council of the Federation’s Health Care Innovation Working Group and highlighted the CMA’s role as a source of great ideas such as the Choosing Wisely initiative.

Ms. Ambrose highlighted many initiatives including a Strategy on Patient-Oriented Research 19.(SPOR), the June appointment of a panel on health care innovation, the announcement of a new


public-private partnership to help prevent the onslaught of Alzheimer’s and investments in the Canadian Institutes of Health Research.

Ms. Ambrose highlighted that prevention is fundamental to healthy living and healthy aging and 20.that the government is investing millions of dollars to help reduce the risk factors that underlie most chronic illness. She said that she looked forward to discussions with the CMA on seniors’ care and that Canada is also committed to working with its G8 partners to find a cure for dementia by 2025. She also commended the CMA for engaging Canadians in town halls on end-of-life care.

In closing, Minister Ambrose said that Canadians expect the government to play a major role in 21.sustaining a high quality health care system and she highlighted the need to continue to work together.

Following the minister’s speech, questions were entertained on issues including the burden imposed 22.upon the health care system by Canada Post’s requirement of physician notes in relation to home mail delivery, the impact of drug shortages and the impact of chronic disease.

Dr. Simpson thanked the minister for addressing General Council and for engaging in a question- 23.and-answer session with delegates.

Dr. Woodside took this opportunity to welcome international guests in attendance. 24.

General Council Procedure

Dr. Woodside said that he had established a Resolutions Committee in accordance with Bylaw 25.10.4.1 (c) and introduced the 2014 members comprised of Drs. Maria Alexiadis (Deputy Speaker and Chair), Joel Yelland, Alan Gow, Daniel Tardif and Ernst Schuster.

Electronic voting

Dr. Woodside referred delegates to their keypads and provided instructions on how to use them. 26.He then asked General Council to vote, by show of hands, on the use of electronic voting for the meeting; voting is anonymous. [Note: All resolutions that appear in these proceedings were duly moved and seconded.]

General Council approves the use of electronic voting during its 2014 meeting unless manual voting is requested by the speaker or General Council for a specific vote.

Resolution 14-1 Carried


Rules of conduct, 2013 Proceedings and 2014 Reports to General Council

Dr. Woodside provided an overview of the use of the consent agenda which allows non-27.controversial and procedural motions to be approved “en bloc.” He noted that these agendas were introduced to increase the amount of time available at General Council for motions requiring discussion and debate.

He also described the process available to request that a motion be removed from the consent 28.agenda, and said all such motions will be added to the end of the appropriate strategic or delegate motion group.

General Council approves the use of consent agendas at its 2014 meeting for delegates’ motions as proposed by the speaker and outlined on page 4 of the 2014 Reports to General Council.


Dr. Woodside sought consideration of the General Council agenda proposed. 29.

General Council approves the 2014 agenda, outlined on page 1 of the 2014 Reports to General Council, as revised.


Dr. Woodside asked delegates to refer to page 4-6 of the 2014 Reports to General Council. It was 30.initially proposed that General Council consider that delegates’ motions not form binding policy on the association (as referenced on page 5) due to the limited time provided to delegates to review and consult on these prior to the start of General Council. Owing to the lack of clarity in this area, the issue of delegates’ motions being advisory to the Board, rather than binding as policy, will be reviewed further. Dr. Woodside then sought delegates’ consideration of the proposed rules, as amended.

Later that day, the speaker sought, and received by show of hands, the support of General Council 31.for the Board of Directors to further explore and reflect on the status of delegates’ motions in relation to setting binding policy.

General Council adopts the rules relating to the strategic session and delegates’ motions as proposed by the speaker and outlined on pages 4 and 5 of the 2014 Reports to General Council, as amended.


Dr. Woodside then sought consideration of the procedural rules as amended and the procedural 32.motions of the speaker en bloc.

General Council approves ‘en bloc’ the procedural motions of the speaker – SP 0-6, SP 0-7, SP 0-8 – outlined on page 6 of the 2014 Reports to General Council.



In keeping with Canadian Medical Association bylaw 18.1, the rules of conduct for this meeting as outlined on pages 2 and 3 of the 2014 Reports to General Council are adopted.


The Proceedings of the 146th Annual Meeting (2013) of the Canadian Medical Association are approved as circulated.


The narrative sections of the 2014 Reports to General Council – 147th Annual Meeting of the Canadian Medical Association are received for information.


The Speaker sought General Council’s consideration of the proposed consent agenda for the 33.delegates’ motions on end-of-life care.

General Council approves the following motions contained in the delegates’ motions consent agenda on end-of-life care: DM5-1, DM5-2.


Please refer to the consent agenda under delegates’ motions – end-of-life care on page 36 of these 34.proceedings to view the aforementioned resolutions.

The Speaker sought General Council’s consideration of the proposed consent agenda for the 35.delegates’ motions.

At the request of a delegate, the following motion was removed from the consent agenda: 36.

The Canadian Medical Association recommends that there be a minimum standard of training for care aides providing home care.

General Council approves the following motions contained in the delegates motions consent agenda as amended: DM5-46, DM5-21, DM5-22, DM5-16, DM5-37, DM5-38, DM5-54, DM5-48, DM5-26, DM5-27, DM5-28, DM5-10, DM5-42, DM5-11, DM5-13, DM5-57, DM5-14, DM5-59, DM5-15, DM5-19, DM5-63, DM5-64, DM5-65, DM5-66.


Please refer to the consent agenda under delegates’ motions on page 38 of these proceedings to 37.view the aforementioned resolutions.

Dr. Woodside indicated that under the CMA bylaw 12.3.4 (c) “The following may submit a 38.nomination for the office of president-elect… which shall be carried out in accordance with the Association’s Operating Rules and Procedures: …any 5 delegates provided that such nomination is presented to General Council in session on the first day of General Council.” The speaker announced that any further nominations must be presented to the chair of the Committee on Nominations through the Resolutions Committee by the end of Monday’s General Council session.


Board of Directors Stewardship Report

Dr. Maria Alexiadis, Deputy Speaker, called upon Dr. Brian Brodie, Chair of the Board of 39.Directors, and Mr. Tim Smith, Interim CEO, to present the Board of Directors Stewardship report.

Dr. Brodie presented his first report to General Council and highlighted that he looked forward to 40.listening to delegates over the next few days as they speak from experience and with passion on issues close to their hearts. He said that people are looking to physicians for guidance on difficult issues including end-of-life care and the use of marijuana for medical purposes.

Dr. Brodie highlighted that the Board of Directors has set out to deliver products and services, 41.policy and advocacy that matter to Canadian physicians. He said that the Board had sharpened its focus to critically examine members’ needs and to ask difficult questions around the CMA’s competencies and capacities to lead change in health care at the national level. He said that from a new CEO to the formation of a new wholly-owned subsidiary, the Board has made changes where needed to support the core principles and policies that have governed the CMA for the last 147 years.

Dr. Brodie noted the development of a new Strategic Plan, a mission statement of “Helping 42.physicians care for patients” and a vision that “the CMA will be the leader in engaging and serving physicians and the national voice for the highest standards for health and health care;” all of which would be guided by the values of professionalism, integrity, compassion and community building.

Dr. Brodie also discussed other priorities and accomplishments for 2013-14 including: 43.

• the General Council refresh initiative • the launch of the “One Member” initiative to bring CMA and MD Physician Services

closer together in order to deliver a better experience for our members • the creation of a new subsidiary in order to better meet the expressed needs of physicians

and to protect the CMA’s not-for-profit status • leadership in public policy development and public engagement including the national

series of town halls on the question of end-of-life care • the development and implementation of the Choosing Wisely Canada® program to help

physicians and patients make effective choices to ensure high quality care

In closing, Dr. Brodie highlighted that the Board of Directors’ role is to learn, to lead and to make a 44.difference. He said the Board is taking steps to ensure that the organization is doing the right things at the right time for the right reasons by being relevant to the doctors of Canada.

Mr. Smith expressed his appreciation to Dr. Brodie, other members of the Board and staff for their 45.support. He highlighted accomplishments in meeting the needs of members including the rebuilding of cma.ca and work on the federal election strategy which will focus on the issue of seniors’ care.

Mr. Smith also highlighted the launching of a new CMA-owned company that is focused on 46.providing members with the knowledge products they want and need. He also noted that searches are underway for CEOs for the CMA and for the newly-established subsidiary and that these


individuals will help to lead the organization toward creating better value, compelling products and services, and to meeting the needs of the profession and the expectations of the public.

Committee on Finance

Dr. Jane Brooks, Honorary Treasurer, referred to her stewardship report found in the Reports to 47.General Council which includes: 2013 financial operations; the status of CMA reserves; variances for 2013; a summary of the 2014 operating budget; and the proposed membership fee for 2015.

Dr. Brooks highlighted that the CMA ended the 2013 year in a better position than expected. She 48.said that the budget had planned for revenues of $45 million and expenses of $48 million with a planned deficit of $3 million; CMA actual revenues were $46 million and expenses were also $46 million with a final actual deficit of $50 thousand.

Dr. Brooks noted that the 2013 audited financial statements, as presented by the Audit Committee, 49.received a clean audit opinion with no concerns reported by the auditors.

Dr. Brooks said that the Board of Directors had approved a balanced budget for 2014 with a plan 50.for revenues of $49.8 million and expenses of $49.7 million. It was noted that the budget includes $1.1 million to complete the cma.ca rebuild which had originally been budgeted from reserves. It was also noted that CMA reserves held unrestricted net assets of $21.9 million at Dec. 31, 2013 with no significant change expected for 2014.

Dr. Brooks also noted that future challenges would include expenses associated with 51.repairing/renovating CMA’s headquarters and potential special payments to the pension plan to fund its deficit.

Dr. Brooks highlighted that the Board had recommended that the membership fee be maintained at 52.$495 for the next association year. She also noted that the CMA will provide a discount to members who are in their first year in practice and will also provide complimentary membership to those members who are retired with at least 35 years of continual membership.

Dr. Brooks also highlighted that the yet-to-be-named new wholly-owned subsidiary would be 53.established to help CMA protect its not-for-profit status as advised by tax experts. The new subsidiary would house CMA’s revenue-generating activities including publications, Knowledge for Practice and leadership offerings, accreditation and the property rented to MD Physician Services.

Bylaws

Dr. Shelley Ross, Chair of the Governance Committee, provided members with an overview of the 54.proposed amendments to the CMA Bylaws which were outlined in the 2014 Reports to General Council (p. 41-43).

Dr. Ross highlighted that the bylaw changes proposed comprised housekeeping and technical 55.changes that flowed from previous years’ governance changes. She also noted that the CMA Board


of Directors had adopted minor changes to the Operating Rules and Procedures in May 2014 and that these were mainly to reflect the 2013 Governance Review recommendations.

Questions were invited; none was indicated. 56.

The Deputy Speaker asked delegates to consider the proposed changes to the bylaws ‘en bloc.’ 57.

General Council accepts the bylaw changes as proposed on pages 41-43 of the 2014 Reports to General Council.


The numbering in the bylaws will be amended and relevant editorial changes will be made as required to facilitate the preceding resolution.


Strategic session 1: Social responsibility and the medical profession

Dr. Francescutti introduced Dr. Brian Goldman, physician at the Mount Sinai Hospital in Toronto, 58.host of the CBC radio program “White Coat, Black Art” and author of “The Secret Language of Doctors.”

Dr. Goldman outlined the components of social responsibility: accountability, inter-professionalism 59.and patient-centred care. He said that the unique value proposition is that which the consumer (patient) can only receive from the seller (provider). He referred to the roles outlined in the CMA’s Physicians’ Unique Value Proposition report (medical expert, communicator, collaborator, manager, health advocate, scholar, and professional) and their application in terms of evidence-informed decision-making and to physicians’ accountability to the patient, the college, the health care system and society.

Dr. Goldman highlighted that these roles represent what physicians want to be and contrasted this 60.with what physicians sometimes are with their colleagues and patients. He noted the hidden curricula: the lessons learned from role models that bridge the gap between what is learned in the formal setting and what physicians need to know. He also referred to the terms contained in the 1978 novel “House of God” and outlined some of the argot (slang) identified in his recent book, “The Secret Language of Doctors.”

Dr. Goldman said that the use of argot and the hidden curriculum in medicine highlight what 61.physicians think as they do their daily work on the front lines and in leadership roles; it symbolizes attitudes that may run counter to the principles of professionalism. He said the slang symbolizes current beliefs and attitudes that some hold within the culture of modern medicine and are very pertinent to the issues of professionalism and to the physician’s unique value proposition.

Dr. Goldman noted that argot is used in the medical community to prevent outsiders from 62.understanding their conversations; the use of slang is normal in high intensity situations such as the military. He highlighted many of the issues contributing to the use of argot including medical futility, frustration in relation to perceived patient accountability, professional and inter-personal relationship tensions, and moral distress which is a cause of burnout among health professionals.


Dr. Goldman questioned whether argot is the problem or the symptom of more pressing issues in 63.health care that should have their due in the public discourse. He said that he views argot as symbolic of systemic and medical cultural issues; if he hears it, he stops it but asks people what made them want to say it so that he can find out the frustrations and issues in the culture of medicine that may be worth addressing.

Dr. Goldman congratulated the CMA for its achievement in convening town halls on end-of-life 64.care issues and noted the need to discuss medical futility for which there is no medical consensus definition. He also said that this issue is paramount with an aging population.

In closing, Dr. Goldman said that the Physician’s Unique Value Proposition document should aim 65.higher than to emphasize physicians’ education, training and work hours; the most important aspect to highlight was physicians’ role in the alchemy of diagnosis and original diagnosis as opposed to maintenance. He said that too many physicians spend too much time at the bottom of their scope of practice; they should aim to practice at the top of their scope and to keep pushing higher. He said that the physician unique value proposition, patient safety and creating a culture of safety are not ephemeral and ultimately belong in the final report.

Following his presentation, questions were entertained on issues including medical futility, 66.treatment limitations, insufficient system infrastructure, the opportunity to adopt a fee structure that maximizes patient care, the development of physicians’ core leadership competencies, the adoption of a business lexicon in medical care, health literacy and the evolution of medical slang.

Dr. Francescutti thanked Dr. Goldman for addressing General Council and for engaging in a 67.question-and-answer session with delegates.

The speaker opened the strategic session on social responsibility and the medical profession and 68.noted it would be held in Committee of the Whole format to inform policy development.

Dr. Tim Nicholas introduced the session. He noted that the previous day’s workshop on 69.physicians’ unique value proposition had examined three areas: knowledge, application and accountability. He highlighted that workshop participants were asked to look at these areas from the perspective of a preferred future and outlined those that resonated most.

Dr. Nicholas noted the preferred future identified in the area of knowledge: unique breadth and 70.depth of knowledge, clinical acumen and health care system navigation. Recommendations in this area were to recognize the need to work collaboratively, to enhance lifelong learning, and to use electronic medical records.

Dr. Nicholas noted the preferred future in the area of application: that the physician is an integral 71.part of a patient-centred team, that patient-centred care needs to be incorporated into a clinical setting, and that the care of patients needs to be integrated through all their phases of life and illness. Recommendations in this area included that there be a further definition of roles in team-based patient-centred care, that there should be a public relations campaign to market the physicians’ unique value proposition, and that payment models to promote team-based and patient-centred care be developed.


Dr. Nicholas noted the preferred future identified in the area of accountability: that accountability 72.to the patient is paramount, that physicians need to have engagement in decisions at the macro and micro levels for which they have accountability and that the primary mechanism of accountability continues to be through professionally-lead regulation. Recommendations in this area called for clarification and strengthening of the system for professionally-lead regulation, participation in quality improvement activities such as performance measurement, and promotion of the appropriate use of resources.

The speaker sought delegate input, advice and direction to inform the development of policy on the 73.issue of the physician unique value proposition.

General Council adjourns and moves into Committee of the Whole to consider and discuss the Canadian Medical Association document entitled “Physician Unique Value Proposition.” General Council requests that the Speaker of General Council preside as Chair during this Committee of the Whole session.


The following strategic questions were presented for General Council feedback: 74.

• Do we understand sufficiently the unique value of the patient-physician relationship as it is seen through the eyes of the patient?

• How should the physician unique value proposition be cast in the emerging environment of team-based care?

• Is the continued reliance on fee-for-service undermining the physician unique value proposition in the emerging context of team-based care?

• What does social accountability mean to the individual practicing physician and to medical organizations and is it an essential element of medical professionalism?

• How will health care transformation enhance the physician unique value proposition?

Many issues were discussed including the social contract, self-regulation, accountability, patient 75.empowerment, system navigation, leadership, training, roles in team-based care, empathy, communications, relationship building, physician burnout, the impact of chronic illness and episodic care, payment models, standardization, the use of information technology and data to inform system improvement, the impact of the industrialization of health care, and the need to move from discussion to action.

The Committee of the Whole will rise from consideration of the Canadian Medical Association document entitled “Physician Unique Value Proposition” and report to General Council.


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 “Physician Unique Value Proposition” is reflected in the development of CMA policy.



Dr. Francescutti closed the session by thanking delegates for their feedback. He said that the 76.conversation should be never-ending, that it is at the soul of what physicians are, and that work would continue leading up to the CMA’s 150th anniversary.

Strategic session 2: End-of-life care issues in Canada

The speaker opened the session on end-of-life care issues and noted it would be held in Committee 77.of the Whole format to inform policy development. Dr. Francescutti introduced the session and highlighted CMA work in this area including public town halls, member consultations, and the resulting report. He hoped the session would provide a clearer understanding of these issues. A video was then presented to illustrate to delegates some of the feedback received through the town halls on end-of-life issues.

Dr. David Gass, Chair of the CMA’s Committee on Ethics, highlighted that the CMA had 78.developed terminology to frame a common understanding in its discourse with the public and the profession on end-of-life issues. He noted that the new terminology has been integrated into the CMA Policy on Euthanasia and Assisted Death (2014) and he outlined several related definitions including medical aid in dying, euthanasia, physician-assisted death, palliative sedation, withdrawing or withholding life-sustaining interventions, and dying with dignity.

Dr. Jeff Blackmer, Executive Director, Ethics and International Affairs, CMA, provided an 79.overview of the 2014 members’ survey questioning whether physician-assisted death should be legalized and, if legalized, how likely it would be that they would participate if requested by a patient; the survey also sought members’ views on euthanasia.

Dr. Blackmer introduced the panel: Mr. Eric van Wijlick, health scientist and senior policy advisor 80.from the Royal Dutch Medical Association (RDMA); Dr. Angela Genge, Montreal Neurological Institute; and Dr. Scott Wooder, Immediate Past President of the Ontario Medical Association.

Mr. Eric van Wijlick provided members with an overview of the Royal Dutch Medical Association’s 81.role in debate around euthanasia and provided the context leading to its legalization in the Netherlands. He highlighted that Dutch society has a strong social security and health care system and that patients’ rights have been fixed in law whereby physicians have a duty to inform patients and obtain their permission to commence treatment. He said that professionals must provide palliative care at the place patients wish; most prefer to die at home.

Mr. van Wijlick provided an overview of the evolution of the legal and social climate in the 82.Netherlands including the first lawsuit in 1973, legal precedents, government committee findings and legislative and regulatory developments. He also outlined the work of the RDMA including its 1984 report which asserted that a physician should not be obligated to perform euthanasia nor condemned on the grounds of regarding euthanasia as permissible. He said that the RDMA sought to ensure legal certainty for physicians and to protect patients from abuse. He also noted the development and implementation of a quality framework surrounding end-of-life care issues.

Mr. van Wijlick highlighted the significant impact of the 1982 Dutch Health Council 83.recommendations which cited the diversity of personal beliefs in Dutch society and contended that the views of a particular portion of the population (i.e., those that regard life as sacred) cannot be


imposed upon the whole of society; that individuals must be free to determine the manner of their own death while ensuring that parameters are in place to prevent abuse.

In closing, Mr. van Wijlick highlighted that the Euthanasia Act (Termination of Life on Request and 84.Assisted Suicide Act, 2001) aims to achieve legal certainty, transparency and quality improvement. He noted that the Dutch have great faith in physicians and that the policy on euthanasia has wide approval from Dutch society.

Dr. Angela Genge highlighted that physicians bring with them a perspective shaped by their 85.medical education, cultural and religious backgrounds. She highlighted her background in the field of neuromuscular and neurodegenerative diseases and her twenty years in clinical trials in the area of Amyotrophic Lateral Sclerosis (ALS).

Dr. Genge noted the importance of honouring the patient, their families and the profession in 86.dealing with untreatable, incurable and fatal diseases. She said that the diagnosis of ALS results in profound depression for patients, fear of a loss of control, suffering and of being a burden. In most cases, these patients wish for their physician to go on the journey with them.

Dr. Genge highlighted a recent case to illustrate how the process often unfolds for these patients. 87.She said that the initial reaction was to question the certainty of the diagnosis and secondly to ascertain whether she would help the patient exit the world without suffering. She said that, as with all of her ALS patients, this individual expressed a desire to not live once certain self-defined tasks could no longer be performed by themselves and that as the disease progressed, the patient re-adjusted their goal as they adjusted to their changing existence. She stressed that this patient was ultimately provided with palliative sedation, but a year-and-a-half later than the patient had first planned.

In closing, Dr. Genge said that every patient has a right to ask for control over the end of their life 88.and needs to be informed that they do not have to die suffering needlessly.

Dr. Scott Wooder provided members with an overview of the Ontario Medical Association’s 89.strategy on end-of-life issues including the process, framework, lessons learned and next steps based on evidence and extensive consultations. He said that the goals are to increase the number of Ontarians who engage in advance care planning, bridge advance care planning and palliative care to increase knowledge and to normalize dying, and to improve access to palliative services and supports.

Dr. Wooder noted that in Ontario, while physician care is outstanding, there is a need to address 90.problems with distribution, access and equity. He also highlighted a number of elements including the importance of keeping the needs of patients first, approaching end-of-life care from a quality perspective, and using a common terminology in the discussion.

In closing, Dr. Wooder said that members are eager to be more involved in end-of-life care issues 91.and are seeking education and tools in areas such as advance care planning. He said that he hopes stakeholders will create real change in the way care is delivered and ensure that patients receive the high quality palliative care they deserve.


The deputy speaker noted that General Council would move into Committee of the Whole format 92.to receive delegates input, advice and direction to inform the development of policy on the issue of the end-of-life care.

General Council adjourns and moves into Committee of the Whole to consider and discuss the Canadian Medical Association document entitled “Care at the end of life.” General Council requests that the Deputy Speaker of General Council preside as Chair during this Committee of the Whole session.


The following strategic questions were presented to General Council for feedback: 93.

• Do your patients have access to adequate palliative care services? • If not, what needs to be done to facilitate this access? • Should the CMA revise its current policy on euthanasia and physician-assisted death? • If the law is changed in Canada to make euthanasia or assisted death legal, how should the

medical profession respond? • If access to palliative care services was universal, would it eliminate the need for euthanasia

and assisted death?

Many issues were discussed including the lack of palliative care in many areas; the need for better 94.palliative care: the framework, parameters and experience in other jurisdictions (e.g., the Netherlands); the need for multiple conversations with patients on their wishes that may evolve over time; the need to engage the families of patients; the need to promote reasoned debate and discussion of facts; and the roles of hospices, physicians and teams and others.

Members were polled on their views in relation to the strategic questions presented during the 95.session.

The Committee of the Whole will rise from consideration of the Canadian Medical Association document entitled “Care at the end of life” and report to General Council.


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 “Care at the end of life” is reflected in the development of CMA policy.


Dr. Francescutti closed the session by saying that the organization had come a long way on these 96.issues and he thanked delegates for their input.

Delegates’ Motions – End-of-life Care

The following motions had been carried on consent on Aug. 18, 2015. Please refer to page 28 of 97.these proceedings.


Consent agenda resolutions

The Canadian Medical Association supports the integration of advance care plans within patient records.


The Canadian Medical Association believes that all health care providers should have access to referral for palliative care services and expertise.


End-of-life care resolutions

On Tues., Aug. 19, the speaker entertained debate of the remaining end-of-life care-related delegate 98.motions.

The following resolutions, debated and duly carried by General Council, were forwarded to the 99.Board of Directors for disposition.

The Canadian Medical Association recommends that the time to benefit of prescribed interventions and medications be considered when providing care for older adults and patients approaching the end of life.


The Canadian Medical Association will investigate and communicate Inuit, Métis and First Nations’ perspectives on euthanasia, physician-assisted death and end-of-life care.


The Canadian Medical Association will engage in physician human resource planning to develop an appropriate strategy to ensure the delivery of quality palliative end-of-life care throughout Canada.


The Canadian Medical Association (CMA) supports the right of all physicians, within the bounds of existing legislation, to follow their conscience when deciding whether to provide medical aid in dying as defined in CMA’s policy on euthanasia and assisted suicide.


The Canadian Medical Association supports development of a strategy for advance care planning, palliative and end-of-life care in all provinces and territories.


The Canadian Medical Association supports in principle emergency funding for end-of-life care for uninsured people residing in Canada.



Delegates’ Motions

The following motions had been carried on consent on Aug. 18, 2015. Please refer to page 28 of 100.these proceedings.

Consent agenda resolutions

Health Promotion and Disease Prevention

The Canadian Medical Association supports targeted population health programs aimed at improving food security for all Canadians.


The Canadian Medical Association believes that all provinces and territories should have a legal obligation to provide health care from the first trimester of pregnancy.


The Canadian Medical Association supports the establishment of routine nutrition risk screening of all hospitalized patients to help prevent, detect and treat malnutrition.


The Canadian Medical Association will recommend that the Canadian Pharmacists Association, National Association of Pharmacy Regulatory Authorities, and Canadian Association of Chain Drug Stores introduce a voluntary ban on the sale of energy drinks to minors.


The Canadian Medical Association supports efforts to expand smoke-free policies to include a ban on the use of electronic cigarettes in areas where smoking is prohibited.


The Canadian Medical Association will advocate for the revision of Canada’s Food Guide.


Pharmaceuticals

The Canadian Medical Association recommends that all medication-review processes include consideration of pharmacokinetic and pharmacodynamic factors specific to seniors when reviewing and approving coverage for medication.



The Canadian Medical Association supports education on appropriate evaluation and management of the behavioural and psychological symptoms of dementia before anti-psychotic therapy is considered.


Environment

The Canadian Medical Association supports development of a process to assess potential environmental risks posed by new substances in products regulated under the Food and Drugs Act and Regulations.


The Canadian Medical Association calls on bodies that conduct environmental assessments of industrial projects to seek input from physicians.


The Canadian Medical Association supports efforts to protect arable land from non-agricultural development.


Ethics and Professionalism

The Canadian Medical Association calls for accessible, comprehensive and high-quality care for transgender patients.


The Canadian Medical Association recommends that a code of ethics be developed to govern business-development strategies of companies in the health field.


Health System Delivery and Access

The Canadian Medical Association recommends that all home-care agencies be mandated to have on staff a director who is in good standing as a registered health professional.


The Canadian Medical Association supports the creation and use of secure modes of electronic communication between patients and health care providers.



Leadership and Advocacy

The Canadian Medical Association supports the development of improved screening tools to detect drug-impaired drivers.


The Canadian Medical Association encourages Canada Health Infoway to engage in consultation with physicians.


The Canadian Medical Association supports action to decrease family violence and the maltreatment of children.


The Canadian Medical Association will bring recommendations to the World Medical Association to help ensure that physicians and patients in conflict zones are protected against attack.


The Canadian Medical Association supports efforts to increase the amount of community resources available to help victims of family violence and children who have been maltreated.


The Canadian Medical Association encourages provincial/territorial medical associations and local academies of medicine to participate in Remembrance Day ceremonies by taking part in wreath-laying and other ceremonies on behalf of physicians and the medical profession.


Education and Professional Development

The Canadian Medical Association calls for the integration of sex/gender diversity education into medical school curricula and programs.


The Canadian Medical Association encourages the directors of all medical trainee programs to provide early training in cultural awareness.


The Canadian Medical Association supports the need to educate physicians about the prevalence of child abuse.



Resolutions

The speaker entertained debate of the remaining delegate motions on Aug. 19 and 20. The 101.following resolutions, debated and duly carried by General Council, were forwarded to the Board of Directors for disposition.


The Canadian Medical Association supports the development of intervention, education and prevention programs to combat sexually transmitted disease among youth.


The Canadian Medical Association opposes the smoking of any plant material.


The Canadian Medical Association calls for the development and implementation of supports for women who must leave their home communities to g ive birth.


The Canadian Medical Association will seek a current-state assessment of the federal government’s preparedness for national health emergencies with respect to mechanisms for providing timely knowledge translation of public health directives for clinicians and increased surveillance by physicians and health officials.


Pharmaceuticals

The Canadian Medical Association supports community-based programs that offer access to opioid overdose prevention tools and services.


The Canadian Medical Association recommends that the federal government amend its laws and regulations so that in urgent cases medication can be more readily imported into Canada when shortages occur.


The Canadian Medical Association urges that a comprehensive regulatory standard authorizing the use of marijuana for medical purposes be adopted by all Canadian medical licensing bodies.



Environment

The Canadian Medical Association will seek to collaborate in developing educational materials outlining possible health hazards associated with exposure to wood smoke.


The Canadian Medical Association will develop an action plan to promote the recommendations outlined in its policy, The Built Environment and Health.


The Canadian Medical Association will collaborate with other disciplines to ensure that the mutual benefits to health and the economy of climate action are more broadly understood and incorporated into policy.


The Canadian Medical Association supports government efforts to phase out coal-fired electricity generation within a 10-year time limit.


The Canadian Medical Association urges the Pest Management Regulatory Agency to re-evaluate the safety of neonic pesticides in Canada.



The Canadian Medical Association will amend the section of its Code of Ethics relating to discrimination in providing medical services to include the issues of gender identity and gender expression.


The Canadian Medical Association supports the position that all adolescent and adult persons have the right to define their own gender identity.


The Canadian Medical Association will review its policies on human immunodeficiency virus (HIV) and acquired immunodeficiency syndrome (AIDS).


The Canadian Medical Association will assess the ethical and economic impacts of recent changes in assisted human reproduction and consider revising its policy.



The Canadian Medical Association will propose guidelines to ensure optimal use of big data while limiting its negative impact on professionalism and the confidentiality of medical data.


The Canadian Medical Association will modify its Code of Ethics to enable physicians to use their professional autonomy, regardless of their practice setting.


The Canadian Medical Association believes that indiscriminate sharing of mental health information between the United States and Canada threatens the principle of non-discriminatory border crossing.


The Canadian Medical Association will work with appropriate stakeholders to establish guidelines for the sharing of mental health information between the United States and Canada.


The Canadian Medical Association will develop guidelines to assist physicians who work with hospital foundations and other charitable organizations.



The Canadian Medical Association will study the potential health applications of the theory of constraints.


The Canadian Medical Association will examine physician resource trends among specialties that focus on seniors’ care.


The Canadian Medical Association will develop policy tools that provide criteria for identifying barriers to quality, efficiency and equity in emerging models of health care delivery.


Leadership and Advocacy

The Canadian Medical Association calls for the review of national and provincial/territorial leg islation to address drug-impaired driving.



The Canadian Medical Association will produce policy recommendations to allow for the involvement of practising physicians and provincial/territorial medical associations in the development of processes to credential for and to grant and renew privileges to practice medicine.


The Canadian Medical Association supports the right and duty of medical officers of health to speak publicly to the citizens they serve.


The Canadian Medical Association supports the development of a framework for shared health system leadership involving physicians, hospital administrators and other stakeholders.


The Canadian Medical Association will work with the Canadian Life and Health Insurance Association to review insurance industry medical information requirements and ensure that the disclosure of personal health information is restricted to that which is reasonably necessary.


The Canadian Medical Association will work with Correctional Service Canada to address the medical and psychiatric implications of inmate solitary confinement.


Education and Professional Development

The Canadian Medical Association supports development of educational material for students who are considering attending medical school outside Canada.


The Canadian Medical Association recommends that there be a minimum standard of training for care aides providing home care in the patient’s private dwelling.


Governance

The Canadian Medical Association will establish a working group to examine the process of disposition for resolutions adopted by General Council.



Emerging Issues (Leadership and Advocacy)

The Canadian Medical Association insists on the necessity for governments not to renege on freely negotiated and signed agreements by using leg islative measures.

Resolution 14-84 Carried Unanimously

Motion referred to the Board


The following motion is referred to the Board of Directors:

The Canadian Medical Association recommends that the federal government establish a medical assistance fund to enable people residing in Canada who have no medical coverage to receive critical emergency medical care.


Defeated motions


The Canadian Medical Association urges provincial and territorial governments to adopt a system of presumed consent for organ and tissue donation.

Defeated


The Canadian Medical Association supports public funding of herpes zoster vaccine for Canadians aged 65 or older.

Defeated

Nominations and elections

The elections were held Tuesday, Aug. 19, 2014, at 11:15 am, with Dr. Anna Reid presiding. 102.

Dr. Reid referred to the Report of the Committee on Nominations, which was distributed to 103.delegates with the 2014 Reports to General Council. Dr. Reid explained the electronic voting process and specified that a recount is not possible with that method. She indicated that under the CMA’s Operating Rules and Procedures, the majority method would be used in the event that there are more than two candidates and that, absent a majority (more than 50% of the votes cast), the person receiving the lowest number of votes would retire and another vote would be taken involving the remaining candidates.


President-Elect

Mr. Smith reported that the Committee on Nominations had submitted the name of Dr. Cindy 104.Forbes for the office of president-elect.

Dr. Reid noted that General Council had not received any further nominations by the deadline of 105.12:30 pm, Monday, Aug. 17, 2014 (per Bylaw 12.3.4 [c]). Dr. Reid therefore declared Dr. Cindy Forbes president-elect of the CMA by acclamation.

Dr. Forbes expressed her appreciation to delegates, her colleagues in Nova Scotia and to the more 106.than 80,000 members across Canada for allowing her to serve as their president-elect for the coming year. Dr. Forbes highlighted that she would do so with a firm belief in CMA’s mission and that much could be accomplished with a positive attitude and a desire to listen and understand. She said that she looks forward to tackling the challenges ahead together.

Speaker of General Council

Mr. Smith reported that the Committee on Nominations had submitted the name of Dr. Blake 107.Woodside for the office of speaker of General Council.

Dr. Reid called for further nominations, and none was offered. 108.

Nominations for the office of Speaker of General Council are closed.


There being no further nominations, Dr. Reid proclaimed Dr. Blake Woodside speaker of General 109.Council by acclamation.

Deputy Speaker of General Council

Mr. Smith reported that the Committee on Nominations had submitted the name of Dr. Maria 110.Alexiadis for the office of deputy speaker of General Council.


Nominations for the office of Deputy Speaker of General Council are closed.


There being no further nominations, Dr. Reid proclaimed Dr. Maria Alexiadis deputy speaker of 112.General Council by acclamation.


Chair of the Audit Committee

Mr. Smith reported that the Committee on Nominations had submitted the names of Drs. Robert 113.Broad and Renwick Mann for the position of chair of the Audit Committee.


Nominations for the office of Chair of the Audit Committee are closed.


Each nominee for the position of chair of the Audit Committee addressed General Council for two 115.minutes.

After one round of voting, Dr. Reid declared Dr. Renwick Mann duly elected as the chair of the 116.Audit Committee.

Members of the Audit Committee

Mr. Smith reported that the Committee on Nominations had submitted the names of the following 117.to serve as members of the Audit Committee:

Dr. Jane Brooks Dr. Mark Corbett Dr. Darcy Johnson Dr. Pravinsagar Mehta Dr. Albert Ng

Dr. Reid called for further nominations. Dr. Luay Dindo nominated Dr. James Busser for the 118.position of member of the Audit Committee.

Nominations for the members of the Audit Committee are closed.


Dr. Reid noted that the plurality voting system would be used to permit delegates to select five 119.candidates from among those nominated.

Each nominee for the position of member of the Audit Committee addressed General Council for 120.two minutes with the exception of Dr. Pravinsagar Mehta who was not in attendance.

After one round of voting, Drs. Jane Brooks, Mark Corbett, Darcy Johnson, Pravinsagar Mehta and 121.Albert Ng were duly elected as members of the Audit Committee.


Chair of the Committee on Ethics

Mr. Smith reported that the Committee on Nominations had submitted the name of Dr. David 122.Gass for the position of chair of the Committee on Ethics.


Nominations for the position of Chair of the Committee on Ethics are closed.


There being no further nominations, Dr. Reid proclaimed Dr. David Gass chair of the Committee 124.on Ethics by acclamation.

Members of the Committee on Ethics

Mr. Smith noted that the Committee on Ethics has eight members, with regional representation 125.from BC/Yukon, Prairies/Northwest Territories, Ontario, Quebec, the Atlantic Provinces, and one representative each of residents and medical students, and one member appointed by the Board.

Mr. Smith said that the Committee on Nominations had submitted the names of the following to 126.serve as members of the Committee on Ethics:

Dr. Romayne Gallagher (BC/Yukon) Dr. Christopher Cressey (Ontario) Dr. Paul Robinson (Quebec) Dr. Kathryn Bigsby (Atlantic) Dr. Karen Arcot (Resident) Mr. Christopher Parr (Student)

Dr. Reid called for further nominations. Dr. Ngozi Ikeji nominated Dr. William Mackie for the 127.position of BC/Yukon member of the Committee on Ethics.

Nominations for the members of the Committee on Ethics are closed.


There being no further nominations, Dr. Reid proclaimed Drs. Christopher Cressey, Paul 128.Robinson, Kathryn Bigsby, Karen Arcot, and Mr. Christopher Parr members of the Committee on Ethics by acclamation.

Each nominee for the position of BC/Yukon member of the Committee on Ethics was invited to 129.address General Council for two minutes. Dr. William Cavers spoke on behalf of Dr. Gallagher who was not in attendance.


After one round of voting, Dr. Reid declared Dr. William Mackie duly elected as BC/Yukon 130.member of the Committee on Ethics.

Dr. Reid said that the Committee on Nominations had submitted the names of the following to 131.serve as the Prairies/NWT member on the Committee on Ethics:

Dr. Dennis Kendel Dr. Ian Mitchell


Nominations for the Prairies/NWT position on the Committee on Ethics are closed.


Each nominee was invited to address General Council for two minutes. Dr. Christopher Doig 133.addressed General Council on behalf of Dr. Ian Mitchell who was not in attendance.

After one round of voting, Dr. Reid declared Dr. Ian Mitchell duly elected as the Prairies/NWT 134.member of the Committee on Ethics.

Members of the Board of Directors

Mr. Smith reported that the Committee on Nominations had recommended the following members 135.to serve on the CMA Board of Directors. He referred General Council to page 4 of the Report of the Committee on Nominations for a listing of directors who are continuing their three-year terms.

Dr. Rao Tadepalli (Yukon) Dr. Nasir Jetha (BC) (2nd term) Dr. William Cunningham (BC) Dr. Michael Giuffre (Alta.) Dr. Guruswamy Sridhar (Sask.) Dr. Maurice Roy (Man.) Dr. Atul Kapur (Ont.) Dr. Adam Steacie (Ont.) Dr. Laurent Marcoux (Que.) (2nd term) Dr. Celina White (NS) Mr. Bryce Durafourt (student)

Dr. Reid called for further nominations. Dr. Christina Nowik nominated Dr. Ravi Pullela for the 136.position of resident member of the Board of Directors. Dr. David Kendler nominated Dr. James Busser for the position of member (BC) of the Board of Directors.

Nominations for the director positions on the Board of Directors are closed.



There being no further nominations, Dr. Reid proclaimed Drs. Rao Tadepalli, Michael Giuffre, 137.Ravi Pullela, Guruswamy Sridhar, Maurice Roy, Atul Kapur, Adam Steacie, Laurent Marcoux, Celina White and Mr. Bryce Durafourt members of the Board of Directors by acclamation.

Each nominee for the position of member (BC) of the Board of Directors was invited to address 138.General Council for up to two minutes.

After one round of voting, Dr. Reid proclaimed Drs. Nasir Jetha and William Cunningham duly 139.elected as members of the Board of Directors.

Committee on Nominations

Mr. Smith reported that the Committee on Nominations recommended the following to serve as 140.members of the Committee on Nominations:

Chair Dr. Louis Hugo Francescutti Yukon Dr. Rao Tadepalli Northwest Territories Dr. Peter McArthur British Columbia Dr. William Cunningham Alberta Dr. Linda Slocombe Saskatchewan Dr. Clare Kozroski Manitoba Dr. Robert Kippen Ontario Dr. Ved Tandan Quebec Dr. Ruth Vander Stelt New Brunswick Dr. Camille Haddad Prince Edward Island Dr. Stephen O’Brien Nova Scotia Dr. Michael Fleming Newfoundland and Labrador Dr. Tony Gabriel Residents Dr. Deepti Mary Ravi Students Dr. Jesse Kancir Affiliates Dr. Carter Thorne

Dr. Reid called for other nominations, and none was offered. 141.

Nominations for members of the Committee on Nominations are closed.


There being no further nominations, Dr. Reid proclaimed the above-named members of the 142.Committee on Nominations by acclamation.


Appointments and Review Committee

Mr. Smith noted that the Appointments and Review Committee is a committee of and advisory to 143.the Board of Directors. It regularly reviews CMA’s participation and appointments on outside bodies, as well as appointments to and terms of reference for all CMA committees and advisory bodies of the Board of Directors. Mr. Smith reported that no nominations for the member-at-large position on the Appointments and Review Committee were received by the nomination deadline and that, as such, nominations would be invited.

Dr. Reid called for nominations for the position of member-at-large of the Appointments and 144.Review Committee. Dr. Frank MacDonald nominated Dr. Jane Brooks.

Nominations for member-at-large of the Appointments and Review Committee are closed.


There being no further nominations, Dr. Reid proclaimed Dr. Jane Brooks member-at-large of the 145.Appointments and Review Committee by acclamation.

General Council approves that the ballots including paper or electronic reports used in the election process be destroyed.


Valedictory address

Dr. Francescutti delivered his valedictory address to delegates on Aug. 19, 2014. He highlighted 146.how quickly the year had passed and expressed his appreciation to his spouse, without whom his work as president would not have been possible.

Dr. Francescutti also expressed his appreciation to Drs. Reid, Simpson, Brodie, other members of 147.the Board and staff for their collective leadership. He highlighted that the CMA had tackled numerous issues over the course of the year and has done things differently in many areas including a greater engagement with the profession and the public.

Dr. Francescutti then led delegates through an interactive web-based session using a tool he had 148.developed to gather input in real time in the hopes that one day it will be a useful tool for physicians.

Dr. Francescutti highlighted that his objective was unchanged from his inaugural address: to 149.convince the profession of the need to achieve its full potential. Dr. Francescutti stressed that while the profession is doing great things, it needs to achieve even greater things. He stressed Canada’s near-last ranking in health care by the Commonwealth Fund and said that the top-ranked United Kingdom provides the best model from which to learn; he also talked about another model − the Cleveland Clinic − where physicians are high-performing and actively engaged.


Dr. Francescutti challenged the profession to take responsibility for the things that physicians can 150.do differently to improve the health care system and to address meaningful accountability. He said that physicians set the tone in health care and will be the ones to make a difference. He encouraged physicians to address concerning indicators including Canada’s low rankings in health care system performance, the decline in the public’s perception of physicians and system inefficiencies.

In closing, Dr. Francescutti said his year as president was an incredible experience and that he 151.hoped that, together, physicians could make Canadians proud of who they are and what they do.

Presentation to CMA of the Canadian Forces Medallion for Distinguished Service

The Speaker introduced General Tom Lawson, Chief of Defence Staff of the Canadian Armed 152.Forces, who made a special presentation to the CMA.

General Lawson said that he was delighted to present the CMA with the highest award he may 153.bestow on a civilian organization − the Canadian Forces Medallion for Distinguished Service. Dr. Woodside read the citation: “Since 2000, the Canadian Medical Association (CMA) has provided extensive support to the Canadian Armed Forces (CAF) in generating goodwill across the national medical community and promoting CAF interests in CMA activities. In addition, the CMA assisted with the development of CAF health policies and programs, the recruitment of Medical Officers, and the specialist staffing at the NATO Hospital in Kandahar. In doing so, the CMA has contributed significantly to CAF health care and operational support.”

Dr. Francescutti accepted the award and expressed his appreciation to General Lawson on behalf 154.of the CMA.

Audit Committee Report

Dr. Robert Broad, chair of the Audit Committee, presented the committee’s report to General 155.Council delegates on Aug. 19, 2014. Dr. Broad began by expressing his appreciation to members of the committee and staff.

Dr. Broad referred to the 2014 Audit Committee Report to General Council and highlighted that CMA’s 156.auditors, PricewaterhouseCoopers, presented the CMA with an unqualified audit opinion and assurance that CMA’s financial statements presented fairly the results of CMA activities and expressed no concerns with the financial statements or audit process. Dr. Broad noted that the Audit Committee had recommended that the Board of Directors approve the audited financial statements and that these be presented for acceptance by General Council.

Questions were invited; none was asked. 157.

The Canadian Medical Association accepts the 2013 audited financial statements, attached as Schedule A to the 2014 Audit Committee Report to General Council.



Dr. Broad said that the recommendation for the re-appointment of the auditors was based on the 158.Audit Committee’s assessment of PricewaterhouseCoopers’ services during the 2013-14 year, the efficiencies and cost savings derived from having the same auditors for the CMA and its subsidiaries, and the reassurance provided by the results of the most recent request for proposals process.

The Canadian Medical Association will retain PricewaterhouseCoopers as auditors for the 2015 association fiscal year.


Dr. Renwick Mann rose on a point of personal privilege to express his appreciation, on behalf of 159.the Audit Committee, to Dr. Robert Broad for his leadership during his time as chair.

Membership Fees

Following the Audit Committee report, Dr. Brian Brodie presented the Board’s recommendation 160.with respect to the full membership fee for 2015, contained in the Board of Directors report on p. 40 of the 2014 Reports to General Council.


The Canadian Medical Association full membership fee for the year 2015 will be maintained at $495.


Committee on Ethics Report

Dr. David Gass, chair of the Committee on Ethics, presented his first report to delegates. 162.

Dr. Gass highlighted that the committee has been diligent and energetic in dealing with the ethical 163.issues on its agenda including the overriding focus on end-of-life care. Dr. Gass referred delegates to the committee’s written report and noted the development of policies on life-saving and sustaining interventions; organ and tissue donation and transplantation; and euthanasia and assisted-suicide.

Dr. Gass said that the committee will be working to update CMA policy on advance care planning 164.and to develop policy on palliative care to reflect General Council’s input. He also highlighted that the committee is working on other areas including assisted-reproductive technologies; complementary and alternative medicine; and the development of decision-making tools in response to General Council’s 2013 direction calling for an inventory of materials to guide physicians facing ethical dilemmas in clinical practice.

In closing, Dr. Gass expressed his appreciation to the committee’s former chair, Dr. Robin 165.Saunders, members of the committee, its observers and to staff for their guidance and support.



CMA’s Group of Subsidiary Companies

On Aug. 20, 2014, the Chair of the CMA Holdings (2009) Inc. (CMAH) Board of Directors, Dr. 167.John Rapin, presented his report to General Council on governance matters during the last 12 months.

Dr. Rapin highlighted that Dr. Suzanne Strasberg has been named as his successor as Chair of the 168.CMAH Board of Directors and that he was pleased to be leaving a well-run organization headed by Mr. Brian Peters. Dr. Rapin also noted that three CMAH Board members were concluding their terms: Dr. Robert Hollinshead, Dr. Jeffrey Gandz, PhD, and Mr. Mark Norton.

The president and CEO of MD Physician Services (MD), Mr. Brian Peters, presented his ninth 169.stewardship report. Mr. Peters highlighted that 2013 had been an extraordinary year which yielded excellent investment returns for clients and allowed the organization to generate results from a revenue and contribution basis.

Mr. Peters also said that it was notable that the organization had been out of its building for the 170.whole of the 2013 year due to fire; 600 employees had found alternative work arrangements and locations including the CMA building. He highlighted that changes to the MD office building have helped to support its culture and that the business continuity and disaster recovery learnings would be shared with ‘corporate Canada’.

Following the presentation, a question was entertained on the management expense ratio. 171.

Address by the Leader of the Opposition

Dr. Francescutti introduced the Hon. Thomas Mulcair, leader of the NDP and the official 172.opposition, to General Council.

Mr. Mulcair thanked Dr. Francescutti and extended his congratulations to President-Elect Dr. Chris 173.Simpson. Mr. Mulcair said he was proud to be the first leader of the official opposition to have been invited to address General Council; the body that since the inception of this country has set the course for medicine in Canada.

Mr. Mulcair noted that since Tommy Douglas first dreamed of a world where parents did not have 174.to choose between paying rent and taking care of a sick child, universal health care has come to define us as Canadians; to shape our most common values. He said that even as health care and medicine are facing great changes, those values will continue to inspire everything that we do. He said that a free, universal, portable, public health care system is still our most cherished public institution.

Mr. Mulcair highlighted current challenges in health care including the dramatic demographic shift 175.of the Canadian population, federal government interest in defunding public health care and the


imposition of burdens on the system such as the recent requirement of doctors’ notes for home mail delivery.

Mr. Mulcair stressed the need for the federal government to honour its responsibilities in health 176.care including those in relation to veterans, First Nations and refugees. He highlighted unanswered calls for the federal government to reverse $200 million in cuts at veterans’ affairs, the closure of nine veterans’ service centres and the need to make military suicide and mental health a priority. He also noted that the government has a role in relation to the social determinants of health and that the NDP is the first party to launch a pan-Canadian food strategy.

Mr. Mulcair said that the medical community is leading the way in innovation and that 177.transformation is happening in every field of medicine. He highlighted CMA’s seniors’ care initiative and noted that the NDP is the only federal party to have proposed a national strategy on aging and palliative care. He indicated that while money alone would not solve all the health care system’s problems, it was a necessary precondition and that Canadians deserve better than a return to an era of crippling cuts.

In closing, Mr. Mulcair said that since its creation, the public health care system has been more 178.effective when the federal government collaborates with, rather than dictates to, the provinces and providers. He noted that, together in this new era, we can protect and renew the promise of ‘Canadian health care’ − the simple premise that we take care of one another. He said that dream was made a reality in the last century and that we must now safeguard it for generations to come.

Following Mr. Mulcair’s remarks, questions were entertained on issues including missing/murdered 179.Aboriginal women, the social determinants of health, and the recent increased protection of first-line drugs from the introduction of generics and its impact on patient care and system costs.

Dr. Cindy Forbes thanked Mr. Mulcair for addressing General Council and for engaging in a 180.question-and-answer session with delegates.

Inaugural address of incoming president

Dr. Francescutti said it was an honour to introduce Dr. Chris Simpson as the 147th president of the 181.CMA and invited him to address delegates.

Dr. Simpson began by acknowledging outgoing president Dr. Francescutti, fellow Board members 182.and others and said he looked forward to their guidance in the coming year. Dr. Simpson expressed his appreciation to his spouse, Julie, and other members of his family. He also thanked his parents who taught him, through example, about the importance of public and community service.

Dr. Simpson highlighted that a recent report from the Commonwealth Fund had ranked Canada’s 183.performance as second to last in a comparison of eleven countries’ health systems (quality, access, value for money, equity and healthy lives). Dr. Simpson queried what the top ranked United Kingdom, Switzerland and Sweden had that Canada did not and noted that private care was neither a factor nor solution. He said that successful countries do have a clear commitment to goals, leadership from their physicians and a committed federal or national government.


Dr. Simpson said that while there are many positive things about Canada’s health care system, the 184.country continues to slip in world rankings and Canadians are increasingly worried about its quality, safety, timeliness of care and sustainability. He stressed that, in poll after poll, Canadians indicate that they highly value their health care system, see it as a defining characteristic of who they are, and view those who developed the public health care system as heroes.

Dr. Simpson noted that seniors’ care is paramount and asserted that improving their care will go a 185.long way toward fixing the health care system. Dr. Simpson noted that that the average Canadian’s life expectancy had increased by thirty years since the beginning of the 20th century and that the percentage of Canadians 65 or older will double over the next twenty years. He said that this new reality is transforming society and that, with over half of our current health care costs spent on seniors, we cannot hope to keep up with the ‘silver tsunami.’

Dr. Simpson said in the 1960s, when Tommy Douglas had envisioned a universal health care 186.system, the average age of Canadians was 27 (today it is 47) and, accordingly, the health care system was built around hospitals and doctors in an acute care landscape. He said that if the system does not evolve to address both acute care needs and the long-term management of chronic diseases, we will continue to have overburdened hospitals overflowing with patients that would be better served elsewhere. He said that the failure to change impacts every component of the health care system and every Canadian and does not deliver the quality, timeliness or value for money that it should.

Dr. Simpson highlighted long wait times for most non-urgent tests, procedures, surgeries and 187.treatments because hospital beds are filled with patients who do not need to be in hospital; inadequate investments in home care and other support systems mean that millions of ‘bed days’ are used by alternate level of care (ALC) patients who would be better served in other care settings. He said that it costs $2.3 billion annually to ‘warehouse’ seniors unnecessarily and contrasted the thousand dollars per-day cost of a patient in a hospital bed with the lower costs of long-term and home care at $130 and $55 per day, respectively. He said it is time for all levels of government to do the math, start spending smarter and undertake long-range planning and strategic investment.

Dr. Simpson pledged, on behalf of the CMA, to work with any government that commits to the 188.development of a comprehensive national seniors’ strategy. He called upon all federal parties to do so, and challenge Canadians to vote in the next election based on their party’s vision to transform Canada’s health care system. He said that a strategy could address the social determinants of health, foster greater investment in health promotion and prevention, encourage greater primary care support, prioritize investments in home, community and long-term care and support the informal caregivers and family members who struggle to care for their aging parents. He also called upon leaders to improve access to quality palliative care and to develop a dementia strategy.

Dr. Simpson highlighted that physicians are given the great privilege of being invited into patients’ 189.lives. He said that physicians must embrace their civic professionalism; the duty to collectively transform the health care system into one that is worthy of patients’ trust and which provides the highest quality, safety, timeliness of access, and value for money. He said that physicians must embrace innovation, use it to drive change, and honour the Canadian values of equity, compassion and protection of the most vulnerable in our society.

In closing, Dr. Simpson said that physicians have a social contract with Canadians and that this 190.means taking responsibility, embracing accountability, and assuming a mantle of leadership and commitment to partnerships to serve greater society. He said that physicians must demonstrate


both leadership and courage in their practices, communities, organizations, partnerships with other health care professionals, and with governments to be agents for positive change and to keep patients at the centre of everything they do.

Respected Elder Annie Smith St. George of the Algonquin nation provided closing remarks. 191.

Appreciation

General Council expresses its sincere appreciation to: a) Dr. Louis Hugo Francescutti for his leadership during the year; b) the Board of Directors, the Executive Committee, the committees and staff for their excellent work on behalf of the Canadian Medical Association; c) the Ontario Medical Association for its warm hospitality; and d) the Speaker and Deputy Speaker of General Council for the expeditious manner in which they have conducted the business of General Council.


General Council expresses its thanks to members of the Resolutions Committee for their efforts in facilitating the business of General Council.


Over the course of the meeting, General Council delegates were polled on a number of changes 192.implemented to streamline and modernize General Council meetings; past president Dr. Dana Hanson requested that delegates consider the implications of the ‘GC refresh’ in relation to loss of tradition and ceremony.

Adjournment

The 147th meeting of General Council is now adjourned.


The 147th meeting of General Council adjourned at 12:34 pm on Wednesday, Aug. 20, 2014. 193.


ANNUAL GENERAL MEETING Business session

On Aug. 20, 2014, at the conclusion of General Council, the legislative and business session of the 194.annual meeting was held in the Canada Hall, Ottawa Convention Centre in Ottawa. Dr. Francescutti assumed the chair and declared the 147th annual meeting duly constituted and officially in session.

Report of the president

Dr. Francescutti noted the session is open for voting to all members of the association. He 195.proposed and received the approval of members in attendance at the business session to utilize a time limit of two minutes for asking questions.

Questions asked during the Business Session of the annual meeting will be limited to two minutes.

Resolution AGM 14-1 Carried

Members were invited to question the president or provide comments on matters relating to the 196.association or General Council deliberations. None was indicated.

Report of the chair of the Board of Directors

Members were invited to question the chair of the Board of Directors regarding the report of the 197.Board of Directors as presented in the 2014 Reports to General Council or on any other matter.

A question was entertained on exploring vehicles that would provide patients with open-access to 198.their electronic medical records in furtherance to the General Council’s resolution (GC 13-89) that “The Canadian Medical Association supports the exploration of a complementary patient-controlled electronic health record.”

Bylaws

Dr. Francescutti noted that changes in bylaws become effective when passed by a majority of 199.members present and voting at the business session.

The changes and amendments to the Bylaws, as adopted by the 147th General Council, are approved.



New Business

Members were invited to raise any new business; none was indicated. 200.

Adjournment

The legislative and business session of the 2014 annual meeting adjourned at 12:40 pm, on Aug. 20, 201.2014.

The Business Session of the 2014 Annual Meeting is adjourned.



INSTALLATION CEREMONY AND AWARDS

The ceremonial session, which included the installation of the new CMA president as well as the 202.presentation of association awards, took place in the Confederation Ballroom of the Westin Hotel, Ottawa, on Aug. 20, 2014.

Dr. Louis Hugo Francescutti welcomed guests to the ceremonial session and thanked the Ontario 203.Medical Association, its members and their spouses for their hospitality.

The distinguished members of the platform party included: 204.

Dr. Kevin Imrie, President-elect, Royal College of Physicians and Surgeons of Canada Dr. Kathy Lawrence, President, College of Family Physicians of Canada Dr. Lawrence Groves, President, Canadian Medical Protective Association Dr. Brian Brodie, Chair, Board of Directors Dr. Dana Hanson, CMA Past President and Past Speaker of General Council Dr. Cindy Forbes, Incoming President-Elect Dr. Jane Brooks, Honorary Treasurer Dr. Robert M. Wah, President, American Medical Association Dr. Mark Porter, Chair of Council, British Medical Association Miss Leah Wapner, Secretary General, European Forum of Medical Associations and Secretary General, Israel Medical Association Ms. Juliet Guichon, Medal of Honor Recipient Dr. Barbara Stubbs, May Cohen Award for Women Mentors Recipient Dr. David Butler Jones, Medal of Service Recipient Lt. Col. Bethann Meunier, John McCrae Memorial Medal Recipient Dr. Anna Reid, Past President Dr. Louis Hugo Francescutti, President Dr. Christopher Simpson, President-Elect Dr. Elizabeth Anne Fanning, F.N.G. Starr Award Recipient Dr. Blake Woodside, Speaker of General Council Mr. Tim Smith, Interim Chief Executive Officer

Mr. Tim Smith introduced the Provincial and Territorial Medical Association Presidents in 205.attendance:

Dr. James Kenneth Quong, President, Yukon Medical Association Dr. William Cavers, President, Doctors of BC Dr. Allan Garbutt, President, Alberta Medical Association Dr. Dalibor Slavik, President, Saskatchewan Medical Association Dr. Robert Kippen, President, Doctors Manitoba Dr. Ved Tandan, President, Ontario Medical Association Dr. Laurent Marcoux, President, Quebec Medical Association Dr. Lynn Hansen, President, New Brunswick Medical Society Dr. David Bannon, President, Medical Society of Prince Edward Island Dr. John Sullivan, President, Doctors Nova Scotia Dr. Wendy Graham, President, Newfoundland and Labrador Medical Association


Mr. Smith introduced the past presidents in attendance: 206.

Dr. Alex McPherson, President, 1984-85 Dr. John O’Brien-Bell, President, 1988-89 Dr. Marcien Fournier, President, 1989-90 Dr. Lionel Lavoie, President, 1990-91 Dr. Bruno L’Heureux, President, 1994-95 Dr. Victor Dirnfeld, President, 1997-98 Dr. Allon Reddoch, President, 1998-99 Dr. Hugh Scully, President, 1999-2000 Dr. Albert Schumacher, President, 2004-05 Dr. Ruth Collins-Nakai, President, 2005-06 Dr. Robert Ouellet, President, 2008-09 Dr. Anne Doig, President, 2009-10 Dr. Jeffrey Turnbull, President 2010-11 Dr. John Haggie, President, 2011-2012

Mr. Smith introduced the past officers in attendance: 207.

Dr. Ian Warrack, Chair of the Board, 1997-2000 Dr. Louise Cloutier, Chair of the Board, 2004-08 Dr. Michael Golbey, Chair of the Board, 2008-13 Dr. Margaret Kirwan, Speaker of General Council, 2006-10 Dr. Léo Paul Landry, Secretary General, 1986-99 Mrs. Barbara Drew, Acting Secretary General, 2000-01 and 2008-09

Mr. Smith welcomed Dr. André Bernard, CMA Representative to the World Medical Association. 208.

Dr. Robert M. Wah brought greetings from the American Medical Association. 209.

Dr. Mark Porter brought greetings from the British Medical Association. 210.

Miss Leah Wapner brought greetings from the European Forum of Medical Associations. 211.

Honorary memberships

CMA honorary memberships were awarded to the following physicians: 212.

Dr. David Bach Dr. Ruth Collins-Nakai Dr. Chris Ekong Dr. Allan Garbutt Dr. Michael Golbey Dr. Donald Harterre Dr. Roger Laberge Dr. Lawrence Patrick Dr. Erik Patterson Dr. Allon Reddoch Dr. Gerald Rowland Dr. Derryck Smith Dr. David Swales


Honorary memberships were also (or would be) awarded to the following at provincial/territorial 213.annual meetings:

Dr. Duncan Anderson Dr. Michel Baron Dr. Robert Bartlett Dr. Ken Bayly Dr. Anne-Claude Bernard-Bonnin Dr. Robert Burns Dr. John Carson Dr. Kenneth Chow Dr. Marcel Drolet Dr. Dagny Dryer Dr. Joseph Du Dr. Duncan Etches Dr. Charles Ferguson Dr. James Fitzgerald Dr. Vania Jimenez Dr. Wayne MacNicol Dr. Michael Malus Dr. David Marr Dr. Ian Maxwell Dr. Dennis Modry Dr. Michael Myckatyn Dr. Denis O’Connor Dr. Ron Remick Dr. Marek Rola-Pleszcynski Dr. Lorna Sent Dr. George Seviour Dr. Dorothy Shaw Dr. Don Stefiuk Dr. Patricia Wightman Dr. Harvey Woytiuk

Awards

The CMA Award for Young Leaders honours the efforts of young physician leaders of tomorrow 214.for their efforts today. In recognizing these efforts, the CMA presents the Award for Young Leaders to one student member, one resident member and one early career physician (up to and including five years post residency) member who have demonstrated exemplary dedication, commitment and leadership in one of the following areas: political, clinical, education, research and/or community service.

The 2014 CMA Award for Young Leaders (Student) was presented to Peter J. Gill. Dr. Gill co-215.founded, created, and developed PedsCases, a medical education website that provides pediatric resources for trainees. The tool has international scope and is now used in undergraduate curricula across North America. This May, Dr. Gill graduated from the MD/PhD program at the University of Alberta and in July he began a residency in pediatrics at Toronto’s Hospital for Sick Kids. His career plan includes clinical pediatrics and Canada-wide research in pediatric primary care and clinical epidemiology.


The recipient of the 2014 CMA Award for Young Leaders (Resident) was presented to Dr. Farhan 216.Asrar. Dr. Asrar is a resident physician in public health and family medicine at McMaster University who has a special interest in space studies. He founded and is the editor-in-chief of the first-ever national magazine connecting Canada’s public health resident physicians. He is also the founder of the University of Toronto’s Orphan Sponsorship Program. He has received leadership awards from Canadian Association of Internes and Residents, the Royal College of Physicians and Surgeons of Canada, and the Public Health Physicians of Canada.

The 2014 CMA Award for Young Leaders (Early Career Physician) was presented to Dr. Samir K. 217.Sinha. Dr. Sinha, director of geriatrics at Mount Sinai and the University Health Network Hospitals, is dedicated to caring for the elderly. As expert lead of Ontario’s Seniors’ Strategy, Dr. Sinha wants seniors to remain independent as long as possible and receive more care in the community and home. A former Action Canada Fellow, Dr. Sinha is assistant professor of medicine at the University of Toronto and a research affiliate of the Oxford Institute of Ageing.

The Dr. William Marsden Award in Medical Ethics recognizes a CMA member who has 218.demonstrated exemplary leadership, commitment and dedication to the cause of advancing and promoting excellence in the field of medical ethics in Canada. Recipients have also shown leadership in enhancing ethical and professional behaviour among Canadian physicians, or demonstrating excellence in research and/or teaching initiatives in medical ethics.

The 2014 CMA Dr. William Marsden Award in Medical Ethics was presented to Dr. 219.Eric Wasylenko. Dr. Wasylenko is a palliative care physician and clinical ethicist in Calgary. His specific interests include end-of-life issues, disaster management, public health, prison health, resource allocation and priority setting. In addition to teaching at the universities of Calgary and Alberta, he is a member of the University of Toronto Joint Centre for Bioethics and chairs the Public Health Agency of Canada’s Public Health Ethics Advisory Committee.

The CMA Sir Charles Tupper Award for Political Action recognizes a member of the CMA MD-220.MP Contact Program or CMA who has demonstrated exemplary leadership, commitment and dedication to the cause of advancing the policies, views and goals of the CMA at the federal level through grassroots advocacy efforts.

The 2014 CMA Sir Charles Tupper Award for Political Action was presented to Dr. Margaret 221.MacDiarmid, a family physician who is an effective political advocate for physicians and citizens alike. While president of the British Columbia Medical Association she was instrumental in the creation of a political advocacy teaching program for medical trainees. A former minister of health for British Columbia, she was influential in Ottawa through the Council of the Federation, as a member of the CMA Board of Directors, as a participant in the MD–MP Program and ‘Docs on the Hill.’

The CMA Physician Misericordia Award celebrates the outstanding contribution by a CMA 222.member to enhance the overall health and well-being of physician colleagues on both a personal and professional level, and in particular during times of conflict and crisis. It is awarded to a physician who has demonstrated outstanding leadership and support for colleagues through a lifetime commitment to caring and compassion, and who has built and nurtured the vibrancy of the medical profession in his/her community, demonstrated commitment to supporting a culture of collaboration with colleagues, and shown outstanding initiative and inspired others.


The 2014 CMA Physician Misericordia Award was presented to Dr. Ted Boadway. Dr. Boadway 223.was the influential head of the health policy department for the Ontario Medical Association for 23 years. He was dedicated to improving the health and safety of Ontario citizens, and can claim much credit for the Smoke-Free Ontario Act. Another of his great accomplishments was the creation of the OMA Physician Health Program, which became a model for other associations. Dr. Boadway has been a consultant since retiring in 2006.

The CMA May Cohen Award for Women Mentors is presented to a woman physician mentor who 224.has demonstrated outstanding mentoring abilities by encouraging, facilitating and supporting the mentee in career and leadership development; contributing to the success of the mentee through the sharing of insight, perspective and knowledge; helping mentees develop a network of relationships that might not normally be available early in their careers; and acting as an effective role model in medicine and medical leadership.

The 2014 CMA May Cohen Award for Women Mentors was presented to Dr. Barbara E. Stubbs. 225.Dr. Stubbs is an academic family physician, associate professor at the University of Toronto, and director of the professional development program for the Department of Family and Community Medicine. During her 25-year teaching career, she has earned a reputation for mentoring women physicians. Dr. Stubbs is a role model who provides both support and challenge, who encourages her mentees to build connections within their work communities, and who demonstrates and encourages a healthy work-life balance.

The John McCrae Memorial Medal was established in 2014 to recognize current or former clinical 226.health services personnel of the Canadian Armed Forces for exemplary service demonstrating traits such as compassion, self-sacrifice, or innovation beyond the call of duty that have greatly benefited the health or welfare of fellow military personnel or civilian populations.

The inaugural John McCrae Memorial Medal was presented to Lieutenant Colonel Bethann 227.Meunier, a Canadian Armed Forces medical specialist in anesthesiology. Lieutenant Colonel Meunier has been on several humanitarian missions, including a 2010 deployment to Haiti to assist with earthquake disaster relief efforts. Between 2007 and 2012 she had several deployments to Afghanistan – first working with Canadian forces at Kandahar and later helping Afghanis at Mazar-e-Sharif Afghan National Army Regional Military Hospital to rebuild their medical system.

The CMA Medal of Honour represents the highest award the association can bestow on a person 228.who is not a member of the medical profession. This award is given in recognition of personal contributions to the advancement of medical research, medical education, health care organization and public health education.

The 2014 CMA Medal of Honour was presented to Ms. Juliet Guichon. Medical bioethicist Juliet 229.Guichon is an innovative thinker who has worked extensively on human vulnerability at the intersection of health care, law, ethics, religion and journalism. Since 2012, she has been assistant professor of law and ethics in the medical faculty at the University of Calgary where she has received awards for teaching and social accountability. She is a public health advocate as well as a frequent contributor to public debate on health and ethical issues. Two of her particular interests are assisted human reproduction and human papillomavirus immunization.

The CMA Medal of Service is awarded to a person who has made an exceptional and outstanding 230.contribution to the advancement of health care in Canada. This may be a service to the profession


in the field of medical organization, to Canadians by helping to raise the standards of medical practice in Canada, or a personal contribution to the advancement of the art and science of medicine.

The 2014 CMA Medal of Service was presented to Dr. David Butler-Jones. Dr. Butler-Jones had 231.been Canada’s first chief public health officer and, since the creation of the Public Health Agency of Canada in 2004, has provided critical leadership for government efforts to protect Canadians’ health and safety. Prior to his federal appointment, he was Chief Medical Health Officer for Saskatchewan and the first executive director of the province’s public health branch. He has been credited with Canada’s successful responses to the 2008 listeria outbreak, the H1N1 flu pandemic, and several food safety crises, as well as the evolution of the Public Health Agency as a centre for population and public health information.

The CMA F.N.G. Starr Award is the highest award the CMA can present to one of its members. It 232.is awarded to a physician who has achieved distinction by making an outstanding contribution to science, the fine arts or literature (nonmedical), by serving humanity under conditions calling for courage or the endurance of hardship in the promotion of health or the saving of life, by advancing the humanitarian or cultural life of their community, or by improving medical service in Canada.

The 2014 CMA F.N.G. Starr Award was presented to Dr. Elizabeth Anne Fanning, a leader in the 233.global fight against tuberculosis and other communicable diseases. She was director of tuberculosis services for Alberta Health from 1987 until 1996. After serving for one year as medical officer for the World Health Organization’s Global Tuberculosis Program, she returned to the University of Alberta where she became coordinator of International and Global Health. Dr. Fanning is Professor Emerita in the faculty of medicine and dentistry, where she taught for 30 years. In 2005, the Alberta Medical Association named her as one of the 100 physicians of the century and in 2007 she became a member of the Order of Canada.

The CMA Award for Excellence in Health Promotion and the Medical Student/Resident Award 234.for Political Action were not presented in 2014.

Installation of President

Dr. Christopher Simpson of Ontario was installed as the 147th President of the CMA. Dr. 235.Simpson, having already given his inaugural address during General Council, took the opportunity to thank the Ontario Medical Association, its members and their spouses for their hospitality and their contributions to the meeting.

Dr. Woodside presented Dr. Louis Hugo Francescutti with the Past President’s pin in appreciation 236.for the contributions he had made over the past year in fulfilling the role as President.

Dr. Dana Hanson presented Dr. Francescutti with a plaque and honorary hood in recognition for 237.his work and welcomed him as a member of the past officers’ group.


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