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Medico-legal handbookfor physicians in Canada
This handbook provides insight into basiclegal concepts and underlying principles that govern physicians in their practices
THE CANADIAN MEDICAL PROTECTIVE ASSOCIATION
Seventh Edition
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SEVENth EDItION & 2010CANADIAN MEDICAL PROtECtIVE ASSOCIAtION
OttAWA, CANADA
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C@@ >> K . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 >@ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
>@ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3CG@G . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4@ @ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5>@ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6G >@ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
CG @ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 AG> @ K . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9F> @@ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
D@ @@, >, @ H> >>K . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10FGK GK . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10@> @ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
>K . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11+@> @ @ . . . . . . . . . . . . . . . . . . . . . . 11
D I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12@@ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12L I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13GG >@ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
J @G>@ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
J . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17G>@ H@ H@ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
@ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19K@ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19
@-@ @ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
&EDC-EA +CE AD DE
>@, >, @ @ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21DGK . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21B GK . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22! @ @@@ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
C@@ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24GG @ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 A L@ @>>K @> @ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26+G> @ (> @G@) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26E@--> @ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
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@ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29C@@>K @ HK . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
C@@ > @@ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30EJ @@ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .30> @@ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .30
K@ >> I@ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30 I@ @ G . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30GK G@ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31DGK I@ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31HK . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
&> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
A > . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34+@@ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35E>@ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
&+A EA
+@ @ G@ H . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39+@ > G . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39B> >> > . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40&@> > >>@ P @H>G@K @ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40&> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42+G>@ G @ @ H H@ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45@@> (>>H) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46K G . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47
DGK > . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47DGK K@ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48
F+E CDE+A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50
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9
The%e hae bee! e% fe*
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e #h&icia!& &ill fea%
&ch clai&, #a%icla%l
*he! %e$i%ed " gie
c%iical c"e!& ab" a
c"lleage "% #aie!.
8/18/2019 Canadian Ethics
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10
&EDC-EA !ADB F+ !CA CAADA
8/18/2019 Canadian Ethics
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Pe#a& '#ae'e
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11
The%e hae bee! e% fe*
legal aci"!& " dae *he%e
he %"le "f a #h&icia! a&
head "f a de#a%e! "%
chief "f &aff ha& bee! a
f"cal #"i! i! he
liigai"!.
8/18/2019 Canadian Ethics
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12
&EDC-EA !ADB F+ !CA CAADA
The head "f a
de#a%e! "% he chief
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*"%k "f "he% ebe%&
"f he edical &aff "%
"he% healhca%e
#%"ide%&.
8/18/2019 Canadian Ethics
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8/18/2019 Canadian Ethics
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14
&EDC-EA !ADB F+ !CA CAADA
The c"%& a%e !"*
%e$i%ed " a&&e&& each
ie "f daage&
&e#a%ael, *ih he "al
"fe! addi!g # " a
&b&a!ial fig%e.
8/18/2019 Canadian Ethics
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15
While he aj"%i "f
legal clai& b%"gh agai!& CMPA
ebe%& a%e
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i i& a!ici#aed ha
daage& a*a%ded "
#aie!& i! a jdge!
"% &elee! *ill
c"!i!e " %i&e.
8/18/2019 Canadian Ethics
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Sced e&e'e
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16
&EDC-EA !ADB F+ !CA CAADA
Ph&icia!& &h"ld !"
fall i!" he %a# "f
beliei!g ha "!l
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8/18/2019 Canadian Ethics
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17
The &a!da%d i& !" "!e "f e+celle!ce "% #e%feci"!,
b %ahe% ha leel "f
ca%e a!d &kill ha c"ld
%ea&"!abl be e+#eced "f
a #h&icia! *ih &iila%
%ai!i!g a!d i! &iila%
ci%c&a!ce& " h"&e "f
he defe!da! #h&icia!.
8/18/2019 Canadian Ethics
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18
&EDC-EA !ADB F+ !CA CAADA
8/18/2019 Canadian Ethics
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19
If #h&icia!& a%e called
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ca%e a!d ca&ai"!.
8/18/2019 Canadian Ethics
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20
&EDC-EA !ADB F+ !CA CAADA
Bef"%e %eai!g a !"!-
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#h&icia!& &h"ld hae
ha #aie! &ig! he
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J%i&dici"! f"%.
8/18/2019 Canadian Ethics
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M'&+%-')# +/%+'#/& &4+'
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8/18/2019 Canadian Ethics
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22
&EDC-EA !ADB F+ !CA CAADA
The a##%"#%iae ea&%e
i& he%ef"%e he leel "f
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&a!da%d "f #e%feci"!.
8/18/2019 Canadian Ethics
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23
Medical &cie!ce ha& !" e
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ha all %eae! aff"%ded
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8/18/2019 Canadian Ethics
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24
&EDC-EA !ADB F+ !CA CAADA
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8/18/2019 Canadian Ethics
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26
&EDC-EA !ADB F+ !CA CAADA
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8/18/2019 Canadian Ethics
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28
&EDC-EA !ADB F+ !CA CAADA
I i& *ell e&abli&hed ha
he *i&he& a!d be&
i!e%e&& "f he #aie! a%e
#a%a"! *he! aki!ge!d-"f-life deci&i"!&.
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29
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Ce d#c&e #'a#
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30
&EDC-EA !ADB F+ !CA CAADA
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>, G> =@ K @S H>>
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31
8/18/2019 Canadian Ethics
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32
&EDC-EA !ADB F+ !CA CAADA
The f!dae!al
#%i!ci#le "f all #%iac
legi&lai"! i& a!
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8/18/2019 Canadian Ethics
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G@ G > @@ @@ @>K G, @
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33
8/18/2019 Canadian Ethics
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Med#ca& ecd
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&EDC-EA !ADB F+ !CA CAADA
8/18/2019 Canadian Ethics
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8/18/2019 Canadian Ethics
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&EDC-EA !ADB F+ !CA CAADA
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&EDC-EA !ADB F+ !CA CAADA
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39
Ph&icia!& hae bee! f"!
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8/18/2019 Canadian Ethics
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40
&EDC-EA !ADB F+ !CA CAADA
The%e i& legi&lai"! i! all
j%i&dici"!& g"e%!i!g
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#%"ide& ecificall f"%
i!"l!a% c"!fi!ee!
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8/18/2019 Canadian Ethics
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Med#ca& ce##cae
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42
&EDC-EA !ADB F+ !CA CAADA
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Paie!& a%e !"* diided
i!" 2 caeg"%ie&,
de#e!di!g "! hei%c"!dii"!. F"% each
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8/18/2019 Canadian Ethics
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44
&EDC-EA !ADB F+ !CA CAADA
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R+ #/#)''/4
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45
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+7B;@ 3@6 7B@6;@ 36H77 7H7@: A ?76;53> >;34;>;K B7B75;H7 ,
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46
&EDC-EA !ADB F+ !CA CAADA
8/18/2019 Canadian Ethics
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Scac#3 ece
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The c"%& hae gie!
fa"%able %ec"g!ii"!
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%ealiie& i! aki!g
all"*a!ce& f"% he
&ca%ci "f %e&"%ce&
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8/18/2019 Canadian Ethics
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&EDC-EA !ADB F+ !CA CAADA
D3 *"3#c#a
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8/18/2019 Canadian Ethics
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J G I>> @@G G G
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49
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F4' %/+&'#4+/H> G H @ @G @ @> >>K, I G>@ >>@
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50
&EDC-EA !ADB F+ !CA CAADA
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TheCMPA: providing value to members
A 4*' +/%+# +&' ( '&+%# +#$++4 4'%4+/ +/ c#/#, 4*' cMPa + %+44'& 44'%4+/) 4*' ('+/# +/4')+4 ( *+%+#/ #/& 4+/) #(' '&+%# %#'. T ((+ 4*+
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