Protection of Conscience Project
Protection of Conscience Project
www.consciencelaws.org
Service, not Servitude

Service, not Servitude

Canada

Collège des Médecins du Québec

Policies relevant to freedom of conscience

Links and annotations

Full TextCode of Ethics of Physicians (R.S.Q., c. C-26, s. 87) (Updated to 2020 Apr 1)
[Full Text]

24. A physician must, where his personal convictions prevent him from prescribing or providing professional services that may be appropriate, acquaint his patient with such convictions; he must also advise him of the possible consequences of not receiving such professional services.  The physician must then offer to help the patient find another physician.


Full TextLegal, Ethical and Organizational Aspects of Medical Practice in Québec (ALDO Quebec)
7.1.2  The quality of the professional relationship
(February, 2020)

Le médecin doit également informer son patient de ses convictions personnelles, de nature morale ou religieuse, qui peuvent l’empêcher de lui recommander ou de lui fournir des services professionnels qui pourraient être appropriés, et l’aviser des conséquences possibles de l’absence de tels services professionnels. Il doit alors offrir au patient de l’aider dans la recherche d’un autre médecin (art. 24).

A physician must, where his personal convictions, of a moral or religious nature, prevent him from prescribing or providing professional services that may be appropriate, acquaint his patient with such convictions; he must also advise him of the possible consequences of not receiving such professional services. He must then help the patient find another physician (art.24).


Full TextAn Act Respecting End-of-Life Care
(Updated to 2020 Jun 01)

31. A physician practising in a centre operated by an institution who refuses a request for medical aid in dying for a reason not based on section 29 must, as soon as possible, notify the executive director of the institution or any other person designated by the executive director and forward the request form given to the physician, if that is the case, to the executive director or designated person. The executive director of the institution or designated person must then take the necessary steps to find, as soon as possible, another physician willing to deal with the request in accordance with section 29.

If the physician who receives the request practises in a private health facility and does not provide medical aid in dying, the physician must, as soon as possible, notify the executive director of the local authority referred to in section 99.4 of the Act respecting health services and social services (chapter S-4.2)that serves the territory in which the patient making the request resides, or notify the person designated by the executive director. The physician forwards the request form received, if that is the case, to the executive director or designated person and the steps mentioned in the first paragraph must be taken.

If no local authority serves the territory in which the patient resides, the notice referred to in the second paragraph is forwarded to the executive director of the institution operating a local community service centre in the territory or the person designated by the executive director.

50. A physician may refuse to administer medical aid in dying because of personal convictions, and a health professional may refuse to take part in administering it for the same reason. In such a case, the physician or health professional must nevertheless ensure that continuity of care is provided to the patient, in accordance with their code of ethics and the patient's wishes. In addition, the physician must comply with the procedure established in section 31.