Medical assistance in dying: For health professionals and regulators
The Model MAID Practice Standard, implementing medical assistance in dying, education and training, and reporting requirements for health professionals and health care regulators.
NEW – September 12, 2023 – The federal government announced the launch of the Canadian MAID Curriculum – the first nationally accredited, bilingual education program on MAID available to physicians and nurse practitioners.
- Learn more: Professional training
In collaboration with Indigenous Peoples, Health Canada has begun a multi-pillar engagement process on MAID, supporting both Indigenous-led engagement and federally-led activities, including an online engagement tool opening August 17, 2023. Learn more:
The eligibility date for persons whose only underlying medical condition is a mental illness has been postponed to March 17, 2024. Learn more:
On this page
- Model MAID Practice Standard
- Guidance on reporting requirements
- Implementing the framework
- Professional training
Model MAID Practice Standard
Health Canada convened an independent MAID Practice Standards Task Group in September 2022. They were tasked with developing a practice standard for MAID based on recommendations from the Expert Panel on MAID and Mental Illness. The task group has developed a model MAID Practice Standard and supporting documents which provide guidance to support complex MAID assessments.
Provincial and territorial regulatory bodies for physicians and nurses can draw upon these resources to support harmony and consistency in MAID practice. Regulatory bodies operate under provincial or territorial statutes, and are responsible for:
- overseeing clinical activities of medical practitioners
- ensuring compliance with applicable:
- medical ethics
- prevailing norms of practice associated with the category of health professional for which they have responsibility
As such, regulatory bodies discharge a critical oversight function in health systems across the country. Practice standards covering specific aspects of medicine indicate what practitioners must do, what they must not do, and what they may do in various areas of clinical practice. If there are questions about the appropriateness of a practitioner's activities, the regulatory body uses practice standards and general medical ethics as they determine if a medical practitioner has acted appropriately.
Guidance on reporting requirements
The Regulations for the Monitoring of Medical Assistance in Dying require certain professionals to provide information related to requests for, and the provision of, medical assistance in dying. These professionals are:
- nurse practitioners
- preliminary assessors
- pharmacy technicians
Health Canada provides a guidance document to support these health care professionals in fulfilling their responsibilities under the Regulations.
- Guidance Document: Reporting requirements under the Regulations
- Regulations for the Monitoring of MAID
Implementing the framework
Health Canada is providing additional information for healthcare providers that:
- addresses changes to the law, which came into effect on March 17, 2021
- builds on questions from provinces, territories and practitioners
- explains how they can consistently apply the framework to assessments and delivery of MAID
Medical practitioners and other health professionals must work within their scope of practice when providing any health care service, including medical assistance in dying. Your regulatory body can provide more information through practice standards, medical ethics and guidance related to specific areas of practice.
Canadian MAID Curriculum Project
The Canadian MAID Curriculum Project is led by the Canadian Association of MAID Assessors and Providers (CAMAP) and funded by the Government of Canada.
The Canadian MAID Curriculum was officially launched on September 12, 2023.
This Curriculum is the first comprehensive, nationally accredited, bilingual MAID education program available to licensed physicians and nurse practitioners across the country.
It includes a series of 7 modules that cover 8 topic areas covering foundational and advanced MAID concepts, including MAID requests where mental illness is the sole underlying condition, to help achieve a safe and consistent approach to MAID assessments and provisions across Canada.
This project will:
- educate new MAID practitioners
- advance the skills of existing MAID practitioners
- ensure access to high quality MAID information and training for interested health care practitioners
Learn more: Canadian MAID Curriculum
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