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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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    C@@ &> H A@ (C&A) H ->>@ K@ >@ @ @ C@.

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    SEVENth EDItION & 2010CANADIAN MEDICAL PROtECtIVE ASSOCIAtION

    OttAWA, CANADA 

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    >@ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3CG@G . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4@ @ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5>@ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6G >@ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

    CG @ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 AG> @ K . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9F> @@ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

    D@ @@, >, @ H> >>K . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10FGK GK . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10@> @ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

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    @ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19K@ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19

    @-@ @ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

    &EDC-EA +CE AD DE

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    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

    A Medico-LegAL HAndbook for PHysiciAns in cAnAdA

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    9

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    10

    &EDC-EA !ADB F+ !CA CAADA

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    Pe#a& '#ae'e

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    11

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    12

    &EDC-EA !ADB F+ !CA CAADA

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  • 8/18/2019 Canadian Ethics

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    14

    &EDC-EA !ADB F+ !CA CAADA

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  • 8/18/2019 Canadian Ethics

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    15

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  • 8/18/2019 Canadian Ethics

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    Sced e&e'e

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    16

    &EDC-EA !ADB F+ !CA CAADA

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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"!,

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  • 8/18/2019 Canadian Ethics

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  • 8/18/2019 Canadian Ethics

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    19

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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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    &EDC-EA !ADB F+ !CA CAADA

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    &EDC-EA !ADB F+ !CA CAADA

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    32

    &EDC-EA !ADB F+ !CA CAADA

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    34

    &EDC-EA !ADB F+ !CA CAADA

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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

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  • 8/18/2019 Canadian Ethics

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    B&d a&c"& a'*&e

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    40

    &EDC-EA !ADB F+ !CA CAADA

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    Med#ca& ce##cae

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    &EDC-EA !ADB F+ !CA CAADA

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     Paie!& a%e !"* diided 

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    &EDC-EA !ADB F+ !CA CAADA

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    &EDC-EA !ADB F+ !CA CAADA

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    49

  • 8/18/2019 Canadian Ethics

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    TheCMPA: providing value to members

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