Development of a Canadian Medical Assistance in Dying Curriculum for Healthcare Providers

Author:

Shapiro Gilla K.123ORCID,Hunt Kate1,Braund Heather4,Dalgarno Nancy45,Panjwani Aliza A.12,Stevens Sarah6,Mulder Jeanne4,Sheth Madurika S.4,Stere Alison1,Green Stefanie6,Gubitz Gord7,Li Madeline12

Affiliation:

1. Department of Supportive Care, Princess Margaret Cancer Centre, University Health Network, Toronto, Canada

2. Department of Psychiatry, Temerty Faculty of Medicine, University of Toronto, Toronto, Canada

3. Social & Behavioural Health Sciences Division, Dalla Lana School of Public Health, University of Toronto, Toronto, Canada

4. Office of Professional Development & Education Scholarship, Queen's University, Kingston, Canada

5. Providence Care Hospital, Kingston, Canada

6. Canadian Association of MAiD Assessors and Providers, Victoria, Canada

7. Division of Neurology, Dalhousie University, Halifax, Canada

Abstract

Objectives Medical Assistance in Dying (MAiD) was legalized in Canada in 2016, necessitating greater education and training in MAiD for physicians and nurse practitioners. To meet this need, the Canadian MAiD Curriculum (CMC) was developed to offer a nationally accredited, comprehensive, bilingual, hybrid (synchronous and asynchronous) educational program to support and enhance the practice of MAiD in Canada. Methods This work describes the process of developing the CMC, including its guiding principles and framework. The CMC was guided by constructivism and adult learning theory, preliminary literature review, 5 key principles based on a needs assessment survey, as well as consultation with diverse partners. Results Seven modules were developed: (1) foundations of MAiD in Canada, (2) clinical conversations that includes MAiD, (3) how to do an MAiD assessment, (4) capacity and vulnerability, (5) providing MAiD, (6) navigating complex cases with confidence, and (7) MAiD and mental disorders. An eighth topic on clinician resilience and reflection was woven into each of the 7 modules. Conclusion This curriculum ensures that consistent information is available to healthcare providers concerning the practice of MAiD in Canada. To ensure sustainability, the CMC will continue to be updated alongside the evolution of MAiD policy and services in Canada.

Funder

Health Care Policy and Strategies Program of Health Canada

Publisher

SAGE Publications

Reference42 articles.

1. New medical assistance in dying legislation becomes law: News release (May 17, 2021).

2. Government of Canada. Canada’s medical assistance in dying (MAID) law. Government of Canada. Updated March 1, 2024. Accessed Oct 30, 2023. https://www.justice.gc.ca/eng/cj-jp/ad-am/bk-di.html#:∼:text=On%20February%202%2C%202023%2C%20the,%2C%20until%20March%2017%2C%202024.

3. Health Canada. Fourth annual report on Medical Assistance in Dying in Canada 2022. Government of Canada. Updated October 26, 2023. Accessed Oct 30, 2023. https://www.canada.ca/en/health-canada/services/publications/health-system-services/annual-report-medical-assistance-dying-2022.html#intro

4. Committee Report—MAID AND Mental Disorders: the Road Ahead (January 29, 2024).

5. Health Canada. Fourth interim report on medical assistance in dying in Canada. Government of Canada. Updated April 25, 2019. Accessed July 19, 2022. https://www.canada.ca/en/health-canada/services/publications/health-system-services/medical-assistance-dying-interim-report-april-2019.html

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