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.

Eligibility for MAID for persons suffering solely from a mental illness has been delayed until March 17, 2027.

On 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.

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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:

As such, regulatory bodies perform an essential 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 in order to determine if a medical practitioner has acted appropriately.

Model Practice Standard for Medical Assistance in Dying (MAID)

Advice to the Profession

The Task Group also prepared a document entitled 'Advice to the Profession' which elaborates upon specific clinical questions raised by the Model Standard. This document is not intended to be a clinical practice guideline. Rather, it is a companion document to the Standard such as is often drafted by regulators to provide additional guidance and clarification.

This document is accompanied by an appendix which provides some additional helpful clinical resources for MAID assessors and providers.

Advice to the Profession: Medical Assistance in Dying (MAID)

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:

Health Canada provides a guidance document to support these health care professionals in fulfilling their responsibilities under the Regulations.

Learn more:

Implementing the framework

Health Canada is providing additional information for healthcare providers that:

Medical assistance in dying: Implementing the framework

Professional training

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.

Support and resources

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.

News release

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 and mental disorders, to help achieve a safe and consistent approach to MAID assessments and provisions across Canada.

This project will:

Learn more: Canadian MAID Curriculum

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