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Panel on Advance Requests

Friday, May 3, 2024
11:00 AM - 12:30 PM

Speaker(s)

Dr. Tim Holland, Valerie Cooper, Dr. Mathieu Moreau


Session Details

At the end of this session, participants will be able to: - Discuss the recent Quebec legislation regarding Advance Requests and elaborate on how this legislation will translate to clinical practice. - Describe the work done by the CAMAP Advance Requests Working Group, present the Working Group's current draft recommendations. - Analyze the ethical rationale behind the current draft recommendations. - Facilitate discussion for audience feedback on current draft recommendations


Speaker

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Mrs. Valerie Cooper
Hospice Palliative Care Nurse Practitioner
Home and Community Care Support Services South East

Panelist

Biography

Valerie Cooper is a Hospice Palliative Care Nurse Practitioner with Home and Community Care Support Services South East. She sees patients in their homes in a variety of geographies, from urban to remote. She works in a shared-care model with patients’ existing primary care providers to support patients with malignancies and end-stage organ diseases to die in their preferred place of death.
She lectures in the undergraduate programs at Queen’s School of Nursing and St. Lawrence College, and has also contributed to a continuing education course for nurse practitioners on palliative care through the University of Toronto. Valerie is a member of the Dying with Dignity Canada’s Clinician Advisory Council, the Canadian Association of MAiD Assessors and Providers (CAMAP) Provincial and Territorial Advisory Council, and was a working group member for the Canadian MAiD Curriculum. She is a MAiD assessor and provider, the chair of her local MAiD Community of Practice, and a LEAP facilitator for Pallium Canada. She has spoken across Canada about both palliative care and MAiD.

I have/had an affiliation (financial or otherwise) with a for-profit or not-for-profit organization.
- Member of an advisory board or speakers’ bureau (Dying with Dignity Canada, CAMAP)
- Received payment from an organization (Craig's Cause, Pallium Canada, Executive Links, University of Toronto (speaker/facilitator)
- Received/will receive a grant or an honorarium from a for-profit or not-for-profit organization (Queen's Univeristy - guest lecturer)
- A relationship with one or more other for-profit or not-for-profit organizations that fund this program (CAMAP - member of Provincial/Territorial Advisory Council, Advance Requests Working Group and Education Committee)

I do not intend to make therapeutic recommendations for medications that have not received regulatory approval (i.e., “off-label” use of medications)
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Dr. Timothy Holland
Deptartment Head
Bioethics, Dalhousie University

Panelist

Biography

Tim Holland graduated from Dalhousie Medical School in 2011 and completed his family medicine residency in Halifax in 2013. He has been a medical assistance in dying (MAiD) provider since 2016 when MAiD first became legal in Canada. He sits on the Nova Scotia Health MAiD Steering Committee and the Steering Committee for the Canadian MAiD Curriculum Development Project. He was elected as Chair of the Ethics Committee for the Canadian Medical Association (CMA) in 2016. As Chair, he has oversaw many important CMA bioethics initiatives including the Medical Assistance in Dying Policy and the 2018 major revision of the Code of Ethics and Professionalism. In September 2022, Dr. Holland took over as Head of the Bioethics Department at Dalhousie University. He has recently completed a Master’s Degree in Philosophy with a thesis on Advance Requests for MAiD in the setting of advanced dementia. He chairs the CAMAP Working Group for Advance Requests for MAiD. Most importantly, he is married to an amazing partner, has three incredible young children, and two energetic puppies.

I have/had an affiliation (financial or otherwise) with a for-profit or not-for-profit organization:
- A relationship with one or more other for-profit or not-for-profit organizations that fund this program: CAMAP (Chair, Advance Requests Working Group)
- All other investments or relationships that could be seen by a reasonable, well-informed participant as having the potential to influence the content of the educational activity: Nova Scotia Health (member of MAiD advisory committee)

I do not intend to make therapeutic recommendations for medications that have not received regulatory approval (i.e., “off-label” use of medications).
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Dr. Mathieu Moreau
CIUSSS du Nord-de-l'Île-de-Montréal

Panelist

Biography

Mathieu is the proud father of 3 extraordinary humans. As a family physician, he worked for 8 years in the ER and ICU, before completing a year of training in palliative medicine. He practices at CIUSSS du Nord-de-l'Île-de-Montréal. He is in the last mile of his Master's degree in clinical ethics and is a member of the Bureau de l'éthique clinique of the Université de Montréal's Faculty of Medicine. His research projects focus on MAiD, advance directives and the suffering of patients with neurocognitive disorders. He is a MAiD provider and has been a member of the CISSS de Laval interdisciplinary support group since 2015.

I have an affiliation (financial or otherwise) with any for-profit or not-for-profit organizations.
- Received/will receive a grant or an honorarium from a for-profit or not-for-profit organization: Universite de Montreal (Bureau de l'ethique clinique); Gouvernement du Quebec (Committee on Citizen Relations, Bill 11); Research grants (Réseau québécois de recherche en soins palliatifs et de fin de vie, 2024, Programme de soutien à la recherche Pôle 1, CISSS Laval, 2024, Mieux comprendre le recours à l'aide médicale à mourir en contexte québécois. Actions concertées, Fonds de recherche du Québec, 2024-2027.)

I do not intend to make therapeutic recommendations for medications that have not received regulatory approval (i.e., “off-label” use of medications).
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