In this episode, hosts Dr. Meredith Chiasson and Dr. Peter Gregory speak with Dr. Gordon Gubitz – neurologist, professor of medicine at Dalhousie University, and clinical lead for the Nova Scotia MAiD program – about medical assistance in dying (MAiD) and the role internists can play in supporting patients through these complex and deeply personal conversations.

Dr. Gubitz explains the eligibility criteria and assessment process for MAiD in Canada, addresses common misconceptions, and discusses how conversations about MAiD fit into broader goals-of-care and end-of-life discussions. He also explores the role of internists in initiating conversations, supporting patients and families, participating in assessments, and navigating referral pathways and available resources.

Looking ahead, Dr. Gubitz outlines emerging legislative developments, including MAiD for mental illness as a sole underlying condition and the evolving discussion around advance requests.

Listeners of this episode will gain insights into:

Common misconceptions about MAiD eligibility and process

How to approach conversations about MAiD within goals-of-care discussions

The role internists can play in supporting patients considering MAiD

Referral pathways and educational resources available in Nova Scotia

Emerging legislative and ethical developments in MAiD practice

Resources mentioned in this episode:

Nova Scotia Health MAiD resource page: Medical Assistance in Dying (MAID) | Nova Scotia Health

Canadian Association of MAiD Assessors and Providers (CAMAP) educational modules: CMC 3.0 Home - CAMAP | ACEPA

Mental health support for physicians involved in MAiD care: Professional Support Program

Grief and bereavement support resources for families and clinicians: Life Changes | Nova Scotia Health

CAMAP clinician forums and peer support: Join CAMAP - CAMAP | ACEPA

Hospice bereavement support resources: Grief Support Groups in Nova Scotia | Hospice Halifax

Nova Scotia MAiD referral pathway and contact information: To make a referral, clinicians are encouraged to contact the Nova Scotia Health MAiD Access and Resource Team. Information can be found under "Contact" at Medical Assistance in Dying (MAID) | Nova Scotia Health.

Nova Scotia Health patient and family guide: https://www.nshealth.ca/sites/default/files/documents/2229-2024.03.13.pdf

Clinical Currents is produced by the Dalhousie Department of Medicine for internal medicine physicians across the Maritimes. This podcast is for professional education only and should not be taken as personal medical advice. Content reflects Canadian practice unless otherwise noted.