Canadian Medical Association updates code of ethics to address racism, discrimination

Ottawa — The Canadian Medical Association (CMA) has revised its code of ethics to address issues of racism and discrimination in healthcare. The updates provide medical professionals with clearer guidance on delivering culturally safe, trauma-informed, and equitable care that respects Indigenous knowledge and collaborates with colleagues.

These changes are part of the CMA’s reconciliation action plan, and the revised code is now accessible in four Indigenous languages: Anishinaabemowin, Michif, Northern Michif-Cree, and Inuktitut.

Bolu Ogunyemi, the president of the CMA, emphasized that racism and discrimination have no place in healthcare, noting that these issues persist and can lead to tragic consequences. The CMA has acknowledged its past and ongoing role in harming Indigenous Peoples, including Indian hospitals, forced medical experimentation, forced sterilization, and child apprehensions.

Dr. Joss Reimer, the CMA president during this time, expressed regret for the profession's failure to uphold ethical standards and ensure the highest standard of care for all patients.

The revised code includes stronger guidance on racism and discrimination, with new language prohibiting racist and discriminatory behavior. It also encourages physicians to consider how care can be made accessible to historically underserved groups and improve health outcomes. Furthermore, the code urges medical professionals to respect Indigenous worldviews and traditional health and healing practices.

Ogunyemi hopes that this guide will inform future generations of physicians and prompt current practitioners to reevaluate their approach.