186. The organization plan of a local community service centre, rehabilitation centre or residential and long-term care centre must also specify the number of physicians and dentists who may practise in the centre, according to the permit of the institution, the financial resources at its disposal, together with the expansion and reduction objectives referred to in section 377.
If at least one physician practises in the centre, the organization plan must provide for the formation of a medical service or the appointment of a physician in charge of medical care. However, in the case of an institution operating a residential and long-term care centre for which a council of physicians, dentists and pharmacists has been established pursuant to section 213, the organization plan must provide for the formation of a clinical department of general medicine, the formation of a medical service or the appointment of a physician responsible for medical care.
The second paragraph does not apply where an institution operating a residential and long-term care centre is otherwise bound to form a clinical department of general medicine pursuant to section 185 or where a local authority operates a hospital centre.
The medical service shall be composed of the physicians practising in the centre and shall be directed by the physician who is the head of the medical service.
The mode of appointment, qualifications and functions of medical service heads and of physicians in charge shall be determined by regulation under subparagraph 13 of the first paragraph of section 505. Where necessary, the second paragraph of section 214 shall apply, with the necessary modifications, to the medical service or the physician in charge, regarding the functions determined by that regulation.
This part of the organization plan, after having been referred for consultation to the council of physicians, dentists and pharmacists, the medical service, or the physician in charge, as the case may be, must be sent to the agency for approval in accordance with section 378. Once approved by the agency, the said part of the organization plan shall constitute the medical and dental staffing plan of the institution.
If the centre is designated as a university institute, this part of the organization plan must be prepared after consultation with the university with which the institution is affiliated.
The medical and dental staffing plan must be reviewed at least once every three years and shall continue in force until the agency decides on its revision.
1991, c. 42, s. 186; 1992, c. 21, s. 20; 1998, c. 39, s. 69; 2005, c. 32, s. 97.