196. The appointments, privileges or status granted, as applicable, by an amalgamated or grouped institution to a physician, dentist or pharmacist who, on 31 March 2015, practises in a centre operated by the institution, are deemed to have been granted by a resolution of the integrated health and social services centre that succeeds the centre or whose board of directors administers the grouped institution under the same conditions and exclusively for the facilities in which the physician, dentist or pharmacist was practising on that date, until the appointments and privileges are renewed in accordance with the Act respecting health services and social services (chapter S-4.2) and this Act. In addition, the resolution is deemed to provide that, in the event that urgent or semi-urgent problems arise with regard to access to services at another facility of the integrated centre or grouped institution, a physician, dentist or pharmacist must, at the request of the director of professional services, the chair of the council of physicians, dentists and pharmacists, the head of a clinical department or, if these persons are absent or unable to act, the president and executive director of the integrated centre, provide temporary support at the facility indicated to him or her, collectively with the other members of his or her service or department.
In such cases, the professional qualifications of the physician, dentist or pharmacist concerned are taken into account, as are the staffing requirements of their own facilities and the necessity of avoiding significant access problems with regard to the services in those facilities. The provision of temporary support may not have the effect of calling into question the person’s primary practice in the facility where he or she works, does not apply with regard to a facility located 70 or more kilometres from that facility, and may not exceed a period of three months, which may be renewed after the situation has been re-evaluated.