34 (1) Where the medical staff of a hospital is not divided into medical departments, the chief of the medical staff or, where there is no chief, the president of the medical staff may be made responsible by by-law of the hospital to advise the medical advisory committee with respect to the quality of medical diagnosis, care and treatment provided to the patients of the hospital.  R.S.O. 1990, c. P.40, s. 34 (1); 2006, c. 4, s. 52 (11). Idem, in hospitals with departments (2) Where the medical staff of a hospital is divided into medical departments, the head of each department may be made responsible by by-law of the hospital, through and with the chief of the medical staff or, where there is no chief, through and with the president of the medical staff, to advise the medical advisory committee with respect to the quality of medical diagnosis, care and treatment provided to the patients of his or her department.  R.S.O. 1990, c. P.40, s. 34 (2); 2006, c. 4, s. 52 (11). Duty where serious problem exists (3) If an officer of the medical staff who is responsible under subsection (1) or (2) becomes aware that, in his or her opinion a serious problem exists in the diagnosis, care or treatment of a patient, the officer shall forthwith discuss the condition, diagnosis, care and treatment of the patient with the attending physician.  2006, c. 4, s. 52 (12). Relieving attending physician (3.1) If changes in diagnosis, care or treatment satisfactory to the officer are not made promptly, he or she shall, (a)  assume forthwith the duty of investigating, diagnosing, prescribing for and treating the patient; and (b)  notify the attending physician, the administrator and, if possible, the patient that the member of the medical staff who was in attendance will cease forthwith to have any hospital privileges as the attending physician for the patient.  2006, c. 4, s. 52 (12). Where no discussion with attending physician (4) Where the officer of the medical staff who is responsible under this section is unable to discuss the problem with the attending physician as required by subsection (3), the officer shall proceed with his or her duties as prescribed in this section as if he or she had had the discussion with the attending physician.  R.S.O. 1990, c. P.40, s. 34 (4). Duty of responsible officer to report action (5) The officer of the medical staff who is responsible under this section shall inform two members of the medical advisory committee within twenty-four hours of his or her action under subsection (3) or (4) and shall file a written report with the secretary of the medical advisory committee within forty-eight hours of his or her action under subsection (3) or (4).  R.S.O. 1990, c. P.40, s. 34 (5). Delegation of responsibilities and duties (6) The officer of the medical staff who is responsible under this section may delegate any or all of his or her responsibilities and duties under this section to a member of his or her medical staff or of his or her medical department, as the case may be, but the officer remains accountable to the medical advisory committee for the management of the patient by that member of the medical staff to whom any such responsibility or duty is delegated.  R.S.O. 1990, c. P.40, s. 34 (6). Report to administrator and board (7) Where the medical advisory committee concurs in the opinion of the officer of the medical staff who has taken action under subsection (3) or (4) that the action was necessary, the secretary of the medical advisory committee shall forthwith make a detailed written report to the administrator and the board of the problem and the action taken.  R.S.O. 1990, c. P.40, s. 34 (7); 2010, c. 14, s. 20 (1). Section Amendments with date in force (d/m/y) 2006, c. 4, s. 52 (11, 12) - 28/03/2006 2010, c. 14, s. 20 (1)
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