I wanted to share feedback regarding the proposed changes to the Conscientious Objection standard of practice. I strongly oppose the compulsion of “effective referral” in this policy. Alberta already has a solid framework for patients to access services they are seeking, without mandating that doctors violate their professional judgment. Many physicians are ethically opposed to newer aspects of medicine, such as MAID (euthanasia), as well as more established controversial medical services, such as abortion. If I will be forced to participate, even at arms length, to a procedure I am morally opposed to, something I view akin to murder, I will be unable to continue practicing medicine in this province. Many excellent physicians like myself will find themselves in similar positions. I hope that CPSA will carefully consider the inclusion of "effective referral" in this document. Many thanks, Shauna Burkholder, MD FRCPC