New Governance Model: Smaller Board, Broader Representation

In a referendum vote held December 8, 2016 to January 18, 2017, membership voted in favour of replacing the current Doctors of BC Board with that of a dual structure: a 9-member Board and a 104-member Representative Assembly. A total of 2920 votes were cast, 2740 were in favour achieving the necessary 2/3 of the votes needed to pass this resolution. 

Why the change?

Our current 39-member Board is the largest of all Provincial Medical Associations in Canada. In consultations over the last few years and in our Member Survey, we heard that members want us to be more responsive and proactive on their behalf. The new smaller Board and Representative Assembly will enable the Association to be more nimble and proactive, while at the same time providing broader representation across the profession.

The new model

The “dual model” of governance was informed by extensive feedback from members and other stakeholders. It centers on:

  • A much smaller, more nimble and flexible Board that will be able to make more timely decisions on behalf of our members, and
  • A new Representative Assembly (RA) that will provide wide-ranging representation from: all geographical areas of the province, GPs/FPs and specialists, those practicing in rural and First Nations communities, medical students, residents, and those members in early years of practice.

The goal is to strike a balance between an efficient, nimble governance body (the Board), and a body that will ensure members’ views are fully represented (the RA).

Click on the tabs below for further details. Additional information can be found in the Executive Summary & Table (link below under "More Background".)

The Board
  • Role will primarily be that of a decision-making and strategy-setting body.
  • Will maintain its legal fiduciary and oversight responsibilities, and will be accountable to the Representative Assembly and the entire membership
  • Comprised of 9 members – the President, President-Elect and 7 Directors at Large – allowing for efficiency in decision-making and the ability to quickly respond to events that arise.
  • Of the 7 Directors at Large, 3 will be Specialists, 3 will be GPs, and 1 will be the ‘opposite’ of the incoming President (i.e., a GP if the incoming President is a Specialist, and a Specialist if the incoming President is a GP).
Representative Assembly
  • Role would be that of an influential body representing members’ interests and providing guidance to the Board, enhancing accountability between the Board and members.
  • Will have 104 voting delegates representing all Sections, all geographical areas including rural and First Nations communities, students and residents, the Society of Specialists, Society of General Practitioners, and the CMA. There will also be a non-voting Speaker and Deputy Speaker; the 9 Board Directors would be non-voting participants.
  • Has the power to remove Board Directors at Large if it feels they are not acting in the interests of the broader membership.
  • Marks the first time ever that a governing body of Doctors of BC will have an equal number of Specialists and GPs.

Next Steps

In spring 2017, members will receive a call for nominations for the following positions:

  • President-Elect
  • Board Directors at Large
  • Elected Delegates to the Association’s new Representative Assembly
  • Speaker and Deputy Speaker of the Representative Assembly
  • Members at Large to the Governance and Nominating Committees

Elections for candidates will take place in mid-summer. 

The first meetings of the new Board and the Representative Assembly are expected to take place in September.

Members will receive information regarding next steps over the next few months.

More Background

For further information, following are documents prepared originally for the referendum: