Question

A 50-year-old woman presents with chronic fatigue, low mood, poor concentration and frequent headaches for 18 months. She works full-time and cares for elderly parents and children. She asks for a work note for 6 months off as the only solution. According to CanMEDS Leader and Collaborator roles, which response is most appropriate?

Accepted Answer

Explore workplace stressors, discuss graded return-to-work strategies, involve occupational health and consider collaborative care with mental health professionals while addressing her symptoms

Answer

Provide the note without further discussion

Answer

Refuse the note and state that work is not related to health

Answer

Tell her to "toughen up" and continue full-time work

Answer

Advise immediate permanent disability

Practice question