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Mature minor doctrine — MCCQE Part 1 MCQ

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HardEthics & ProfessionalismMature minor doctrineMCCQE Part 1

A 16-year-old with Crohn disease understands the risks and benefits of biologic therapy and wants to consent, while her parents are hesitant. She demonstrates stable reasoning and appreciation of consequences. Which of the following is the most appropriate approach?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: E — Assess her maturity and decision-specific capacity; a capable mature minor may consent according to provincial law

Canadian provinces recognize forms of mature minor decision-making, although details vary. The key is decision-specific capacity, maturity and best interests, not age alone. Family engagement is helpful when appropriate, but the adolescent's capable voice must be respected.

Reference: CMPA consent for minors guidance; provincial health care consent legislation