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Resource allocation and wait times — MCCQE Part 1 MCQ

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ModerateEthics & ProfessionalismResource allocation and wait timesMCCQE Part 1

A family physician sees a patient with progressive neurological deficits and another with stable chronic knee pain; both request expedited MRI. Imaging access is limited. Which of the following is the most appropriate approach?

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Correct answer: E — Triage based on clinical urgency, red flags and potential benefit while communicating transparently

Resource stewardship requires prioritizing patients by clinical urgency, red flags and likely benefit, not volume of advocacy or convenience. Transparent communication and safety-netting are important. This reflects CanMEDS Leader and Health Advocate roles in a single-payer system with finite capacity.

Reference: CanMEDS Leader/Health Advocate roles; Choosing Wisely Canada imaging recommendations