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Confidentiality vs duty to protect (HIV) — MCCQE Part 1 MCQ

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HardEthics & ProfessionalismConfidentiality vs duty to protect (HIV)MCCQE Part 1

A physician treats a patient for HIV. Patient refuses to disclose to sexual partner. Physician knows partner is also a patient. Most appropriate course of action?

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Correct answer: B — Counsel strongly about disclosure; if they refuse, consider notifying public health

Stepwise: counsel about legal obligation (R v. Mabior), offer public health partner notification. If refused, may breach confidentiality via public health authorities. HIV is reportable. Direct disclosure not first step.

Reference: CMPA / Provincial public health law / R v. Mabior