Non-accidental injury — MCCQE Part 1 MCQ

Correct answer: D — Report suspected child maltreatment to child protection and treat injuries

Report suspected child maltreatment to child protection and treat injuries is best because reasonable suspicion of abuse triggers mandatory reporting. Breach confidentiality broadly without legal basis is suboptimal because disclosure must be limited to what is legally authorised or clinically necessary; Let family preference override a capable patient is suboptimal because capable patients direct their own care; Refuse to discuss the issue and document nothing is suboptimal because professional practice requires communication and clear documentation; Delay a mandatory report until certainty is absolute is suboptimal because statutory reporting thresholds are often suspicion or reasonable belief, not proof. The physician does not need to prove abuse before reporting.

Reference: CMPA duty to report; provincial child protection law