MAID Track 1 eligibility — MCCQE Part 1 MCQ

Correct answer: E — Assess eligibility and safeguards, ensure voluntariness and involve an independent assessor

Assess eligibility and safeguards, ensure voluntariness and involve an independent assessor is best because MAID Track 1 applies when natural death is reasonably foreseeable and criteria/safeguards are met. 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. A request for MAID requires structured assessment, not reflex acceptance or refusal.

Reference: Justice Canada MAID law; Health Canada MAID reporting