MAID Track 2 safeguards — MCCQE Part 1 MCQ

Correct answer: D — Apply Track 2 safeguards including expertise/consultation and longer assessment requirements

Apply Track 2 safeguards including expertise/consultation and longer assessment requirements is best because Track 2 has additional safeguards when natural death is not reasonably foreseeable. 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. Mental illness as sole underlying condition remains treated separately under federal law.

Reference: Justice Canada MAID law; Health Canada MAID reporting