Fitness to drive reporting — MCCQE Part 1 MCQ

Correct answer: B — Advise not to drive and report according to provincial requirements

Advise not to drive and report according to provincial requirements is best because physicians have statutory duties related to medically unsafe driving. 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. Duties vary by province but safety and documentation are essential.

Reference: CMPA fitness to drive guidance; CMA Driver's Guide