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Boundary violation — MCCQE Part 1 MCQ

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ModerateEthics & ProfessionalismBoundary violationMCCQE Part 1

43-year-old patient presents with sends romantic messages to the physician. The physician feels flattered and considers meeting socially. Which of the following is the most appropriate next step?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: E — Set clear professional boundaries and arrange transfer of care if needed

Set clear professional boundaries and arrange transfer of care if needed is best because sexual/romantic relationships with patients breach professional boundaries. 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. Power imbalance persists beyond the clinical encounter.

Reference: CMPA professionalism guidance