Resource stewardship — MCCQE Part 1 MCQ

Correct answer: D — Explain why imaging is not indicated and provide conservative management/safety-netting

Explain why imaging is not indicated and provide conservative management/safety-netting is best because uncomplicated low back pain does not benefit from early imaging. 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. Stewardship includes explaining the rationale, not simply refusing.

Reference: Choosing Wisely Canada