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Fitness to drive mandatory reporting — MCCQE Part 1 MCQ

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HardEthics & ProfessionalismFitness to drive mandatory reportingMCCQE Part 1

A 71-year-old man with untreated focal seizures has had two episodes of impaired awareness while driving in the past month. He refuses to stop driving because he lives rurally and says reporting would ruin his independence. What is the most appropriate ethical/legal action?

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

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Correct answer: DAdvise him not to drive and follow provincial mandatory reporting requirements

Physicians must counsel patients not to drive when medical conditions create substantial risk and must follow provincial reporting requirements. Rural hardship should prompt support planning, but it does not remove public safety obligations. Employer reporting is not the appropriate mechanism.

Reference: CMA Driver's Guide; provincial driver-reporting legislation