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Mature minor contraception confidentiality — MCCQE Part 1 MCQ

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ModerateEthics & ProfessionalismMature minor contraception confidentialityMCCQE Part 1

A 15-year-old girl requests contraception and asks that her parents not be told. She understands pregnancy risk, contraceptive options, adverse effects and the need for STI prevention. There is no evidence of coercion or abuse. What is the most appropriate ethical/legal action?

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Correct answer: E — Assess capacity, provide confidential care and discuss safer sex and follow-up

Canadian care applies a mature minor approach in many provinces: a capable adolescent can consent to confidential care. Capacity and safeguarding must still be assessed, including coercion, abuse and STI risk. Age alone does not automatically require parental disclosure.

Reference: CMPA consent for minors guidance; provincial law