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Fitness to drive reporting — MCCQE Part 1 MCQ

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HardEthics & ProfessionalismFitness to drive reportingMCCQE Part 1

A 57-year-old commercial truck driver has recurrent syncope suspected to be cardiac. He refuses to stop driving and says losing his licence would cost his job. Provincial law requires physician reporting of medically unsafe driving. What should you tell this patient?

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

Reveal the answer and explanation

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

Public safety can override confidentiality when mandatory reporting rules apply. The physician should counsel the patient not to drive, document the discussion, and report through the required provincial mechanism. Contacting the employer directly is usually not the appropriate reporting route. Providing a fitness letter would be unsafe and misleading.

Reference: https://mcc.ca/objectives/medical-experts/