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Rural dual relationship — CCFP MCQ

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HardEthics, professionalism, Indigenous health, rural medicineRural dual relationshipCCFP

A rural family physician is asked to provide routine prenatal care to a neighbour with whom she regularly attends community events. No emergency exists and another clinician is available within reasonable distance. What is the most appropriate approach?

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

Reveal the answer and explanation

Correct answer: E — Discuss and document boundaries, with alternative care if preferred

Explanation lettering: B = shown as A · A = shown as B · E = shown as C · C = shown as E

C is correct. Dual relationships can affect objectivity and boundaries, but rural context requires thoughtful management rather than automatic abandonment; transparent discussion, documentation and an alternative option are appropriate. D, E, A and B are inflexible or unsafe. Revisit the arrangement if concerns arise.

Reference: Canadian Medical Protective Association: Boundaries—good practices guidance: https://www.cmpa-acpm.ca/en/education-events/good-practices/professionalism-ethics-and-wellness/boundaries?panel=accordion-header-1