Officer of the Law

N Engl J Med 2017; 377:1610-1611
Author: Raphael Rush
“With rare exceptions, I do not have to share patients’ diagnoses with anyone. But in Ontario, patients with any medical condition that might impair their driving must be reported to the provincial Ministry of Transportation. The treating physician has broad discretion to decide what qualifies as potentially impairing. Like many physicians, I advise patients not to drive until the government deems them fit. It’s one of the few legally required breaks of doctor–patient confidentiality. For each report, the provincial insurer pays doctors $36.25.”
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