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ADC Practice Question — Confidentiality, Privacy & Mandatory Reporting

intervening, the dentist discovers this is the third…

Paediatric dentistry questions combine clinical management with age-appropriate considerations — LA dosing by weight, behaviour management. This exam-level vignette tests your ability to work through clinical details and arrive at the correct management.

A dentist notices that a colleague smells of alcohol at 2 PM on a Friday afternoon. The colleague's speech is slightly slurred. However, the colleague's next patient is a routine examination, and the dentist has not personally observed any clinical errors by this colleague in the past. After intervening, the dentist discovers this is the third time in two months the colleague has appeared impaired at work. Other staff have also noticed but no one has reported it. Under the mandatory notification provisions of the National Law referenced in the Code, a mandatory notification is required when:

  • A. A practitioner has formed a reasonable belief that the colleague has an impairment that, in the course of practice, places the public at substantial risk of harm
  • B. A practitioner suspects a colleague may have a health condition that could potentially affect their practice at some point in the future
  • C. A colleague has been observed behaving unprofessionally on at least three separate occasions, regardless of whether patient safety is at risk
  • D. A colleague has refused to voluntarily self-report their condition to the Board after being asked to do so by a peer
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Sources cited
Therapeutic Guidelines v4 Odell's 3rd & 4th Ed IADT 2020 Code of Conduct CMS (Evans) Infection Control + more
Show the answer and cited explanation
Correct answer: A

The Code references the National Law's mandatory notification requirements (Section 9.3). The threshold is specific: a reasonable belief that the practitioner has behaved in a way that constitutes notifiable conduct or has an impairment that, in the course of practice, places the public at substantial risk of harm. Three incidents establishing a pattern likely meets this threshold. Option B sets the bar too low — suspicion of a condition that 'could potentially' affect practice is not the same as a reasonable belief of substantial risk. Option C applies a numeric incident count rather than the Code's risk-based threshold. Option D fabricates a self-reporting prerequisite that does not exist.

Source: Section 9.3(b)(c) — mandatory notification; National Law requirements
Remy's study tip — Always note the child’s age and which tooth is involved. Primary vs permanent changes everything.

Exam preparation FAQ

Should I memorise guidelines word-for-word for Confidentiality, Privacy & Mandatory Reporting?
Focus on decision points — when the guideline says X vs Y. The exam tests application, not recitation.
How are Confidentiality, Privacy & Mandatory Reporting questions structured in the ADC written exam?
ADC Confidentiality, Privacy & Mandatory Reporting questions present as clinical vignettes requiring management decisions. The correct answer is always traceable to a guideline source.

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