The dentist should:
Ethics and professionalism questions in the ADC written exam test your understanding of the Dental Board of Australia Code of Conduct — professional boundaries, mandatory reporting, delegation, and cultural safety. This exam-level vignette tests your ability to apply the Code to clinical scenarios.
A dentist has developed chronic lower back pain from years of clinical practice. They have been self-prescribing codeine-based analgesics, which are within their prescribing authority. Over the past three months, their dosage has gradually increased. They have not consulted another practitioner. A dental assistant notices the dentist's hands are occasionally unsteady during procedures. The dental assistant's observation of unsteady hands during procedures triggers an additional obligation under the Code. The dentist should:
- A. Voluntarily reduce their clinical hours and patient load until the hand tremor resolves on its own, without consulting another practitioner about the underlying cause, as self-modification of practice demonstrates responsible professional self-awareness and risk management
- B. Continue practising but restrict their scope exclusively to procedures that require less manual dexterity, such as examinations, treatment planning, and patient consultations only, while monitoring whether the tremor improves over time with reduced workload
- C. Not rely on self-assessment of the risk posed to patients — consult a doctor or other appropriate practitioner and follow the treating practitioner's advice about fitness to practise
- D. Report themselves to AHPRA immediately as having a notifiable impairment, as the unsteady hands constitute direct evidence of patient risk
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Section 9.2g states that if a practitioner knows or suspects that they have a health condition that could adversely affect their judgement or performance, they must NOT rely on their own assessment of the risk posed to patients. They must consult a doctor or other appropriate practitioner and follow the treating practitioner's advice about fitness to practise. Option A is self-assessment in disguise — reducing hours is a decision about risk that the Code says must come from an independent practitioner. Option B is also self-assessment — deciding which procedures are safe without independent advice. Option D may ultimately be necessary but jumps past the Code's primary requirement, which is independent medical assessment first.
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