[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-308197-105":59,"doc-detail-308197-en":131},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":124,"head_meta":126,"extra_data":128,"updated_unix":130},105,"en","b-05_dow-driver-fitness-screening-is-it-safe-for-my-patient-to-drive","B-05_Dow - Driver Fitness Screening - Is It Safe for My Patient to Drive?","","Guidance for family physicians on evaluating whether it is safe for patients to drive, emphasizing that driver fitness depends on functional impairments rather than age alone. Outlines workshop objectives to recognize red flags, apply basic screening tests, and refer patients to appropriate driver-fitness evaluation resources. Provides context on the projected growth of older drivers and explains how driving requires judgment, self-awareness, divided attention, rapid visual processing, and autonomy. Notes limitations of office-based determination and summarizes evidence about cognitive test predictability.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/b-05_dow-driver-fitness-screening-is-it-safe-for-my-patient-to-drive/308197/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/b-05_dow-driver-fitness-screening-is-it-safe-for-my-patient-to-drive/308197.png","ImageObject",300,407,{"name":92,"@type":93},"Genevieve","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-22","2026-09-19",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",11,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"Is age a criterion for determining a patient’s fitness to drive?","Question",{"text":113,"@type":114},"No. Age is not used as a criterion; medical unfitness to drive can occur at any age. Functional impairments resulting from medical conditions are the major factor.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"What should physicians do during screening for driver fitness?",{"text":118,"@type":114},"Physicians should recognize signs of possible unfitness, apply basic screening tests for fitness to drive, and refer patients with potentially compromised fitness to the appropriate driver-fitness evaluation resource.",{"name":120,"@type":111,"acceptedAnswer":121},"Can office-based testing reliably determine fitness to drive?",{"text":122,"@type":114},"Not reliably. It is difficult to determine fitness to drive in an office setting unless unfitness is blatantly evident, such as severe dementia.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},308197,1790302737,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":140,"language":141,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":142,"faqs":143,"seo_title":144,"seo_description":67,"update_tm":145,"read_time":146},1374391974585,"https://ap-avatar.wpscdn.com/davatar_276721f389ce27ea32af1340a28f341c","Is it safe for my patient to  \ndrive?  \nJamie Dow md Direction de la recherche et dudéveloppement en sécurité routière  \n26 November 2018  \n69th Annual Refresher Course for Family Physicians Faculty of Medicine, McGill University  \nConflicts  \n• No relationship with any commercial company  \n• Full-time employee of the SAAQ.  \nObjectives  \nFollowing this workshop a physician will be able to:  \n• Recognise signs of possible unfitness to drive in their patients  \n• Apply basic screening tests for fitness to drive  \n• Refer patients with a possible compromise of their fitness to drive to the appropriate driver-fitness evaluation resource  \nContext  \n• Predicted increase in older drivers over the next 15 years • 2008 8%  \n• 2018 18%  \n• 2025 25%(30%?)  \nAs people age they are more likely to have at least one of the medical conditions known to influence driver fitness.  \n62% of drivers aged 70-79 have at least one such condition  \nDriving: a complex task  \n• For most people, the most complex task undertaken during their regular daily activities  \n• Requires:  \n• Judgement  \n• Self-awareness  \n• Intact divided attention  \n• Rapid processing of (mostly visual) data and decision-making  \n• Autonomy at the wheel  \nHow complex?  \nBUT:  \n• Age is not a criteria in determining driver fitness  \n• Medical unfitness to drive can occur at any age  \n• Usually diagnoses alone do not determine driver fitness, it is the functional impairments that result from the medical conditions that are the major factor.  \n• Often a road test is necessary  \nMedical fitness to drive  \nPractically speaking, it is difficult to determine fitness to drive in an office setting unless the unfitness, or fitness, is blatently evident – e.g.  \nsevere dementia.  \nSAAQ does not ask physicians to determine fitness to drive.  \nPhysicians are asked to provide accurate medical information and to communicate any unsettling findings that may indicate potentially  \ncompromised driver fitness   \nRed flags  \n• Any impairment, physical or cognitive, that affects their quality of life or their daily activities  \n• Voluntary changes to their usual driving activities  \n• Only drives in their local area  \n• Only drives in daylight and/or good weather  \n• Avoids rush hour, busy periods or autoroutes  \n• Visual problems (cataracts, low acuity, visual field defects)  \nA change in cognitive status?  \n• There are no cognitive tests or battery of tests that may be used as the sole determinant of driver fitness.  \n• No correlation between results on the Clock, MoCA, MMSE (Folstein) and on-road performance  \n• The only tests that are predictive of driver performance are the Trail Making Test Band the Useful Field of View (UFOV) .  \n• The Maze Test, Trail Making Test A reversed and the Colour TMT have potential but have not been validated in this context.","cbCaiao4d4PiOxrB","https://ap.wps.com/l/cbCaiao4d4PiOxrB","pdf",1351838,26,"English","# Objectives\n## Context and Driving Complexity\n## Medical Fitness to Drive\n## Red Flags for Compromised Fitness\n## Cognitive Status and Test Predictors","[{\"question\":\"Is age a criterion for determining a patient’s fitness to drive?\",\"answer\":\"No. Age is not used as a criterion; medical unfitness to drive can occur at any age. Functional impairments resulting from medical conditions are the major factor.\"},{\"question\":\"What should physicians do during screening for driver fitness?\",\"answer\":\"Physicians should recognize signs of possible unfitness, apply basic screening tests for fitness to drive, and refer patients with potentially compromised fitness to the appropriate driver-fitness evaluation resource.\"},{\"question\":\"Can office-based testing reliably determine fitness to drive?\",\"answer\":\"Not reliably. It is difficult to determine fitness to drive in an office setting unless unfitness is blatantly evident, such as severe dementia.\"}]","B-05_Dow - Driver Fitness Screening - Is It Safe for My Patient to Drive? | PDF",1789861875,66]