Revised fitness-to-drive guide now available

CMAJ 2000;163(2):198

"We feel what we have done is medically responsible and will protect drivers and the public," says Dr. David Irving, chair of the CMA project advisory group assigned to revise the 1991 guide. The new sixth edition, with its emphasis on evidence-based background information, includes a new section on airbags, more supplementary information, and an expanded appendix with evaluative tools. It also has the latest information about elderly drivers, as well as about driving and medical conditions such as epilepsy, sleep apnea and cardiovascular disease.

Irving says his group recognized that elderly drivers are a growing concern. "Their licence is important to them but so is their life and the lives of others," says Irving, an Edmonton cardiologist. Proposed solutions include limiting their driving to local shopping only, and only during daylight, nonrush hours.

Irving and the other 3 members of the advisory group — Drs. Robert Brison, Linda Inkpen and David Smith — began the process in 1998 by consulting with 135 groups and associations ranging from medical specialty bodies to the Canadian Diabetes Association and police organizations. Irving says this inclusive approach yielded "superb recommendations and responses."

These same groups then reviewed the draft guide to ensure it met their concerns. The final draft was then test driven for 6 weeks by 30 general and specialist physicians in rural and urban settings. "We had practically nothing but compliments from them," says Irving. The participating doctors were particularly enthusiastic about the guide's comprehensiveness.

CMA members can order their free copy of the guide by phoning 888 855-2555, or 613 731-8610 x2307. The cost for nonmembers is $34.95, plus taxes and shipping charges. — Barbara Sibbald, CMAJ

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