title: Determining fitness to drive in older persons: a survey of medical and surgical specialists.
abstract: BACKGROUND
  Many specialists encounter issues related to fitness to drive in their practices. We sought to determine the attitudes and practices of Canadian specialists regarding the assessment of medical fitness to drive in older persons.
  
  
  METHODS
  We present data from a postal survey of 842 physicians certified in cardiology, endocrinology, geriatric medicine, neurology, neurosurgery, orthopaedic surgery, physical medicine and rehabilitation, or rheumatology regarding their attitudes and practices relating to the assessment of their patients' fitness to drive.
  
  
  RESULTS
  Overall response rate was 55.1%. Except for rheumatologists (18%), most specialists reported that fitness to drive is an important issue in their practices (68%). Confidence in the ability to assess fitness to drive was low (33%), and the majority (73%) felt they would benefit from further education. There were significant differences (p < .05) in responses between physicians from different provinces, owing to reporting policies. More geriatricians than neurologists report drivers with mild Alzheimer disease to authorities regardless of reporting policy (mandatory 90.7% vs. 56.0%; non-mandatory 84.1% vs. 40.0%) (p < .05).
  
  
  CONCLUSIONS
  Canadian specialists accept the responsibility of determining their patients' fitness to drive but are not fully confident in their ability to do so. However, they are receptive to education to improve their skills in this area.
authors.affiliation: CIHR Team on Older Person Driving (Candrive II), Ottawa Hospital, Ottawa, ON ; Bruyère Research Institute, Bruyère Continuing Care, Ottawa Hospital, Ottawa, ON ; The Ottawa Hospital Rehabilitation Centre, Ottawa Hospital, Ottawa, ON ; Ottawa Hospital Research Institute, Ottawa Hospital, Ottawa, ON.
authors.forename: Shawn
authors.initials: S
authors.lastname: Marshall
authors.forename: Erin M
authors.initials: EM
authors.lastname: Demmings
authors.forename: Andrew
authors.initials: A
authors.lastname: Woolnough
authors.forename: Danish
authors.initials: D
authors.lastname: Salim
authors.forename: Malcolm
authors.initials: M
authors.lastname: Man-Son-Hing