title: Driving and dementia: Efficient approach to driving safety concerns in family practice.
abstract: OBJECTIVE
  To provide primary care physicians with an approach to driving safety concerns when older persons present with memory difficulties.
  
  
  METHODS
  The approach is based on an accredited memory clinic training program developed by the Centre for Family Medicine Primary Care Collaborative Memory Clinic.
  
  
  RESULTS
  One of the most challenging aspects of dementia care is the assessment of driving safety. Drivers with dementia are at higher risk of motor vehicle collisions, yet many drivers with mild dementia might be safely able to continue driving for several years. Because safe driving is dependent on multiple cognitive and functional skills, clinicians should carefully consider many factors when determining if cognitive concerns affect driving safety. Specific findings on corroborated history and office-based cognitive testing might aid in the physician's decisions to refer for comprehensive on-road driving evaluation and whether to notify transportation authorities in accordance with provincial reporting requirements. Sensitive communication and a person-centred approach are essential.
  
  
  CONCLUSIONS
  Primary care physicians must consider many factors when determining if cognitive concerns might affect driving safety in older drivers.
authors.affiliation: Family physician at the Center for Family Medicine Family Health Team in Kitchener, Ont, Schlegel Research Chair in Primary Care for Elders at the Schlegel-UW Research Institute for Aging, and Associate Clinical Professor in the Department of Family Medicine at McMaster University in Hamilton, Ont. lee.linda.lw@gmail.com.
authors.forename: Linda
authors.initials: L
authors.lastname: Lee
authors.affiliation: Geriatrician in Ottawa, Ont, Medical Director of the Regional Geriatric Program of Eastern Ontario, and Associate Professor in the Department of Medicine at the University of Ottawa.
authors.forename: Frank
authors.initials: F
authors.lastname: Molnar
mesh_terms: D000063:Accidents, Traffic / Q000517:prevention & control*; D001334:Automobile Driving / Q000523:psychology*; D057189:Checklist; D003142:Communication; D003704:Dementia / Q000523:psychology*; D005194:Family Practice; D006801:Humans; D019221:Mandatory Reporting; D061214:Patient Safety