1. 1. Assessing Clinical Fitness-to-Drive Professor Priscilla Harries Professor Carolyn Unsworth
2. 2. Medical Fitness To Drive: towards a joined-up approach Prof Desmond ONeill 23 June 2015 National Office for Traffic Medicine RCPI/RSA
3. 3. What is Traffic Medicine? A relatively new specialism embracing all those disciplines, techniques, and methods aimed at reducing death and injury inflicted by traffic crashes Also enabling /rehabilitative in trying to ensure that transport mobility is not hampered, or rendered unsafe, by remediable illness or functional loss.
4. 4. New area of scholarship ..never more than 1,000,000 cars ..limited by numbers that could be trained as chauffeurs! Gottlieb Daimler, 1901
5. 5. National differences, social constructs and habits
6. 6. Sources Evidence-based literature Laberge-Nadeau, Trucks and Diabetes, Diabetes Care, 2000;23:612-7 Existing guidelines Austroads, CMA, DVLA, AMVA: FMCSA for Group 2 Consensus statements American Diabetic Association, 2013 Grey literature TRB, AMA
7. 7. Paradox Older drivers safest group We have learned much from the misguided emphasis on their safety
8. 8. a reduction of approximately 45% in the annual rate of crashes per 1000 patients
9. 9. Crashes/1,000/year by age 0. 2.25 4.5 6.75 9.