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2010 BC Guide in Determining Fitness to Drive

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Appendix 2: Excerpts from the MVA that are relevant <strong>to</strong> the <strong>Drive</strong>r<strong>Fitness</strong> ProgramAppendix 3: Ag<strong>in</strong>g <strong>Drive</strong>rs, which describes the research <strong>in</strong> support ofrout<strong>in</strong>e screen<strong>in</strong>g of drivers who are 80 years of age and olderAppendix 4: Licence Classes, which describes the various classes ofdriver’s licencesAppendix 5: Draft<strong>in</strong>g and Approval Process, which describes how themedical condition guidel<strong>in</strong>es were drafted and approvedAppendix 6: The Relationship between <strong>BC</strong> <strong>Drive</strong>r <strong>Fitness</strong> Policy andPolicy <strong>in</strong> other Jurisdictions, which is primarily of relevance <strong>to</strong>commercial drivers who wish <strong>to</strong> drive <strong>in</strong> the United States, and1.2 Purpose of this ManualThis Manual documents the <strong>Drive</strong>r <strong>Fitness</strong> Program policy and proceduresof the Office of the Super<strong>in</strong>tendent of Mo<strong>to</strong>r Vehicles. It is <strong>to</strong> be used byOSMV staff when mak<strong>in</strong>g driver fitness determ<strong>in</strong>ations.1.3 A chang<strong>in</strong>g approach <strong>to</strong> driver fitnessPrior <strong>to</strong> the publication of this Manual, OSMV and health carepractitioners <strong>in</strong> <strong>BC</strong> relied on the 1997 <strong>Guide</strong> for Physicians <strong>in</strong>Determ<strong>in</strong><strong>in</strong>g <strong>Fitness</strong> <strong>to</strong> <strong>Drive</strong> a Mo<strong>to</strong>r Vehicle, 7 th edition (the <strong>Guide</strong>).The <strong>Guide</strong> was drafted <strong>in</strong> partnership between OSMV and the BritishColumbia Medical Association (<strong>BC</strong>MA) and was published by the <strong>BC</strong>MAfor use by both physicians and OSMV.The guidel<strong>in</strong>es <strong>in</strong> the 1997 <strong>Guide</strong> were based on a diagnostic model fordeterm<strong>in</strong><strong>in</strong>g driver fitness. That is, guidel<strong>in</strong>es were based primarily on themedical condition and the presumed group characteristics of people withthat condition rather than on how the medical condition affected thefunctions necessary for driv<strong>in</strong>g on an <strong>in</strong>dividual basis. In terms of anevidentiary basis, the <strong>Guide</strong> reflected the consensus op<strong>in</strong>ion of practic<strong>in</strong>gphysicians <strong>in</strong>clud<strong>in</strong>g members of specialty sections with<strong>in</strong> the <strong>BC</strong>MA.S<strong>in</strong>ce the 1997 edition, three developments have had a significant impac<strong>to</strong>n driver fitness policy <strong>in</strong> <strong>BC</strong>:3

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