2010 BC Guide in Determining Fitness to Drive

2010 BC Guide in Determining Fitness to Drive 2010 BC Guide in Determining Fitness to Drive

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ForewordWe are pleased to present the 2010 BC Guide in Determining Fitness to Drive.The Guide replaces the 1997 BC Guide for Physicians in Determining Fitness to Drive a MotorVehicle, 7th edition. A companion piece to the Guide – The BC Driver Fitness Handbook forMedical Professionals -- a handbook for the use of doctors who may have to consider a patient’sfitness to drive, will be published in the spring of 2011.While the Guide represents a departure in how driver fitness policy is articulated in BC, it continuesthe 46 years of collaboration between the BC Medical Association (BCMA) and the Office of theSuperintendent of Motor Vehicles (OSMV).The policies and procedures in this Guide are the result of a lengthy and intensive process. In March2006, OSMV, in partnership with the BCMA, launched the Guide to Drive Project. Over the courseof four years, the BCMA played an integral role in creating medical condition guidelines and adecision making framework for OSMV.The Guide represents the BCMA and OSMV‟s continuing commitment to anchor driver fitnessdeterminations on the best-evidence available. In response to case law, the Guide presents anapproach to driver fitness focused on functional ability to driver rather than diagnosis.Implementation of the 2010 BC Guide in Determining Fitness to Drive reflects a continuingcommitment to public safety while allowing the maximum driving privilege possible.i

AcknowledgmentsResearcherBonnie M. Dobbs, PhDDirector of ResearchDivision of the Care of the ElderlyDepartment of Family MedicineUniversity of AlbertaDirector, Medically At-Risk Driver Centre, AlbertaDriver Fitness Reform Initiative Project TeamThomas Broeren, Legal policy consultant, Gordium Associates (Canada) Inc.Shannon Craig, Operational policy consultant, Gordium Associates (Canada) Inc.Carole Gamble, OSMV AdjudicatorBlair Grant, Manager, Driver Licensing Standards, ICBCMarie McCloskey, OSMV Case ManagerDr. John McCracken, OSMV Medical ConsultantKevin Murray, OSMV Case ManagerMargot Tubman, Project Manager, Gordium Associates (Canada) Inc.Driver Fitness Reform Initiative Steering CommitteeDr. Ian Gillespie, BC Medical AssociationLisa Howie, Deputy Superintendent of Motor Vehicles,Nancy Letkeman, Director Policy and Research BranchLisa Laupland, ICBC, Manager Licensing Support ServicesSteve Martin, Superintendent of Motor VehiclesStephanie Melvin, Director, OSMV Hearings and Fair PracticesDriver Fitness Reform Initiative Advisory CommitteeJennifer Kroeker-Hall, Manager, Driver Licensing PolicyDr. Ian Gillespie, BC Medical AssociationDavid Dunne, Director, Road Safety, BCAA Traffic Safety Foundationii

ForewordWe are pleased <strong>to</strong> present the <strong>2010</strong> <strong>BC</strong> <strong>Guide</strong> <strong>in</strong> Determ<strong>in</strong><strong>in</strong>g <strong>Fitness</strong> <strong>to</strong> <strong>Drive</strong>.The <strong>Guide</strong> replaces the 1997 <strong>BC</strong> <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>rVehicle, 7th edition. A companion piece <strong>to</strong> the <strong>Guide</strong> – The <strong>BC</strong> <strong>Drive</strong>r <strong>Fitness</strong> Handbook forMedical Professionals -- a handbook for the use of doc<strong>to</strong>rs who may have <strong>to</strong> consider a patient’sfitness <strong>to</strong> drive, will be published <strong>in</strong> the spr<strong>in</strong>g of 2011.While the <strong>Guide</strong> represents a departure <strong>in</strong> how driver fitness policy is articulated <strong>in</strong> <strong>BC</strong>, it cont<strong>in</strong>uesthe 46 years of collaboration between the <strong>BC</strong> Medical Association (<strong>BC</strong>MA) and the Office of theSuper<strong>in</strong>tendent of Mo<strong>to</strong>r Vehicles (OSMV).The policies and procedures <strong>in</strong> this <strong>Guide</strong> are the result of a lengthy and <strong>in</strong>tensive process. In March2006, OSMV, <strong>in</strong> partnership with the <strong>BC</strong>MA, launched the <strong>Guide</strong> <strong>to</strong> <strong>Drive</strong> Project. Over the courseof four years, the <strong>BC</strong>MA played an <strong>in</strong>tegral role <strong>in</strong> creat<strong>in</strong>g medical condition guidel<strong>in</strong>es and adecision mak<strong>in</strong>g framework for OSMV.The <strong>Guide</strong> represents the <strong>BC</strong>MA and OSMV‟s cont<strong>in</strong>u<strong>in</strong>g commitment <strong>to</strong> anchor driver fitnessdeterm<strong>in</strong>ations on the best-evidence available. In response <strong>to</strong> case law, the <strong>Guide</strong> presents anapproach <strong>to</strong> driver fitness focused on functional ability <strong>to</strong> driver rather than diagnosis.Implementation of the <strong>2010</strong> <strong>BC</strong> <strong>Guide</strong> <strong>in</strong> Determ<strong>in</strong><strong>in</strong>g <strong>Fitness</strong> <strong>to</strong> <strong>Drive</strong> reflects a cont<strong>in</strong>u<strong>in</strong>gcommitment <strong>to</strong> public safety while allow<strong>in</strong>g the maximum driv<strong>in</strong>g privilege possible.i

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