2010 BC Guide in Determining Fitness to Drive

Medical assessmentis any kind of assessment that provides information regarding anindividual’s medical condition and/or their response to, orcompliance with, treatment. This includes assessments such asultrasounds, blood tests and other medical tests that are notrequested by OSMV, but are often submitted by physicians andprovide useful information regarding an individual’s medicalcondition.Medical condition is any injury, illness, disease or disorder that is identified in Part 3of this Manual or that may impair the functions necessary fordriving. For purposes of the Driver Fitness Program, impairmentresulting from medications and/or treatment regimes that havebeen prescribed as treatment for a medical condition is alsoconsidered a medical condition. General debility and a lack ofstamina are also considered as medical conditions that may impairthe functions necessary for driving.IncidenceInsightmeans the annual number of new cases of a medical condition.means that a driver:is aware of their medical conditionunderstands how the condition may impair their functionalability to drive, andhas the judgment and willingness to comply with theirtreatment regime and any conditions or restrictions imposed byOSMV.Physicians will often use terms such as “impaired awareness,”“decreased metacognitition,” or “lack of awareness regardingdeficits” on a medical assessment to indicate that an individuallacks insight.An individual’s level of insight is a critical consideration whenassessing the risk of an episodic impairment of functional abilitydue to a psychiatric disorder. Because of this, there is a specificguideline regarding insight in the Psychiatric Disorders chapter.373