2010 BC Guide in Determining Fitness to Drive

(e) the medical condition results in an episodic impairment, thedriver fitness determination is based upon a pattern of episodes,e.g. nocturnal seizures or auras, and it is unknown whether thepattern of episodes is likely to continue7.11.7 In most other circumstances where re-assessment is required, acase manager or adjudicator will schedule a 2, 3 or 5 year reassessmentinterval, depending upon the likely rate of progressionof the medical condition.Policy rationaleOSMV schedules re-assessments intervals for individuals who are fit todrive at the time of a driver fitness determination, but whose fitness todrive should be examined again at a future date. Without a re-assessmentrequirement, these individuals may not again be brought to the attention ofOSMV until their functional ability to drive has deteriorated to the pointthat they pose a high degree of risk to public safety. Re-assessmentintervals may be scheduled for both private and commercial drivers but, toensure that individuals are not re-assessed unnecessarily, OSMV will notschedule a re-assessment interval for a private driver aged 80 or over, or acommercial driver, if the next scheduled routine screening will provideOSMV with sufficient opportunity for re-assessment.To ensure that individuals are not re-assessed unnecessarily, OSMV policysets out the circumstances when re-assessment may be required. Forindividuals with persistent impairments, re-assessment may be requiredbecause their level of functional impairment may increase due to:a progression of their medical condition(s), and/ora change in their response to, or compliance with, treatment.69