Dr. Frank Molnar - Regional Geriatric Program of Eastern Ontario

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Physician Assessment Patient not safe Uncertain safety Patient safe Discuss with patient and family Discuss with patient and family Provincial Ministry of Transport notification Patient notification (letter), copy for chart Patient wishes to continue driving → referral to specialist or specialized on-road driving evaluation or *At some time driving cessation will be necessary *Suggest driving training and self-limitation Patient decides to stop driving – Ministry of Transport notification Book six- to nine-month follow-up to reassess driving safety
SAFE - How to Report • Mild dementia (no concerns re. Driving) “Patient has mild dementia with MMSE ___, Trails B ___. I have not noted any evidence to suggest they are not fit to drive but feel they should be re-evaluated every 6 months.” • When should you send this? • What are the risks of sending this note?
Page 1 and 2: ‘Negotiating’ the ‘Thorny’
Page 3 and 4: The Assessment of Fitness-to-drive
Page 5 and 6: Sometimes fitness-to-drive is less
Page 7 and 8: Let’s Focus on a high volume clin
Page 11 and 12: What happens AFTER the assessment?
Page 13: Ontario Highway Traffic Act Report
Page 18 and 19: Fitness to Drive Unclear - Further
Page 20 and 21: UNCLEAR - How to Report OR • “P
Page 22 and 23: Outcomes of the Specialized Assessm
Page 24: UNSAFE - How to Report Moderate to
Page 27 and 28: SAMPLE - WRITTEN STATEMENT TO THE P
Page 29 and 30: Patient Not Fit to Drive (permanent
Page 31 and 32: Patient Not Fit to Drive • Meetin
Page 33 and 34: Patient Not Fit to Drive • Meet w
Page 35 and 36: Patient Not Fit to Drive • Meet w
Page 37 and 38: Patient Not Fit to Drive • THEN a
Page 39 and 40: Patient Not Fit to Drive • If pat
Page 41 and 42: UNSAFE TO DRIVE DISCLOSURE MEETING:
Page 43 and 44: Enough Talk - time for cases
Page 45 and 46: Clinical Scenario • You have foun
Page 47 and 48: Geriatric Outpatient System Nested
Page 49: GAOT Letter • For your medico-leg
Page 52: Discussion: Other means to improve

Dr. Frank Molnar - Regional Geriatric Program of Eastern Ontario

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