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2010 BC Guide in Determining Fitness to Drive

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Functions necessary for driv<strong>in</strong>gThe functions necessary for driv<strong>in</strong>g are cognitive, sensory (vision) andmo<strong>to</strong>r (<strong>in</strong>clud<strong>in</strong>g sensorimo<strong>to</strong>r) 2 .Each of these functions is described below. Although the functionsnecessary for driv<strong>in</strong>g are described <strong>in</strong>dividually, driv<strong>in</strong>g is a complexperceptual-mo<strong>to</strong>r skill which usually takes place <strong>in</strong> a complexenvironment and which requires the functions <strong>to</strong> operate <strong>to</strong>gether.Cognitive functionsThe cognitive functions that are the most relevant <strong>to</strong> the driv<strong>in</strong>g task are:Attention (divided, selective, susta<strong>in</strong>ed)Divided attentionthe ability <strong>to</strong> attend <strong>to</strong> two or more stimuli at the same time.Example: attend<strong>in</strong>g <strong>to</strong> the roadway ahead while be<strong>in</strong>g able <strong>to</strong> identifystimuli <strong>in</strong> the peripherySelective attentionthe ability <strong>to</strong> selectively attend <strong>to</strong> one or more important stimuli whileignor<strong>in</strong>g compet<strong>in</strong>g distractionsExample: the ability <strong>to</strong> isolate the traffic light from among otherenvironmental stimuliSusta<strong>in</strong>ed attentionalso referred <strong>to</strong> as vigilance. It is def<strong>in</strong>ed as the capacity <strong>to</strong> ma<strong>in</strong>ta<strong>in</strong> anattentional activity over a period of timeExample: the ability <strong>to</strong> attend <strong>to</strong> the roadway ahead over an extendedperiod of time.Short-term or passive memoryrefers <strong>to</strong> the temporary s<strong>to</strong>rage of <strong>in</strong>formation or the brief retention of<strong>in</strong>formation that is currently be<strong>in</strong>g processed <strong>in</strong> a person's m<strong>in</strong>d2 The organizational framework for the functions necessary for driv<strong>in</strong>g used <strong>in</strong> this manual are taken from Dr.Bonnie Dobbs’ chapter on Function and Driv<strong>in</strong>g from her <strong>2010</strong> Medical Conditions and Driv<strong>in</strong>g research document.18

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