Abstract
Valid information for physicians in Switzerland concerning knowledge and continuing education in traffic medicine is not available. Also, their attitude to the legally prescribed periodic driving fitness examinations is unclear. In order to gain more information about these topics, 635 resident physicians in Southeast Switzerland were sent a questionnaire (response rate 52%). In a self-estimation, 79% of the queried physicians claimed to know the minimal medical requirements for drivers which are important in their specialty. Statistically significant differences existed between the specialties, whereby general practitioners most frequently claimed to know the minimal medical requirements (90%). It appears that the minimal medical requirements for drivers are well known to the queried physicians. Fifty-two percent of the physicians favored an expansion of continuing education in traffic medicine. Such an expansion was desired to a lesser extent by physicians without knowledge of the minimal requirements (p < 0.001). A clear majority of the medical professionals adjudged the legally prescribed periodic driving fitness examinations as being an expedient means to identify unfit drivers. A national standardized form for reporting potentially unfit drivers to the licensing authorities was supported by 68% of the responding physicians. Such a form could simplify and standardize the reports to the licensing authorities.
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References
Galski T, Vocaturo L, Galski TM (2009) Driving, medical illness, and medications. In: Schultheis MT, DeLuca J, Chute DL (eds) Handbook for the assessment of driving capacity, 1st edn. Elsevier, San Diego, pp 160–168
Penning R, Veldstra JL, Daamen AP, Olivier B, Verster JC (2010) Drugs of abuse, driving and traffic safety. Curr Drug Abuse Rev 3(1):23–32
Aschkenasy MT, Drescher MJ, Ratzan RM (2006) Physician reporting of medically impaired drivers. J Emerg Med 30(1):29–39
Marshall SC, Man-Son Hing M (2011) Multiple chronic medical conditions and associated driving risk: a systematic review. Traffic Inj Prev 12:142–148
Federal Act of 19 Decemeber 1958 on Road Traffic (Strassenverkehrsgesetz). The Federal Authorities of the Swiss Confederation. http://www.admin.ch/ch/d/sr/741_01/index.html. Accessed 20 July 2011
Eggert S, Thali MJ, Pfäffli M (2011) Discretionary medical reporting of potentially unfit drivers: a questionnaire-based survey in Southeast Switzerland. Int J Legal Med. doi:10.1007/s00414-011-0574-5
Marshall SC, Gilbert N (1999) Saskatchewan physicians’ attitudes and knowledge regarding assessment of medical fitness to drive. CMAJ 160(12):1701–1704
King D, Benbow SJ, Barrett JA (1992) The law and medical fitness to drive—a study of doctors’ knowledge. Postgrad Med J 68:624–628
Shanahan EM, Sladek RM, Phillips P (2007) Medical aspects of fitness to drive. What do public hospital doctors know and think? Intern Med J 37:372–376
Kelly R, Warke T, Steele I (1999) Medical restrictions to driving: the awareness of patients and doctors. Postgrad Med J 75:537–539
Lipski PS (2002) A survey of general practitioners’ attitudes to older drivers on the New South Wales Coast. Australas J Ageing 21(2):98–100
Steier TS, Kitai E, Wiener A, Kahan E (2003) Are medical reports on fitness to drive trustworthy? Postgrad Med J 79:52–54
Fisher BM, Storer AM, Frier BM (1985) Diabetes, driving, and the general practitioner. Br Med J (Clin Res Ed) 291:181–182
Ordinance of 27 October 1976 on the Admission of Persons and Vehicles to Road Traffic (Verkehrszulassungsverordnung). The Federal Authorities of the Swiss Confederation. http://www.admin.ch/ch/d/sr/c741_51.html. Accessed 20 July 2011
Ménard I, Korner-Bitensky N, Dobbs B, Casacalenda N, Beck PR, Dippsych CM, Gélinas I, Molnar FJ, Naglie G (2006) Canadian psychiatrists’ current attitudes, practices, and knowledge regarding fitness to drive in individuals with mental illness: a cross-Canada survey. Can J Psychiatry 51(13):836–846
Byszewski AM, Graham ID, Amos S, Man-Son-Hing M, Dalziel WB, Marshall S, Hunt L, Bush C, Guzman D (2003) A continuing medical education initiative for Canadian primary care physicians: the driving and dementia toolkit: a pre- and postevaluation of knowledge, confidence gained, and satisfaction. J Am Geriatr Soc 51:1484–1489
Jang RW, Man-Son-Hing M, Molnar FJ, Hogan DB, Marshall SC, Auger J, Graham ID, Korner-Bitensky N, Tomlinson G, Kowgier ME, Naglie G (2007) Family physicians’ attitudes and practices regarding assessments of medical fitness to drive in older persons. J Gen Intern Med 22(4):531–543
Traffic Medicine. Swiss Society of Legal Medicine. www.sgrm.ch/verkehrsmedizin/ueber-die-sektion.html. Accessesd 20 July 2011
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Pfäffli, M., Thali, M.J. & Eggert, S. Physicians’ knowledge and continuing medical education regarding fitness to drive: a questionnaire-based survey in Southeast Switzerland. Int J Legal Med 126, 357–362 (2012). https://doi.org/10.1007/s00414-011-0637-7
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DOI: https://doi.org/10.1007/s00414-011-0637-7