Assessing and Counseling the Older Driver: A Concise Review for the Generalist Clinician

Larisa J.N. Hill, Robert Pignolo, Ericka E. Tung

Research output: Contribution to journalReview article


Older drivers are putting more miles on the road during their “golden years” than generations prior. Many older adults have safe driving habits, but unique age-related changes increase the risk for crash-related morbidity and mortality. Generalists are poised to assess and guide older adults' driving fitness. Although there is no uniformly accepted tool for driving fitness, assessment of 5 key domains (cognition, vision, physical function, medical comorbidities, and medications) using valid tools can help clinicians stratify older drivers into low, intermediate, and high risk for unsafe driving. Clinicians can then make recommendations about fitness to drive and appropriate referrals for rehabilitation or alternative transportation resources to optimize mobility, independence, and quality of life for older adults.

Original languageEnglish (US)
Pages (from-to)1582-1588
Number of pages7
JournalMayo Clinic proceedings
Issue number8
StatePublished - Aug 1 2019


ASJC Scopus subject areas

  • Medicine(all)

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