#110: Driver’s safety for Older Adults: When is it Time to Give Up the Keys?

The Curbsiders Internal Medicine Podcast

Get schooled on driver’s safety for older adults by expert, Alice Pomidor MD, Professor of Geriatrics at Florida State University. Whether or not older adults can continue to drive is a huge problem faced by for primary care clinicians, and will remain one until driverless cars become ubiquitous. Topics covered include: how to take a driving history, red flags, physical exam, cognitive exam, and vision assessment for driver’s safety, resources, when to refer, alternate means of transportation, and the legal repercussions of reporting...or not reporting.

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Credits:

• Written and produced by: Matthew Watto MD and Elizabeth Garbitelli MD Candidate 2022
• Editor: Matthew Watto MD
• Cover Image by: Kate Grant MD
• Hosts: Matthew Watto MD, Stuart Brigham MD, Paul Williams MD
• Guest: Alice Pomidor MD

Time Stamps

• 00:00 Disclaimer
• 00:35 Intro and guest bio
• 03:10 Guest onliner, book recommendations, and career advice
• 10:43 Clinical case, and the 5 Rs of clinicians responsibility
• 19:15 Taking a history from older adult drivers
• 26:28 The clinical exam for driver’s safety (cognition, vision, and MSK tests)
• 37:24 How can we avoid patient anger towards clinician and family members?
• 41:10 When and where to refer for driving evaluation
• 47:00 Alternative transportation
• 52:00 What to do if someone refuses or forgets to stop driving
• 59:45 Reporting requirements and legal ramifications
• 69:15 Take home points
• 72:00 Outro

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