Driving assessments

I read the article in the Medical Post (26 September 2008) about problems with physicians assessing their patients’ ability to drive when often there are mixed feelings be­tween loyalty to patients and sparing the lives or skins of other road users.

There are two solutions. The cost of running a car—insurance, repairs, fuel, and depreciation—has been calculated as $7000+ a year. You can buy a lot of taxi rides for that!

Anybody over 75 who chooses to spend that sum on a car should be able to afford proper testing, both by an independent physician (not the attending physician!) similar to those designated by Transport Canada to assess mariners and pilots ($171 in BC), as well as having a practical road test ($50 in BC). Of the two, the practical road test would probably save more lives and accidents!

—Rodney Glynn-Morris, MD
West Vancouver

Rodney Glynn-Morris, MD,. Driving assessments. BCMJ, Vol. 50, No. 10, December, 2008, Page(s) 550 - Letters.

Above is the information needed to cite this article in your paper or presentation. The International Committee of Medical Journal Editors (ICMJE) recommends the following citation style, which is the now nearly universally accepted citation style for scientific papers:
Halpern SD, Ubel PA, Caplan AL, Marion DW, Palmer AM, Schiding JK, et al. Solid-organ transplantation in HIV-infected patients. N Engl J Med. 2002;347:284-7.

About the ICMJE and citation styles

The ICMJE is small group of editors of general medical journals who first met informally in Vancouver, British Columbia, in 1978 to establish guidelines for the format of manuscripts submitted to their journals. The group became known as the Vancouver Group. Its requirements for manuscripts, including formats for bibliographic references developed by the U.S. National Library of Medicine (NLM), were first published in 1979. The Vancouver Group expanded and evolved into the International Committee of Medical Journal Editors (ICMJE), which meets annually. The ICMJE created the Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly Work in Medical Journals to help authors and editors create and distribute accurate, clear, easily accessible reports of biomedical studies.

An alternate version of ICMJE style is to additionally list the month an issue number, but since most journals use continuous pagination, the shorter form provides sufficient information to locate the reference. The NLM now lists all authors.

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For more information on the ICMJE Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly Work in Medical Journals, visit www.icmje.org

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