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"Can I drive, doctor?" LEAN thinking may help us answer the question [Review]

Thomas, Rhys Huw and Hughes, T A T 2009. "Can I drive, doctor?" LEAN thinking may help us answer the question [Review]. Practical Neurology 9 (2) , pp. 71-79. 10.1136/jnnp.2008.171157

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The loss of a driving licence can have a devastating effect on an individual’s domestic life and work. Driving is a complex composite function comprising a number of other complex composite functions, and it is difficult to predict driving ability just from the traditional neurological examination. We propose the acronym LEAN as an aide-memoire to help structure a suggested driving section in the routine neurological clerking, and to help unpack the concept of “fitness” to drive: Licence status, Eligibility (to drive), Ability (to drive) and Notification requirements (to the licensing authorities), now and in the future; cover most of the important issues and may help ensure that people get the best advice. If there are concerns about someone’s driving ability, with or without vehicle adaptations, an assessment in a Disabled Drivers Assessment Unit is recommended.

Item Type: Article
Status: Published
Schools: Medicine
MRC Centre for Neuropsychiatric Genetics and Genomics (CNGG)
Subjects: R Medicine > R Medicine (General)
R Medicine > RC Internal medicine > RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry
Publisher: BMJ Publishing Group
ISSN: 1474-7758
Last Modified: 04 Jun 2017 08:59

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