This Physician’s Guide to Assessing and Counseling Older Drivers is the product of a cooperative agreement between the American Medical Association (AMA) and the National Highway Traffic Safety Administration (NHTSA).


Claire C. Wang, MD
Catherine J. Kosinski, MSW
Joanne G. Schwartzberg, MD
Anne V. Shanklin, MA

AMA Project Staff

Elvia Chavarria, MPH
Arthur B. Elster, MD
Valerie M. Foster
Eugenia Heidbreder, JD
Laurie Liska
Jim Lyznicki, MS, MPH
Karine Morin, LLM Rosary Payne, JD

Chapter 9 of this guide was adapted from the June 2000 Preliminary Guidelines for Physicians, set forth in Appendix A to Dobbs BM. Medical Conditions and Driving: A Review of the Scientific Literature. Washington, DC: National Highway Traffic Safety Administration; 2003. The review and guidelines were developed by the Association for the Advancement of Automotive Medicine in cooperation with NHTSA.


Wang CC, Kosinski CJ, Schwartzberg JG, Shanklin AV. Physician’s Guide to Assessing and Counseling Older Drivers. Washington, DC: National Highway Traffic Safety Administration; 2003.

This guide benefited significantly from the expertise of the following individuals who served as advisors and reviewers in this project:

Advisory Panel

Sharon Allison-Ottey, MD
National Medical Association

Joseph D. Bloom, MD
American Psychiatric Association

Audrey Rhodes Boyd, MD
American Academy of Family Physicians

David B. Carr, MD
Washington University School of Medicine

Bonnie M. Dobbs, PhD
University of Alberta
Association for the Advancement of Automotive Medicine

John Eberhard, PhD
National Highway Traffic Safety Administration

Laurie Flaherty, RN, MS
National Highway Traffic Safety Administration

Arthur M. Gershkoff, MD
American Academy of Physical Medicine and Rehabilitation

Brian Greenberg, MEd
American Association of Retired Persons

Lynne M. Kirk, MD, FACP
American College of Physicians

Marian C. Limacher, MD, FACC, FSGC
American College of Cardiology
Society of Geriatric Cardiology

Richard Marottoli, MD, MPH
American Geriatrics Society

Lylas G. Mogk, MD
American Academy of Ophthalmology

John C. Morris, MD
American Academy of Neurology Alzheimer’s Association

James O’Hanlon, PhD
Tri-Counties Regional Center

Cynthia Owsley, PhD, MSPH
University of Alabama at Birmingham

Robert Raleigh, MD
Maryland Motor Vehicle Administration

William Roccaforte, MD
American Association for Geriatric Psychiatry

Jose R. Santana Jr., MD, MPH
National Hispanic Medical Association

Melvyn L. Sterling, MD, FACP
Council on Scientific Affairs, American Medical Association

Jane Stutts, PhD
University of North Carolina Highway Safety Research Center

Review Committee

Geri Adler, MSW, PhD
Minneapolis Geriatric Research Education Clinical Center

Reva Adler, MD, MPH, FRCPC
American Geriatrics Society

Elizabeth Alicandri
Federal Highway Administration

Paul J. Andreason, MD
Food and Drug Administration

Mike Bailey
Oklahoma Department of Public Safety

Robin Barr, PhD
National Institute on Aging

Donald R. Bennett, MD, PhD
Division of Drugs & Toxicology, American Medical Association

Arlene Bierman, MD, MS
Agency for Healthcare Research and Quality

Carol Bodenheimer, MD
American Academy of Physical Medicine and Rehabilitation

Jennifer M. Bottomley, PhD2, MS, PT
American Physical Therapy Association

Thomas A. Cavalieri, DO
American Osteopathic Association

Lori Cohen
American Association of Motor Vehicle Administrators

Joseph Coughlin, PhD
Gerontological Society of America

T. Bella Dinh-Zarr, PhD, MPH

Barbara Du Bois, PhD
National Resources Center on Aging and Injury

Leonard Evans, DPhil
Science Serving Society

Connie Evaschwick, ScD, FACHE
American Public Health Association

Jeff Finn, MA
American Occupational Therapy Association

Jaime Fitten, MD
UCLA School of Medicine

Marshall Flax, MA
Association for the Education and Rehabilitation of the Blind and Visually Impaired

Linda Ford, MD
Nebraska Medical Association

Barbara Freund, PhD
Eastern Virginia Medical School

Mitchell Garber, MD, MPH, MSME
National Transportation Safety Board

Andrea Gilbert, COTA/L
Rehabilitation Institute of Chicago

Claudia Grimm, MSW
Oregon Department of Transportation

Joan Harris, MPA
National Highway Traffic Safety Administration

Kent Higgins, PhD
Lighthouse International

Linda Hunt, PhD, OTR/L
Maryville University

Mary Janke, PhD
Research and Development at California Department of Motor Vehicles

Gary Kay, PhD
Washington Neuropsychological Institute

Shara Lynn Kelsey, MA
Research and Development at California Department of Motor Vehicles

Susan M. Kirinich
National Highway Traffic Safety Administration

Donald Kline, PhD
University of Calgary

Philip LePore, MS
New York State Office for the Aging

Sandra Lesikar, PhD
US Army Center for Health Promotion and Preventive Medicine

William Mann, OTR, PhD
University of Florida

Dennis McCarthy, MEd, OTR/L
University of Florida

Gerald McGwin, PhD
University of Alabama at Birmingham

Michael Mello, MD, FACEP
American College of Emergency Physicians

Barbara Messinger-Rapport, MD, PhD
Cleveland Clinic Foundation

Alison Moore, MD, MPH
American Public Health Association David Geffen School of Medicine, University of California

Anne Long Morris, EdD, OTR/L
American Society on Aging

Germaine Odenheimer, MD
Center for Assessment and Rehabilitation of Elderly Drivers

Eli Peli, MSc, OD
Schepens Eye Research Institute

Alice Pomidor, MD, MPH
Society of Teachers of Family Medicine

George Rebok, MA, PhD
Johns Hopkins School of Hygiene and Public Health

Selma Sauls
Florida Department of Highway Safety and Motor Vehicles

Susan Samson
Area Agency on Aging

Steven Schachter, MD
Epilepsy Foundation

Frank Schieber, PhD
University of South Dakota

Freddi Segal-Gidan, PA, PhD
American Geriatrics Society

Melvin Shipp, OD, MPH, DrPh
University of Alabama at Birmingham

Richard Sims, MD
American Geriatrics Society

Kristen Snyder, MD
Oregon Health & Science University, School of Medicine

Susan Standfast, MD, MPH
American College of Preventive Medicine

Holly Stanley, MD
American Geriatrics Society

Loren Staplin, PhD
TransAnalytics, LLC Texas Transportation Institute

Wendy Stav, PhD, OTR, CDRS
American Occupational Therapy Association Cleveland State University

Donna Stressel, OTR, CDRS
Association for Driver Rehabilitation Specialists

Cathi A. Thomas, RN, MS
Boston University Medical Center American Parkinson Disease Association

John Tongue, MD
American Academy of Orthopedic Surgery

Patricia Waller, PhD
University of Michigan

Lisa Yagoda, MSW, ACSW
National Association of Social Workers

Patti Yanochko, MPH
San Diego State University

Richard Zorowitz, MD
National Stroke Association

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