If the patient is at risk, the physician should formally assess function (vision, cognition, motor function) and if appropriate, select medical interventions for diagnosis and treatment.
If the patient is not at risk, the physician should pursue health maintenance (successful aging tips, tips for safe driving, and periodic follow-up)
In the at-risk patient who has been assessed and who has had some medical interventions, two paths are possible: the deficit is resolved, at which point the physician should pursue health maintenance (as above); or, the deficit is not resolved.
If the deficit is not resolved, the physician should refer the patient to a driver rehabilitation specialist who will be able to determine if the patient is safe to drive. If the answer is yes, the physician should pursue health maintenance (as above); if the answer is no, the physician should counsel and follow up (explore alternatives to driving, monitor for depression and social isolation, and adhere to state reporting regulations).