The purpose of the model for administering driver fitness programs is to provide guidelines to facilitate a consistent approach to driver fitness decision-making by provincial and territorial government driver fitness authorities across Canada. The purpose of the CCMTA Medical Standards for Drivers is to provide driver fitness authorities with research-based information and standards to support consistent driver fitness decisions within, and across, Canadian jurisdictions. This document consists of 4 parts: Background, Part I, Part II and Appendices. Background, provides the necessary context for the standards outlined in Parts 1 and 2. The 5 chapters within this part are: • Chapter 1: Introduction, which explains the purpose of the standards • Chapter 2: The authority for the CCMTA standards, which provides an overview of the mandate of the CCMTA and the relationship between driver fitness policy in individual Canadian jurisdictions and the CCMTA standards • Chapter 3: Roles and responsibilities in driver fitness, which reviews the roles of driver fitness authorities and medical practitioners • Chapter 4: A changing approach to determining driver fitness, which reviews changes in the law as well as explains the ‘functional’ approach to driver fitness • Chapter 5: Guiding principles, which reviews the 4 principles which are the foundation of the CCMTA standards Part 1, A Model for the Administration of Driver Fitness Programs, provides guidelines and a process model for driver fitness authorities to follow during the driver fitness determination process. The 7 chapters within this part are: • Chapter 1: Introduction • Chapter 2: Definitions, which defines terms used throughout the model • Chapter 3: Key concepts, which explain the conceptual framework for the model • Chapter 4: Identifying drivers who may not be fit to drive, lays out a model for commercial and non-commercial drivers as well as cancelling licences when there is an immediate public safety risk • Chapter 5: Assessing fitness to drive, which provides model on when to request assessments and how to assess the different functions needed for driving • Chapter 6: Making a driver fitness determination, outlines the different issues that must be considered by driver fitness authorities when they make a driver fitness determination • Chapter 7: Reassessment, lays out a process for determining when a reassessment is required and setting the reassessment interval Part 2: CCMTA Medical Standards for Drivers, contains the medical condition driver fitness assessment standards. • Chapter 1: Introduction is an introduction that outlines the purpose and the format of the medical condition chapters • Chapter 2: Medical conditions at-a-glance is a table of medical conditions that may be used as a quick reference to determine how each affects the functions necessary for driving. • Chapters 3 — 22 are the medical condition driver fitness standards Appendices. • Appendix 1: Licence classes, describes the vehicles that may be driven by commercial and non-commercial drivers • Appendix 2: Reciprocity Agreement between Canada and the United States contains the letters between Canada and the US that outline the driver fitness expectations for Canadian commercial vehicle drivers that drive in the U.S. (Author/publisher)
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