In the Netherlands, licence acquisition courses for category B (passenger cars) are concluded by a theoretical and a practical test. Driving lessons are not obligatory, but without them passing the practical test is virtually impossible. For practical reasons, the effectiveness of drivings tests and driver training is hard to assess in a scientific way.

The elderly have a higher than average fatality rate in traffic. The most important cause of this high fatality rate among the 75 year olds and older is their greater physical vulnerability. In addition, functional limitations can lead to the elderly more frequently being involved in certain types of crashes.