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Blackouts and driving safety — DOccMed MCQ

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HardOH EthicsBlackouts and driving safetyDOccMed

During a routine OH assessment, a bus driver tells you he has been experiencing episodes of dizziness and brief loss of consciousness for the past three months but has not told his GP. He holds a Group 2 licence. What is the most appropriate action?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: AAdvise him strongly to see his GP urgently, explain that his symptoms render him unfit to drive, and inform him that if he continues driving you may need to breach confidentiality to protect public safety

Blackouts are a clear contraindication to driving, especially with a Group 2 licence. The OH physician should advise him to see his GP and explain he is unfit to drive. If he refuses to stop driving, confidentiality may need to be breached to protect public safety.

Reference: GMC Confidentiality; DVLA Fitness to Drive