[Physician assessment of aptitude for driving in the European Union].

Road safety is for several years a major public health issue, given the number of casualties and annual deaths caused by road accidents in France or Europe. European directives of 2006 and 2009 were aimed harmonized community practices for the conduct, including medically. We studied the laws in force in each of the 28 countries of the European Union to make an inventory of the organization on this subject. The results showed that 25 countries introduce, at least once, including 21 medical check regularly. Age is the main factor that motivates control. The frequency of examinations increases with the age of the driver. In other countries, a sworn statement of the absence of pathology is enough. Although a medical examination is mostly carried out systematically, it the content is extremely variable, ranging from a simple vision test to a full review with psycho test. Management of professional secrecy is approached differently in different countries, although predominantly an exemption exists in the event of discovery of the inability of a patient. We note that there is a great diversity in the medical screening modalities unsuited to driving. These systems will be harmonized to comply with the wishes of European directives.