No abstract

After TOKYO 2020, we reflected on the roles and competencies of family physicians. Table 1 shows the competencies that we found helpful during the event. Family medicine has a high affinity to sports medicine. Although family physicians need more training and exposure specific to sports medicine, family physicians in Japan should play an active role in sporting events.

We have conducted driving fitness evaluations for post-illness patients in our clinic since 2008. Many patients expressed a desire to resume driving; thus, primary care physicians and rehabilitation staff collaborated to establish an evaluation system. We conducted cognitive dysfunction evaluation, driving simulator evaluation, and evaluation at driving schools. Among 160 patients, we evaluated 87 to be fit to drive, and eight to be unfit. We describe the significance and challenges of assessing patientsʼ driving aptitude in primary care.Keywords ：自動車運転評価 (fitness to drive) ，プライマリ・ケア (primary health care) ，高齢運転者 (older driver) ， リハビリテーション(rehabilitation)