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Guide to the Guides: Evaluator’s Resource Algorithm to the AMA Guides

by Steven Feinberg, MD 12 Credit Hours

The AMA Guides to the Evaluation of Permanent Impairment, Fifth Edition is the standard for rating impairment. Physicians and others are trying to learn it and then apply it in a fair and equitable manner.It is imperative that the physician understand and follow the principles of the Guides. Chapter 1 Philosophy, Purpose and Appropriate Use of the Guides and Chapter 2 Practical Applications of the Guides define standards that apply to all ratings. The individual chapters define principles of assessment and the rating process. This resource is designed to simplify use of the AMA Guides to the Evaluation of Permanent Impairment and improve the accuracy of ratings. The reality is that there is no easy way to learn the AMA Guides but this is an approach at perhaps making it a little simpler.

About the Authors

Steven Feinberg, MD

Feinberg Medical Group, 825 El Camino Real, Palo Alto, CA 94301; 650-223-6400; [email protected]FeinbergMedical Group.com.  American Board of Pain Medicine, American Board of Electrodiagnostic Medicine, American Board of Physical Medicine & Rehabilitation, Qualified Medical Evaluator, Adjunct Clinical Professor, Stanford University School of Medicine, and Medical Director of Cedaron AMA Guides Impairment Rating software. Dr. Feinberg served on the ACOEM Chronic Pain Guidelines Panel Chapter Update and also as Associate Editor, as a Medical Reviewer for the ACOEM 2014 Opioid Guidelines and he also serves ongoing as a Medical Consultant to the Official Disability Guidelines (ODG) and on the Reed Group’s Medical Advisory Board. He served as a Reviewer for the AMA Guides to the Evaluation of Permanent Impairment, 6th Edition.

Christopher R. Brigham, MD

President, Brigham and Associates, Inc., Brigham and Associates, Inc., Pali Palms Plaza, Suite C312, 970 North Kalaheo Avenue, Kailua, HI 96734, 808-254-9400; [email protected]cbrigham.com.  American Board of Preventive Medicine – Occupational Medicine, Fellow American Academy of Disability Evaluating Physicians and Certification in Evaluation of Disability and impairment rating, Fellow American College of Occupational and Environmental Medicine, Certified Independent Medical Examiner and Founder of American Board of Independent Medical Examiners, Editor-in-chief of the AMA Guides Newsletter and Guides Casebook and was co-author of Understanding the AMA Guides in Workers’ Compensation. He is the Senior Contributing Editor for the AMA Guides to the Evaluation of Permanent Impairment, Sixth Edition, and was a contributor/author for the musculoskeletal chapters. For the Fifth Edition, he served on the Advisory Committee and as a contributor.

Learning Objectives

  • List the components of CNS Impairments
  • Discuss the methods for rating chronic pain
  • Discuss the DRE and ROM methods
  • Explain spine-related impairments
  • Discuss the pain add-on per Chapter 18

1. Download & Read the Course – View for Free before Purchase

As with all of our QME courses, this material is approved for ALL disciplines. 

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