Rating Impairment the Right Way

Self-Assess Your AMA Guides Rating Skills

It’s fast, free, and fun: just take our 10-item mini-assessment of knowledge and skills. If you do well, you can confidently proceed with the CIR® certification exam in cooperation with the International Academy of Independent Medical Examiners (IAIME). If you don’t ace it, consider our online training and resources. There’s no time like the present!

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Unlock Precision in Impairment Evaluations: Your Key to Success!

Are your evaluations and reports consistently accurate, unbiased, and resilient against the toughest scrutiny? In the critical spheres of workers’ compensation and personal injury cases, there’s no room for second-guessing.

Every professional should:

✅ Master the AMA Guides to the Evaluation of Permanent Impairment.

✅ Exhibit proven expertise in the application of the AMA Guides.

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✅ Command a winning strategy in the medicolegal landscape.

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⧉ Terminology for Newcomers

Impairment is “a significant deviation, loss, or loss of use of any body structure or function in an individual with a health condition, disorder, or disease.”

Impairment differs from the concept of disability, which is “an umbrella term for activity limitations and/or participation restrictions in an individual with a health condition, disorder, or disease.”

Impairment evaluation refers to the “acquisition, recording, and reporting of medical evidence, using a standard method such as described in the Guides to determine permanent impairment associated with a physical or mental condition.” The result is…

…an impairment rating, a “consensus-derived percentage estimate of the loss of activity, which reflects the severity of impairment for a given health condition, and the degree of associated limitations in terms of Activities of Daily Living (ADLs).” —AMA Guides, Sixth Edition, Glossary


The sites impairment.com, AMAGuides.com, emedicolegal.com, and Brigham and Associates, Inc. are independent of the American Medical Association (AMA). The training program and resources provided are neither endorsed nor sponsored by the AMA, and the opinions and content of the training presentations and learning content represent the views of the presenters and are not necessarily the views of the AMA, particularly on matters of medical policy.