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 proceed with the CIR® certification exam with confidence. If you don’t ace it, consider our online training and resources. There’s no time like the present!

Take one or both now — no charge:
Fifth Edition Self-Assessment Sixth Edition Self-Assessment

Best IME practices must be followed in order to produce consistently accurate evaluations and reports that stand up to scrutiny. We believe all members of our respective professions involve in workers’ compensation and personal injury cases should:

Better Practices, Better Outcomes

The AMA Guides are the “Gold Standard” for assessing impairment. We’re making it easier to master their use:

  • Convenient online training — no travel expense and no time away from work for classes or tests!
  • Authoritative training by Christopher R. Brigham, MD, Editor of the Guides Casebook and Guides Newsletter, and Senior Editor of the AMA Guides (Sixth Edition).
  • Better outcomes through improved processes, accuracy, and professionalism.
  • Promoting best practices for a robust, accountable, and healthy industry.

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 loss of activity, which reflects 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