AMA Guides, Online Mastery Training

Unlock 24/7 access to essential training and resources with our exclusive members-only sites. Enhance the quality and efficiency of your impairment evaluations with the Fifth and Sixth Edition guides. Join now to elevate your reports and streamline your practice.

Upon completion of requirements, receive immediately Certification of Training for Fifth Edition and/or Sixth Edition. In addition, you gain access to monthly subscriber-only web-based meetings with Dr. Brigham, where your questions are answered and critical issues are discussed.


This training is designed for professionals using the AMA Guides, including physicians and other healthcare providers, attorneys, claims professionals, and fact finders.

The Fifth Edition training fulfills the State of Ohio training requirements to be on the Disability Evaluator Panel. For physicians in California, it provides 16 hours of required continuing education.

Each of our AMA Guides training plans gives you access to more learning — in addition to the course presentations:

  • Study Material
  • Hyperlinks to AMA Guides’ corresponding sections
  • Hyperlinks to AMA Guides Newsletters/Articles
  • Hyperlinks to videos: Physical Examinations — learn exam skills essential to the rating process
  • Case Exercises with Solutions
  • Quizzes

Subscribe to our AMA Guides training course for just $947 per year and access comprehensive resources 24/7—less than the cost of one IME!

Our courses cover the Fifth and Sixth Editions of the Guides, with focused training on Musculoskeletal and Neurological disorders, Medicine (non-musculoskeletal), and Mental and Behavioral Disorders.

No need to travel or sacrifice work days and weekends. Learn at your own pace, revisit modules anytime, and gain valuable skills in evaluating permanent impairment.

Join now and enjoy the flexibility of online training on your schedule!

Photo: Dr. Chris Brigham

You will learn from Christopher R. Brigham, MD, Editor Emeritus of the Guides Casebook and Guides Newsletter and Senior Editor of the AMA Guides (Sixth Edition).

Chris is highly regarded for his knowledge of impairment evaluation and his ability to convey his knowledge to others. He is frequently featured as a speaker at related industry events.

As a result of all these learning resources, you will be able to rate the most commonly rated disorders, including spinal pain, upper-limb disorders (hand, wrist, elbow, shoulders, and entrapments), lower-limb disorders (foot/ankle, knee, and hip), nervous system disorders, and pain.

“In describing this site there are several words that come to mind — valuable, creative, painless, authoritative, unique, and accessible 24/7. What you have developed is so needed.”

—Lorne Direnfeld, MD, Neurologist
Maui, Hawaii

“You have developed a wonderful and exciting learning tool for the AMA Guides!

I find your program to be a unique, time saving, user friendly, cost efficient instrument for learning the appropriate use of the AMA Guides. Having attended your AMA Guides seminars in the past, I can unequivocally state that this system is as informative and instructive as attending one of your seminars!

For busy practicing physicians, the information presented is straightforward, practical and allows one to implement the lessons into a busy practice immediately!

We all lead extremely busy professional careers and personal lives and I enjoy the fact that I can study, read and reflect on the presented material in the privacy of my own home and at my own pace. The cost of the program is minimal when considering time spent away from my practice, and the cost of travel and lodging when attending a ‘live’ seminar.

For those who spend even a modicum of time performing medical legal evaluations and impairment ratings and do not yet have it, I would say, ‘get it today!’

—Ron Fujimoto, DO
Physical Medicine and Rehabilitation, Pain Medicine
Los Gatos, California

“My introduction to Chris Brigham, MD  was facilitated by the desire to identify a comprehensive training site to understand better and apply the methodologies of the AMA Guides to the Evaluation of Permanent Impairment. I am an Orthopedic Surgeon in Charlottesville, Virginia, who practiced privately for 32 years. Medical-Legal consulting services have been a consistent complement to my clinical practice. After retiring from patient care in 2022, I devoted my professional interests entirely to consulting and providing independent medical evaluations. Impairment analysis is frequently essential to case reviews and independent medical evaluations. Many excellent clinicians have yet to have the opportunity for formal training with the AMA Guides. Still, they are asked to provide impairment ratings for their patients or a patient sent to them. However, without training, it is nearly impossible to master the AMA Guides.
I identified Dr. Brigham’s online educational sites and have benefited from his step-by-step teaching approach and monthly live training sessions.  The presentations are excellent, and the extensive hyperlinked resources, case exercises, and quizzes enhance the learning experience. The enrollment fee is substantially less than the typical fee for performing a single evaluation; therefore, there is a strong return on investment. Mentorship with Dr. Brigham has greatly benefited me, facilitating the continued application of my professional background beyond traditional medical practice. I highly recommend AMA Guides, Sixth Edition – Mastery!”

—William T. Grant, MD, Orthopedic Surgeon
Charlottesville, Virginia

“I wanted to learn how to use the most current Sixth Edition for evaluating cases. I liked the idea of doing the course online and that I did not have to travel.  I also liked going at my pace instead of cramming all the material in a two-day seminar and incurring expenses of travel, lodging, and meals.   

I also liked that Dr. Brigham is teaching the course; he has an enormous amount of experience performing several thousands of ratings.  In addition, after you pass a four-hour exam, you earn a Certified Impairment Rater (CIR) certification, which establishes you as an expert.

The online Mastery Course itself is fantastic.  It is professional and is broken up into many modules.  You can click the hyperlinks for additional videos in each module. Other hyperlinks take you to the AMA Guides and the AMA Guides Newsletter for more clarification of the material.  For instance, one of the hyperlinks can go to an article that explains the most common mistakes in rating a particular condition, which is invaluable information. Dr. Brigham has a great way of summarizing key points you need to know, which is amazing.

The course is well-priced.  Other weekend programs charge $1500 to $2,000 for fewer hours of training, and you have many other indirect expenses. If you want to learn how to rate impairments, make a modest investment in this fantastic learning experience.”

—Jerald D. Kelly, DC
Longview, Texas

The modules include all the chapters.
Those together represent the vast majority of ratable conditions.