Appropriately assessing impairment mandates that the physician be familiar with the principles of assessing impairment, as reflected in Chapter 1, Conceptual Foundations and Philosophy, and Chapter 2, Practical Applications of the Guides. Based on this knowledge, the physician will then apply the processes and criteria provided in specific chapters. All impairment rating reports should be divided into three main sections: clinical evaluation, analysis of the findings, and discussion. To obtain the highest level of competency, the rating physician should be familiar with jurisdictional requirements that effectively supplant AMA Guides to the Evaluation of Permanent Impairment (AMA Guides) methodology.

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