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Analysis of the Findings

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Newsletter Articles
Guides Newsletter (2020) 25 (6): 10–12.
Published: 01 November 2020
... 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...
Newsletter Articles
Guides Newsletter (2019) 24 (5): 3–7, 16.
Published: 01 September 2019
... evaluator's impairment evaluation report should clearly document the rater's review of prior medical and treatment records, clinical evaluation, analysis of the findings, and a discussion of how the final impairment rating was calculated. The resulting report is the rating physician's expert testimony to help...
Newsletter Articles
Guides Newsletter (2017) 22 (3): 14–16.
Published: 01 May 2017
... number of symptoms and functional status, on the one hand, and the lack of correlation between findings on imaging and symptoms, on the other hand. For example, a systematic review by Mayo Clinic physicians of 33 published studies in which 3110 asymptomatic adults were imaged using magnetic resonance...
Newsletter Articles
Guides Newsletter (2017) 22 (4): 6–11, 16.
Published: 01 July 2017
... rating schedule . 5. See California Labor Code Section 4658. 6. Confounding the analysis even further is the fact that California law recognizes both specific injuries and cumulative trauma injuries in which causation of injury is established where industrial-related injurious exposure is merely...
Newsletter Articles
Guides Newsletter (2017) 22 (1): 11–16.
Published: 01 January 2017
... cursory manner, often presenting their findings as an opinion. An established method of causation analysis using six steps is outlined in the American College of Occupational and Environmental Medicine Guidelines and in the AMA Guides to the Evaluation of Disease and Injury Causation, Second Edition, as...
Newsletter Articles
Guides Newsletter (2014) 19 (5): 3–12.
Published: 01 September 2014
... findings from epidemiological science to the individual case. Step 3 is to obtain and assess the evidence of exposure. This is followed by consideration of other relevant factors and then analysis of the validity of the evidence. The final step is to evaluate the results from the prior steps and generalize...
Newsletter Articles
Guides Newsletter (2021) 26 (2): 13–17.
Published: 01 March 2021
... complete loss” (6th ed, 533). Definitions for the terms, “mild,” “moderate,” “severe,” and so on, for the degree of neurologic deficit severity are listed in Table 16-11, Sensory and Motor Severity (6th ed, 533). Using the grid in Table 16-12, find the injured nerve's name in the far-left column and start...
Newsletter Articles
Guides Newsletter (2009) 14 (2): 1–13.
Published: 01 March 2009
... impairment than does the opinion of an individual physician. Chapter 2 of the Fifth Edition, Practical Application of the Guides , explains: “use the Guides for consistent and reliable acquisition, analysis, communication, and utilization of medical information through a single set of standards. Two...
Newsletter Articles
Guides Newsletter (2019) 24 (6): 3–11.
Published: 01 November 2019
... association—or the lack thereof—between pathology and aging, as well as degenerative changes and symptoms, to facilitate causation analysis. For a fuller discussion of causation analysis for the spine, readers can consult the AMA Guides to the Evaluation of Disease and Injury Causation, Second Edition...
Newsletter Articles
Guides Newsletter (1998) 3 (4): 1–3.
Published: 01 July 1998
...Christopher R. Brigham, MD An impairment evaluation aims to produce a report that is clear and consistent with the AMA Guides to the Evaluation of Permanent Impairment ( AMA Guides ), Fourth Edition, which outlines the three-step process of medical evaluation, analysis of the findings, and...
Newsletter Articles
Guides Newsletter (2010) 15 (6): 5–7.
Published: 01 November 2010
... performed similar studies in the State of California and the State of Colorado. The comparative study was commissioned by the Division of Workers' Compensation of the Florida Department of Financial Services. The authors appreciate the assistance provided in statistical analysis by Steve Leclair...
Newsletter Articles
Guides Newsletter (2021) 26 (3): 3–7.
Published: 01 May 2021
... limitations and are not designed to assess symptom validity or the extent to which psychological factors may contribute to cognitive complaints. Comprehensive neuropsychological assessment may be indicated in these situations and when the screeners demonstrate findings of potential concern help define MMI...
Newsletter Articles
Guides Newsletter (2020) 25 (4): 3–7.
Published: 01 July 2020
...James B. Talmage, MD; Mark H. Hyman, MD; Robert B. Snyder, MD The current pandemic of COVID-19 cases includes cases identified in emergency medical technicians, nurses, physicians, and others with occupational exposure to the SARS-CoV-2 virus. Many of these health care professionals have filed...
Newsletter Articles
Guides Newsletter (2010) 15 (1): 1–7.
Published: 01 January 2010
... assistance provided in statistical analysis by Steve Leclair, PhD, Leclair Behavioral Health of Gray, Maine, and Frank Neuhauser, Project Director, Survey Research Center/UC Data Archive, University of California, Berkeley. * This comparative study was commissioned by the American Medical Association...
Newsletter Articles
Guides Newsletter (2012) 17 (5): 1–7.
Published: 01 September 2012
..., or fusion In this case the findings were consistent with Stage II. Nonsurgical treatment options for CMC arthritis include hand therapy, splinting, and injection. The thumb carpometacarpal (CMC) joint is the most common site of surgical reconstruction for osteoarthritis in the upper...
Newsletter Articles
Guides Newsletter (2021) 26 (3): 8–13.
Published: 01 May 2021
... the conditions mentioned earlier can produce similar symptoms and/or physical findings that are more common. Some of the controversy involves both under- and over-diagnosis of CRPS. Medical practitioners unfamiliar with the criteria may miss the diagnosis, or others may inappropriately diagnose...
Newsletter Articles
Guides Newsletter (2020) 25 (4): 8–11.
Published: 01 July 2020
... make complex determinations regarding the work-relatedness of the employee's condition in COVID-19 claims. The more thorough the medical analysis, the more likely a claims adjuster and, ultimately, a judge is to accept the physician's opinion. A 45-year-old nursing technician at a nursing home...
Newsletter Articles
Guides Newsletter (2020) 25 (3): 12–19.
Published: 01 May 2020
... petition to reinstate. Finding that Protz I was not retroactive, the WCJ denied the petition. The Board affirmed, concluding that the claimant had waived constitutionality arguments. The Commonwealth Court reversed the Board's decision and ordered the reinstatement of benefits. The Whitfield decision...
Newsletter Articles
Guides Newsletter (2016) 21 (1): 10–13.
Published: 01 January 2016
..., have abnormal physical findings, and are disabled to varying extents despite treatment. Hence, impairment rating becomes necessary in a minority of cases. In the AMA Guides, Sixth Edition, lateral epicondylitis is rated using diagnosis-based impairment and Table 15-4, Elbow Regional Grid: Upper...
Newsletter Articles
Guides Newsletter (2019) 24 (6): 12–15.
Published: 01 November 2019
... distinct methodology in the AMA Guides to the Evaluation of Permanent Impairment ( AMA Guides ), Sixth Edition. Rating entrapment neuropathies is similar to the DBI method because the evaluator uses three grade modifiers (ie, test findings, functional history, and physical evaluation findings), but the way...