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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
...% adjusted permanent disability rating under the permanent disability 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...
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 (2021) 26 (2): 13–17.
Published: 01 March 2021
... ed, 533). Using the grid in Table 16-12, find the injured nerve's name in the far-left column and start with the default impairment value based on the severity of the motor and sensory deficit. Note that the sensory loss is on physical examination and does not consider pain complaints. Assign a...
Newsletter Articles
Guides Newsletter (2014) 19 (5): 3–12.
Published: 01 September 2014
... the injury. Evaluating physicians must approach causation analysis from a scientific perspective, rather than simply provide expert opinions. 35 The first step is to definitively establish a diagnosis. This is followed by application of relevant findings from epidemiological science to the...
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 (2009) 14 (2): 1–13.
Published: 01 March 2009
... presented in the Opinion and Decision After Reconsideration (En Banc) raises several questions relating to diagnosis, causation and apportionment analysis, impairment assessment, determining “prein-jury capacity,” and permanent disability determination. The Decision did not include a discussion of...
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
... FUPIRS, 4.1% WPI by the Fourth Edition, 4.6% WPI per the Fifth Edition, and 3.6% WPI per the Sixth Edition; this is illustrated in Figure 1 . The difference between average whole person impairment ratings was tested using a paired sample t-test analysis, with an alpha level set at the .05 level of...
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 (2012) 17 (5): 1–7.
Published: 01 September 2012
... Treatment option: ligament reconstruction and thumb interposition, 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...
Newsletter Articles
Guides Newsletter (2010) 15 (1): 1–7.
Published: 01 January 2010
... “There is increased use of the Guides to translate objective clinical findings into a percentage of the whole person. Typically this number is used to measure the residual deficit, a loss—a number that is then converted to a monetary award to the injured party” (6th ed, 20). In that the Guides is...
Newsletter Articles
Guides Newsletter (2020) 25 (4): 8–11.
Published: 01 July 2020
... knowledge). Coherence: Coherence between epidemiological and laboratory findings increases the likelihood of an effect. However, Hill noted that “... lack of such [laboratory] evidence cannot nullify the epidemiological effect on associations.” Experiment: “Occasionally, it is possible to appeal...
Newsletter Articles
Guides Newsletter (2020) 25 (3): 12–19.
Published: 01 May 2020
... analysis in similar, post 500-week reinstatement claims. In both cases, the claimants sought to reinstate and modify benefits, respectively, 8 in the face of prior IRE determinations. The claimants’ petitions had been dismissed based on post- Protz I case law, which had held that such petitions were...
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...
Newsletter Articles
Guides Newsletter (2021) 26 (2): 3–12.
Published: 01 March 2021
... help rule out acute coronary artery syndrome, heart failure, and prior myocardial infarction, as appropriate. If this comprehensive screening suggests the active phase of the disease is over and shows no worrisome findings requiring specialist evaluation, the recommendation is to screen for safe...
Newsletter Articles
Guides Newsletter (2019) 24 (3): 10–13.
Published: 01 May 2019
... Guides , results in at least a DRE Category IV rating. In the AMA Guides , Fifth Edition, Section 15.1b, Description of Clinical Studies (5th ed, 378–379) and Box 15-1, Definitions of Clinical Findings Used to Place an Individual in a DRE Category (5th ed, 382–383) define this disorder. AMA Guides...
Newsletter Articles
Guides Newsletter (2020) 25 (5): 12–15.
Published: 01 September 2020
.... The analysis of what constitutes substantial medical evidence has a sequential analysis and is best described in Part II.E. of the California Workers' Compensation Appeals Board (WCAB) en banc decision Escobedo v. Marshalls [(2005) 70 Cal. Comp. Cases 604, 620-621]: California physicians face a...