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Charl Els, MBChB, FCPsych(SA), MMedPsych, Barry Gelinas, MD, DC, Rose M. Carter, QC, Les Kertay, PhD
Guides Newsletter (2022) 27 (4): 18–59.
Published: 01 July 2022
... data sources. Best practice guidelines have been established for the completion of physical IMEs. However, similar mental and behavioral disorder (M&BD) standards are less common, and M&BD IMEs often do not follow a consistent process. This article offers guidance on applying and adapting...
Christopher Brigham, MD, Lorne K. Direnfeld, MD, Steven Feinberg, MD, MPH, Les Kertay, PHD, James B. Talmage, MD
Guides Newsletter (2017) 22 (5): 3–18.
Published: 01 September 2017
... by an independent medical examiner who is not treating the patient or claimant, to answer questions posed by the party requesting the IME.” Evaluators must adhere to best practice standards and must know that these standards may change over time and must meet the needs of the relevant jurisdiction. IMEs take place...
Christopher R. Brigham, MD, Helene Fearon, PT, Steven Feinberg, MD, Barry Gelinas, MD, DC, David Langham, Esq, J. Mark Melhorn, MD
Guides Newsletter (2020) 25 (3): 3–11.
Published: 01 May 2020
... evaluations must have the appropriate policies, procedures, and security in place; resources are available from the AMA Guides series of publications. Each component of the virtual IME, including each data element, should be assessed to determine best practices and how to use virtual technologies successfully...
Guides Newsletter (2002) 7 (5): 4–9.
Published: 01 September 2002
... assists in ensuring a best-practices approach to the evaluation. Most experienced examiners use questionnaires, pain drawings, and inventories as an adjunct to the interview, and the process must be planned carefully to ensure all relevant history and subjective information are obtained. All reports...
Guides Newsletter (2020) 25 (2): 9.
Published: 01 March 2020
... published in the September–October 2017 issue of the Guides Newsletter. 1 Reference 1. Brigham CR , Direnfeld LK , Feinberg S , Kertay L , Talmage JB . Independent medical evaluation best practices . Guides Newsletter. September/October 2017 . ...
Guides Newsletter (2019) 24 (6): 18–19.
Published: 01 November 2019
... on for fair and consistent impairment rating information and tools. The AMA Guides ® provide physicians with certainty that they are following the most current best practice, as well as play a key role in supporting fair and timely resolution of impairment-related claims, enabling patients to easily...
Guides Newsletter (2022) 27 (3): 28–39.
Published: 01 May 2022
... and their representatives. When providing opinions, experts are well-served by understanding the audience as much as practical. The best advice for experts rendering opinions is to remain true to the questions posed and follow the scientific method. © 2022 American Medical Association. All Rights Reserved. 2022...
Guides Newsletter (2016) 21 (2): 3–8.
Published: 01 March 2016
... in the majority of patients. However, the long-term treatment regimen should be a structured process that incorporates several clinical practice concepts to bring the best therapeutic outcomes to these patients. Men suspected of having psychogenic ED should undergo psychological evaluation with an AASECT...
Guides Newsletter (1999) 4 (2): 4–7.
Published: 01 March 1999
..., and examiners may deploy less commonly used rating techniques such as those employed for amputations, skin loss, causalgia and reflex sympathetic dystrophy, and vascular disorders. The examiner must understand the applicable rating methods used, estimate percentages via each, and decide which methods best...
Guides Newsletter (2022) 27 (2): 3–7.
Published: 01 March 2022
... as a creator of needless disability . AMA Guides Newsletter . July/August 2011 : 1 – 11 . 13. Brigham C , Direnfeld LK , Feinberg S , et al . Independent medical evaluations: best practices . AMA Guides Newsletter . September/October 2017 : 3 – 18 . 14. Gross DP...
Guides Newsletter (2019) 24 (4): 3–14.
Published: 01 July 2019
.... A unified view should be based on science and best practices, incorporate the major contributing factors, take a balanced approach to causation, and outline evidence-based and cost-effective management interventions. These management principles need to be both parsimonious and operationalized in a way...
Guides Newsletter (2017) 22 (4): 12–13.
Published: 01 July 2017
...’ compensation cases. Impairment should be evaluated using the most current and widely accepted standard. As medicine evolves, so does our understanding of best practices in impairment evaluation. In using impairment as a threshold for permanent disability benefits, it is imperative to distinguish between...
Guides Newsletter (2022) 27 (1): 3–6.
Published: 01 January 2022
.../JBJS.J.01452 . 19. Hopewell S , Keene DJ , Marian IR , et al . Progressive exercise compared with best practice advice, with or without corticosteroid injection, for the treatment of patients with rotator cuff disorders (GRASP): a multicentre, pragmatic, 2 × 2 factorial...
Guides Newsletter (1997) 2 (5): 7.
Published: 01 September 1997
... and conclusions.” Their California study considered 200 consecutive low back pain patient disability rating reports. The authors picked the 42 best (most complete) reports. Multiple physicians reviewed each report and rated each individual's disability. An average of 14 physicians rated each case...
Guides Newsletter (2014) 19 (4): 3–5.
Published: 01 July 2014
... of the current best evidence in making decisions about the care of the individual patient. It means integrating individual clinical expertise with the best available external clinical evidence from systematic research.” 1 However, there are limitations to unmeasured acceptance of research as EBM, since...
Guides Newsletter (2017) 22 (4): 3–5.
Published: 01 July 2017
..., should report similar results and reach similar conclusions” (5th ed, 17). This goal is no longer achieved in California. The AMA Guides are based on the consensus of hundreds of physicians and other stakeholders to assure that impairment ratings reflect current best practices and science. When...
Guides Newsletter (2016) 21 (3): 15–16.
Published: 01 May 2016
... of determining impairment, the appropriate health regulatory agency in a given jurisdiction is the best-suited authority to determine the definition of doctor in regard to who uses the Guides to rate impairment in that jurisdiction. It must be emphasized, however, that even though the Guides is mainly...
Guides Newsletter (2018) 23 (4): 14–15.
Published: 01 July 2018
... and disability. This is particularly the case when illness behavior takes the form of symptom magnification (exaggeration). As with illness behavior in general, symptom magnification is best understood as a clinical phenomenon that lies along a continuum from unconscious and unintentional (eg, somatic symptom...
Guides Newsletter (2002) 7 (3): 6–7.
Published: 01 May 2002
... in the emergency setting: best motor response, best verbal response, and eye opening. A GCS of 9 or less qualifies the individual as a catastrophic impairment. The gradations of persistent vegetative state and severe disability were defined as: Persistent vegetative state . This describes patients who...
Guides Newsletter (2016) 21 (5): 9–10.
Published: 01 September 2016
... by practicing physicians, and patients are not in a good position to assess it. Evaluation of appropriateness and effectiveness is admittedly a difficult and imperfect process. However, the best person to perform this evaluation is another physician who is equally or more expert in the matter at hand—and who...