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Clinical Evaluation

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Newsletter Articles
Guides Newsletter (2001) 6 (1): 3–10, 12.
Published: 01 January 2001
...True Martin, MD; Christopher R. Brigham, MD; Charles N. Brooks, MD This article provides an overview of the neurological examination and diagnostic studies commonly used in the evaluation of low back pain, information that is essential for both clinical assessment and impairment rating in the AMA...
Newsletter Articles
Guides Newsletter (2002) 7 (5): 4–9.
Published: 01 September 2002
..., and a third divides the preparation of reports into three steps: clinical evaluation, calculation of the impairment rating, and discussion of how the impairment rating was calculated. A fourth table includes an extensive checklist that lists the components of most quality IME reports. The use of templates...
Newsletter Articles
Guides Newsletter (2002) 7 (6): 4–4, 16.
Published: 01 November 2002
...Norma J. Leclair, RN, PhD, LCPC; Leclair Steven W., PhD, CRC; Christopher R. Brigham, MD According to the AMA Guides to the Evaluation of Permanent Impairment ( AMA Guides ), motivation is a need or desire that causes a person to act and may be a key factor in an individual's physical or mental...
Newsletter Articles
Guides Newsletter (1998) 3 (1): 6–7.
Published: 01 January 1998
...Robert H. Haralson, MD © 1998 American Medical Association. All Rights Reserved. 1998 American Medical Association Evaluation of the cervical spine and of the lumbar spine are similar with one major exception. In the cervical spine, an injury can cause spinal cord damage resulting...
Newsletter Articles
Guides Newsletter (1997) 2 (2): 7.
Published: 01 March 1997
...Lorne Direnfeld, MD, FRCP(C) © 1997 American Medical Association. All Rights Reserved. 1997 American Medical Association The Guides addresses impairment evaluation of headaches in section 15.9 of the chapter on pain (4th ed., 311). Rating impairment related to various chronic painful...
Newsletter Articles
Guides Newsletter (1999) 4 (5): 4–7.
Published: 01 September 1999
...Laura Welch, MD Functional capacity evaluations (FCEs) have become an important component of disability evaluation during the past 10 years to assess an individual's ability to perform the essential or specific functions of a job, both preplacement and during rehabilitation. Evaluating both job...
Newsletter Articles
Guides Newsletter (1999) 4 (2): 3–4.
Published: 01 March 1999
...Rebecca Bascom, MD, MPH; Timothy J. Craig, DO; Diane Schuler, MD Despite rapid advances in understanding of the biology of allergic disorders, practical techniques for evaluating the allergic patient remain fairly constant. The AMA Guides to the Evaluation of Permanent Impairment ( AMA Guides...
Newsletter Articles
Guides Newsletter (1998) 3 (2): 4–5.
Published: 01 March 1998
...Glenn Pransky, MD, MOccH According to the AMA Guides to the Evaluation of Permanent Impairment, a functional capacity evaluation (FCE) measures an individual's physical abilities via a set of activities in a structured setting and provides objective data about the relationship between an impairment...
Newsletter Articles
Guides Newsletter (1998) 3 (5): 8–10.
Published: 01 September 1998
...Robert L. Knobler, MD, PhD; Charles N. Brooks, MD, CIME; Leon H. Ensalada, MPH, FAADEP, CIME; James B. Talmage, MD; Christopher R. Brigham, MD The author of the two-part article about evaluating reflex sympathetic dystrophy (RSD) responds to criticisms that a percentage impairment score may...
Newsletter Articles
Guides Newsletter (2020) 25 (6): 10–12.
Published: 01 November 2020
... 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...
Newsletter Articles
Guides Newsletter (2017) 22 (5): 3–18.
Published: 01 September 2017
... in several arenas, including automobile casualty, workers’ compensation, personal injury, medical malpractice, and long-term disability and differ from traditional clinical evaluations. The evaluating physician must be independent and has no (or only a limited) physician–patient relationship...
Newsletter Articles
Guides Newsletter (2019) 24 (5): 3–7, 16.
Published: 01 September 2019
.... An 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 (2007) 12 (4): 1–3, 8-9.
Published: 01 July 2007
...Robert J Barth, PhD Impairment evaluations often occur within an adversarial context that involves a claimant or plaintiff vs a defense or benefits system; this adversarial context may precipitate proposals for observations of a clinical evaluation (eg, by an attorney or attorneys for one or both...
Newsletter Articles
Guides Newsletter (2003) 8 (5): 1–9.
Published: 01 September 2003
... (retrograde and anterograde); and the presence and duration of alteration in or loss of consciousness. According to the AMA Guides to the Evaluation of Permanent Impairment ( AMA Guides ), the evaluating physician should consider the following: narrative history; most recent clinical evaluation; assessment...
Newsletter Articles
Guides Newsletter (2005) 10 (4): 4–7.
Published: 01 July 2005
... that, taken literally, indicates it should not be used). A detailed case example illustrates how the decision about using the mental/behavioral chapter or the pain chapter often can be clarified by simply performing a thorough clinical evaluation (see Part 2 of this series). Examiners should be aware...
Newsletter Articles
Guides Newsletter (2020) 25 (2): 11.
Published: 01 March 2020
... the unlisted condition to measurable impairment resulting from similar conditions with similar impairment of function in performing activities of daily living. The physician's judgment, based upon experience, training, skill, thoroughness in clinical evaluation, and ability to apply the Guides criteria...
Newsletter Articles
Guides Newsletter (2021) 26 (1): 3–6.
Published: 01 January 2021
...Charles N. Brooks, MD Rating repeat partial meniscectomies, unoperated meniscal tears, and meniscal repairs requires thoughtful clinical assessment and application of directives provided in the AMA Guides to the Evaluation of Permanent Impairment (AMA Guides). Although the AMA Guides provide...
Newsletter Articles
Guides Newsletter (2021) 26 (5): 17–19.
Published: 01 September 2021
... to direct examinations and to performing an assessment based on document review. The AMA Guides to the Evaluation of Permanent Impairment (AMA Guides), Section 2.7a, Clinical Evaluations, explains that record review is the first part of any such evaluation (6th ed, 28): The relevant history...
Newsletter Articles
Guides Newsletter (2021) 26 (4): 12–13.
Published: 01 July 2021
... with similar impairment of function in performing activities of daily living. The physician's judgment, based upon experience, training, skill, thoroughness in clinical evaluation, and ability to apply the Guides criteria as intended, will enable an appropriate and reproducible assessment to be made...
Newsletter Articles
Guides Newsletter (2021) 26 (2): 18–19.
Published: 01 March 2021
..., thoroughness in clinical evaluation, and ability to apply the Guides criteria as intended, will enable an appropriate and reproducible assessment to be made of clinical impairment. Clinical judgment, combining both the “art” and “science” of medicine, constitutes the essence of medical practice (5th ed, 11...