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Clinical Evaluation

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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 (2017) 22 (5): 3–18.
Published: 01 September 2017
... take place 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 (2020) 25 (2): 3–8.
Published: 01 March 2020
...Mohammed I. Ranavaya, MD, JD, MS, FFOM, FRCPI, FACLM; Christopher R. Brigham, MD, MMS Since its inception more than six decades ago, the AMA Guides to the Evaluation of Permanent Impairment, ( AMA Guides ), has become internationally accepted as a global benchmark and is used in the United States...
Newsletter Articles
Guides Newsletter (2016) 21 (1): 10–13.
Published: 01 January 2016
... J Sports Med 1994 ; 22 : 359 . 58. Kibler WB . Clinical biomechanics of the elbow in tennis: implications for evaluation and diagnosis. Med Sci Sports Exerc 1994 ; 26 : 1203 . 59. Kijowski R , De Smet AA . Magnetic resonance imaging findings in patients with...
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 (2019) 24 (6): 18–19.
Published: 01 November 2019
... © 2019 American Medical Association. All Rights Reserved. 2019 American Medical Association For over 50 years, the AMA Guides ® to the Evaluation of Permanent Impairment (AMA Guides ® ) have been the trusted authoritative source that physicians, patients, and regulators rely on for...
Newsletter Articles
Guides Newsletter (2021) 26 (2): 3–12.
Published: 01 March 2021
... an accepted COVID-19 workers’ compensation claim. It also guides evaluating physicians who need to address clinical assessment, maximum medical improvement (MMI), and permanent impairment associated with COVID-19. Both treating and evaluating physicians may encounter individuals who present with...
Newsletter Articles
Guides Newsletter (2021) 26 (2): 13–17.
Published: 01 March 2021
...James B. Talmage, MD; Jay Blaisdell, MA; Christopher R. Brigham, MD Nerve lesions caused by traumatic events to the lower extremity's peripheral nerves are rated using Section 16.4 of the sixth edition of the AMA Guides to the Evaluation of Permanent Impairment (AMA Guides). Results from sensory...
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 a...
Newsletter Articles
Guides Newsletter (2019) 24 (3): 14–16.
Published: 01 May 2019
... inconsistency in the measurements among various evaluators, and these inconsistencies cannot be clinically explained, then “the results are considered invalid and cannot be used to rate impairment” (6th ed, 407). Clinical explanations for inconsistencies should be articulated. For example, “Dr. X noted better...
Newsletter Articles
Guides Newsletter (2019) 24 (2): 6–11.
Published: 01 March 2019
...Jay Blaisdell; James B. Talmage, MD Upper extremity amputations are rated in the AMA Guides to the Evaluation of Permanent Impairment ( AMA Guides ), Sixth Edition, Section 15.6, Amputation Impairment, where text, tables, and figures guide evaluators in combining proximal diagnosis-based...
Newsletter Articles
Guides Newsletter (2019) 24 (2): 15.
Published: 01 March 2019
... treatment of many conditions, including medically unexplained symptoms and chronic pain; the work relevance of even non-workrelated conditions; the considerable effects of administrative and clinical iatrogenicity; and the plethora of complex factors potentially affecting the course of conditions treated in...
Newsletter Articles
Guides Newsletter (2020) 25 (5): 3–11.
Published: 01 September 2020
... hypoxic-ischemic encephalopathy associated with profound neurological losses. The evaluation of the consequences of severe central nervous system injury necessitates evaluation and rating of all the sequelae of that injury. The first step is clinical assessment, followed by thoughtful application of these...
Newsletter Articles
Guides Newsletter (2021) 26 (1): 9–17.
Published: 01 January 2021
... evaluation along multiple clinical vectors, inter alia , physiologic optics, the external and biomicroscopic anatomic examinations, with an evaluation from perspectives across all ophthalmic subspecialties (oculoplastics, cornea, glaucoma, retina, neuro-ophthalmology, and low-vision rehabilitation) plus...
Newsletter Articles
Guides Newsletter (2021) 26 (1): 7–8.
Published: 01 January 2021
...Steven D. Feinberg, MD; Christopher R. Brigham, MD; Charles N. Brooks, MD Assessment of impairment and disability experienced by patients with chronic pain is challenging. The AMA Guides to the Evaluation of Permanent Impairment (AMA Guides) assesses impairment primarily based on objective findings...
Newsletter Articles
Guides Newsletter (2021) 26 (2): 18–19.
Published: 01 March 2021
..., 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 of clinical impairment. Clinical judgment, combining both the “art” and “science” of medicine, constitutes the essence of medical...
Newsletter Articles
Guides Newsletter (2020) 25 (2): 9.
Published: 01 March 2020
...Steven Feinberg, MD; Christopher R. Brigham, MD An independent medical evaluation (IME) is a specialized examination or evaluation best performed by a physician who has special training and experience in assessing issues unique to an IME. IMEs must be independent, and opinions should be consistent...
Newsletter Articles
Guides Newsletter (2020) 25 (6): 7–9.
Published: 01 November 2020
... AMA Guides to the Evaluation of Permanent Impairment (AMA Guides) has been revised several times over the years to incorporate current scientific clinical knowledge and judgment. For example, in 1993 the fourth edition introduced the diagnosis-related estimates (DRE) or “injury” model to the...
Newsletter Articles
Guides Newsletter (2017) 22 (6): 3–11.
Published: 01 November 2017
... regarding life expectancy. Key Points Life expectancy is based on specific clinical information and epidemiological data, not on personal experience. US life tables based on the general population are not useful in accurately assessing life expectancy for someone with a serious condition. With...
Newsletter Articles
Guides Newsletter (2021) 26 (1): 18.
Published: 01 January 2021
... to consider the mechanism of injury and also the context. For example, a chemical injury (eg, pepper spray exposure) can cause a peripheral retinal chemotoxic reaction that typically is not observable clinically on dilated fundus examination and would go undetected without the Goldmann visual field...