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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 (3): 3–7.
Published: 01 May 2021
...Sarah H. Gulick, PsyD; Steven Mandel, MD; Edward A. Maitz, PhD, ABN; Christopher R. Brigham, MD; Lorne K. Direnfeld, MD Physicians performing impairment evaluations on patients with cognitive complaints and possible central nervous system disorders should perform a clinical mental status assessment...
Newsletter Articles
Guides Newsletter (2021) 26 (4): 3–7.
Published: 01 July 2021
...Fabien Gagnon, MD, PsyD; Les Kertay, PhD Claims of occupational psychiatric disability have increased considerably over the past 20 years. To avoid psychiatric disability overdiagnosis, it is important to improve the clinical assessment of mental health work disability. This article discusses...
Newsletter Articles
Guides Newsletter (2021) 26 (2): 3–12.
Published: 01 March 2021
... as radiologists give better interpretations if given significant clinical information, when requesting an ECHO, it is wise to alert the interpreting cardiologist that the patient “had COVID, desaturates with exercise” or “had COVID, evaluate left and right heart function and for pulmonary...
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 (2019) 24 (3): 14–16.
Published: 01 May 2019
...Jay Blaisdell; James B. Talmage, MD Examiners use range-of-motion (ROM) testing to help calculate the physical examination modifier when they use the diagnosis-based impairment (DBI) method in the AMA Guides to the Evaluation of Permanent Impairment ( AMA Guides ), Sixth Edition. DBI is the...
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 (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
... Observational studies investigating reproducibility among healthcare professionals performing disability evaluations using a global rating of working capacity and reporting inter-rater reliability by a statistical measure or descriptively. Studies could be conducted in insurance settings, where decisions on...
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 (4): 12–13.
Published: 01 July 2021
... impairment resulting from 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...
Newsletter Articles
Guides Newsletter (2021) 26 (3): 8–13.
Published: 01 May 2021
... to diagnose CRPS based on clinical judgment and historical information, but should note that the diagnosis does not currently meet the IASP criteria. In this case, the diagnosis is challengeable, and the patient cannot be rated using the standard AMA Guides to the Evaluation of Permanent Impairment...
Newsletter Articles
Guides Newsletter (2021) 26 (4): 14.
Published: 01 July 2021
...°. When rating the resulting impairment using Table 17-35, Rating Knee Replacement Results (5th ed, 549) of the AMA Guides to the Evaluation of Permanent Impairment (AMA Guides), Fifth Edition, is it correct to make an alignment deduction of 30 points (3 points for each of the 10° of valgus...
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...