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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 (2020) 25 (6): 13.
Published: 01 November 2020
...James B. Talmage, MD This is a brief introduction to maximum medical improvement (MMI), which is pertinent to permanent impairment assessment. The definition and explanation of MMI according to the AMA Guides to the Evaluation of Permanent Impairment (AMA Guides) , Sixth Edition, is discussed...
Newsletter Articles
Guides Newsletter (2020) 25 (5): 3–11.
Published: 01 September 2020
... data to the processes and criteria provided in the AMA Guides to the Evaluation of Permanent Impairment (AMA Guides) . The approaches discussed in the fifth and sixth editions of the AMA Guides are similar. © 2020 American Medical Association. All Rights Reserved. 2020 American Medical Association...
Newsletter Articles
Guides Newsletter (2020) 25 (3): 12–19.
Published: 01 May 2020
... ( AMA Guides ) is used. This discussion also raises interesting legal questions related to retroactivity, applicability of prior precedent, and delegation. On June 20, 2017, the Supreme Court of Pennsylvania handed down its decision, Protz v. WCAB (Derry Area Sch. Dist.), which disallows use of the...
Newsletter Articles
Guides Newsletter (2021) 26 (2): 3–12.
Published: 01 March 2021
... AMA Guides using the test results and tables discussed previously. This does not necessarily reflect a lack of disease; rather, this disease is new, and we do not fully understand the pathophysiology. As we understand the underlying clinical issues, we may develop new approaches and criteria to...
Newsletter Articles
Guides Newsletter (2021) 26 (2): 13–17.
Published: 01 March 2021
..., subsequent printings, and all digital versions of the sixth edition corrected this oversight. In the second and subsequent printings, Chapter 16, The Lower Extremities (6th ed, 532), and Table 16-11, Sensory and Motor Severity (6th ed, 533), correctly discuss light-touch perception and sharp vs dull...
Newsletter Articles
Guides Newsletter (2021) 26 (1): 7–8.
Published: 01 January 2021
... ability of examiners to assess PRI reliably and validly. Section 3.2, Controversies Surrounding Pain-Related Impairment, contains a subsection entitled Resolution of Conceptual Conundrums (6th ed, 36) that discusses incorporation of PRI into the AMA Guides’ rating system if certain clarifications...
Newsletter Articles
Guides Newsletter (2021) 26 (1): 9–17.
Published: 01 January 2021
... medical records is essential for the exposure of inconsistencies or discrepancies relevant to the discussion section in the medicolegal report. For example, pharmacologic agents with known ocular side effects might have been prescribed, and these drugs can have subtle toxicological effects, such as dry...
Newsletter Articles
Guides Newsletter (2020) 25 (6): 3–6.
Published: 01 November 2020
... discusses the requirements an injured worker needs to meet in order to be eligible for SIBTF benefits, i.e., the “overall threshold” and an “industrial threshold” of disability to qualify for benefits under California Labor Code Section 4751. The California SIBTF is paid for by an assessment from all...
Newsletter Articles
Guides Newsletter (2020) 25 (2): 9.
Published: 01 March 2020
... assessment may include other practitioners, eg, psychologists and chiropractors. Depending on the referral request, the IME typically discusses disability (the definition depends on the local jurisdiction) based on deficits in the person's activities of daily living. In the IME, the evaluator may be asked to...
Newsletter Articles
Guides Newsletter (2020) 25 (5): 12–15.
Published: 01 September 2020
... which directly affect benefit delivery to injured workers. This article discusses the special aspects of addressing and defining substantial medical evidence, causation, and apportionment in the California Workers' Compensation system, and it applies these definitions to examples of cases. In addition...
Newsletter Articles
Guides Newsletter (2019) 24 (3): 3–9.
Published: 01 May 2019
...Garson Caruso, MD, MPH; Les Kertay, PhD The first part of this two-part series discusses psychological influences in delayed and failed recovery and resulting unnecessary work disability; the second part discusses theoretical and practical aspects of the issue, including evaluation and treatment...
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 (2020) 25 (4): 14–15.
Published: 01 July 2020
... DASH values are applied similarly when determining whether the final IR is moved lower, higher, or remains the same. None of the grades listed in Table 15-23 considers a Quick DASH score of >80. What should the examiner do with a Quick DASH score of >80? First, the examiner should discuss...
Newsletter Articles
Guides Newsletter (2020) 25 (4): 8–11.
Published: 01 July 2020
... of known facts and formation of a medical opinion that is supported by reasonable explanations. This article will discuss how physicians can respond to requests for a causation opinion from workers' compensation insurers, or from administrative agencies. References 1. Hill Austin Bradford...
Newsletter Articles
Guides Newsletter (2020) 25 (4): 3–7.
Published: 01 July 2020
... present, which is discussed later in the article. If these individuals have persisting complaints of dyspnea on exertion or fatigue, the first assessment should be face-to-face in an office setting ( not via telemedicine). Using release-of-information forms to obtain records from the primary care...
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 (2020) 25 (3): 3–11.
Published: 01 May 2020
... swearing-in procedure in the event of a good faith objection. It may be useful to have a virtual meeting with a client to discuss the IME report. Web-based platforms permit the physician to share desktops and view the actual report. Similarly, it is possible to share specifics in a medical record or...
Newsletter Articles
Guides Newsletter (2020) 25 (2): 3–8.
Published: 01 March 2020
... South Wales Motor Accidents Authority, is now used in several states. It is also one of the instruments used in the Sixth Edition, Chapter 14, Mental and Behavioral Disorders, as discussed in Section 14.5c, Psychiatric Impairment Rating Scale (6th ed, 355). In the Middle East, the past decade has...
Newsletter Articles
Guides Newsletter (2019) 24 (1): 3–14.
Published: 01 January 2019
... of disturbances of the nervous system, divided for discussion here into four parts—the central nervous system (CNS), the peripheral nervous system, vision, and hearing—and offers guidance in using the AMA Guides, Fifth and Sixth Editions, in a variety of specific disorders within each group. For...