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Impairment

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Newsletter Articles
Guides Newsletter (2021) 26 (4): 3–7.
Published: 01 July 2021
... general disability issues and their impact on individual well-being, social participation, and frequently associated poverty. It defines the difference between impairment assessment and disability assessment, explores three common disability models, and raises issues about psychiatric disability and its...
Newsletter Articles
Guides Newsletter (2021) 26 (3): 8–13.
Published: 01 May 2021
... or illness. The pain may also begin without a known precipitant. While various authors have questioned the validity of the diagnosis, physicians will be asked to perform impairment ratings on patients diagnosed with CRPS. Hence, it is important to understand the issues associated with this syndrome...
Newsletter Articles
Guides Newsletter (2021) 26 (2): 3–12.
Published: 01 March 2021
..., and therefore, we have more limited experience in understanding all of its outcomes. Thus, clinical, functional, and permanent impairment assessment is challenging. Symptoms including fatigue, dyspnea, and cognitive difficulties have been referred to as “post-acute COVID,” “long COVID,” or “long haulers...
Newsletter Articles
Guides Newsletter (2021) 26 (1): 18.
Published: 01 January 2021
...Daniel C. Schainholz, MD, MPH; August Colenbrander, MD; Christopher R. Brigham, MD © 2021 American Medical Association. All Rights Reserved. 2021 American Medical Association QUESTION: I am going to evaluate permanent impairment for a person who had a corneal abrasion. I will assess...
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 (2008) 13 (6): 8.
Published: 01 November 2008
...Richard T. Katz, MD The author, who is the editor of the Mental and Behavioral Disorders chapter of the AMA Guides to the Evaluation of Permanent Impairment ( AMA Guides ), Sixth Edition, comments on the previous article, Assessing Mental and Behavioral Disorder Impairment: Overview of Sixth...
Newsletter Articles
Guides Newsletter (2020) 25 (4): 3–7.
Published: 01 July 2020
... workers' compensation claims that have been accepted. Each accepted claim will eventually need a physician to declare the individual “at maximal medical improvement” or the equivalent phrase in the jurisdiction involved. The next step is for the physician to rate permanent impairment, if present, so...
Newsletter Articles
Guides Newsletter (2020) 25 (3): 3–11.
Published: 01 May 2020
... that provides meaningful information and addresses the questions asked by the referring client. The coronavirus disease 2019 (COVID-19) pandemic has necessitated that we reappraise how we accomplish many tasks, including how we assess impairment and perform independent medical evaluations (IMEs). During...
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 (2011) 16 (5): 7–8.
Published: 01 September 2011
... and impairments from the one course I had in Low Vision, but finally, Bernard R. Blais, MD, author of AMA Guides to the Evaluation of Ophthalmic Impairment and Disability, has written a very easy to read and understand paperback book I would recommend to be part of the curriculum for all three levels...
Newsletter Articles
Guides Newsletter (2020) 25 (1): 3–11.
Published: 01 January 2020
.... This article addresses the question of rating the impairment for an individual with no history of substance use disorder before a work injury, who is prescribed opioids for this injury, and who subsequently develops opioid use disorder (OUD). The Diagnostic and Statistical Manual of Mental Disorders, Fifth...
Newsletter Articles
Guides Newsletter (2010) 15 (6): 5–7.
Published: 01 November 2010
...Christopher R. Brigham, MD; Aimee McEntire; Craig Uejo, MD, MPH The Florida workers’ compensation system uses the 1996 Florida Uniform Permanent Impairment Rating Schedule (FUPIRS), that was based in part on the AMA Guides to the Evaluation of Permanent Impairment ( AMA Guides ), Third Revised...
Newsletter Articles
Guides Newsletter (2019) 24 (6): 18–19.
Published: 01 November 2019
... 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 fair and consistent impairment rating information and tools. The AMA Guides ® provide...
Newsletter Articles
Guides Newsletter (2019) 24 (6): 3–11.
Published: 01 November 2019
...Stephen L. Demeter, MD, MPH; Charles N. Brooks, MD; J. Mark Melhorn, MD This article is the fourth of five in a series on the effects of age-related changes in impairment evaluations as defined by the AMA Guides to the Evaluation of Permanent Impairment ( AMA Guides ), Fifth and Sixth Editions...
Newsletter Articles
Guides Newsletter (2019) 24 (2): 12–14.
Published: 01 March 2019
...Jay Blaisdell; James B. Talmage, MD Facial disfigurements, including those caused by burns (thermal, chemical, or electrical) or trauma, are rated in the AMA Guides to the Evaluation of Permanent Impairment ( AMA Guides ), Sixth Edition, Chapter 11, which also discusses occupational overexposure...
Newsletter Articles
Guides Newsletter (2008) 13 (5): 11.
Published: 01 September 2008
...Kenneth Subin, MD, MPH; Christopher R. Brigham, MD The approach to assessing impairment for headaches differs among the fourth, fifth, and sixth editions of the AMA Guides to the Evaluation of Permanent Impairment ( AMA Guides ). In summary, the fourth edition provides only a qualitative...
Newsletter Articles
Guides Newsletter (2008) 13 (5): 7–8.
Published: 01 September 2008
...Christopher R. Brigham, MD The AMA Guides to the Evaluation of Permanent Impairment ( AMA Guides ), Sixth Edition, takes approaches to the lower extremities that are consistent with Chapter 15, Upper Extremities (reviewed in the March/April 2008 issue of The Guides Newsletter ). Because...
Newsletter Articles
Guides Newsletter (2008) 13 (2): 6–8.
Published: 01 March 2008
...Lorne Direnfeld, MD; Christopher R. Brigham, MD; Elizabeth Genovese, MD, MBA The AMA Guides to the Evaluation of Permanent Impairment ( AMA Guides ), does not provide a Diagnosis-based estimate of impairment due to syringomyelia, a disorder in which a cyst (syrinx), develops within the central...
Newsletter Articles
Guides Newsletter (2019) 24 (1): 15–16.
Published: 01 January 2019
.... There was a small, but noticeable notch in this range. Using the tables found in both the Fifth and Sixth Editions of the AMA Guides , impairment is based on adding the hearing losses at 500, 1000, 2000, and 3000 Hz. Presbycusis affects all four these ranges, but, as noted above, occupationally acquired...
Newsletter Articles
Guides Newsletter (2019) 24 (1): 3–14.
Published: 01 January 2019
...Stephen L. Demeter, MD, MPH This article is the third in a series of four that explore the effects of age-related changes in impairments as defined by the AMA Guides to the Evaluation of Permanent Impairment ( AMA Guides ), Fifth and Sixth Editions. Specifically, this article focuses on evaluation...