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Impairment

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Newsletter Articles
Guides Newsletter (2021) 26 (2): 3–12.
Published: 01 March 2021
... 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
... corneal abrasion is a lesion in which there is trauma to the corneal epithelium. This common eye injury usually heals quickly, within hours or days. The patient often experiences temporary discomfort. However, a corneal abrasion rarely results in a permanent visual impairment. Therefore, it is imperative...
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...
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Calculation of the <b>Impairment</b> Rating for the Visual System    Note that the...
Published: 01 January 2021
TABLE 1. Calculation of the Impairment Rating for the Visual System Note that the prefix visual is used when the score refers to each eye. The prefix functional refers to the estimated performance of the individual. The term vision score combines visual acuity and visual field estimates More
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 (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 the...
Newsletter Articles
Guides Newsletter (2021) 26 (1): 9–17.
Published: 01 January 2021
...TABLE 1. Calculation of the Impairment Rating for the Visual System Note that the prefix visual is used when the score refers to each eye. The prefix functional refers to the estimated performance of the individual. The term vision score combines visual acuity and visual field estimates...
Newsletter Articles
Guides Newsletter (2020) 25 (3): 3–11.
Published: 01 May 2020
... client. Essentially all aspects of the independent medical and impairment assessment are amenable to being performed in a virtual-environment, subject to the physician's motivation, patience, and effectiveness. The primary challenge is how to perform certain aspects of the physical examination...
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 (2020) 25 (6): 10–12.
Published: 01 November 2020
...Jay Blaisdell, MA; James B. Talmage, MD Appropriately assessing impairment mandates that the physician be familiar with the principles of assessing impairment, as reflected in Chapter 1, Conceptual Foundations and Philosophy, and Chapter 2, Practical Applications of the Guides. Based on this...
Newsletter Articles
Guides Newsletter (2020) 25 (6): 7–9.
Published: 01 November 2020
...Jay Blaisdell, MA; James B. Talmage, MD This article provides an overview of the conceptual foundations of the AMA Guides to the Evaluation of Permanent Impairment (AMA Guides) , Sixth Edition. Impairment assessment in the sixth edition underwent a “paradigm shift” compared to the AMA Guides...
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 (2021) 26 (2): 18–19.
Published: 01 March 2021
...-year post-injury. Using the fifth edition of the AMA Guides to the Evaluation of Permanent Impairment (AMA Guides), which is applicable in the patient's state, his treating physician, despite the patient having normal hip adduction strength, provided a rating based on strength loss, using half the...
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 (1): 3–11.
Published: 01 January 2020
... 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 (2020) 25 (6): 3–6.
Published: 01 November 2020
...Steven D. Feinberg, MD, MPH Many states have benefit programs (e.g., special fund, second injury fund, subsequent injuries fund, special disabilities trust fund) for people with significant pre-existing impairment and/or disability who are injured. Each fund has different rules and regulations...
Newsletter Articles
Guides Newsletter (2020) 25 (3): 12–19.
Published: 01 May 2020
...Justin D. Beck, Esq.; Judge David B. Torrey Medical evaluators must understand the context for the impairment assessments they perform. This article exemplifies issues that arise based on the role of impairment ratings and what edition of the AMA Guides to the Impairment of Permanent Impairment...
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 (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. The...
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...