This is the solution you have been looking for to master and use the Sixth Edition of the AMA Guides to the Evaluation of Permanent Impairment. This unique membership site provides you 24/7 access to extensive and essential resources that will improve the quality and efficiency of performing and reviewing Sixth Edition impairment evaluations. The site is designed for all professionals involved in the use of the Sixth Edition, including physicians, attorneys, claims professionals and fact finders. You will gain access to:
  • Training
    • Presentations by Christopher R. Brigham, MD, Senior Contributing Editor to the Sixth Edition – view at your convenience – 9 modules, over 6 hours of content in Flash format - fast loading and easy to navigate.
    • Seminar Syllabus
    • Articles - searchable by Chapter and topic
    • Case Exercises with Solutions – searchable by Chapter
    • Questions and Answers – searchable by Chapter and topic
  • Calculators
    • Functional Inventories (with online scoring and reporting), including Pain Disability Questionnaire (PDQ), QuickDASH, and Lower Limb Outcome – simplifies use and saves valuable time.
    • Net Adjustment – instant calculation of adjustments
    • Combined Values
    • Unit and Regional Conversions
  • Forms
    • Functional Inventory Forms
    • History Form
    • Physical Examination Form
  • Resources
    • Rating Guidance Tool which provides information on the applicable section(s) and criteria, and suggestions on the rating process to over 50 of the most commonly rated conditions.
All of these resources are available to you 24/7 for only $487 a year, less than cost of a single day of live training – and you have access all year. This provides you with a superb return on investment by increasing your abilities and saving time.

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Annual $ 487.00
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  • Online training – efficient and effective. Online training is a very efficient way to learn the Guides. Use this as a primary learning method or to complement other seminars. No travel time, no travel costs, no lost productivity, and no hassle. In the past, to learn how to use the Guides you would need to travel to seminars - and then weeks later you encounter a rating issue and do not clearly recall what to do. Or you would need to struggle on your own to interpret the Guides. The training is equivalent to days of participation in seminars, yet the fee is not. Nor is there lost productivity (compromising billable hours) or any travel costs. You do not have to give up valued work days, treasured weekends or vacation time to receive training.

The presentations focus on the musculoskeletal injuries of the spine, upper extremities and lower extremities which represent the vast majority of the ratable conditions. Online case exercises with solutions will increase your skills and your confidence.


You will learn from Christopher R. Brigham, MD, Senior Contributing Editor of the Sixth Edition, Editor of the Guides Casebook and Guides Newsletter, and someone highly regarded for his knowledge of impairment evaluation and ability to convey this knowledge to others.


As a result of these learning resources you will be able to:

  • Discuss the International Classification of Functioning, Disability and Health ( ICF) and its role in impairment evaluation.
  • Explain the reasons for revision of the prior approaches to impairment assessment.
  • Describe how to determine Diagnosis-Based Impairments, and make adjustments on the basis of the results of Functional History, Physical Examination, and Clinical Studies.
  • Demonstrate the ability to score Functional Inventories (including the QuickDASH, Lower Limb Outcome Scale, and Pain Disability Questionnaire).
  • Explain why methods used in previous editions (such as spinal range of motion assessment and strength determination) are no longer determinates.
  • Demonstrate the ability to rate most commonly rated disorders, including spinal pain, upper limb disorders (hand, wrist, elbow, shoulders and entrapments), lower limb disorders (foot / ankle, knee and hip), nervous system disorders, and pain.
You made “digesting” this material over my lunch hour far more tolerable than expected. I seriously doubt most busy physicians could find the motivation to get through the enormous volumes of new content without your assistance.

This resource enables me to make use of time which would otherwise be wasted. I can listen to the live event over lunch, and review the more complex segments while commuting, exercising, or working around the house.

As an Occupational Medicine physician, my most limited resource is time, and my most valuable asset is knowledge. I would like to thank you and your staff for consistently providing high quality CME programs. Once again, you have accomplished your goal of exceeding my expectations!

Todd E. Garner, DO, CIME, Mattoon, Illinois
  • Guidance. You also gain access to articles on topics of importance to you and online rating guidance for the most commonly encountered diagnoses.
  • To ease the process of performing and reviewing impairment ratings, you are provided with access to the functional inventories used in the Guides, including the Pain Disability Questionnaire (PDQ), QuickDASH, and AAOS Lower Limb Outcome Scale – with online scoring and printing! This feature alone, and the associated savings of time, provides an excellent return on your nominal monthly investment. You also have access to online calculators for net adjustment, combined values and conversions.
I am really happy I subscribed....its excellent and a real cost saver.....at $700 a year it provides me with more info, training and assistance than a 3-4 day course elsewhere at twice or three times the cost.

Ronald Fadel, MD, Orthopedic Surgeon, Louisville, Kentucky

To greatly improve the quality and efficiencies of evaluations you will also gain access to a variety of forms that are available only to current subscribers of 6thEdition.com. Examinee forms include consent, history, inventories and satisfaction survey. The Impairment Evaluation Report Form is 21 pages in length and includes section on Introduction, Physical Examination of all musculoskeletal regions, Diagnostic Studies, Functional Inventories, Conclusions, Impairment Rating Worksheets, and Disclosures. We also provide you with extensive Internet links to resources that you will find very valuable.

I would like to commend you on the creation of your website "6thEdition.com”. This is an invaluable resource tool for writing my Independent Medical Evaluations and Medical Impairment Reports requiring the Sixth Edition of the American Medical Association Guides to the Evaluation of Permanent Impairment. Presently, I have a large clinical practice at the Physical Medicine Pain Center located in Orlando Florida, treating patients involved in motor vehicle crashes with residual impairments after maximal medical improvement. The State of Florida requires the most recent edition of the AMA Guides for calculation of causally related impairment as a result of these personal injuries.

The 6thEdition.com allows me to input my clinical data from diagnosis, history, physical examination, and clinical studies to arrive at a whole person permanent impairment rating. This documentation supports my narrative report conclusions and provides the necessary references from the various tables of the Guides 6th edition. The 6thEdition.com provides interactive examinee and physical examination forms, in addition to the necessary functional inventories for the upper and lower extremities, including the spine. These tools are extremely useful in the calculation of overall functional test scores and the net adjustment formula in the final impairment rating.

The implementation of your 6thEdition.com website is most cost effective and time consuming. I would highly recommend the "6thEdition" to any Physician requiring the use of the AMA Guides for the calculation of whole person permanent impairment rating.

Francis W. Brooks, D.O., FAADEP, Orlando, Florida

Subscribe today if you are interested in group member discounting, please contact us. It is a pleasure to provide you with access to these unique resources that will be of significant benefit to you and your organization.

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