AMA Guides to the Evaluation of
Permanent Impairment
AMA Guides to the Evaluation of Permanent Impairment® (AMA Guides®) is published by the American Medical Association. It is used in workers’ compensation systems, federal and international systems, automobile casualty, and personal injury cases to rate impairment, not disability.
AMA Guides Mastery: The Definitive Training for Medicolegal Professionals!
AMA Guides Mastery offers the definitive training solution for physicians, healthcare professionals, and legal experts seeking to master impairment ratings.
With over 200 specialized modules and 170+ hours of expert content for both 5th and 6th Editions, our comprehensive program delivers unparalleled depth at exceptional value—costing less than a single evaluation fee. Medical and legal professionals can choose complete certification or specialized tracks in musculoskeletal, medical, or mental and behavioral disorders. Our precision-focused training has earned rave reviews from practitioners nationwide who now confidently navigate complex guidelines with ease.
We’ve recently reduced our pricing in response to economic conditions while maintaining our gold-standard curriculum.
Learn about choosing “What is Best for You” and elevate your professional authority in impairment evaluation.
To learn more, view the video above or click on the buttons below. Act today and make this superb, no-risk investment in your career.
Independent Medical Evaluations – Best Practices!
This course focuses on best practices when performing an Independent Medical Evaluation (IME), including pre-evaluation, evaluation, post-evaluation, and high-quality report writing.
The use of the AMA Guides in workers’ compensation varies by jurisdiction (see Guide adoption lists by the state in the United States). The Editions are:
- Sixth Edition (published in 2008, used in 19 states/jurisdictions and Federal cases) The most current version is Guides 6th 2024.
- Fifth Edition (published in 2000, used in 12 states).
- Fourth Edition (published in 1993, used in 7 states).
- Third Edition, Revised (published in 1988, used in 2 states).
Read about exciting developments with the AMA Guides.
Learning the AMA Guides®
To evaluate impairment, you must know how to use the AMA Guides correctly. It is challenging to achieve this learning by simply reading the book. Our high-quality Mastery virtual learning experiences are the best and most cost-effective way to master the Guides.
We offer comprehensive courses and focussed courses with AMA Guides, Sixth Edition – Mastery and AMA Guides, Fifth Edition – Mastery.
Certified Impairment Rater
CIR® was created in 2006 to establish and maintain professional standards for the knowledge, skills, and abilities required to perform expert impairment evaluations using the Fifth or the Sixth Edition of the Guides. Distinguish yourself by achieving this status.
Assess your knowledge and skills now with a 10-item mini-assessment at no cost. If you do well, proceed with the CIR® examination with confidence.
eMedicoLegal®
Virtual training focussing on technologies and artificial intelligence for physicians, attorneys, and claim professionals at emedicolegal.com
eMedicoLegal courses are designed to provide you with high-quality training on technologies and AI issues. The knowledge and skills you acquire are essential to your professional success.
Impairment.com®
Elevate Your Medicolegal Practice with Essential Tools and Resources
Investing in the essential IME tools and resources available at Impairment.com will undoubtedly elevate the quality of your medicolegal practice, leading to better outcomes for your clients and a more streamlined, efficient workflow for you. Make the decision to enhance your practice today.
AMA Guides® Publications
The American Medical Association provides a solid platform of publications focusing on best practices in assessing impairment, causation, workability, and other critical issues.
Guides® Newsletter
Keep abreast of the latest developments in assessment, with authoritative guidance, published by the American Medical Association and edited by Christopher R. Brigham, MD for nearly three decades. Published bi-monthly and available online with full achieve to 1995.
NICE TO MEET YOU
It’s great connecting with you. I’m Chris Brigham, MD
Whether you are starting your journey or seeking a new destination, I am pleased to be there with you – empowering you to “captain your ship” while navigating challenging medicolegal “seas.” As a board-certified occupational medicine physician, who entered the medicolegal field over four decades ago, I realized that there was much to learn to succeed. I look forward to sharing knowledge, skills, experiences, and insights that will contribute dramatically to your success and benefit society. I served as Senior Contributing Editor for the AMA Guides to the Evaluation of Permanent Impairment, Sixth Edition and Guides Casebook, and for nearly three decades served as the Editor of the Guides Newsletter. I have been blessed by the opportunity to be surrounded by talented colleagues, have many unique learning experiences, write over 300 peer-reviewed articles and several books, speak at hundreds of events, and consult throughout the United States and internationally. I sincerely appreciate my colleagues representing many domains and life’s “learning experiences.” I want to help you succeed and provide those injured or ill with accurate assessments. I also want this to be enjoyable for you. My involvement in virtual learning systems began five decades ago; therefore, I hope you find the learning experiences here the finest.
“I am thrilled I subscribed. It is excellent and a real cost saver. It provides more information, training, and assistance than a 3-4 day course elsewhere at two to three times the cost. “
– Ronald Fadel, MD, Orthopedic Surgeon (Louisville, KY)
“This note is to personally thank you for your brilliant teaching. I learned how to be an IME expert from your teaching. It made me a much more precise and I hope an effective physician.”
– Noel Kerin, MD, (Toronto, Ontario)
“Several words come to mind describing this site: valuable, creative, painless, authoritative, unique, and accessible 24/7. What you have developed is so needed.”
– Lorne Direnfeld, MD, Neurologist (Maui, HI)
The AMA Guides are the world’s most widely accepted standard for impairment assessment.
All the Resources You Need to Use the AMA Guides
AMA Guides® has been the accepted standard for impairment assessment since 1958. With these products, the AMA aims to provide relevant training resources, user-friendly tools, and essential references for physicians and other healthcare workers with a professional investment in impairment and disability evaluation, particularly those who perform—or need to understand—independent medical examinations (IMEs).
These tools collaborate with the latest scientific research and evolving medical opinions of nationally and internationally recognized physician and non-physician impairment and disability experts.
This site provides access to AMA publications and resources related to the use of the AMA Guides. It is provided as a service of Brigham and Associates, Inc. and was prepared by Christopher R. Brigham, MD, who was the Editor of the Guides Newsletter and Senior Contributing Editor of the AMA Guides, Sixth Edition.
This site, amaguides.com, and Brigham and Associates, Inc. are independent of the American Medical Association (AMA). The training program and resources provided are neither endorsed nor sponsored by the AMA, and the opinions and content of the training presentations and learning content represent the views of the presenters and are not necessarily the views of the AMA, particularly on matters of medical policy.
AMA PRA Category 2 Credit
Physicians may claim AMA PRA Category 2 Credit™. Category 2 Credit is self-designated and self-claimed by individual physicians for participation in educational activities not certified for AMA PRA Category 1 Credit™ that meet the following criteria:
- Comply with the AMA definition of continuing medical education (CME)
- Comply with relevant AMA ethical opinions
- Are non-promotional
- Are a worthwhile learning experience related to a physician’s practice, as determined by the physician
AMA Guides Required
This site is independent of the American Medical Association (AMA).
The training program and resources provided are neither endorsed nor sponsored by the AMA, and the opinions and content of the training presentations and learning content represent the views of the presenters and are not necessarily the views of the AMA, particularly on matters of medical policy.
All participants in AMA Guides training must have access to the AMA Guides, either digitally or printed edition. Visit AMA Guides Digital.