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Training > Skills Assessment

  • Online self assessment of AMA Guides knowledge and skills
  • Superb learning experience
  • Obtain up to 4 hours of Category 1 AMA and California QME Credits
  • Only $197 to thoroughly assess your skills
  • First step for those seeking the Certified Impairment Rater® designation

If you perform, review or manage impairment evaluation ratings, this self assessment is essential.  The assessment is open book and requires you to use the AMA Guides; therefore it is a very effective learning tool and you will increase your abilities to apply the Guides. After you respond to the question you are given the correct answer and references.

This is a dynamic assessment consisting of 100 items, typically taking 4 hours to complete. Each question is based on a random selection of questions from specific areas of the Guides. Therefore, each examination is different. The weighting is consistent with the ratings performed. 15-25% of the items are on the Principles of the Guides, 25-30% spine, 20-25% upper extremity, and the remaining 20-25% lower extremity and other areas.

Successful completion of this Comprehensive Skills Assessment meets the examination component for the Certified Impairment Rater® designation.  The examination items were written by Christopher R. Brigham, MD, FACOEM, FAADEP, CIME, an experienced expert on the AMA Guides and the Founder of the American Board of Independent Medical Examiners.

Objectives

Participants should be able to demonstrate:

  • An understanding of key terms and concepts in impairment evaluation.
  • The ability to assess permanent impairment of musculoskeletal injuries, including those of the spine, upper extremities and lower extremities.
  • The ability to assess permanent impairment of nervous system disorders and pain.

Comprehensive Skills Assessment - Only $197

Group discount for 25 or more examinees - Contact Us for details 

Faculty Disclosure

This examination was developed by Dr. Brigham, who is a stockholder of Brigham and Associates, Inc. and receives royalties from the American Medical Association.

Continuing Medical Education

This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education through the Joint Sponsorship of the American College of Occupational and Environmental Medicine and Brigham and Associates. The American College of Occupational and Environmental Medicine is accredited by the ACCME to provide continuing medical education for physicians.

The American College of Occupational and Environmental Medicine designates this educational activity for a maximum of 4.0 AMA PRA Category 1 Credit(s)TM. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Additionally, this activity is approved by the State of California Division of Workers’ Compensation for up to 4 Qualified Medical Examiner (QME) credits for reappointment.

Content

The weighting of the examination items are based on the distribution of required knowledge and skills to perform ratings typically encountered in the workers' compensation and liability arenas. The examination focuses on essential principles and musculoskeletal case exercises, demonstrating actual skills in using the Guides.

Content Chapter(s) Weighting
Principles 1 and 2 15%
Spine 15 30%
Upper Extremities 16 20%
Lower Extremities 17 15%
Nervous System 13 5%
Pain and Other Chapters 18 15%


Example Questions


The following are examples of questions. Why not test yourself, the answers are provided by clicking on the link below.

1. Which ONE of the following situations would not be rated using the Range-of-Motion (ROM) method

A. Fracture at L1 and L2
B. Fusion L3 to L5
C. Fracture at T12 and L1
D. Recurrent radiculopathy
2. A patient had electrodiagnostically confirmed carpal tunnel syndrome and underwent a release. At the time of maximal medical improvement, several months later, she has minimal difficulties that for the most part are forgotten during activity. Examination reveals normal two point discrimination, however abnormal sensibility (tested with monofilaments) over the thumb only, the rest of the median nerve was intact. Motor examination was intact. Grip strength was 20 kg. in the operated hand and 30 kg. in the opposite hand. What is a probable rating?
A. 0% whole person permanent impairment
B. 3% whole person permanent impairment
C. 6% whole person permanent impairment
D. 12% whole person permanent impairment
3. Which of the following lower extremity methods can be combined?
A. Muscle atrophy and diagnosis based estimate
B. Gait and range of motion
C. Range of motion and peripheral nerve injury
D. Muscle strength and arthritis

Click Here for Answers

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Contact Nicole LeDuc for more information or Call 207.879.9400 or 866.848.9205.