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Guides to the Evaluation of Permanent Impairment By American Medical Association ( American Medical Association Press )
Release Date: 2008-01
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List Price: $189.00
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Product Description
Widely accepted as the most reliable medical reference on impairment evaluation since its inception in 1971, the new sixth edition of the "Guides" considers the latest evidence and patient function to achieve physician interrater reliability through an updated consensus approach.A series of uniform grids in each chapter provides a new standard for impairment evaluation. It provides a standardized approach to determine impairment using patient history, physical examination and clinical tests and employs an evidence-based methodologies and/or a consensus approach that serves to provide a consistent rating for conditions in each of the organ systems. Consideration of patient function and activities of daily living further ensure a consistent evaluation.
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And now, the fireworks ( alwyn_billy )
As a physiatrist performing an average of one impairment rating a day, the 6th Edition came abruptly as a required tool. It took about 20 ratings to get into the swing of things. The big problem is the simple story of supply and reimbursement that US doctors face: It takes about twice as long to do a rating with the 6th edition in the common chapters (15,16, 17: arm, leg, spine/pelvis).
Like everything else that insurance pays for, us greedy doctor types are working more and getting paid less.
The book, in my estimation, is fairer, with ratings consistently decreased by about 40%.
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AMA - GEPI, 6th Edition
The sixth edition of "The Guides" offers a slimmed-down version of the Fifth Edition, with sleaker looking tables and example boxes. On first glance, the differences are subtle. Certain deficiencies, such as using congenital disease in the examples, were propagated from the Fifth Edition.
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