5th Edition Impairment Rating
By: American Academy of Motor Vehicle Injuries (AAMVI)

Course Description

This class is on Impairment Rating using the AMA Guides to the Evaluation of Permanent Impairment 5th Edition. The course is presented by Christopher Brigham, MD who is the chief editor of the musculoskeletal chapters of 5th & 6th Editions. He is also the founder of the American Board of Independent Medical Examiners.

Chapter 1 Philosophy, Purpose, and Appropriate Use of the Guides

Chapter 2 Practical Application of the Guides

Chaapter 3-12 Other Systems

Chapter 13: The Central and Peripheral Nervous System

Chapter 14: Mental and Behavioral Disorders

Chapter 15: The Spine


     15.1 Principles of Assessment

     15.2 Determining the Appropriate Method for Assessment

     15.3-6 Diagnosis Related Estimates Method

     15.7 Rating Corticospinal Tract Damage

     15.8-12 Range of Motion Method

     15.14 The Pelvis

Chapter 16 The Upper Extremities

     16.1 Principles of Assessment

     16.2 Amputation

     16.3 Sensory Impairment Due to Digital Nerve Lesions

     16.4 Evaluating Abnormal Motion

     16.5 Impairment of the Upper Extremities Due to Peripheral

            Nerve Disorders

     16.5d Carpal Tunnel Syndrome

     16.5e Complex Regional Pain Syndrome

     16.6 Impairment of the Upper Extremities Due to Vascular


     16.7 Impairment of the Upper Extremities Due to Other


      16.8 Strength Evaluations

      16.9 Summary of Steps for Evaluation Impairments of the

             Upper Extremity

Chapter 17 The Lower Extremity

     17.2 Methods of Assessment

     17.3 Lower Extremity Procedure Summary and Examples

Chaper18 Pain

Physical Examination Essentials



Upper Extremity

Lower Extremity

AMA Guides 101 Video


Spine, Upper Extremities, Lower Extremities

Nervous System, Pain

Legal Perspective

Assessing Injuries:

Hearing loss

Vision Loss

Head Injury

Seizure Disorder

Sleep disorder

Chronic pain RSD, CRPS

Assessing Spine Injuries:

Cervical Injury

Cervical Radiculopathy

Thoracic Injury

Lumbar Injury

Lumbar Radiculopathy

Spinal Fusion

Corticospinal Tract Injury

Assessing Upper Extremity Injuries:

Shoulder Injury

Elbow Injury

Wrist Injury

Upper Extremity

Carpal Tunnel Syndrome

Cubital Tunnel Syndrome

Tendinitis & Epicondylitis


Assessing Lower Extremity Injuries:

Hip Injury

Knee Injury Internal Derangement Sprain & Strain

Meniscectomy, Meniscal Repair & Meniscal Injury

Total Knee Replacement

Ankle Injury

Foot & Toe Injury

For anyone taking this course, we recommend purchasing the AMA Guides to the Evaluation of Permanent Impairment 5th Edition. It is available on Amazon as a Kindle or hard copy.

Course Details

  • 5th Edition Impairment Rating
  • By:    American Academy of Motor Vehicle Injuries (AAMVI)
  • Instructor:    Christopher Brigham, MD
  • Total CE Hours:    20
  • Course Format:     Online Distance Learning
  • Course Categories:     DC Continuing Education
  • Course Subjects | CE HOURS:
    • Differential/Physical Diagnosis  -12 CE Hours
    • Evidence-Based Outcomes  -8 CE Hours
  •    Course Outline