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Impairment Rating

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Description

IMPAIRMENT RATING

2 Credits Hours


  •  CE Credits are for Doctors of Chiropractic only
  •  CME Credits are for Medical Doctors and Doctors of Chiropractic.
  •  Not approved in the state of CA, HI, LA, WI 


AMA Guides® 6th Edition Impairment Rating Course

Master Whole Person Impairment (WPI) Under the Modern AMA Framework—Without Range of Motion

The AMA Guides® to the Evaluation of Permanent Impairment, 6th Edition established a new paradigm for determining Whole Person Impairment (WPI). Under this updated system, range of motion (ROM) is no longer permitted as a criterion for impairment ratings.

This comprehensive training gives you a clear, step-by-step framework to accurately interpret and apply the AMA Guides 6th Edition—backed by the clinical rationale, physiological principles, and multidisciplinary science required to support your conclusions in the medical-legal environment.


Who This Course Is For

Designed for professionals involved in impairment determinations in:

  • Personal Injury

  • Workers’ Compensation

  • Disability & impairment rating contexts

  • Medical-legal documentation and testimony support

Whether you’re new to impairment ratings or looking to modernize your approach, this course delivers the knowledge and credentials required for your opinions to be recognized, defensible, and admissible.


What You’ll Learn (Clinically Grounded, Legally Defensible)

In the real world, most spinal trauma cases involve more than the spine alone. That’s why this program goes beyond “how to rate”—and explains the why behind the criteria.

You’ll gain mastery in:

  • Current AMA Guides 6th Edition impairment criteria

  • The clinical science behind impairment determination

  • Functional loss assessment aligned to WPI methodology

  • Spine and neurological considerations frequently required for accurate ratings

  • Multidisciplinary insights essential for complex trauma cases

  • Documentation strategies that support credibility in a medical-legal setting


Why This Matters in the Medical-Legal Environment

When your opinions are used in claims, litigation, or impairment rating proceedings, your analysis must be:

Scientifically sound
Guides-compliant
Clearly documented
Defensible and admissible

This course equips you with the skills, structure, and credentials to meet that standard—so your impairment opinions are taken seriously by insurers, attorneys, courts, and adjudicators.


National Accreditation & Institutional Credibility

The Academy of Chiropractic proudly maintains Provider Status with the Federation of Chiropractic Licensing Boards (FCLB) and holds recognized academic partnerships with:

  • Cleveland University–Kansas City, College of Chiropractic

  • ACCME in joint partnership with the
    State University of New York at Buffalo, Jacobs School of Medicine and Biomedical Sciences,
    Department of Continuing Medical Education

This course is fully accredited and nationally recognized through these respected affiliations.


Course Objective

By the end of this program, participants will be able to:

  • Learn the basics of impairment using the AMA Guides 6th Edition

  • Rate a patient based on functional losses and clinical findings

  • Apply Guides-based criteria confidently in real clinical and medical-legal cases


Instructor

Mark Studin, DC, FPSC, FASBE(C), DAAPM

A nationally recognized authority in spine care, clinical documentation, and medical-legal education.


Your impairment rating opinions must hold up under scrutiny.

Get the training—and the accreditation—to support defensible impairment assessments.


If you want this page to rank, sprinkle these naturally in headings + body copy:

  • AMA Guides 6th Edition impairment rating course

  • Whole person impairment (WPI) training

  • impairment rating certification course

  • AMA Guides training for chiropractors

  • impairment ratings for workers’ comp and personal injury

  • medical legal impairment evaluation training

  • spinal trauma impairment evaluation course

If you have a location focus (city/state), we can add GEO blocks like:
“Serving providers nationwide—including [State/Region].”


1) “What You’ll Walk Away With”

  • Guides-compliant rating methodology

  • Documentation templates / checklists

  • Defensibility framework for impairment cases

  • CE accreditation + provider verification

2) “Frequently Asked Questions”

1) What is the AMA Guides® 6th Edition, and why does it matter?

The AMA Guides® to the Evaluation of Permanent Impairment, 6th Edition is the modern standard used to determine Whole Person Impairment (WPI) in many medical-legal and claims environments. It introduced a new framework for impairment ratings that differs significantly from prior editions—making proper training essential for accurate and defensible impairment opinions.


2) Is range of motion (ROM) still allowed for impairment ratings under the AMA Guides 6th Edition?

No. Under the AMA Guides® 6th Edition framework, range of motion (ROM) is no longer permitted as a criterion for impairment ratings. This course teaches the updated methodology and clinical rationale so you can apply the current standard correctly and confidently.


3) Who should take this course?

This course is ideal for clinicians and providers who participate in impairment determinations or medical-legal documentation, including those involved in:

  • Workers’ Compensation

  • Personal Injury

  • Disability cases

  • Impairment rating evaluations

  • Medical-legal reports and testimony support

If your clinical opinions may be reviewed by adjusters, attorneys, judges, or opposing experts, this course is designed for you.


4) Do I need prior experience with impairment ratings to benefit?

No. The program is built to support both:

  • New participants who need a strong foundation, and

  • Experienced clinicians who want to modernize their approach and align with AMA Guides® 6th Edition standards.

The training starts with core principles and progresses into application and real-world clinical reasoning.


5) Will this course teach me how to calculate Whole Person Impairment (WPI)?

Yes. You’ll learn how to understand and apply the AMA Guides® 6th Edition criteria to determine WPI based on:

  • Functional losses

  • Clinical findings

  • Relevant spine and neurological considerations

  • Multidisciplinary factors commonly present in trauma-related cases


6) Does the course cover spinal trauma and neurological considerations?

Yes. A key focus of the course is the clinical science underlying impairment ratings, including spine and neurological considerations frequently encountered in cases requiring impairment assessment. Because most trauma cases involve more than the spine alone, the course addresses multidisciplinary factors essential for accurate ratings.


7) Will this course help me in the medical-legal environment (PI and Workers’ Comp)?

Yes. This program is specifically designed to help your impairment opinions stand up to scrutiny in personal injury, workers’ compensation, and other medical-legal contexts. You’ll gain the knowledge and credentials necessary for your opinions to be more consistently recognized as credible, defensible, and admissible.


8) Is this course accredited and nationally recognized?

Yes. The course is fully accredited and nationally recognized through affiliations including:

  • Federation of Chiropractic Licensing Boards (FCLB) Provider Status

  • Academic partnership with Cleveland University–Kansas City, College of Chiropractic

  • Recognized academic partnership with ACCME in joint partnership with the
    State University of New York at Buffalo, Jacobs School of Medicine and Biomedical Sciences,
    Department of Continuing Medical Education


9) Will I receive a certificate upon completion?

Yes. Participants receive a certificate confirming successful completion of the accredited program. This is valuable for demonstrating formal training in impairment methodology and AMA Guides® 6th Edition application.


10) Is this course accepted in my state?

The course is nationally recognized, and many jurisdictions accept AMA Guides® education and credentials. However, impairment rating requirements can vary by jurisdiction and payer. If you have a specific state or system requirement, this course provides the AMA Guides® 6th Edition framework commonly relied upon across the U.S.

(Tip: If you want, I can add a GEO-friendly line like “Accepted nationwide, including providers in [State/Region].”)


11) What makes this course different from other AMA Guides training?

This course goes beyond memorizing criteria. It teaches:

  • The clinical rationale and physiological principles behind the Guides

  • The multidisciplinary science needed to interpret complex cases

  • Practical structure to apply the Guides correctly in real-world evaluations

  • Guidance tailored to the medical-legal environment, where documentation and defensibility matter


12) Will I learn how to document my impairment opinion properly?

Yes. A defensible impairment rating depends on more than a number—it depends on the clinical logic, proper documentation, and clear rationale supporting it. This course helps you communicate impairment findings in a way that is consistent with the Guides and understood by non-clinical audiences such as adjusters, attorneys, and courts.


13) How long do I have access to the course materials?

You’ll have access to course materials for the duration of the program and as specified by the Academy’s enrollment terms.

(If you tell me your exact access window, I’ll rewrite this into a stronger, more confident FAQ that increases conversion.)


Instructions: Once you purchase the course online, it will be immediately active in your account. If you have any issues, please contact Cara 631-804-2845 or CaraRoss220@Gmail.com

 Troubleshooting Suggestions: 

  1. This course is supported by PC's (Please do not use Iphones or Ipads to take the course as they are not supported by the system and will not track your results correctly)
  2. Minimum 20mbs download speed
  3. Mobile device are not ideal as tracking is automated and often not mobilized

This course is Pace approved by the Federation of Chiropractic Licensing Boards.

ACCREDITATION

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the University at Buffalo Jacobs School of Medicine and Biomedical Sciences and Cleveland University Kansas City, College of Chiropractic, Post-Graduate Department.

The University at Buffalo Jacobs School of Medicine and Biomedical Sciences is accredited by the ACCME to provide continuing medical education for physicians.

CERTIFICATION

The University at Buffalo Jacobs School of Medicine and Biomedical Sciences designates this live activity for a maximum of 2.0 AMA PRA Category 1 Credit(s)TM.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.

PLANNING COMMITTEE & SPEAKER DECLARATIONS

The Accreditation Council for Continuing Medical Education (ACCME) and the University at Buffalo Jacobs School of Medicine and Biomedical Sciences Standards for Commercial Support require that presentations are free of commercial bias and that any information regarding commercial products/services be based on scientific methods generally accepted by the medical community. The following planners and presenter(s) have disclosed financial interest/arrangements or affiliations with organization(s) that could be perceived as a real or apparent conflict of interest in the context of the subject of their presentation(s). Only the current arrangements/interests are included. *Planning Committee

Activity Director and Instructor: 

Mark Studin DC, FASBE(C), DAAPM  – Nothing to Report

Patricia E. Roche D.O., CAQ, Neuroradiology - Co-Activity Director -  Nothing to Report

ACCME Standards of Commercial Support of CME require that presentations be free of commercial bias and that any information regarding commercial products/services be based on scientific methods generally accepted by the medical community. When discussing therapeutic options, faculty are requested to use only generic names. If they use a trade name, then those of several companies should be used. If a presentation includes discussion of any unlabeled or investigational use of a commercial product, faculty are required to disclose this to the participants.

ACCME Original Launch Date: March 23, 2025 Termination Date: March 23, 2028


Table of Contents

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Viewed
Course Pretest
Course Hand Outs
Course Videos
Get access to all the tutorials in the course now!

Price

Plan Name Price
Unlimited: $ 99

Teacher

Mark Studin

Courses by this instructor

Name Level Release Date
MRI Spine Interpretation BASICS 2018-01-19 20:07:33
Impairment Rating 2018-02-07 02:09:03
MRI Spine Credentialing 2018-02-09 00:48:34
Personal Injury Bootcamp - Triaging the Trauma and Non Trauma Patient 2018-03-02 21:55:51
Spinal Biomechanical Engineering 2018-03-13 21:33:29
Accident Reconstruction 2018-03-17 17:35:33
Patient Intake, History and Examination 2018-03-18 01:48:47
Utilizing Research In Clinical Practice 2018-03-23 15:06:32
Triaging the Trauma and Non-Trauma Patient 2018-03-23 15:32:17
Mild Traumatic Brain Injury, Traumatic Brain Injury, Concussion (MTBI) 2018-04-18 02:59:40
Medical-Legal-Insurance Documentation: Colossus of the Courtroom 2018-04-30 19:38:48
Interprofessional Hospital Based Spine Care 2018-05-01 01:48:52
Primary Spine Care 1 2018-05-03 16:15:27
Primary Spine Care 2 - 2018-05-06 00:39:08
Primary Spine Care 05: Biomechanics, Neurology of the Chiropractic Spinal Adjustment & Documentation in Collaborative Relationships 2018-05-09 21:11:44
Orthopedic Testing 2018-05-11 17:52:40
Spinal Trauma Pathology 2018-05-20 14:55:51
Stroke Anatomy & Evaluation for Chiropractors and Manual Medicine Specialists 2018-05-21 01:37:09
Primary Spine Care Three The Neurology of Chiropractic Care and Ligament Pathology from Trauma 2018-05-21 01:48:25
Testifying: Documentation & Ethical Medical-Legal Relationships - Part 1 2018-05-23 18:07:59
Spinal Disc and Ligaments; Neurology and Pathology 2018-05-24 01:07:45
Primary Spine Care Six Live Seminar 2018-09-06 16:18:08
Primary Spine Care Seven Spinal Biomechanical Pathology & Collaborative Management Webinar 2019-01-31 20:59:47
Forensic Documentation - Testifying Part 2 2019-02-26 01:33:12
Primary Spine Care Seven Spinal Biomechanical Pathology & Collaborative Management Online 2019-03-21 13:45:23
Evaluation and Management 2019-04-24 16:14:33
Electrodiagnostics: Electromyogram/Nerve Conduction Velocity (EMG/NCV) Diagnosis & Interpretation 2019-06-07 17:39:50
Concussion & Traumatic Brain Injury 2019-08-21 13:15:47
Primary Spine Care 8: DC vs. PT vs. MD vs. Drugs as 1st Option for Spine 2019-10-19 00:00:00
Primary Spine Care 9 Webinar: Chiropractic as 1st Option for Spine, A Literature-Based Standard 2020-03-21 00:00:00
Educating the Lawyer Chiropractic-Legal Ethics - Testifying Part 3 2020-03-24 01:23:05
Primary Spine Care Nine Online: Chiropractic as 1st Option for Spine, A Literature-Based Standard 2020-03-21 00:00:00
Collision Reconstruction and Biomechanical Engineering 2020-06-09 17:28:39
Ramping Up Your Practice Post-Covid 19 2020-06-18 19:45:16
Case Management: Spinal MRI and Documentation 2020-07-22 14:08:10
Extremity, MRI & X-Ray Interpretation 1999-12-01 20:36:54
Diagnosing Webinar 2020-09-14 20:38:09
Pathobiomechanics And Documentation Webinar 2020-12-04 17:25:00
Primary Spine Care Ten Chiropractic Spine Management Webinar 2020-12-05 00:00:00
Pathobiomechanics And Documentation Online 2020-12-08 00:00:00
Primary Spine Care Ten: Chiropractic Spine Management Online 2020-12-08 00:00:00
MRI Spine Clinical Grand Rounds 2021-01-22 20:08:48
Demonstrative Documentation and Reporting of Spinal Pathology Webinar 2021-04-07 15:48:18
Mini Fellowship in MRI, X-Ray and CAT Scan Imaging of Extremities 2021-04-19 17:38:23
Spinal Pathology and Documentation Online 2021-05-14 19:33:11
Primary Spine Care Eleven: Coding, Documentation, MRI and Digitizing Online 2021-05-17 13:27:42
Mini Fellowship in Neuroradiology MRI Spine 2021-06-28 12:59:24
Documentation Made Easy Online 2021-10-18 18:47:21
Primary Spine Care Twelve Case Management & Documentation Webinar 2021-11-15 00:00:00
Primary Spine Care Twelve: Case Management & Documentation Online 2021-12-08 17:30:01
Diagnosing Online 2021-12-14 14:35:26
Demo Course 2021-12-22 17:07:42
Documenting Clinical Findings and Diagnosis Free Webinar 2022-03-03 10:46:00
Testifying 4: Creating Ethical Financial Relationships 2022-07-05 19:22:15
Documenting Clinical Findings and Diagnosing Online 2022-07-06 14:31:48
MRI Spine Credentialing - Suny B Fellowship Requirment 2022-07-14 16:10:45
Spinal Biomechanical Engineering - Suny B Fellowship Course 2022-07-14 16:25:31
Orthopedic Testing - Suny Buffalo Course 2022-07-14 16:48:20
Impairment Rating - Suny Buffalo Course 2022-07-14 17:15:28
Spinal Trauma Pathology - Suny Buffalo Course 2022-07-14 17:43:05
Stroke - Suny Buffalo Course 2022-07-14 18:05:42
Evaluation and Managment - Suny Buffalo Course 2022-08-16 13:46:00
Electrodiagnostics - Suny Buffalo Course 2022-08-16 13:54:33
Concussion - Suny Buffalo Course 2022-08-16 14:05:51
Spinal Disc and Ligaments - Suny Buffalo Course 2022-08-16 15:29:20
Extremity, MRI & X-Ray Interpretation - Suny Buffalo Course 2022-08-16 15:38:14
MRI Spine Clinical Grand Rounds - Suny Buffalo Course 2022-08-16 15:44:48
Mini Fellowship in MRI, X-Ray and CAT Scan Imaging of Extremities - Suny Buffalo Course 2022-08-16 20:54:02
Case Management, Spinal MRI and Documentation - Suny Buffalo Course 2022-08-24 18:29:36
Interprofessional Hospital Based Spine Care - Suny Buffalo Course 2022-08-24 19:22:09
Colossus of the Courtroom - SUNY Buffalo Course 2022-08-24 19:29:15
Primary Spine Care Five Biomechanics, Neurology of the Chiropractic Spinal Adjustment & Documentation in Collaborative Relationships - SUNY Buffalo Course 2022-08-26 15:44:09
Primary Spine Care Ten Chiropractic Spine Management Online - SUNY Buffalo Course 2022-08-26 16:22:26
MRI Spine Interpretation BASICS - SUNY Buffalo Course 2022-08-26 16:33:16
Primary Spine Care Twelve Case Management & Documentation Online - SUNY Buffalo Course 2022-08-26 17:00:24
Personal Injury Bootcamp - Triaging the Trauma and Non Trauma Patient - SUNY Buffalo Course 2022-08-26 17:10:33
Diagnosing (Online) - SUNY Buffalo Course 2022-08-26 17:16:31
Documentation Made Easy (Online) - SUNY Buffalo Course 2022-08-26 17:21:39
Pathobiomechanics And Documentation Online - SUNY Buffalo Course 2022-08-26 17:28:14
Imaging, Case and Strain/Sprain Reporting Free Webinar 2022-10-11 19:33:00
Coding and Care Plan from Acute through Rehabilitation Free Webinar 2023-01-26 01:00:00
Documentation in a Medical-Legal Case: The Foundation of Documentation Week 1 2023-03-09 18:06:54
Imaging, Case and Strain, Sprain Reporting Online 2023-04-10 18:53:06
Reimbursement Guidelines and Documentation Free Webinar 2023-04-20 13:55:00
Reimbursement Guidelines and Documentation Online 2023-04-21 20:40:34
Primary Spine Care Fourteen: Case Management and Documentation Online 2023-05-08 18:19:06
MRI Comprehensive Clinical Grand Rounds 2023-09-12 17:29:44
Coding and Care Plan From Acute through Rehabilitation Online 2023-09-19 14:36:15
Triage and Compliance: Documentation and Diagnosing Online 2023-09-24 22:35:37
Primary Spine Care Fifteen Ethics, Streamlining Documentation & Case Management Webinar 2023-11-12 16:12:00
California Couse: DC vs PT Outcomes, Chiropractic Physiology, MRI Basics & Making Documentation Easy 2023-10-30 12:45:19
Primary Spine Care Fifteen Ethics, Streamlining Documentation & Case Management Online 2023-11-14 18:26:27
Advanced MRI Spine Interpretation Mini-Fellowship 2024-02-06 14:32:34
Required Elements for 100 Percent Reimbursement Online Course 2024-04-16 15:46:17
Templates and Shortcuts in Diagnosing and Documentation for all EHR and Paper Systems Free Webinar 2024-05-15 15:32:00
Templates and Shortcuts in Diagnosing and Documentation for all EHR and Paper Systems Online 2024-05-17 18:35:10
Patient Triage, Coding and Documentation Online 2024-09-13 19:05:03
Primary Spine Care Sixteen: Clinical Necessity for Relationships with MD's and Lawyers Online 2024-11-03 16:30:31
X-Ray Essentials - Clinical Grand Rounds 2025-03-18 17:19:43
Mandatory Standards in Report Writing and Diagnosing Online 2025-03-19 15:20:07
Primary Spine Care Seventeen: Advanced Imaging, Diagnosing and Reporting Webinar 2025-05-03 15:39:00
Primary Spine Care Seventeen: Advanced Imaging Diagnosing and Reporting Online 2025-05-03 16:37:00
Primary Spine Care Fourteen: Case Management and Documetnation Webinar SUNY Buffalo Course 2025-05-07 18:04:49
Primary Spine Care Fifteen Ethics, Streamlining Documentation & Case Management SUNY Buffalo Course 2025-05-08 17:16:16
Primary Spine Care Sixteen: Clinical Necessity for Relationships with MD's and Lawyers SUNY Buffalo Course 2025-05-08 17:21:18
Research and Diagnosing Free Webinar 2025-06-11 19:39:00
Evidence-Based Chiropractic Outcomes & MRI Spine Interpretation Live WEbinar 2025-08-04 11:59:00
MRI Spine Evaluation 2025-08-05 15:15:35
Primary Spine Care 18: Evidence-Based Findings for Long-Term Chiropractic Care Live Webinar 2025-11-13 18:09:46
Primary Spine Care Eighteen: Evidence-Based Findings for Long-Term Chiropractic Care Online 2025-11-18 15:39:18
Primary Spine Care Seven Spinal Biomechanical Pathology & Collaborative Management Online - SUNY Buffalo Course 2022-08-26 16:09:09
Case Management, Documentation & Diagnosis Online 2023-07-26 13:03:00
Primary Spine Care Thirteen Documentation, Diagnosis & Management Webinar 2022-11-04 16:33:00
Post-Covid PI Practice Strategy with Lawyers and MDs: Where MRI, Colossus and Documentation Fits 2020-05-05 00:00:00
Primary Spine Care Fourteen Case Management and Documentation Webinar 2023-05-07 18:44:00
Primary Spine Care Eleven Coding, Documentation, MRI and Digitizing Webinar 2021-05-11 17:14:25
Primary Spine Care Eleven Coding, Documentation, MRI and Digitizing Online - SUNY Buffalo Course 2022-08-26 16:40:18
Mini-Fellowship in Neuroradiology - Suny Buffalo Course 2022-08-16 15:54:47
Spinal Pathology and Documentation Webinar 2021-05-10 14:20:30
Primary Spine Care Thirteen: Documentation, Diagnosis and Management Online 2022-09-16 17:27:48
Concussion/mTBI & Documentation Live Webinar 2025-08-13 12:26:19
Documentation for Referrals Free Webinar 2025-09-25 16:24:00
Patient Triage, Coding and Documentation Webinar 2024-09-12 00:00:00
Coordination of Care, Documentation, Diagnosis Online 2022-09-13 13:15:38
Case Management, Documentation & Diagnosis Free Webinar 2022-05-12 20:32:52
Primary Spine Care Nine Online: Chiropractic as 1st Option for Spine, A Literature-Based Standard - SUNY Buffalo Course 2022-08-26 16:12:40
Documentation Made Easy Live Webinar 2021-10-08 16:52:10
Post-Coronavirus PI Practice Strategy with Lawyers and MDs: Where MRI, Colossus and Documentation Fits 2020-05-05 00:00:00
Fellowship Final Exam Course 2022-09-09 12:59:33
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