Introduction to Impairment Ratings
A foundational overview of the AMA Guides impairment rating methodology: how to combine values, what MMI triggers, and how to document a defensible rating. The recommended starting point for physicians new to impairment evaluations.
What's in This Course
A short, accessible introduction to the principles every physician needs before performing an impairment evaluation. The course focuses on the neuromusculoskeletal system, since it accounts for most workers' compensation cases, and on the documentation habits that distinguish a sound rating from a contested one.
- The Combined Values Chart and why values are combined, not added
- Maximum Medical Improvement: what it means and when to rate
- Impairment vs. disability: the distinction that gets misused
- Activities of Daily Living and why ADL documentation matters
- Apportionment and causation for pre-existing conditions
- Report preparation: what holds up and what gets challenged
Who Should Take It
Any licensed healthcare provider who performs or is preparing to perform impairment ratings: physicians new to workers' compensation evaluations, candidates preparing for CIRS or NIRSAT certification who want a foundation before the advanced course, and experienced evaluators looking for a structured refresher on common errors. No prerequisites.
Questions About This Course
Is this course really free?
Yes. The course content is free. A free AAEME account is required to access it; account creation collects your professional credentials for certification tracking purposes and takes less than two minutes.
Does this course earn CME or CEU credit?
No. CME/CEU credit is not offered on Foundations courses. If you need formal continuing education credit, see our certification courses.
Does this course satisfy any certification requirement?
No. This is a foundational course, not a certification program. To earn the CIRS or NIRSAT credential, you must complete the relevant certification coursework and pass the corresponding exam. See the courses page for full certification options.
Which edition of the AMA Guides does this course use?
The course covers AMA Guides impairment rating methodology. Edition specifics will be noted here once confirmed; the foundational principles (Combined Values Chart, MMI, impairment vs. disability, ADL documentation) apply broadly across editions.
What should I take after this course?
The natural next step is the 5th Edition Advanced course, which covers impairment rating methodology in full depth across all body systems and prepares you for the CIRS exam. Nevada physicians preparing for NIRSAT should also complete the Introduction to Nevada Workers' Comp Law course.