Courses · Psychological & Neurological Impairment

Psychological & Neurocognitive Impairment Rating Program

8 hours  ·  Online, self-paced  ·  Assessment included  ·  8 CME/CEU hours  ·  $995

The AMA Guides do not address psychological impairment from stress, PTSD, or traumatic brain injury. This program fills that clinical and legal gap for any healthcare provider performing impairment ratings in workers' compensation or motor vehicle cases.

What Is the Psychological & Neurocognitive Impairment Rating Program?

This program addresses a significant gap in standard impairment rating methodology. The AMA Guides provide no framework for evaluating psychological impairment from workplace stress or post-traumatic stress disorder. This 8-hour course, developed by practicing clinicians, provides the clinical and legal framework for performing defensible psychological impairment evaluations in workers' compensation cases. A completion-based assessment is included.

Workers' compensation cases increasingly involve psychological injury claims: stress disorders, PTSD, and related conditions that result directly from workplace events. Physicians performing impairment ratings on these cases face a specific challenge: the AMA Guides, which govern impairment rating methodology in most states, do not provide a framework for evaluating these conditions.

This program was developed to address that gap directly. The curriculum covers the clinical basis for psychological impairment evaluation, the legal framework governing these evaluations in workers' compensation proceedings, and the methodology for producing reports that are accurate, consistent, and defensible.

The course is open to any healthcare provider who performs impairment ratings. Completion is strongly recommended for any physician or healthcare provider performing psychological impairment evaluations in workers' compensation or motor vehicle cases.

Nevada physicians performing workers' compensation impairment ratings are required to complete the Nevada-specific version of this course: the Nevada IR Stress Disorders Seminar, which produces the Nevada DIR certificate.

At a Glance
Price$995
FormatOnline, self-paced
Duration8 hours
AssessmentCompletion-based, included
CredentialCertificate of Completion
CME/CEU8 hours upon completion
ReachNational & International
PrerequisitesNone. CIRS™ or NIRSAT™ recommended.
RenewalNone
Enroll ($995)

What Does the Program Cover?

This program covers the clinical, legal, and methodological framework for evaluating neuropsychological impairment in workers' compensation cases, including PTSD, traumatic brain injury, and the methodology for rating mental stress claims in the absence of AMA Guides coverage. The curriculum provides a defensible, consistent approach for any healthcare provider.

Clinical Framework
  • The clinical basis for stress, PTSD, and traumatic brain injury (TBI) as compensable workplace injuries
  • Diagnostic criteria for PTSD and TBI and how they apply in the workers' compensation context
  • Rating neuropsychological conditions including TBI under AMA Guides 5th Edition methodology
  • Timeline of symptom onset and causation analysis for TBI claims
  • Distinguishing TBI from PTSD when symptoms overlap
  • Cognitive function assessment and its impact on impairment ratings
  • Distinguishing compensable psychological injury from pre-existing conditions
  • Evaluation methodology for neuropsychological impairment in the absence of AMA Guides coverage
  • Documentation standards for neuropsychological impairment reports
  • Documentation methodology for mental stress claims in the absence of AMA Guides coverage
Legal and Regulatory Framework
  • The legal basis for psychological impairment claims in workers' compensation
  • State-specific requirements for psychological impairment evaluations in workers' compensation
  • How psychological impairment ratings are used in legal and administrative proceedings
  • Producing reports that are defensible under cross-examination
  • Common challenges to psychological impairment ratings and how to address them

Course content is developed by practicing clinicians with direct experience in workers' compensation impairment evaluations. The curriculum is reviewed and updated as state requirements and clinical standards evolve.

Who Should Take This Program?

This program is designed for any healthcare provider who performs impairment ratings in workers' compensation or motor vehicle cases. No prerequisites are required, though completion of CIRS or NIRSAT certification is recommended.

National & International
Workers' Comp IR Physicians
Any physician performing impairment ratings in workers' compensation cases where psychological injury claims are involved. Strongly recommended for all CIRS and NIRSAT certified physicians.
Motor Vehicle & IME
Motor Vehicle & IME Physicians
Physicians and independent medical examiners performing impairment evaluations in motor vehicle injury cases or other medicolegal contexts where psychological components may be present.
All Healthcare Providers
Healthcare Providers
MDs, DOs, DCs, PTs, RNs, NPs, and PAs performing any impairment evaluation where psychological components may be present. Open to all license types.
Nevada Physicians

If you are a Nevada physician, you need the Nevada version instead.

Nevada physicians performing workers' compensation impairment ratings must complete the Nevada-specific version of this course to satisfy state requirements. The Nevada IR Stress Disorders Seminar covers identical clinical content but produces the certificate accepted by the Nevada Division of Industrial Relations.

What Is the Assessment?

This program includes a 45-minute completion-based assessment at the end of the course. The assessment is included in the course fee. No separate exam registration is required. Completion of the assessment is required to receive your certificate of completion.

Assessment Details
What to Expect
A short, completion-based assessment immediately following the course.
  • 45 minutes in length
  • Completion-based; no minimum score required
  • Taken immediately after the course, online
  • Included in the $995 course fee; no additional cost
  • No separate registration required
After Completion
Your Certificate
What you receive when you finish.
  • Certificate of Completion issued through your online portal
  • 8 CME/CEU hours issued upon completion
  • Renewal requirement: none
  • Use in your practice as documentation of advanced training in psychological impairment evaluation

Enroll in the Program

All sales are final. No refunds under any circumstances. If you have questions about this course before enrolling, use our contact form before completing your purchase.

Enroll in the Program ($995)

Pair This Program With CIRS Certification

This program builds neuropsychological evaluation methodology on top of a 5th Edition foundation. Most physicians who take it also pursue CIRS certification through one of the two AAEME exams below.

National Credential · AMA Guides 5th Edition
5th Edition CIRS Exam
The national Certified Impairment Rating Specialist exam, built on the AMA Guides 5th Edition. Required in most workers' compensation and motor vehicle impairment rating practices outside Nevada.
View the 5th Edition Exam
National Credential · AMA Guides 6th Edition
6th Edition CIRS Exam
The national Certified Impairment Rating Specialist exam for jurisdictions that use the AMA Guides 6th Edition. Use our jurisdiction tool if you are unsure which edition applies in your state.
View the 6th Edition Exam

Frequently Asked Questions

Common questions about the Psychological & Neurocognitive Impairment Rating Program, the assessment, and how it relates to the Nevada version.

How is this different from the Nevada IR Stress Disorders Seminar?

This program is the version designed for physicians and healthcare providers practicing outside Nevada, or for those in jurisdictions that do not require the Nevada-specific certificate. The clinical content is identical to the Nevada Seminar; only the title, framing, and certificate differ.

The Nevada IR Stress Disorders Seminar uses Nevada's official course title and produces the certificate accepted by the Nevada Division of Industrial Relations. Nevada-licensed physicians performing workers' compensation impairment ratings should enroll in that version instead.

Do I need to hold CIRS certification before taking this course?

No. There are no prerequisites. Any licensed healthcare provider may enroll. That said, we recommend completing CIRS or NIRSAT certification first if you are new to impairment rating methodology, as that foundation will make the content easier to apply in practice.

What is the difference between the assessment and a certification exam?

The assessment is completion-based, not score-based. You must complete it, but there is no minimum passing score. It is different from the CIRS and NIRSAT exams, which require a 75% passing score and are separately priced. The assessment is included in the $995 course fee with no additional enrollment or cost.

Does this course satisfy CME or CEU requirements?

Completing this program earns 8 CME/CEU hours. Course content and CME/CEU credit are both included in the $995 course fee.

Is the certificate from this program accepted in Nevada?

No. Nevada requires the certificate produced by the Nevada IR Stress Disorders Seminar, which uses Nevada's official course title. If you are subject to Nevada DIR requirements, please enroll in the Nevada version.

What is the refund policy?

All sales are final. AAEME does not offer refunds under any circumstances, including failure to complete the course, change of mind, or change in practice. If you have questions about this course before purchasing, please use our contact form before completing your enrollment.

How long do I have access to the course after enrolling?

Course access is granted for one year from the date of enrollment.

I have a question that is not answered here. Who do I contact?

For any questions about this program, use our contact form. We aim to respond within one business day.