AMA Guides to the Evaluation of  Permanent Impairment

Fifth Edition


AMA Guides, Fifth Edition - Mastery!

As a result of this top-tier virtual learning experience, you will have the knowledge and skills to provide high-quality impairment evaluations as part of a  gratifying and profitable professional practice. Utilizing the AMA Guides to the Evaluation of Permanent Impairment, Fifth Edition, correctly ensures precise ratings for medicolegal and independent medical evaluations, making it a vital aspect of what you do.

Acquiring this knowledge and skillset has been challenging and costly. Therefore, many assessments lack quality, and only a few professionals have the necessary expertise. However, a superior, cost-effective, and unique virtual solution is now available, offering immediate and ongoing returns on your training investment. The enrollment fee is less than many physicians receive for a single evaluation.

It is crucial to develop the required knowledge and skills. Reading the AMA Guides is necessary but inadequate; learning from seasoned experts who have mastered the process is far more beneficial. As someone who has trained thousands in impairment evaluation and independent medical evaluations, I can attest that well-designed virtual learning is the most efficient and convenient method. Traditional seminars, live or recorded, can be costly and overwhelming, while our new virtual learning experience offers greater efficiency and affordability.

The course was designed by Chris Brigham, MD, Editor of the the AMA Guides Newsletter, Senior Editor of the AMA Guides, Sixth Edition, and author of multiple books and over three hundred articles. He was uniquely qualified to develop this course with extensive experience with Guides, teaching, and computer-based health sciences education (his first books were on this subject ‚Äď five decades ago!).

What do  you need to know about this resource?

  • This offering surpasses all other training, including and resources, which many have valued for over two decades.
  • Enrolling in this top-tier interactive learning resource on the AMA Guides, Fifth Edition grants access to¬†over 200 modules that teach impairment evaluation and report creation.
  • Modules typically feature brief video and audio presentations complemented by written content.
  • Additionally, you will have access to hyperlinks for supplementary video content and articles and integration with the "AMA Guides All-Access Bundle," a highly recommended subscription service by the American Medical Association.
  • We also offer a downloadable course syllabus and a .pdf handout of all presentation slides.
  • Engaging in numerous case exercises and quizzes facilitates active learning,
  • Plus, as long as you are actively enrolled, you will¬†complimentary access to our monthly coaching sessions, where you can ask questions and receive expert guidance.
  • A certificate of training is awarded upon course completion.
  • With over 170 hours of content, you can tailor your learning to your practice, interests, and schedule. The course duration depends on the amount of accessed content, typically ranging from 50 to 170 hours.
  • We continuously update the content to provide the necessary information and resources.
  • The course addresses common issues, including fundamentals, practical applications, musculoskeletal (spine, upper and lower extremities), nervous system, pain, mental and behavioral, skin, and more.¬†
  • Completing this training prepares you to take the examination to become a Certified Impairment Rater.

We offer one-month or one-year access options to AMA Guides ‚Äď Fifth Edition, Mastery!. Access the course by logging into your account at or using the official Kajabi app. Join our community of AMA Guides experts today and invest in a decision you will not regret.


Take Action - Enroll Today

Don't hesitate to acquire the expertise and competencies needed to excel in using the AMA Guides to the Evaluation of Permanent Impairment, Fifth Edition. The sooner you embark on your learning journey, the faster you'll achieve your objectives. Our competitively priced course is not only a wise investment but also offers a more comprehensive learning experience compared to other alternatives. Moreover, the course fee is often lower than the standard fee for a single professional evaluation. Seize this opportunity and elevate your career today.


No Risk Guarantee: Complete all lessons and within 30 days if you do not agree that this was an exceptional learning experience that provided you with the knowledge you need to assess impairment, we will refund your enrollment fee.


Select what is best for you:
One day access. Use this if you want to access content on a specific topic or simply want to explore the course.


One month access, if your training budget is limited. Note, you are going to get much more than two days courses costing far more. $487.
One year access, your best option. Engage thoroughly in the learning experience and return as needed. $1187.


One year access, with three monthly payments of $397.


One Day Access - $87.

This virtual learning experience is your best solution.

Embrace the ultimate virtual learning experience tailored to help you master the AMA Guides to the Evaluation of Permanent Impairment, Sixth Edition. Gain access to over 70 meticulously designed learning modules, where Dr. Christopher R. Brigham, Senior Editor of the AMA Guides, Sixth Edition, elucidates impairment evaluation and the creation of high-value reports. Enjoy numerous hours of easily digestible presentations, supplemented with links to additional video content and reading materials from the AMA Guides and Guides Newsletter.

Study at your convenience, and engage in an interactive learning process with case exercises and quizzes. Opt for to access monthly coaching sessions, connecting you with global experts who address your questions. The total learning time varies according to your needs, typically ranging from 20 to 60 hours. Equip yourself with the knowledge and skills to excel in your profession today.

It is essential to acquire the knowledge and expertise necessary for delivering precise assessments and crafting high-quality reports.

To effectively evaluate impairment, it's crucial to cultivate the knowledge and expertise necessary for conducting accurate assessments and producing high-quality reports. Merely reading a book is insufficient to grasp the intricacies of impairment assessment. The optimal approach involves learning from the most knowledgeable and skilled experts in the field. While two-day programs are available, they can be overwhelming and expensive, with an average fee of $1400 for a fraction of the content offered in our course. In-person events also incur indirect costs, such as travel, lodging, and potential lost revenue. As an experienced instructor of numerous AMA Guides seminars, Dr. Brigham understands that an intense, one-time course is not the most effective learning method.

We proudly present the world's leading solution - a top-notch virtual learning experience designed to deliver exceptional results.

We provide the world's premier solution for high-quality virtual learning. Over the years, numerous participants have benefited from our online training at We have entirely revamped our learning platform, incorporating the latest and most effective learning strategies. If you have previously completed our training, we still recommend enrolling in this enhanced experience, as it offers even more valuable insights and knowledge.  If you are new to our training offerings, this is your best solution.

William T. Grant, MD

Charlottesville, Virginia

My introduction to Chris Brigham, MD  was facilitated by the desire to identify a comprehensive training site to understand better and apply the methodologies of the AMA Guides to the Evaluation of Permanent Impairment. I am an Orthopedic Surgeon in Charlottesville, Virginia, who practiced privately for 32 years. Medical-Legal consulting services have been a consistent complement to my clinical practice. After retiring from patient care in 2022, I devoted my professional interests entirely to consulting and providing independent medical evaluations. Impairment analysis is frequently essential to case reviews and independent medical evaluations. Many excellent clinicians have yet to have the opportunity for formal training with the AMA Guides. Still, they are asked to provide impairment ratings for their patients or a patient sent to them. However, without training, it is nearly impossible to master the AMA Guides.

I identified Dr. Brigham's online educational sites and have benefited from his step-by-step teaching approach and monthly live video training sessions. provides many valuable resources; takes the learning experiences to a different level. The presentations are excellent, and the extensive hyperlinked resources, case exercises, and quizzes enhance the learning experience. The enrollment fee is substantially less than the typical fee for performing a single evaluation; therefore, there is a strong return on investment. As the Senior Contributing Editor to the AMA Guides over the past three decades, Editor of the AMA Guides Newsletter, and his strong background in information technology, Dr. Brigham occupies a unique space to educate on this topic. Mentorship with Dr. Brigham has greatly benefited me, facilitating the continued application of my professional background beyond traditional medical practice. I highly recommend AMA Guides, Sixth Edition – Mastery! 

Jerald D. Kelly, DC

Longview, Texas


Hello, my name is Jerald Kelly, DC, and I am taking Dr. Brigham's AMA Guides, Sixth Edition Mastery Course on impairment ratings.  I was a Designated Doctor for the State of Texas in the Workers Compensation Division. I decided to start doing impairment ratings again. Texas uses the Fourth Edition; however, I also wanted to learn how to use the most current Sixth Edition for evaluating cases outside the state workers; compensation system. I was set up to train with another company in Dallas, TX.  The issue for me was that I would incur the expenses of travel, lodging, and meals for two days.

I was looking online and found Dr. Brigham's online Mastery Course. I liked the idea of doing the course online and that I did not have to travel.  I also liked going at my pace instead of cramming all the material in a two-day seminar.  That may be good for some people; however, taking time to go through the course at my own pace has been a wonderful experience.

I also liked that Dr. Brigham is teaching the course; he is the Senior Contributing Editor for the AMA Guides, has been doing it for over 35 years, and has an insane amount of experience performing several thousands of ratings.  In addition, after you pass a four-hour exam, you earn a Certified Impairment Rater (CIR) certification, which I believe establishes you as an expert in and out of the courtroom.

The online Mastery Course itself is fantastic.  As I said, I can take the course at my own pace.  The course is professional and is broken up into many modules. The modules are further broken down into chapters from the Guide, which are slide presentations and can vary from a few minutes to an hour. You can download the modules onto your computer or watch with an app on your iPhone or iPad. You can click the hyperlinks at the bottom for additional videos in each module. Other hyperlinks take you to the AMA Guides and the AMA Guides Newsletter for more clarification of the material.  For instance, one of the hyperlinks can go to an article that explains the most common mistakes in rating a particular condition which is invaluable information. The AMA Guides is an intense read. However, Dr. Brigham has a great way of summarizing key points you need to know, which is amazing.  So when you refer to the Guides, you will understand the material well and what requires your focus.  

You do need to read the AMA Guides, of course. I suggest you review the Guides' examples that demonstrate the rating process. I have the All Access digital version, which is nice since you can access the AMA Guides Newsletter archive and stay current. I found the AMA's site a bit tricky to use at first, but when you get used to it, you find it helpful.

The last point I like to make is that the course is priced well.¬† Other weekend programs charge $1500 to $2,000 for fewer hours of training than you will receive with AMA Guides, Sixth Edition ‚Äď Mastery!¬† That does not include the additional travel costs, as I mentioned earlier.

In summary, the Mastery Course is excellent. If you are a person like me who wants to know how to do impairments, take the course at your own pace, and pay a reasonable price to get started, this is for you.

Enroll Today

AMA Guides Digital

 You must have access to the AMA Guides to learn how to use the AMA Guides. We will provide hyperlinks to content in the digital versions and the Guides Newsletter. Therefore, we highly recommend that you have access to the digital "AMA Guides All-Access Bundle." This includes all editions of the AMA Guides and access to the bi-monthly Guides Newsletter article. To subscribe, please click here.