Master the

AMA Guides to the Evaluation of  Permanent Impairment 


Sixth Edition


AMA Guides, Sixth Edition - Mastery! 

The best way to learn the Guides!  Introducing a revolutionary virtual learning experience designed to help you master the AMA Guides, Sixth Edition, like never before.

Led by world-renowned mentor Chris Brigham, MD - Senior Contributing Editor for the Sixth Edition and Past Editor-in-Chief of the AMA Guides Newsletter - this comprehensive program will equip you with the knowledge and skills needed to excel in your field.

  • With over¬†200 modules in the entire course, featuring several hours of video and audio presentations, written content, and links to supplementary materials, this program offers a flexible learning experience tailored to your preferences.
  • 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.
  • You can enroll in the entire course or portions of the course designed specifically for your needs.
  • You can complete the program at your own pace, ranging from 30 to 170 hours, and benefit from case exercises and quizzes to test your mastery.
  • As long as you are actively enrolled, you will have complimentary access to our monthly coaching sessions, where you can ask questions and receive expert guidance.

Nevertheless, do not just take our word for it - browse our reviews below to see our program's impact on our satisfied students. Moreover, if you are still not convinced, we invite you to watch our informative video, which is a worthwhile investment of just a few minutes.

Unlike live courses, our virtual program allows you to study at your own pace and tailor your learning to your needs.

Upon completing the course, we encourage you to become a Certified Impairment Rater and showcase your expertise in the field. Regardless of your experience level, this resource will elevate the quality of your assessments and contribute to your professional success. Do not miss this opportunity to take your career to the next level - enroll today!

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 around 200 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 50 to 170 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 training sessions.¬†¬†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.¬†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 ‚Äď Mastery!¬†

Jerald D. Kelly, DC

Longview, Texas

I wanted to learn how to use the most current Sixth Edition for evaluating cases. 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 and incurring expenses of travel, lodging, and meals.   

I also liked that Dr. Brigham is teaching the course; he has an enormous 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 establishes you as an expert. 

The online Mastery Course itself is fantastic.  It is professional and is broken up into many modules.  You can click the hyperlinks 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. Dr. Brigham has a great way of summarizing key points you need to know, which is amazing.   

The course is well-priced.  Other weekend programs charge $1500 to $2,000 for fewer hours of training, and you have many other indirect expenses. If you want to learn how to rate impairments, make a modest investment in this fantastic learning experience. 



Recommended - The Best

  • Access to all content, all 17 chapters!
  • Over 200 modules
  • Designed for¬†professionals¬†who want to master the entire¬†Guides,¬†e.g., occupational medicine, primary care.

Musculoskeletal and Nervous System


Most Popular

  • Access foundations and Chapters 1, 2, 3, 13, 15, 16 and 17
  • Designed for professionals with a musculoskeletal focus, e.g., orthopedics, physiatry, neurology, neurosurgery, chiropractic.

Medical and Surgical Focus


Top features

  • Access foundations and Chapters 1, 2, AND 4 - 13
  • Designed for physicians with non-musculoskeletal focus, i.e., internal medicine, ENT, ophthalmology.

Mental and Behavioral



  • Access foundations and Chapters 1, 2,¬†13, and 14.
  • Designed for¬†psychiatrists, psychologists, and other mental health professionals.

No Risk Guarantee 

Rest assured, we firmly believe that this learning opportunity will prove to be a valuable investment in your personal growth and development. If, after completing this training, you conduct impairment evaluations within 90 days and do not feel that you have received a satisfactory return on your investment, we will gladly refund the entire course fee without hesitation.


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.