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What is the role of the impairment rating physician regarding factual accuracy?
Must base conclusions on accurate history, records, and objective findings.
What must be included when describing mechanism of injury?
Clear, concise account of how the injury occurred and body parts affected.
How should prior medical records be addressed?
Summarize relevant records and discuss their impact on current impairment.
What is crucial about diagnostic studies?
Identify relevant imaging/labs and explain how results support findings.
What does a proper physical exam section include?
Inspection, palpation, ROM, neurologic, special tests tied to Guides criteria.
Why must consistency of effort be documented?
To validate ROM/strength tests and rule out symptom magnification.
What are Waddell signs?
Nonorganic pain indicators suggesting possible exaggeration or psychosocial overlay.
What is a key reporting element for upper extremity impairment?
Document side (dominant vs non-dominant) and compare to normal.
What is a key reporting element for spine impairment?
Level(s) involved, neurological deficits, and method used (DRE or ROM).
What to include for lower extremity impairment?
Gait, ROM, strength, sensory/motor deficits, and assistive device need.
What to report about pain?
Location, character, reproducibility, effect on ADLs, add-on % if justified.
Why describe ADL impact in detail?
Supports impairment class and percent selection per AMA Guides.
What to clarify about stability of condition?
Confirm MMI reached and explain if further change expected.
What should be stated about work status at MMI?
RTW potential, restrictions, or need for modified duty.
Why must future medical care be addressed?
To guide claims on ongoing treatment and cost planning.