NASS Insider


December 21, 2021


AMA Guides Alert: Overview for 2022 and Oct. & Nov. Meeting Highlights


ICYMI: AMA Guides Sixth 2022 is Live on AMA Guides Digital!

Stakeholders are encouraged to review AMA Guides Sixth 2022 with educational support through the AMA Ed HubTM. The 2022 update will be considered the most recent version of the AMA Guides and the most current version of AMA Guides Sixth on January 1, 2022. All subscribers to the digital sixth edition will automatically receive the new update as part of their subscription.

Editorial Priorities for 2022 and Beyond
Following the discussion during the October meeting, the editorial panel is considering the following topics as priorities for updates in 2022 and beyond:
  • Use of telemedicine for independent medical evaluations and impairment ratings
  • Long-haul COVID symptoms
  • Pain
  • Loss of range of motion for upper extremity
  • Improved examples that reflect more complex scenarios encountered in practice
Authoritative Articles
Three AMA Guides Newsletter articles were approved by the Editorial Panel as authoritative. Authoritative articles reflect an official AMA interpretation, application or clarification. Revisions to the AMA Guides are not made via the newsletter. These designated articles are in the process of being identified on AMA Guides Digital.
  • Christopher R. Brigham; Rating Spinal Nerve Extremity Impairment Using the Sixth Edition. Guides Newsletter 1 July 2009; 14 (4): 1–6
  • J. Mark Melhorn; Shoulder Impairment Rating: Sixth Edition Clarifications. Guides Newsletter 1 September 2018; 23 (5): 11–15.
  • Douglas W. Martin, J. Mark Melhorn, James B. Talmage; Q&A: The Role of the QuickDASH in Carpal Tunnel Syndrome. Guides Newsletter 1 July 2020; 25 (4): 14–15.
Status on Proposals in Development
  • Continued development of the Spine proposal includes a 3-Grade modified system based on current best science. If adopted, a move to 3-Grade for the other musculoskeletal chapter is anticipated to follow.
  • PROMIS-29 patient-reported outcome measure presented to the Panel for consideration. Additional study of the measures and comparing the scoring between the paper and computer versions of the measure is needed.
  • ENT proposed changes include Rotary Chair Testing and a new dysphagia example approved by the Editorial Panel.
  • Neurology chapter under revision to address Panel feedback.
What to expect in 2022 for Editorial Panel meetings
The AMA Guides Editorial Panel is delegating portions of their meeting time to workgroups and subcommittee activities. Proposed content updates will be addressed in a public forum and will occur on a bi-monthly basis.

Sign up for invitations to virtually attend the AMA Guides Editorial Panel meetings.
  • Dec. 16, 2021
  • Feb. 17, 2022
  • April 14, 2022
  • June 23, 2022
  • Aug. 18, 2022
  • Oct. 20, 2022
  • Dec. 15, 2022
More Information on the AMA Guides
The AMA established the AMA Guides Editorial Panel to curate the best scientific evidence and medical knowledge to ensure delivery of fair and consistent impairment ratings. With the digitization of the AMA Guides to improve accessibility and ease of use, we’re committed to keeping you informed of developments and inflection points.

For more information, contact amaguides@ama-assn.org.
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