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AMA GUIDESCustomized Fifth Edition Courses Heres How to Start

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ACCREDITATION STATEMENT
The American Academy of Disability
Evaluating Physicians (AADEP) designates this
educational activity with a maximum of 11.5
AMA PRA Category 1 CreditsTM for two days
and 7.0 AMA PRA Category 1 CreditsTM for
one day. Physicians should only claim credit
commensurate with the extent of their
participation in the activity.
AMA GUIDES Customized
Fifth Edition Courses
for the
Washington Department of
Labor and Industries
Here’s How to Start
Spokane, Washington
The American Academy of Disability
Evaluating Physicians is accredited by the
Accreditation Council for Continuing Medical
Education to provide continuing medical
education for physicians.
Friday, November 30, 2012
Eastern Washington Center of Occupational
Health & Education (COHE)
St. Luke’s Rehabilitation Institute
7.0 AMA PRA Category I CreditsTM
From Basic to Complex
Seattle, Washington
OBJECTIVES
In completing this course, the physicianlearner should be able to:
п‚·
Saturday-Sunday, December 1-2, 2012
Seattle Airport Marriott
3201 South 176th Street
206/241-2000 Room Rate: $99 by 11/9/12
Apply the concepts and principles of the
AMA Guides to the Evaluation of
Permanent Impairment, Fifth Edition
accurately to impairment rating of the
extremities;
11.5 AMA PRA Category I CreditsTM
п‚·
Use existing scientific evidence to support
and defend medical/legal reports;
FACULTY
п‚·
Understand any issues specific to
Washington State Department of Labor
and Industries.
Charles N. Brooks, MD, FAADEP
Douglas W. Martin, MD, FAADEP
Hal Stockbridge, MD
Phone: 312-663-1171
Fax: 312-663-1175
www.aadep.org
Attendees will receive flash drives with
presenters’ materials. Bring a laptop to
follow slides, if desired.
Toll Free 800-456-6095
Solve at least three case studies relative
to upper extremity (digit, hand, wrist,
elbow, shoulder) and lower extremity;
223 W Jackson Blvd
Suite 1104
Chicago, IL 60606-6900
п‚·
Others who may find this course useful include Chiropractors,
Case Managers, Claims Representatives, Psychologists, Allied
Health Professionals including Physical Therapists, Occupational
Health Nurses, and Legal, Insurance, or Risk Management
Professionals.
Rating with the AMA Guides Fifth Edition—Here’s How to Start
Spokane, Washington
Registration Form
Friday, November 30, 2012 (7.0 AMA PRA Category 1 CreditsTM)
Please print or type all information.
Complete one form per person.
8:00am
Introduction / Logistics/Pre-Test
12:30pm
8:30am
History Taking
2:00pm
9:00am
Determining MMI
9:30am
BREAK
9:45am
Basic Case Examples—Upper Extremity
Basic Case Examples—Lower Extremity/
Post-Test
3:00 pm
WDLI Topics
4:00pm
ADJOURNMENT
NAME
MD
NICKNAME
DO
OTHER
SPECIALTY
ADDRESS
Physical Examination Techniques
CITY
STATE
ZIP
10:45am Application of Data to IR Determination
NOON
LUNCH (PROVIDED)
TELEPHONE (O)
AMA Guides Fifth Edition Impairment Rating Course for All Levels—From Basic to Complex
Seattle, Washington
TM
Saturday-Sunday, December 1-2, 2012 (11.5 AMA PRA Category 1 Credits )
Saturday, December 1, 2012
8:00am Introduction / Logistics/Pre-Test
8:30am
History Taking
9:00am
Determining MMI
4:30pm
5:15pm RECESS
Sunday, December 2, 2012
8:00am Report Writing Fundamentals
9:00am
9:30am
BREAK
9:45am
Physical Examination Techniques
Additional Case Examples
Medico-Legal Interface
FAX NUMBER (O)
E-MAIL ADDRESS
Spokane, Washington
By Nov 19 On-Site
Friday, November 30, 2012
ONE DAY COURSE
Seattle, Washington
$395
$445
$495
$545
Saturday-Sunday, December 1-2, 2012
TWO DAY COURSE
Payment Information
EMERGENCY CONTACT NAME AND PHONE
10:00am BREAK
10:45am Application of Data to IR Determination
NOON
LUNCH (PROVIDED)
1:15pm
Basic Case Examples—Upper Extremity
2:45pm
BREAK
3:00pm
Basic Case Examples—Lower Extremity
4:00 pm WDLI Topics
10:15am Complex Case Examples
Make Check
Payable to:
NOON
Payment Amount: $
Questions & Answers/Post-Test
AADEP
223 W Jackson Blvd Suite 1104
Chicago, IL 60606-6900
12:15pm ADJOURNMENT
Card No.
1:00pm-3:00pm
OPTIONAL CEDIR EXAM
(separate registration required for exam)
A Sixth Edition AMA Guides Impairment Rating Course
will be offered concurrently. Check the AADEP Website at www.aadep.org
Expiration Date:
Visa
MasterCard
AmEX
Three/Four Digit
Security Code:
Signature
CANCELLATION POLICY
There is a $100 service fee for all cancellations received before 11/19/12.
No refunds for cancellations received after 11/19/12 or for NO SHOWS.
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