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AMA Guides® to the Evaluation of Permanent Impairment, Sixth Edition– Digital Access – Coming soon new content updates for 2021. AMA Guides Sixth emphasizes the fundamental skills physicians need to evaluate and communicate patient impairments. The AMA periodically publishes and updates a physician impairment rating guide (the AMA Guides). The 6th Edition, published in 2008, incorporates the definitions and terminology of the ICF and provides a simple means of assessment of ADLs as part of the rating process. AMA Guides 5th Edition. 19th April 2020: AMA5 Based Complex Case Studies Workshop AMA5 is the most widely used Impairment Guides in Australia and is the basis for a number of state overlays.