Become Certified As An Independent Medical Examiner ... · Offered at Various Locations Enhance...

8
Setting the Standard for Independent Medical Examiners lLas Vegas, NV October 22-25, 2020 International Location: Johannesburg, South Africa - AMA Guides 6th Ed - April 3-5, 2020 lCharlotte, NC August 13-16, 2020 Distinction That Sets You Apart Become Certified As An Independent Medical Examiner Achieve Certification through the American Board of Independent Medical Examiners (ABIME) and gain recognition from legal, disability and compensation professionals. ABIME certification offers added advantages: • Advanced knowledge and training in impairment and disability evaluation • Increased demand for your specialized services • State-of-the-art training in AMA Guides • National and International promotion of your added qualification and certification status to prospective clients • Enhanced credibility and competency as an Independent Medical Examiner • Added professionalism and career advancement in Medicolegal Expertise Be among the first in your area to earn the prestigious distinction as Fellow of the American College of Independent Medical Examiners (FACIME TM ). Contact us today to achieve the ABIME training and Diploma, as well as ACIME Fellowship - A distinction that sets you apart from your competition. Visit www.acime.org for details Attend An Upcoming Training Program & Get Certified AMA Guides 5th & 6th Ed. Training With Practical IME Skills & Medicolegal Workshops - Return To Work & Fitness for Duty Workshop - Report Writing Workshop - TBI & Concussion Claims Workshops Offered at Various Locations Enhance your credibility as an Independent Medical Examiner and Expert Witness by achieving certification through the American Board of Independent Medical Examiners Register online at www.abime.org 2020 Course Schedule lOrlando, FL March 5-8, 2020 This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Marshall University Joan C. Edwards School of Medicine and ACDM/ABIME. Marshall University Joan C. Edwards School of Medicine is accredited by the ACCME to provide continuing medical education for physicians. Please visit ABIME’s website for details about ALL our Locations *ABIME Certification Exams Offered at ALL Locations! *

Transcript of Become Certified As An Independent Medical Examiner ... · Offered at Various Locations Enhance...

Page 1: Become Certified As An Independent Medical Examiner ... · Offered at Various Locations Enhance your credibility as an Independent Medical Examiner and Expert Witness by achieving

Setting the Standard for Independent Medical Examiners

lLas Vegas, NV October 22-25, 2020

International Location: Johannesburg, South Africa - AMA Guides 6th Ed - April 3-5, 2020

lCharlotte, NC August 13-16, 2020

Distinction That Sets You Apart

Become Certified As An Independent Medical Examiner

Achieve Certification through the American Board of Independent Medical Examiners (ABIME) and gain recognition from legal, disability and compensation professionals.

ABIME certification offers added advantages:

• Advanced knowledge and training in impairment and disability evaluation • Increased demand for your specialized services • State-of-the-art training in AMA Guides • National and International promotion of your added qualification and certification status to prospective clients • Enhanced credibility and competency as an Independent Medical Examiner • Added professionalism and career advancement in Medicolegal Expertise

Be among the first in your area to earn the prestigious distinction as Fellow of the American College of Independent Medical Examiners (FACIMETM). Contact us today to achieve the ABIME training and Diploma, as well as ACIME Fellowship - A distinction that sets you apart from your competition.Visit www.acime.org for details

Attend An Upcoming Training Program & Get CertifiedAMA Guides 5th & 6th Ed. Training With Practical IME Skills &

Medicolegal Workshops - Return To Work & Fitness for Duty Workshop - Report Writing Workshop - TBI & Concussion Claims Workshops

Offered at Various Locations

Enhance your credibility as an IndependentMedical Examiner and Expert Witness by achieving certification through the American Board of Independent Medical Examiners

Register online at www.abime.org

2020Course Schedule

lOrlando, FL March 5-8, 2020

This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Marshall University Joan C. Edwards School of Medicine and ACDM/ABIME. Marshall University Joan C. Edwards School of Medicine is accredited by the ACCME to provide continuing medical education for physicians.

Please visit ABIME’s website for details about ALL our Locations

*ABIME Certification Exams Offered at ALL Locations! *

Page 2: Become Certified As An Independent Medical Examiner ... · Offered at Various Locations Enhance your credibility as an Independent Medical Examiner and Expert Witness by achieving

2

AMA Guides Advanced Case Studies Workshops AMA Guides 6th & 5th Ed - Course Code: AMA6Cs/AMA5Cs

4 to 8 hour Workshops - See Designated Locations -

NEW

COURSE LOCATIONS & DATES (Course Code: RVW) • Orlando, FL - March 7, 2020 • Charlotte, NC - August 15, 2020 • Las Vegas, NV - October 24, 2020 • Johannesburg, SA - April 4, 2020

Course Director & Program Chair: Mohammed I. Ranavaya, MD, JD, MS, FRCPI, FFOM, MCIMEAuthor and Associate Editor AMA Guides 6th Ed INTENDED AUDIENCE: This course is specifically designed to educate and prepare Physicians/Surgeons of all specialties and Chiropractic Doctors in the use of the AMA Guides to the Evaluation of Permanent Impairment 6th Ed. and meets the educational prerequisite to qualify for the CIME/CICE examination through ABIME. It is recommended that doctors seeking review for the Certification Exam attend both the AMA Guides Training and the Advance AMA Guides Complex Case Studies Course. Others who would benefit from this training program include attorneys, adjudicators, physicians’ assistants, nurse practitioners, physical therapists, disability evaluators, adjusters, claims examiners/managers.

PRACTICAL OBJECTIVESLearn how to:

• Apply the comprehensive knowledge of key concepts, philosophy and underlying principles of the AMA Guides to perform quality impairment evaluations.

• Comprehensively evaluate personal injuries claims according to the AMA Guides. • Evaluate complex cases according to the AMA Guides & perform excellent IMEs.

Educational Tuition: - US $695 ($50 discount for current year ABIME Board of Registry Members)

AMA Guides to the Evaluation of Permanent Impairment, 6th Edition

With Review of Principles of Disability Assessment 8 hours of AMA Category 1 CME credit in Impairment & Disability Evaluation

AMA Guides & IME Training Courses/Workshops Offered for 2020

PROGRAM SCHEDULE AMA Guides 6th Edition Training Agenda ~ Course Code: RVW

7:30 a.m. Registration and Coffee 8:00 a.m. Welcome, Introduction and review of course objectives 8:05 a.m. Key Concepts in AMA Guides Chapters 1 and 2. Review the Methodology, appropriate use and practical application of the AMA Guides, 6th Edition 9:45 a.m. Refreshment Break 10:00 a.m. Spine Impairment Rating, Chapter 17, Methodology of Assessment and Impairment Rating with Case Presentations 11:15 a.m. The Upper Limb - Chapter 15 Methodology 12:00 p.m. Lunch and Learn with faculty—Post Session Evaluation-- Brief quiz 1:00 p.m. The Upper Limb & Lower Limb Impairment Rating, Chapter 15-16 2:45 p.m. Coffee & Refreshment Break 3:00 p.m. The Nervous System Impairment Rating using AMA Guides Methodology 3:45 p.m. Beyond Musculoskeletal System – Chapter 4-12 5:00 p.m. Adjourn

AMA6 Based Complex Case Studies Workshop ~ Course Code: AMA6Cs

This 8 hour 20 Complex Case Studies Workshop based on AMA6 methodology on Sunday, is designed to learn the practical use of the AMA Guides with audience participation using cases from all important chapters of AMA6 including musculoskeletal system, neurology, psychiatry and internal medicine.

COURSE LOCATIONS & DATES: • Orlando, FL - March 8, 2020 • Charlotte, NC - August 16, 2020 • Las Vegas, NV - October 25, 2020 • Johannesburg, SA - April 5, 2020

Educational Tuition: - US $695 ($50 discount for current year ABIME Board of Registry Members)

Page 3: Become Certified As An Independent Medical Examiner ... · Offered at Various Locations Enhance your credibility as an Independent Medical Examiner and Expert Witness by achieving

3

Facilitators: Mohammed I. Ranavaya, MD, JD, MS, FRCPI, FFOM, MCIME & Robert B. Walker MD, CIME8 hours of AMA Category 1 CME ~ Educational Tuition - US $695 ~ Course # OVW5 ($50 discount for current BOR members) COURSE LOCATIONS & DATES:

• Orlando, FL - March 5, 2020 • Charlotte, NC - August 14, 2020 • Las Vegas, NV - October 22, 2020

Facilitator: Mohammed I. Ranavaya, MD, JD, MS, FRCPI, FFOM, CIME 8 hours of AMA Category 1 CME ~ Educational Tuition - US $695 ~ Course # IEW ($50 discount for current BOR members) COURSE LOCATIONS & DATES: • Charlotte, NC - August 20, 2020

AMA Guides & IME Training Courses/Workshops Offered for 2020

Facilitator: Mohammed I. Ranavaya, MD, JD, MS, FRCPI, FFOM, MCIME 4 or 8 hours of AMA Category 1 CME ~ Educational Tuition- 4hr - US $350 for 8hr - US $695 ~ Course# AMA6Cs/AMA5Cs COURSE LOCATIONS & DATES: 4 hours - AMA5Cs: • Orlando, FL - Mar 6, 2020 • Las Vegas, NV - Oct 23, 2020 8 hours - AMA6Cs: • Orlando, FL - Mar 8, 2020 • Charlotte, NC - August 16, 2020 • Las Vegas, NV - Oct 25, 2020 • Johannesburg, SA - April 5, 2020

Intended Audience: Physicians/Surgeons of all specialties and Chiropractic Doctors. Others who would benefit from this training program include attorneys, physicians’ assistants, nurse practitioners, physical therapists, disability evaluators, nurse case managers, claims examiners/managers/adjusters and adjudicators. Please visit www.abime.org for details on these workshops.

AMA Guides 6th & 5th Edition Case Studies Workshop

A Doctor’s Guide to Practical Use of the AMA Guides 5th Edition - An Overview

Facilitator: Mohammed I. Ranavaya, MD, JD, MS, FRCPI, FFOM, MCIME4 hours of AMA Category 1 CME ~ Educational Tuition - US $350 ~ Course # MLG

COURSE LOCATIONS & DATES

• Orlando, FL - March 6, 2020 • Johannesburg, SA - April 3, 2020 • Las Vegas, NV - October 23, 2020

Medicolegal Skills for Independent Medical Examiners and Expert Witness: A Workshop

Facilitator: Anthony J. Dorto, DC, MD - Board Certified in Physical Medicine & Rehabilitation4 hours of AMA Category 1 CME ~ Educational Tuition - US $350 ~ Course # MAL

COURSE LOCATIONS & DATES: • Charlotte, NC - August 14, 2020

Facilitator: Gerald S. Steiman, MD - Neurologist 4 hours of AMA Category 1 CME ~ Educational Tuition - US $350 ~ Course # TBI

COURSE LOCATIONS & DATES: • Orlando, FL - March 6, 2020 • Las Vegas, NV - October 23, 2020

Traumatic Brain Injuries & Concussions Claims - How to Evaluate Them - Workshop

Symptom Magnification, Claims Exaggeration & Malingering How to Sort Them Out In Personal Injuries & Workers’ Compensation Claims - Workshop

Return to Work and Fitness for Duty Decisions - How to Use a Function Based Approach WorkshopFacilitator: Anthony J. Dorto, DC, MD & Mohammed I. Ranavaya, MD, JD, MS, FRCPI, FFOM, MCIME4 hours of AMA Category 1 CME ~ Educational Tuition - US $350 ~ Course # RTW COURSE LOCATIONS & DATES: • Johannesburg, SA - April 3, 2020 • Charlotte, NC - August 14, 2020

Facilitator: Gerald S. Steiman, MD & Mohammed I. Ranavaya, MD, JD, MS, FRCPI, FFOM, MCIME 4 hours of AMA Category 1 CME ~ Educational Tuition - US $350 ~ Course # CAS

COURSE LOCATIONS & DATES: • Orlando, FL - March 6, 2020 • Las Vegas, NV - October 23, 2020

Medicolegal Causation, What Does the Science Say?

General InformationContinuing Medical Education (CME) CreditMarshall University Joan C. Edwards School of Medicine designates this entire educational activity for a maximum of 39 AMA PRA Category 1 Credit (s) ™. Physicians should only claim credit commensurate with the extent of their participation in the activity. Segment registration and attendance verification are required.

QME - California: CME Provider No. 1040 ABIME is an approved CE provider for the California & Nevada Board of Chiropractic Examiners.

Eligibility for ABIME Certification Examination for Proficiency in the AMA Guides - Non-Physician ONLYExamination for Proficiency in the AMA Guides for Non-Physicians follows the ABIME Certification Review Course from 1:00pm-3:00pm. A separate exam application must be submitted along with the required documents. Please submit the proper documentation as soon as possible. Contact the ABIME office or download the exam application from the ABIME website. The exam fee is $350. Please note that only Non-Physicians are eligible for the exam and the Exam Fee is non-refundable once it is paid. See the ABIME Course Registration form for Exam dates, times & locations.

Eligibility for ABIME Certification ExaminationThe ABIME Certification Examination follows the ABIME Certification Review Course at each site. A separate exam application must be submitted along with the required documents. The items listed on the exam application are required in order to complete your file and receive exam results. Please submit the proper documentation as soon as possible. Contact the ABIME office or download the exam application from the ABIME website: www.abime.org. The exam fee is $995. Please note that the Exam Fee is non-refundable once it is paid and can only be transferred to another exam location within the same calendar year. See the ABIME Course Registration form for Exam dates, times & locations.

Workshop on Building A Successful Practice for Independent Medical Examiner/Expert Witness

Page 4: Become Certified As An Independent Medical Examiner ... · Offered at Various Locations Enhance your credibility as an Independent Medical Examiner and Expert Witness by achieving

Anthony J. Dorto, DC, MD, FAAPMR, FAADEP, is Board Certified in Physical Medicine & Rehabilitation (PM&R) with additional training and experience in Impairment and Disability Assessment, Functional Capacity Evaluation (FCE), Independent Medical Examinations (IME’s), Work Capacity, Work Restrictions/Limitations, Work/Job Assessment, Future Medical Care Needs, etc. Dr. Dorto evaluates and/or consults regarding individuals with various Impairments/Disabilities such as spinal and joint pain, gait disorders, paraplegia, quadriplegia, amputations, peripheral neuropathy, stroke and brain injury, work related injuries, motor vehicle accidents, and musculoskeletal conditions. He is currently the Medical Director of the Disability Assessment Center, P.A.

Gerald S. Steiman, MD, is a practicing Neurologist in Columbus, with over 30 years experience in performing IMEs. After completing his internship and residency at the University of Manitoba, Canada, he completed a fellowship at the University of Pennsylvania. Dr. Steiman is board certified in neurology and

a member of the Royal College of Physicians and Surgeons of Canada. He has authored several articles published in Disability Medicine which focus on the significance of various neurological diagnoses to the IME examiner and has lectured extensively on the use of the AMA Guides, Traumatic Brain Injuries and Concussion Claims Evaluations.

Robert B. Walker, MD, MS, CIME, is Board certified in Occupational Medicine and Family Medicine. For two decades, Dr. Walker served as Professor and Chair of Department of Family and Community Medicine at Joan C. Edwards School of Medicine - Marshall University, Huntington, WV. He currently serves as Vice Chancellor for Health Sciences for West Virginia Higher Education Policy Commission. Dr. Walker currently serves as the President of the American College of Independent Medical Examiners.

Faculty ProfilesMohammed I. Ranavaya, MD, JD, MS, FRCPI, FFOM, MCIME, is a Professor of Occupational and Environmental Medicine at MarshallUniversity School of Medicine in WestVirginia and is board certified in Occupational and Environmental

Medicine. Dr. Ranavaya also currently serves as the Director of the Appalachian Institute of Occupational & Environmental Medicine in West Virginia. Dr. Ranavaya is the section editor and primary author of several chapters of AMA Guides 6th Ed. Dr. Ranavaya has performed several thousand Independent Medical Evaluations and is an internationally recognized expert on AMA Guides and has taught, globally, over ten thousand physicians skills for performing Independent Medical Evaluations and how to be more effective in the use of the AMA Guides to the Evaluation of Permanent Impairment. Dr. Ranavaya has authored several chapters in various books on Disability Medicine and numerous articles regarding AMA Guides, disability guidelines and independent medical evaluations, etc. Dr. Ranavaya has served as the chair of the editorial board of the Medical Disability Advisor, a book on workplace disability duration guidelines for various injuries and diseases and has served as the senior medical editor for Official Disability guides. He served on the senior editorial advisory board of the AMA Guides 5th edition and is a contributor to the AMA Guides 5th edition. Dr. Ranavaya is the past President of the American Academy of Disability Evaluating Physicians. He is one of the founding fathers and current President of the American Board of Independent Medical Examiners (ABIME) and has helped develop the certifying exam for physicians seeking credentialing as certified independent medical examiners. E-mail: [email protected] Phone: (304) 733-0095. Dr. Ranavaya has no significant financial interests of commercial support to disclose.

How ABIME Certification Advances Your Career Certification through the American Board of Independent Medical Examiners (ABIME) sets you apart as a nationally recognized medical examiner. ABIME certification represents the pinnacle of professional competency and integrity, instilling greater client confidence in your capabilities and identifying you as an experienced physician who understands the unique issues of disability evaluation. Physicians certified by ABIME meet the demand for quality, impartial impairment and disability evaluations. Certified physicians are eligible for listing in the ABIME Directory, the number one source for certified IME physicians, utilized by insurance companies, legal firms, case and claims professionals and workers’ compensation boards to locate qualified independent medical examiners.

Venue and Hotel Information Special room rates have been negotiated for ABIME at locations where venue is in a hotel. Please contact the hotel directly at least 1 month in advance to get the special rates. Please book early as number of rooms at these rates are limited.

For current venues and updates to all ABIME events please visit our website :

www.abime.org OR Call ABIME at 304-733-0095

Charlotte, NC: August 13-16, 2020 Double Tree by Hilton Charlotte Airport 2600 Yorkmont Road Charlotte, NC 28214 Phone: 1-800-222-8733 Group Code: abi - Room Rate: $92.00

Las Vegas, NV: October 22-25, 2020 Hilton Garden Inn Las Vegas Strip South 7830 S. Las Vegas Blvd. Las Vegas, NV 89123 Phone: (702) 942-8404 Group Code: ABIME - Room Rate: $153.00

Orlando, FL: March 5-8, 2020 Holiday Inn Orlando East UCF 1724 Alafaya Trail. Orlando, FL 32826 Phone: (407) 658-9008 or 1-800-465-4329 Group Code: ABIME-Medical Examiners Room Rate: $109.00

Johannesburg, South Africa: April 3-5, 2020 Mannah Executive Guest Lodge 39 Pomona Road, Kempton Park Johannesburg, Gauteng South Africa Phone: 011-979-2820 - - (M) 082-859-5133

For INFORMATION on all VENUES Visit

ABIME Website at www.abime.org

Planning Committee:Includes all faculty members and the following: • Robert B. Walker, MD, MS, CIME • David N. Bailey, MBA, Dean CME Marshall University Joan C. Edwards School of MedicineDisclosures: No Disclosure or Conflict of interest noted for any faculty member or planning committee member.

4

*The training programs offered here are neither authorized nor sponsored by AMA.

Page 5: Become Certified As An Independent Medical Examiner ... · Offered at Various Locations Enhance your credibility as an Independent Medical Examiner and Expert Witness by achieving

Charlotte, NC: August 13-16, 2020 Double Tree by Hilton Charlotte Airport 2600 Yorkmont Road Charlotte, NC 28214 Phone: 1-800-222-8733 Group Code: abi - Room Rate: $92.00

Las Vegas, NV: October 22-25, 2020 Hilton Garden Inn Las Vegas Strip South 7830 S. Las Vegas Blvd. Las Vegas, NV 89123 Phone: (702) 942-8404 Group Code: ABIME - Room Rate: $153.00

5

American College of Independent Medical Examiners

FULL MEMBERSHIP - earn MACIMETM - for Medical PractitionersEntitlement to use MACIME as professional qualification is available to Medical Practitioners (Licensed/Registered Medical practitioners in any jurisdiction– Both physicians and surgeons) who meet the following requirement:• 23 hrs of ACIME or ABIME sponsored/approved training over the past 3 years in the

field of Disability Medicine and/or Impairment and Disability evaluation including at least 8 hrs of study in the use of AMA Guides to Evaluation of Permanent Impairment.

• Licensed/Registered to Practice Medicine/Surgery in any jurisdiction with no restrictions/adverse action in the past 3 years.

ASSOCIATE MEMBERSHIP - for Other Health Care ProvidersAvailable to Chiropractic Doctors, Nurse Practitioners, Physician Assistants and Other Relevant Health Care Providers who hold a doctorate level degree of PhD, DPsych, ScD, EdD or any other relevant doctorate with a minimum of 3 years of experience working in a field related to Impairment and Disability Assessment or serving as expert witness. AND At least 23 hrs of ACIME or ABIME sponsored/approved training over the past 3 years in the field of Disability Medicine and/or Impairment and Disability Evaluation including at least 8 hrs of study in the use of AMA Guides to Evaluation of Permanent Impairment.

FELLOWSHIP ACIME - FACIMETM

Entitlement to use FACIME as professional qualification is the highest and most prestigious qualification in Disability Medicine, available only to those that have reached through training, examination and peer review the pinnacle of Knowledge, Skills and Abilities required of a high quality Independent Medical Examiner. Full membership for at least one year is a prerequisite for FACIME. Other requirements include the following:• 100 hours of CME/CPD Credits from any accredited training program related to your

field/specialty in the past 5 yrs plus 50 hrs of IME related ABIME sponsored training• Current ABIME Master CIME diplomats are exempt from the above requirement• Currently Licensed/Registered to Practice Medicine/Surgery in any jurisdiction with

no restrictions/adverse action in the past 5 years• Must be a specialist in her/his field of practice duly recognized by an appropriate

specialty authority with good standing in her/his jurisdiction For detailed requirement see www.acime.org

Benefits of ACIME Membership:• Inclusion in the widely circulated annual membership directory• Late tuition fees Waiver on all ACIME educational courses except on-site registration• Discounts on various ACIME products

ACIME Membership Categories:

You are invited to join American College of Independent Medical Examiners and receive Membership (MACIMETM) and Fellowship (FACIMETM) Qualification and Benefits.

Please review the entire requirements for the particular membership category that you are applying for at www.acime.org .

ACIMEAmerican College of Independent Medical Examiners

6470-A Merritts Creek Road Huntington, WV 25702

Ph: 304-733-0095 Or Fax To: (304) 733-5243 Website: www.acime.org or E-mail: [email protected]

Page 6: Become Certified As An Independent Medical Examiner ... · Offered at Various Locations Enhance your credibility as an Independent Medical Examiner and Expert Witness by achieving

6

1) Current Status as an ABIME CIME Certified Diplomat and Board of Registry Member in good standing. 2) Successful completion and passing of more than one version (AMA4 or AMA5 or AMA6 or Case Based AMA6 Practical Exam) of the AMA Guides Exam, at least two in the past one year. Applicants must have passed the exams on the first attempt. Any candidate failing their exam will not be eligible for the following two years.

3) 50 hours of IME related ABIME sponsored Training Credit within the last 5 years. These are Training Programs that directly receive hour for hour credit from ABIME for primary credentialing and recertification.

4) 100 hours of CME/CPD credit from any accredited training program related to your field/specialty in the past five years. This is in addition to the 50 hours of ABIME sponsored CME as outlined above in Item #2.

5) You must be a specialist in your field, recognized by an appropriate specialty authority in your jurisdiction and currently in good standing with that authority.

6) Currently licensed/registered to practice medicine and/or surgery with no significant adverse action against the professional practice registration or license by the authority in the last 10 years in your jurisdiction.

7) Complete a Master CIME application with one time MCIME Diploma fee of US $200.

8) Upon receiving the Status of MCIME , a Diplomat is authorized to use MCIME initials after their name for 5 years so long as the Diplomat is in good standing with ABIME. The MCIME status must be renewed every 5 years.

Become a Master CIME

Achieve New MCIMETM Qualification

NEW

Master CIME qualification (MCIME) by the American Board of Independent Medical Examiners (ABIME) places you among the most premium and highest credentialed group of doctors in the Independent Medical Examination and Expert Witness arena in your specialty. In order to become a Master CIME one must complete the following requirements:

For assistance or information on how to become a Master CIMETM please contact ABIME by calling (304) 733-0095 Or Fax To: (304) 733-0096 - Or E-mail: [email protected] Or visit the Website at www.abime.org

AMA Guides & IME Training Courses/Workshops Offered for 2020

Workshop on Building A Successful Practice for Independent Medical Examiner/Expert Witness

Page 7: Become Certified As An Independent Medical Examiner ... · Offered at Various Locations Enhance your credibility as an Independent Medical Examiner and Expert Witness by achieving

AMA Guides Advanced Case Studies WorkshopsAMA Guides 6th & 5th Ed - Course Code: AMA6Cs/AMA5Cs

4 to 8 hour Workshops - See Designated Locations -

7

FOR ALL COURSES & CERTIFICATION EXAMS YOU CAN REGISTER ONLINE AT www.abime.org**A separate Examination Application & fee must accompany this registration form. Please contact ABIME for an application or download the form from our website www.abime.org. Please note: Payment in full must accompany registration form. Last Name: ________________________ First Name: ___________________ Degree(s): __________________ Specialty: ________________________________ E-mail Address: ____________________________________ Address: __________________________________________________________________________________ City: _________________________________ State: ___________________________ Zip: ________________ Phone: ______________________________________ Fax: __________________________________________ Payment Information: r Check if you are an ABIME Board of Registry Member for the current year onlyr Payment by Check: Please make check for EXAM fee payable to ABIME only &

Please make check for Educational Tuition fee payable to ACIME only.PLEASE NOTE: Educational Tuition fees processed by credit card will appear on your statement as:

American College of Independent Medical Examiners, Inc.

r Payment by Credit Card: r Visa r MasterCard r AmEx r Discover Card Number: ________________________________ Exp. Date (m/y): ______/_____ Card Verification Code: _______Signature: ______________________________________________________ Date: ______________________ ABIME/ACDM REFUND POLICY: (Please read carefully as registering for an ABIME event constitutes your acknowledgment of the following)The ABIME exam fee is non-refundable after it is paid and can only be transferred to another exam location within the same calendar year for a transfer fee of $100. No substitutions are allowed for exam and No substitutions or transfers are allowed for educational events. All cancellations for educational events must be made in writing to ABIME’s educational affiliate, ACDM, Inc and there shall be no cancellations or refunds of tuition fees if the request is received less than two weeks prior to the course date. No Exceptions Please. Cancellation requests received more than two weeks prior to the course date shall incur an administrative fee of $50 for each workshop, $75 fee for the overview course and Building A Successful IME/Expert Witness Practice and a $100 fee for the certification review course. No Shows are not entitled to course handout material. No Exceptions. This refund policy also applies to any subsequent courses added to this registration. ABIME and its affiliates including ACDM, Inc. reserve the right to cancel or modify any educational activity for any reason with maximum liability of refund only of the course registration fees paid. ABIME and its affiliates hereby expressly disclaim any liability for damages incidental to or resulting from any cancellation or modification of any event. The laws of the state of West Virginia shall govern any disputes arising out of this agreement and venue shall lie exclusively in Cabell County, WV.

Mail To: ABIME, 6470-A Merritts Creek Road, Huntington, WV 25702Or Fax To: (304) 733-5243 - Or Register online at www.abime.org

Questions? Call 304-733-0095 or 304-733-0096 or E-mail: [email protected]

2020 ABIME/ACIME COURSE REGISTRATION FORM

Charlotte, NC - August 13-16, 2020 rThur, Aug 13 IEW - Building IME Practice (8am-5:00pm) - US$695 rFri, Aug 14 OVW5 - AMA 5th (8am-5pm) - US$695rFri, Aug 14 RTW - Return to Work Strategies (8am-Noon) - US$350 rFri, Aug 14 MAL-Exaggeration & Malingering (1:00-5:00pm)-US$350 rSat, Aug. 15 RVW - AMA 6th - (8:00am-5:00pm) - US$695 rSun, Aug. 16 AMA6Cs - (AMA6th Ed) (8:00-4:00pm) - US$695 rFri, Aug 14 4th/5th Ed EXM** (5:30pm-9:00pm) - US$995 rFri, Aug 14 4th/5th NON-PHY EXM** (5:30–7:00pm) - US$350 rSun, Aug 16 6th Ed EXM** (4:30pm-8:00pm) - US$995rSun, Aug 16 6th NON-PHY EXM** (4:30pm–6:00pm) - US$350

Las Vegas, NV - October 22-25, 2020 rThur, Oct. 22 OVW5 - AMA 5th (8am-5pm) - US$695rFri, Oct. 23 TBI-Return to Work Strategies (8am-Noon)-US$350 rFri, Oct. 23 MLG - Medicolegal Skills (8am-Noon)-US$350 rFri, Oct. 23 AMA5Cs - (AMA5th Ed) (1:00pm-5:00pm)-US$350 rFri, Oct. 23 CAS - Medicolegal Causation (1:00-5:00pm)-US$350 rSat, Oct. 24 RVW - AMA 6th - (8:00am-5:00pm) - US$695 rSun, Oct. 25 AMA6Cs - (AMA6th Ed) (8:00-4:00pm) - US$695 rFri, Oct. 23 4th/5th Ed EXM** (5:30pm-9:00pm) - US$995 rFri, Oct. 23 4th/5th NON-PHY EXM**(5:30pm-7:00pm)-US$350 rSun, Oct. 25 6th Ed EXM** (4:30pm-8:00pm) - US$995rSun, Oct. 25 6th NON-PHY EXM** (4:30pm–6:00pm) - US$350

Discounts for Current Year ABIME Board of Registry Members (Only) Regular Course TuitionRVW – AMA Guides 6th Edition 1 Day Training -- (US$50 Discount for 1 Day RVW Course - $645 only) $695 US FundsAMA6Cs – AMA Guides 6th Complex Case Studies -- (US$50 Discount for AMA6Cs Course - $645 only) $695 US FundsOVW5 – A Doctor’s Guide to Practical Use of the AMA Guides 5th Edition -- (US$50 Discount for OVW Course - $645 only) $695 US Funds IEW - A Workshop on Building A Successful IME/Expert Witness Practice -- (US$50 Discount for IEW Course - $645 only) $695 US Funds Please Note that all course registrations received less than 2 weeks before the event and on-site registrations would result in an additional $50 fee for each workshop & a $75 fee for 8 hour 1 day course. There are No cancellations or refunds of tuition fees if the request is received less than 2 weeks prior to the course date.

Please Check Your Selections:Orlando, FL - March 5-8, 2020 rThur, Mar 5 OVW5 - AMA 5th (8am-5pm) - US$695rFri, Mar 6 MLG - Medicolegal Skills (8am-Noon) - US$350rFri, Mar 6 TBI-Traumatic Brain Injuries (8am-Noon) - US$350rFri, Mar 6 AMA5Cs - (AMA5th Ed)(1:00pm-5:00pm) - US$350rFri, Mar 6 CAS - Medicolegal Causation (1:00-5:00pm)-US$350rSat, Mar 7 RVW - AMA 6th - (8:00am-5:00pm) - US$695rSun, Mar 8 AMA6Cs - (AMA6th Ed) (8:00-4:00pm) - US$695rFri, Mar 6 4th/5th Ed EXM** (5:30pm-9:00pm) - US$995rFri, Mar 6 4th/5th NON-PHY EXM**(5:30pm-7:00pm)- US$350 rSun, Mar 8 6th Ed EXM** (4:30pm-8:00pm) - US$995rSun, Mar 8 6th NON-PHY EXM**(4:30pm–6:00pm)-US$350

Johannesburg, South Africa - April 3-5, 2020Before Dec 15 - US$295 ~ Dec 15 – Mar 20 - US$350 - Per Workshopr Fri, April 3 RTW - Return to Work Strategies (8am-Noon)r Fri, April 3 MLG - Medicolegal Skills/Report (1:30pm-5:30pm)Before Dec 15- US$595 ~ Dec 15 – Mar 20 - US$695 - Per Courser Sat, April 4 RVW - AMA 6th (8am-4:30pm)rSun, April 5 AMA6Cs-Complex AMA6 Case Studies(8-4:30pm)r Sun, April 5 EXM** (5:00pm-8:30pm) - US$995rSun, April 5 NON-PHY EXM**(5:00–6:30pm) - US$350

Please check below which ABIME Certification Exam you wish to take:

r 4th Ed Certification Exam r 5th Ed Certification Exam r 6th Ed Certification Exam(Examinees taking the 5th Ed. Exam should attend OVW5 + AMA5Cs to take the exam where both are offered & one other workshop to obtain the required 15 hours to sit for the exam, AND those examinees taking the 6th Ed. Exam should attend RVW + AMA6Cs .)

Page 8: Become Certified As An Independent Medical Examiner ... · Offered at Various Locations Enhance your credibility as an Independent Medical Examiner and Expert Witness by achieving

Am

eric

an B

oard

of I

ndep

ende

nt M

edic

al E

xam

iner

s 64

70-A

Mer

ritts

Cre

ek R

oad

Hun

tingt

on, W

V 2

5702

NE

W!

2020

Jo

in A

mer

ican

Colle

ge o

f

In

depe

nden

t Med

ical E

xam

iner

s

an

d re

ceiv

e Mem

bers

hip

(MAC

IMETM

) and

Fell

owsh

ip

(F

ACIM

ETM)

Qua

lifica

tion*

&

Bec

ome a

Mas

ter C

IME

& A

chiev

e New

MCI

METM

Qua

lifica

tion*

*Visi

t Our

Web

site a

t www

.abi

me.o

rg f

or d

etails

The

trai

ning

pro

gram

s offe

red

here

are

nei

ther

aut

hori

zed

nor

spon

sore

d by

AM

A.