Training for 2012 NYS Guidelines for Determining Permanent Impairment
and Loss of Wage Earning Capacity

Program for Continuing Medical Education Credit (CME)

The CME accreditation program for physicians has been developed by the Board in cooperation with MSSNY.

INTENDED AUDIENCE: This training is intended for New York State health care practitioners for the evaluation of non-schedule permanent disabilities.

OBJECTIVES: By the end of this course you will:

1. Understand the history of the 2012 Guidelines.
2. Understand the 3-part analysis for determining loss of wage earning capacity (LWEC).
3. Describe the physician's role in the medical evaluation of impairment and function.
4. Learn and apply the 2012 Guidelines' General Principles.
5. Perform a medical impairment evaluation using objective criteria from the 2012 Guidelines.
6. Learn the components of a functional assessment (evaluation of residual functional ability/loss) based on the 2012 Guidelines.

LENGTH: This online program is approximately 1.25 hours in length.

This program includes:

• One course with two modules: The "2012 Guidelines for Medical Professionals" for CME credits and the "2012 Guidelines: Modified Form C-4.3" for further information on the revised C-4.3 form.
• Quizzes and a post-activity evaluation.

Upon successful completion of the program, you will be provided instructions to print your CME certificate.

ESTIMATED STUDY TIME: This course should take approximately 1.25 hours to complete.

ORIGINAL RELEASE DATE: November 16, 2011

REVIEW DATE: November 16, 2011

TERMINATION DATE: November 16, 2014

FACULTY: This course was developed by Dr. Elain Sobol Berger, MD, JD, Associate Medical Director and Senior Policy Advisor for the New York State Workers' Compensation Board (NYS WCB), and is based on the 2012 New York State Guidelines for Determining Permanent Impairment and Loss of Wage Earning Capacity.

ACCREDITATION: This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Medical Society of the State of New York (MSSNY) through the joint sponsorship of MSSNY and the New York State Workers' Compensation Board. MSSNY is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The Medical Society of the State of New York designates this enduring material for a maximum of 1.25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

FUNDING: Development and ongoing administration of this course is funded entirely by the NYS Workers' Compensation Board.

DISCLOSURE STATEMENTS: The Medical Society of The State of New York relies upon faculty in its CME programs to provide educational information that is objective and free of bias. In this spirit and in accordance with the guidelines of MSSNY and the ACCME, all speakers and planners for CME activities must disclose any relevant financial relationships with commercial interests whose products, devices or services may be discussed in the content of a CME activity, that might be perceived as a real or apparent conflict of interest.

The planners and presenters of this CME activity have no relevant financial relationships to disclose.

Any discussion of investigational or unlabeled uses of a product will be identified.