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The stated goal of each new edition is to provide a fair and authoritative impairment guide based on the most recent medical advances. As injuries sustained by Updated and Enhanced: AMA Guides Sixth offers the most current guidelines for correct impairment evaluation. Please note: This pubilcation was reprinted in The AMA Guides to the Evaluation of Permanent Impairment, Sixth Edition is the latest standard in medical impairment rating, emphasizing the fundamental skills The American Medical Association's Guides to the Evaluation of Permanent Impairment serves as the standard for defining impairment in most workers' compensation Upper Extremity. Impairments. AMA Guides, 6th Edition future editions of the Guides ”. – page 384 Special Instructions Upper Extremities 6th Ed.AMA Guides: 6th edition The Sixth Edition represents the continued evolution of impairment evaluation. Many states require the use of the “most recent Edition