Did you know that your Internet Explorer is out of date?

To get the best possible experience using our website we recommend that you upgrade to another web browser. Outdated browsers don't follow the latest web standards, are full of bugs, don't offer the new browser features and may have security issues and malware. These browsers are normally no longer supported.

Please make use of one of the following links to upgrade you browser and website surfing experience. They are free to upgrade and you will have the advantage of having the new browser keep its self up to date as well as the latest features.

Google Chrome Mozilla Firefox

Certified Impairment Rater (CIR)Examination (AMA GUIDES SIXTH EDITION)

Only R 4 000.00 (incl VAT)

Facebook Linkein Twitter


It is imperative to demonstrate your ability to accurately assess impairment using the AMA Guides for the Evaluation of Permanent Impairment.

The CIR® certification recognises a specific skill set: the ability to use appropriately the AMA Guides to the Evaluation of Permanent Impairment, Sixth Edition. The credential distinguishes you from those who lack this expertise.

The certification will improve the quality and reliability of ratings, thereby reducing conflict and facilitating fair resolution of claims.

Who Should Enroll

  • Physicians performing impairment ratings, whether as independent medical evaluators, Qualified Medical Examiners, Agreed Medical Examiners, or treating physicians.
  • Attorneys involved in workers’ compensation and/or personal injury cases.
  • Claims professionals, other health care professionals, and judges in systems that make use of the AMA Guides.

Admission Requirements

Participants are required to had previously completed a short course on AMA Guides to the Evaluation of Permanent Impairment Sixth Edition and proof of attendance may be requested.


On-line, open book. Multiple sessions, permitted.

The CIR® online assessment reflects the real world. It is an open-book exam that requires you to use the AMA Guides. You will refer to the Guides to obtain information and solve cases. Therefore, it is also a very effective learning tool — you will increase your ability to apply the Guides. Traditional onsite examinations do not provide this learning experience.

This online course has a free mini assessment that you can take prior to accessing the course

Free mini assessment

Partner Organisation

The CIR® certification was developed in 2006 by Brigham and Associates, Inc. (www.amaguides.com) under the guidance of Christopher R. Brigham [MD, MMS CIME, FIAIME, CIR, Editor of the AMA Guides Newsletter, Senior Contributing Editor of the AMA Guides (Sixth Edition), and Editor of the Guides Casebook and Guides Newsletter].


Successful delegates will obtain a CIR® certification and will be entered into the “SA Independent Certified Examiner” list that is kept at FPD.


Although most examinees take 3 to 5 hours, you may complete the examination in multiple sessions and there is no time limit.

Course Fee

R 6,000 Now R4000.00 (Inclusive of all VAT and Taxes)

Are You Ready

Assess your knowledge and skills now with a 10-item mini-assessment, at no cost. If you do well, proceed with the CIR® examination, with confidence. If not so well, we can assist you with online training and resources. Take action, take the mini-assessment now:


For more information contact:

School of Health Sciences

Tel: 087 821 1109
Email:  healthscience@foundation.co.za
Address: P.O. Box 75324,
Lynnwood Ridge, 0040
Website: www.foundation.co.za

To access the product, please login or register to continue