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Widely accepted as the most reliable medical reference on impairment evaluation since its inception in 1971, the new sixth edition of the ""Guides"" considers the latest evidence and patient function to achieve physician interrater reliability through an updated consensus approach.A series of uniform grids in each chapter provides a new standard for impairment evaluation. It provides a standardized approach to determine impairment using patient history, physical examination and clinical tests and employs an evidence-based methodologies and/or a consensus approach that serves to provide a consistent rating for conditions in each of the organ systems. Consideration of patient function and activities of daily living further ensure a consistent evaluation.