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あらすじ・解説
EPISODE DESCRIPTION
This episode provides valuable insights and best practices for Qualified Medical Evaluators (QMEs) in writing high-quality medical reports. Key takeaways include:
- Focus on areas with more injured workers, like Northern and Central California, for higher case volume.
- Get reports in quickly, as the QME's assessment is often the final piece needed to build a case.
- Utilize support staff like historians and scribes to gather key information and streamline report writing.
- Work backwards from the AMA Guides and cite them throughout the report to demonstrate expertise.
- Support all statements with evidence and reasoning, even if not "bulletproof."
- Use tested templates to organize the report and highlight important information.
- Answer all questions asked, even the specific or unique ones.
- Attend industry meetings to gain insights from judges, attorneys, and other QMEs on report expectations.
- Recognize common patterns in cases, leverage your QA team, schedule patients efficiently, utilize televisits when appropriate, and maintain objectivity.
The 3 key learnings that are likely surprising to the reader are:
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Experts advise QMEs to focus on the "hot markets" - areas with more injured workers, such as Northern and Central California, rather than the more affluent parts of the state.
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Utilizing a historian and scribe can help gather key information and make the final report easier to write.
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QMEs should work backwards from the AMA Guides and cite them throughout the report, demonstrating their expertise and understanding of the legal framework.
- 00:00 Excelling as a Fantastic QME: Tips for Success
- 01:32 Leveraging Historian and Scribe for Efficient QM Reporting
- 03:36 Citing Guides and Supporting Statements in Reports
- 05:06 Explaining Impairment Apportionment Reasonably
- 06:42 Answer All Questions Thoroughly
- 07:25 Attend Diverse Meetings, Gain Insights
- 08:35 Recognizing Patterns in QME Evaluations
- 09:59 Scheduling Patients Back-to-Back for Efficiency