An American Medical Association (AMA) Permanent Impairment finding is a medical assessment to the the impairment of function to a particular body part as a result of an accident or trauma.  The AMA guide lines is an accepted standard for impairment and disability assessment in a majority of the United States and English-speaking international countries.  It is used in United States workers' compensation systems, U.S. federal systems, and in personal injury.  The Law Offices of Mark C. Blane, APC has been using the AMA impairment ratings successfully in cases involving San Diego, California personal injury, and throughout the State of California.