Q:

I am thinking about doing Independent Medical Examinations. Is it 
better to advertise myself to insurance companies than to PI 
attorneys? Do I need to b certified in impairment ratings?

A:

It is my impression that an IME is a curse for a PI attorney as the 
insurance industry uses IME exams as a means to stop or question 
care. Of course we need IME docs who will do a decent and honest job 
but if they did and often approved or extended care provided by the 
DC in question the insurance company would find someone else to 
play ball with them. Furthermore .. if the case will be deep in 
litigation the patient attorney may question your exam and opinion. 
Even though you may be sheltered by the insurance company it is a 
risk and headache I would rather avoid it

IME's could bring in some extra money but it carries with it some 
headaches so think seriously about this. But to answer you .. you 
should contact the insurance industry if you wish to be an IME doc

As far as being certified in impairment ratings .. it is not necessary 
but would help. Your license is enough to be an expert but every bit 
of extra info doesn't hurt. 

I recommend you concentrate building a regular practice every day .. 
the energy and money you'll place learning and promoting an IME will 
provide you less money than promoting a PI practice with the legal 
community. To have a PI clinic you need to know the mechanics of 
narratives .. note taking .. and provide services such as rehab and 
possibly some therapy .. but not necessary.

Therefore the classes on PI would be my recommendation. 

Have a Great Day

Dr. M