This work helps readers to learn how to accurately evaluate impairment of the various body systems, skin and ear, nose, throat and related structures. This training supplement to the "Guides to the Evaluation of Permanent Impairment, Sixth Edition", explores the various internal medicine-related chapters to help users appropriately apply the new methodology and understand the key differences between the Guides Sixth and prior editions. Emphasis is placed on correctly applying the regional grids to determine impairment based on physical examination, functional history and clinical studies. Designed to improve understanding and familiarity, this workbook provides an in-depth exploration of the following "Guides Sixth" chapters: Chapter 1 - Conceptual Foundations and Philosophy; Chapter 2 - Practical Application of the Guides; Chapter 4 - The Cardiovascular System; Chapter 5 - The Pulmonary System; Chapter 6 - The Digestive System; Chapter 7 - The Urinary and Reproductive Systems; Chapter 8 - The Skin; Chapter 9 - The Hematopoietic System; Chapter 10 - The Endocrine System; Chapter 11 - Ear, Nose, Throat and Related Structures; and, Chapter 12 - The Visual System. Test your knowledge and gain a better understanding of important "Guides Sixth" methodologies through 100 content-based questions. Answers, rationales and thought-provoking tips are also included. A self-assessment test is also included, so physicians, attorneys, and adjusters can deepen their understanding of the "Guides Sixth" methodology and its use.