AAEME's Quick Reference Guide is designed to prepare you for the CIRS 5th edition and NIRSAT exams. It is based on the AMA Guides to the Evaluation of Permanent Impairment, 5th edition. CIRS™ is AAEME's highly-regarded Certified Impairment Rating Specialist certification. The CIRS exam proves competency in this subject. NIRSAT™ is the Nevada Impairment Rating Skills Assessment Test. The NIRSAT exam is required for PPD raters performing workers' compensation PPD ratings on Nevada cases. It is written into Nevada law under NV Rev. Stat. 616C.110. AAEME is the sole authorized provider. To learn more about our courses and certifications, visit us at aaeme.com.