Site Alert

Please be aware that due to system maintenance between 6 p.m. and 8 p.m. functionality in many of Labor and Industries applications will not be available today, Friday August 18, 2017.

L&I CME Self-Assessment Examinations

CME Credits Available (Free)

Note: L&I does not have a system for reprinting or retrieving certificates. We recommend that you print multiple copies of your certificate for your records or save it electronically.

As a public agency and an accredited provider of CME, Labor and Industries does not accept support or sponsorship from commercial interests, nor are they involved in any part of CME activities. All CME contributors must disclose any relationship with commercial parties, and must be free of any real or potential conflicts of interest. This policy applies regardless of the CME topic and format.

Free CME credits are available to anyone for successful completion of these online CME activities. All are welcome to receive CME credit for this activity, including those who are outside of Washington state and outside of the United States.

L&I Publications

L&I Videos

Expand/collapse General instructions for an optimum experience — Please Read Carefully:

You will not be able to interact with the speaker or exercises. To facilitate learning during a video, please write down your answers to polls and test questions, and then compare your responses to those discussed in the presentation.

  1. Close as many windows as possible on your desktop. It is best not to have more than 2 or 3 windows open when viewing this recording. If you are stalled for some reason, try minimizing your windows to see if there is a dialog box with further instructions.
  2. Click on the links for each video.
  3. Following the instructions (enter your name, e-mail, etc., then click “Register Now”.)
  4. When you click on “View Recorded Webinar” your computer will launch a program for viewing video.
    • On many PCs, the default program will be Windows Media Player.
    • On Mac computers, the default program may be QuickTime.
  5. Make sure your audio is turned on and the volume is turned up. You may listen to audio through speakers on your computer or through a headset.
  6. Allow a few moments for “buffering”, then click the “Play” button. (When “buffering” reaches approximately 3 or 5%, it will probably be ready to play.)
  7. IMPORTANT NOTE: For best results and the sharpest video image, please be sure to view these recordings in “FULL SCREEN mode by hitting the ESCAPE key.
    • If your computer uses Windows Media Player, you may enter FULL SCREEN mode by holding down the ALT key on your keyboard and simultaneously hitting the ENTER key (ALT-ENTER).
    • At any point, you may exit FULL SCREEN mode by hitting the ESCAPE key.
    • When you move your hands away from the keyboard and mouse for 2 seconds, the video will appear in FULL SCREEN and the navigation bars at the top and bottom of the screen will disappear. Any movement of the mouse will cause the navigation bars to reappear.
  8. Pause, as needed, to read or take notes.
    • Do this by hitting the radio button that has two, vertical parallel lines. After this, a solid arrow will appear on the same button. Hit it when you want to restart the video.

Expand/collapse Spinal Impairment Rating

NOTE: You will need to reference the Medical Examiners' Handbook to complete this training. Please print a copy if you need one.
Adobe PDF file Medical Examiners' Handbook F252-001-000 (3.22 MB)


A. Overview, Billing and Documentation (2 hours AMA PRA Category 1 Credit™)

B. Lumbar Spine (2 hours AMA PRA Category 1 Credit™)

C. Cervical Spine (2 hours AMA PRA Category 1 Credit™)

Agency Medical Directors' Group Opioid Guideline

2015 Interagency Guideline on Prescribing Opioids for Pain (

End of main content, page footer follows.

Access Washington official state portal

  © Washington State Dept. of Labor & Industries. Use of this site is subject to the laws of the state of Washington.

Help us improve