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Independent Medical Examinations (IMEs)
Independent Medical Examinations (IMEs)
Our practice offers thorough, evidence-based Independent Medical Examinations (IMEs) designed to answer complex questions at the intersection of medicine, psychology, and law. We specialize in evaluating the cognitive and psychological consequences of neurological conditions, injuries, or other medical events.
Each IME includes a comprehensive review of medical and psychological records, clinical interview, and neuropsychological testing tailored to the referral question. We provide clear, objective reports that address diagnostic impressions, causality, prognosis, and functional abilities.
Our IMEs are frequently requested in cases involving:
Traumatic brain injury (mild to severe)
Stroke and other cerebrovascular conditions
Dementia and neurodegenerative disease
Occupational and personal injury claims
We work with attorneys, insurers, and employers to provide high-quality, unbiased evaluations that stand up to medical-legal scrutiny and help clarify complex cases
Fitness for Work Evaluations
Fitness for Work Evaluations
Fitness for Work evaluations help determine whether an individual is cognitively and psychologically able to perform their job duties safely and effectively. These assessments are especially valuable when there are concerns about decision-making, workplace safety, or the impact of a medical condition on job performance.
Our evaluations combine clinical interview, records review, and targeted neuropsychological testing to provide a clear picture of strengths and limitations. Reports address not only whether an individual can return to work, but also outline practical accommodations or supports that may help them succeed.
Common referral questions include:
Readiness to return to work after neurological injury or illness
Assessment of memory, attention, and executive functioning in safety-sensitive roles
Evaluations following episodes of altered mental status, psychiatric events, or medical leave
Recommendations for accommodations under ADA or occupational guidelines
Our goal is to provide employers, occupational health teams, and employees with clear, actionable guidance to support safe, effective workplace participation.
Rebecca Wershba, Ph.D Neuropsychologist
Dr. Wershba is the founder of Boston Metro Neuropsychology. She earned her doctorate in Clinical Psychology at Arizona State University and completed her internship at the Tucson Veteran Administration Hospital. Her postdoctoral training at UMass Medical Center involved assessment of patients across the lifespan, from children to geriatrics, with neurological concerns including dementing disorders, movement disorders, epilepsy, brain tumors, ADHD, and learning disorders. She trained at the Cambridge Health Alliance where she conducted assessments of adult patients with complex psychiatric or substance use histories, as well as patients with a range of educational experiences and diverse backgrounds. Dr. Wershba additionally completed an advanced postdoctoral fellowship at Massachusetts General Hospital within the Home Base Program, focusing on patients with mild traumatic brain injury, and (often) comorbid substance use and/or mood disorders. She has specialized training in evaluations of capacity and competency in older adults.
To contact her or for a copy of her CV, please email rwershba@bostonmetronp.com
Vincenzo Zaccheo, Psy.D. Neuropsychologist
Dr. Zaccheo obtained his doctorate in clinical psychology from the Philadelphia College of Osteopathic Medicine (APA accredited), and subsequently completed an accredited two-year neuropsychology residency at a private practice. His training included individuals across the lifespan presenting with varied referral concerns such as dementia, mild cognitive impairment, traumatic brain injury, central nervous system tumors, stroke, epilepsy, and ADHD.
To contact him or for a copy of his CV, please email vzaccheo@bostonmetronp.com
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