Case ReportsCould This Young Patient Really Have a STEMI? A Case Report of a Spontaneous Coronary Artery Dissection
Orthopedic Case ReportUrgent Care Diagnosis and Management of Distal Radial (Colles) Fractures
Original ResearchDevelopment and Implementation of a Headache and Migraine Pathway in Pediatric Urgent Care: A Quality Improvement Initiative
Practice ManagementASD Services Fit With Existing UC Business Models
Images Challenge47-Year-Old With Left Hip Pain
Case ReportsCould This Young Patient Really Have a STEMI? A Case Report of a Spontaneous Coronary Artery Dissection
Urgent Care Diagnosis and Management of Distal Radial (Colles) Fractures
By Ashley Blachford / October 1, 2024
Urgent Message: Fractures of the distal radius, commonly referred to as Colles fractures, most often occur after a fall onto…
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Orthopedic Case ReportUrgent Care Diagnosis and Management of Distal Radial (Colles) Fractures
Urgent Care Diagnosis and Management of Distal Radial (Colles) Fractures
By Ashley Blachford / October 1, 2024
Urgent Message: Fractures of the distal radius, commonly referred to as Colles fractures, most often occur after a fall onto…
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Original ResearchDevelopment and Implementation of a Headache and Migraine Pathway in Pediatric Urgent Care: A Quality Improvement Initiative
Development and Implementation of a Headache and Migraine Pathway in Pediatric Urgent Care: A Quality Improvement Initiative
By Ashley Blachford / September 30, 2024
Urgent Message: There are an estimated 250,000 visits annually associated with pediatric headaches in the United States, 84% of which…
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Practice ManagementASD Services Fit With Existing UC Business Models
ASD Services Fit With Existing UC Business Models
By Ashley Blachford / October 1, 2024
Urgent Message: Rapid growth in the autism spectrum disorder services (ASD) sector may present an expansion opportunity for urgent care…
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Images Challenge47-Year-Old With Left Hip Pain
47-Year-Old With Left Hip Pain
By Ashley Blachford / December 19, 2023
One afternoon, a 47-year-old man presents in the urgent care with left hip pain that he says just started in…
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Urgent Care News
COVID Vaccination Provides Cardiovascular Protection
Vaccination may protect people from serious cardiovascular disease associated with COVID-19. As published in the …
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Pertussis Surge Puts Public Health on Alert
Cases of whooping cough have surged in 2024, with the Centers for Disease Control and …
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Veto Stops Bill to Review Healthcare Dealmaking in California
California Gov. Gavin Newsom has vetoed a bill that was designed to require state approval …
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COVID-19 Boosters Reduce Symptoms For Health Workers
Healthcare workers receiving a COVID-19 booster vaccine had a 45% lower risk of having symptoms …
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Cyberattacks Are One Thing, Exposed Records Are Another
Healthcare data statistics tracked by HIPAA Journal demonstrate a steady rise in breaches in the …
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Original Research Articles
Development and Implementation of a Headache and Migraine Pathway in Pediatric Urgent Care: A Quality Improvement Initiative
Urgent Message: There are an estimated 250,000 visits annually associated with pediatric headaches in the …
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Major Adverse Cardiovascular Events in Patients with Chest Pain And Moderate Heart Risk Scores Who Were Referred For An Expedited Outpatient Cardiology Evaluation: A Multi-Center Descriptive Study
Urgent Message: Patients with a moderate-risk HEART score referred from an urgent care center for …
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Fast Track Improves Patient Flow and Wait Times in the Pediatric Urgent Care: A Quality Improvement Project
Urgent Message: Fast trackmodels aim to improve patient throughput metrics for low-acuity patients. In this …
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Return Visits and Hospitalization Rates of Adult Patients Discharged with Tachycardia After an Urgent Care Visit: A Retrospective Cohort Study
Urgent Message: Patients discharged from an urgent care clinic with tachycardia were found to have …
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Influence of Clinical Setting on Antibiotic Prescribing Practices for Acute Otitis Media in Children at an Urban Academic Medical Center
Urgent Message: This retrospective chart review study found that the odds of children receiving an …
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Clinical Articles
Dyspnea in the Urgent Care: Differentiating Benign From ‘Can’t Miss’
Urgent Message: Patients commonly present with respiratory symptoms in the urgent care setting and not infrequently complain of some degree …
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A Review of Genital Mycoplasma and Ureaplasma Infections for the Urgent Care Clinician
Urgent Message: Mycoplasma species, most notably Mycoplasma genitalium are an increasingly recognized etiology of persistent urethral discomfort and non-gonococcal urethritis …
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How Useful Is Ultrasound in Acute Female Pelvic Pain?
Andrew Alaya, MD, MSc Urgent Message: For time-sensitive diagnoses related to acute pelvic pain, ultrasound is generally the recommended initial …
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Isolated Sternal Fractures After Trampoline Falls in Children: A Case Series
Urgent Message: Isolated sternal fractures in children can occur from relatively minor trauma, such as a trampoline fall, and patients …
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Practice Management Articles
ASD Services Fit With Existing UC Business Models
Urgent Message: Rapid growth in the autism spectrum disorder services (ASD) sector may present an expansion opportunity for urgent care …
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Guardrails for Nonsufficient Funds and Credit Card on File Fees
Urgent Message: Urgent care operators must navigate emerging federal, state, and payer regulations when developing financial policies that require payment …
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The Urgent Need for STI Testing in Urgent Care Centers
Urgent Message: With STI rates rising, urgent care centers have a unique opportunity to address a pressing public health need …
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2024 Urgent Care’s Top 100 by Number of Locations
Alan Ayers, MBA, MAcc The following table summarizes the 100 largest urgent care operators by number of locations as of …
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CASE REPORTS
Could This Young Patient Really Have a STEMI? A Case Report of a Spontaneous Coronary Artery Dissection
Urgent Message: It is important to quickly obtain an electrocardiogram in patients presenting with chest pain …
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Recognition and Management of Achenbach Syndrome (Paroxysmal Finger Hematoma)
Urgent Message: By understanding the symptoms of paroxysmal finger hematoma, clinicians can reduce patient anxiety and …
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Emesis Ad Nauseum: A Case Report of Cannabinoid Hyperemesis Syndrome in Urgent Care
Urgent message: Frequent cannabis use can lead to a syndrome characterized by severe and cyclical vomiting …
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Progressive Diaphyseal Dysplasia: A Case Report
Urgent Message: Progressive diaphyseal dysplasia, also known as Camurati-Engelmann disease, is a rare genetic disease that …
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Escalating Back Pain Leading to a Diagnosis of ST-Elevation Myocardial Infarction (STEMI) in Urgent Care: A Case Report
Urgent Message: Acute coronary syndromes (ACS), including ST-elevation myocardial infarction (STEMI), may present with predominant back …
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HEALTH LAW
Changing an Employee from Full-Time to Part-Time Status
Urgent message: Whether due to reduced staffing needs or employee preference, some employees in urgent care …
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Are Urgent Care Providers Liable if They Don’t Test Patients for COVID?
Click Here to download the PDF. Urgent message: As the severity of newer strains of SARS-CoV-2 …
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Who Can Take X-Rays in an Urgent Care Center?
Urgent message: Given that x-ray is a differentiating feature of “urgent care” and the current challenges …
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What Qualifies Someone to Take X-Rays in the Urgent Care Center? It All Depends on Where You’re Located
X-rays are high on the list of services patients expect urgent care centers to provide when …
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Avoiding Defamation Lawsuits in Urgent Care
Urgent message: People are unlikely to trust their healthcare to a provider with a sullied reputation, …
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JUCM CAREER CENTER
- Urgent Care Physician – Allegheny Health Network (AHN) – Erie, PA January 11, 2020
- Physician to join an Accredited Urgent Care Center – Westmed Medical Group – NY January 9, 2020
- $15K Sign-On Bonus - Urgent Care Physician – Main Line HealthCare January 6, 2020
- URGENT CARE PHYSICIANS – HealthPartners - Minneapolis/St. Paul, MN December 20, 2019
- Urgent Care Opportunity w/ Signing bonus – Watson Clinic - Florida, United States December 20, 2019
Download Past Issues
October 2024: Doing All We Can for Distal Radius Fractures in Urgent Care
CLINICAL CHALLENGES
30-Year-Old With Foot Inversion Injury
A 30-year-old man presents to urgent care with lateral ankle pain and swelling after a foot inversion injury he sustained …
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16-Year-Old With History Of Orchiopexy
A 16-year-old male with a history of orchiopexy presents with syncope. He denies chest pain or shortness of breath. An …
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38-Year-Old With Foot Rash
A 38-year-old man presents to urgent care for a pruritic rash that developed on his feet over the last week …
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47-Year-Old With Right Hand Pain
A 47-year-old man presents to urgent care after trying out a new cardio boxing class at the local recreation center …
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52-Year-Old With Palpitations
A 52-year-old male presents to urgent care complaining of palpitations. An ECG is obtained. View the ECG captured above and …
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OCCUPATIONAL MEDICINE
Does Concentra’s New Acquisition Foreshadow a New Era for UC and Occ Med?
On the surface, it seems like the kind of event that has become commonplace in urgent care: A large, national …
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Update: The COVID-19 Vaccine Mandate for Many Businesses Is Off—Again
Just when you thought you had clarity on the Occupational Safety and Health Administration’s mandate to vaccinate workers at businesses …
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That Vaccine Mandate for Private Businesses That Was Called Off? It’s on Again—and the Clock Is Ticking
The Occupational Health and Safety Administration’s plan to require employers with 100 or more workers to institute a COVID-19 vaccine …
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Your Occ Med Clients Need Your Support with the New COVID-19 ETS—Immediately
The Occupational Safety and Health Administration just issued an Emergency Temporary Standard intended to protect workers from getting infected with …
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More People Are Trudging Off to Work on Site. Do You Know Who’s at Greatest Risk for COVID-19?
While some employers are content to maintain remote or hybrid work situations for their workers, either because of strong stances …
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Revenue Cycle Management
ICD-10-CM: What’s New for 2025
Phyllis Dobberstein, CPC, CPMA, CPCO, CEMC, CCC We are heading into fall, and fall starts with updates to the ICD-10-CM …
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When An Urgent Care Contracts as Primary Care
Over the past 2 decades, urgent care has been on the forefront of consumerism. Increasingly, healthcare consumers are realizing how …
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What Did We Learn From the Change Healthcare Outage?
Phyllis Dobberstein, CPC, CPMA, CPCO, CEMC, CCC Nearly all of us in the healthcare ecosystem were impacted by the cyberattack on …
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Contracting: Primary Care Versus Urgent Care
Heather Rothermel When considering contracting for your clinic, it will be important to know how you plan to market your …
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Why Does Start-Up Contracting Take So Long?
Heather Rothermel Consider this scenario: You’ve decided to open an urgent care center. You’ve secured funding, found the perfect location, …
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DEVELOPING DATA
Few Misused Rx Drugs Prescribed in Urgent Care
According to the United States Department of Justice, the most common prescription drugs that are misused fall into 1 of …
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NPS Predicts Success in UC
The net promoter score (NPS) is a customer experience metric devised by business researcher Fred Reichheld, MBA, which measures how …
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Patient Arrival Times In Urgent Care
The table above shows the percentage of patients within an average day who arrived during each hour of operations, based …
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Categorization of Codes Most Frequently Used in Urgent Care
International Classification of Disease (ICD) codes—maintained by the World Health Organization and published in the United States by the Centers …
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Prescription Duration for Urgent Care Patients
Whereas primary care is focused on prevention and management of chronic conditions, urgent care has historically been defined as episodic …
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Abstracts in Urgent Care
Abstracts in Urgent Care – October 2024
Public Perceptions of Artificial Intelligence Use in Healthcare Take Home Point: Patient and healthcare workers surveyed were generally accepting of …
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Abstracts in Urgent Care – September 2024
Can Large Language Models Help in Assessing Acuity of Patients Presenting to ED? Take Home Point: Integration of large language …
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Abstracts in Urgent Care – July/August 2024
Use of NEXUS II Clinical Decision Tool for Blunt Head Injuries in Elderly Patients Take Home Point: Older patients with …
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Abstracts in Urgent Care – June 2024
Using AI to Detect Myocardial Infarction Take Home Point: The use of an occlusive myocardial infarction (OMI) artificial intelligence (AI) …
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Abstracts in Urgent Care – May 2024
Encouraging Shorter Course Antibiotic Prescribing Take Home Point: In this quality improvement project, both education with performance feedback in combination …
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LETTER FROM THE EDITOR-IN-CHIEF
‘As Little as Necessary…’– A Mantra for Urgent Care
“Do as little as necessary, not as much as possible.” This is the mantra I recite throughout every urgent care …
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Our Success in Urgent Care is Defined by How We Play Our ‘Greatest Hits’
Recently one evening, I meandered into a bar on iconic 6th Street in Austin, Texas— America’s epicenter for live music …
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‘What Happens If We Do Nothing?’ Is Still the Right Question
Joshua Russell, MD, MSc, FACEP, FCUCM “It only hurts right here,” Rich told me, pointing to a tender spot on …
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Broader Issues Surround ‘Work Note Seeking’
Joshua Russell, MD, MSc, FCUCM, FACEP Who among us has worked a single urgent care (UC) shift without at least …
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What Happens If We Do Nothing?
Joshua Russell, MD, MSc, FCUCM, FACEP In its most modern form, medicine revolves around action. We are trained as clinicians …
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