Knee Immobilization for Acute Knee Injuries: A Review

Urgent message: Immobilization following acute knee injury occurs more commonly than the evidence might dictate in urgent care and other…
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Knee Immobilization for Acute Knee Injuries: A Review

Your Best Investment Is Growing Your Own Business

Urgent message: Many urgent care operators took full advantage of opportunities to serve their communities during the pandemic, accumulating cash…
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Your Best Investment Is Growing Your Own Business

How Useful Is Ultrasound in Diagnosing Ovarian Torsion?

Urgent message: Ultrasound can provide essential data in the urgent care evaluation of abdominal pain, aiding in the diagnosis of…
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How Useful Is Ultrasound in Diagnosing Ovarian Torsion?

A Case of Late-Onset Diabetes

Urgent message: Previously undiagnosed diabetes in elderly patients is too frequently a precursor to the diagnosis of pancreatic cancer. Incidental…
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A Case of Late-Onset Diabetes

A 22-Year-Old with Chronic Foot Pain

The patient is a 22-year-old male who presents for a pre-employment physical. During the exam, he mentions foot pain of…
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A 22-Year-Old with Chronic Foot Pain

Urgent Care News

New Data Reveal the Scourge of Overdoses Is Worse, with Multiple Substances, than Thought

JUCM News readers know overdose deaths have risen steadily over many years (every year since …
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Update: Transplants, Deaths, and No Answers Regarding Sudden Pediatric Liver Illness

While it’s still a rare occurrence, a liver ailment that appears to affect children has …
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Is It an Urgent Care Center? Is It an Emergency Room? The Answer Is…Yes

University of Florida Health has announced the opening of three 24-hour “hybrid” emergency-urgent care centers …
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Are Prospective Urgent Care Workers Being Lured Away by False Promises?

Urgent care as a field of employment is taking hits in the form of wage …
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Follow-up: The Pandemic Telehealth Spike May Have Been Higher Than You Thought

Just last week we told you that shares of telehealth companies were freefalling in the …
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Web Exclusive Articles

How Useful Is Ultrasound in Diagnosing Ovarian Torsion?

Urgent message: Ultrasound can provide essential data in the urgent care evaluation of abdominal pain, …
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Are Food/Drug Retailers Hiding their Retail Clinic “Failures?”

Urgent message: Over the past 15 years, the nation’s largest food, drug, and mass retailers …
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A 60-Year-Old Woman with Dark, Painful Plaques on Her Legs

The patient is a 60-year-old woman who presents to urgent care after developing dark areas …
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Case Report: Reoccurring Metatarsophalangeal Joint Pain

Urgent message: Acute or chronic hallux pain is a common complaint in urgent care. Due …
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Case of a Nonhealing ‘Sunburn’ on a Toddler

Urgent message: Rashes are a common ailment, and their etiology can have overlapping appearances. In …
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Clinical Articles

Knee Immobilizations

Knee Immobilization for Acute Knee Injuries: A Review

Urgent message: Immobilization following acute knee injury occurs more commonly than the evidence might dictate in urgent care and other …
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Clinical Feature Image, When X-Rays Lie

When X-Rays Lie: Important Orthopedic Diagnoses to Consider with Normal Imaging

Urgent message: Musculoskeletal pain is a common urgent care complaint, with x-rays very commonly ordered. However, a “normal” image does …
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Low T in Urgent Care

Evaluating Decreased Libido: The Lowdown on Low T

Urgent message: Hypogonadism not only impedes biological development, but also negatively impacts a patient’s sense of identity and well-being. Prompt …
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Scaphoid Injuries - February 2022 Clinical Article

Management of Scaphoid Injuries with Early Specialized Imaging at Urgent Care Clinics

Urgent message: Timely employment—and informed selection—of the most suitable mode of imaging are essential for correct diagnosis and optimal treatment …
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Practice Management Articles

Time to Grow Your Urgent Care

Your Best Investment Is Growing Your Own Business

Urgent message: Many urgent care operators took full advantage of opportunities to serve their communities during the pandemic, accumulating cash …
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Thinking About Buying or Selling an Urgent Care Center?

Urgent message: While market conditions for mergers and acquisitions are currently “hot,” variability in urgent care volume attributable to COVID-19 …
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Addressing Fraternization in Urgent Care image

Addressing Fraternization in the Urgent Care Workplace

Urgent message: Whereas sexual harassment is defined as unwanted and one-sided, many times employees choose to become romantically involved, requiring …
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PM Hybrid Workforce, work from home

What Does a Hybrid Workforce Look Like for Urgent Care?

Alan A. Ayers, MBA, MAcc is Practice Management Editor of The Journal of Urgent Care Medicine and is President of …
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Insights in Images Challenges

A 35-Year-Old with a Persistent, Frequent Cough

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A 31-Year-Old with Pain After Twisting His Ankle

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A 58-Year-Old Male With Chest Pain

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A 57-Year-Old Female with Shortness of Breath and Weeks of Chest Pain

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A 10-Year-Old With Fever, Headache, Muscle Aches, Nausea - and a Suspicious Rash

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A 6-Year-Old Girl with Papules on Her Abdomen

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CASE REPORTS

A Case of Late-Onset Diabetes

Urgent message: Previously undiagnosed diabetes in elderly patients is too frequently a precursor to the diagnosis …
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A 20-year-Old Female with Chest Pain and SOB

Urgent message: Urgent care providers need to be vigilant for more than acute coronary syndrome, pulmonary …
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Testicular Torsion: The Case of the Dancing Testicle

Urgent message: The differential diagnosis for unilateral testicular pain includes testicular torsion; this is a ”must …
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Posterior Shoulder Pain—Not Always a Muscle Spasm

Urgent message: Patients present to urgent care with a variety of complaints, many of which are …
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How Useful Is Ultrasound in Diagnosing Extrauterine Gravidities?

Urgent message: Ultrasound can provide essential data in the urgent care evaluation of gynecological and obstetrical …
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HEALTH LAW

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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Can PAs and NPs Unionize in Urgent Care Settings?

Urgent message: Urgent care’s workforce has changed from primarily emergency physicians to physician assistants and nurse …
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What’s the Best Policy for Unlocking an Urgent Care’s Doors when a Provider isn’t Present?

Alan A. Ayers, MBA, MAcc is President of Experity Networks and is Senior Editor, Practice Management …
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Considerations for Urgent Care Operators on Equal Pay Legislation and Enforcement

Urgent message: As we see a shift to an overwhelming female workforce in urgent care, it …
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Who in a Company Can Bind the Company in a Contract?

Urgent message: While legal documents may define who in an urgent care is able to legally …
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CLINICAL CHALLENGES

A 10-Year-Old with Fever, Headache, Muscle Aches, Nausea—and a Suspicious Rash

The patient is a 10-year-old girl who presents to urgent care with 3 days of fever, headache, muscle aches, nausea, …
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A 35-Year-Old with a Persistent, Frequent Cough

The patient is a 35-year-old woman who presents with a frequent, light cough of several months’ duration. Her medical history …
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A 58-Year-Old Male with Chest Pain

The patients is a 58-year-old male who presents with chest pain. He describes it as sharp, lasting seconds, and worsened …
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A 57-Year-Old Female with Shortness of Breath and Weeks of Chest Pain

The patient is a 57-year-old female who presents to urgent care with progressive shortness of breath and chest pain of …
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A 6-Year-Old Girl with Papules on Her Abdomen

A 6-year-old girl presents to urgent care for vaccinations at the start of the school year. Her father asks the …
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OCCUPATIONAL MEDICINE

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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As Travel Opens Up, Opportunities to Offer COVID-19 Tests Could Be Lucrative

Urgent care has had it tough during the pandemic, but the travel industry has faced unprecedented challenges as Americans hunkered …
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Revenue Cycle Management

Urgent Care Billing: Best Practices Scorecard

When it comes to measuring your financial performance, metrics translate the actions of others into insight. They provide visibility into …
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2021 E/M Guidelines: Your Questions Answered

It’s been 14 months since the new evaluation and management guidelines took effect. Many providers struggled to modify their documentation …
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What Else is New in 2022?

The Protecting Medicare and American Farmers from Sequester Cuts Act was signed into law on December 10, 2021. This law …
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Refunds: How to Avoid Them

Refunds have always been a challenge in healthcare. Not only do they create an administrative burden but there is also …
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Are Insurance Plans Still Waiving Cost-Sharing?

A common question that I receive is whether COVID-19 testing is still being covered by insurance plans. The Families First …
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DEVELOPING DATA

Yes, Urgent Care Lost Visits During the Pandemic—but Other Settings Lost Far More

It won’t be news to you that patient visits dropped—precipitously at times—over the course of the COVID-19 pandemic. And there’s …
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Urgent Care Is Evolving, but Its Foundational Attributes Remain

In the article Your Best Investment Is Growing Your Own Business (page 25), Alan A. Ayers, MBA, MAcc makes the …
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In Spite of Turbulence, the Forecast Is Sunny for the Urgent Care Market

No one would argue that the past 2 years have been easy for urgent care. First many operations were shut …
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PAs Aren’t Just ‘Assisting’ in Providing Urgent Care

In this issue’s Health Law article, What’s the Best Policy for Unlocking an Urgent Care’s Doors when a Provider Isn’t …
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Yes, Disparities in Prescribing Exist in Urgent Care—but Which Disparities?

If you read Evaluation of Healthcare Disparities in Urgent Care: A Case Example for Bacterial Pneumonia—see page 23 of this …
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Abstracts in Urgent Care

Abstracts in Urgent Care – May 2022

Immobilizing Ankle FracturesTreating Septic Olecranon BursitisEKG Interpretation: Human vs MachinepreHEART Score and Prehospital CareRethinking Otitis Media ManagementBoosters Limit Risk for …
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Abstracts in Urgent Care – April 2022

Pediatric PneumoniaSigns and Symptoms of Cauda Equina SyndromeRemoving ‘Stuck’ RingsCentral vs Peripheral Acute VertigoZinc and Viral RTIs in Adults Nathan …
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Abstracts in Urgent Care – March 2022

When Handlebar Meets AbdomenCorticosteroids and AsthmaAntibiotics in Pediatric PACSurfactant Use in AOMCOVID Pneumonia and Disease ProgressionNeutralizing Antibodies in COVID Pediatric …
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Abstracts in Urgent Care – February 2022

Surgery—or Not—for Appendicitis?Oral Analgesics and Musculoskeletal Extremity PainWhat Patient Don’t Know About Ionizing RadiationRisk with NSAIDs, Cox-2 Inhibitors, and Opioids …
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Abstracts in Urgent Care – January 2022

Pediatric Burns and Cool, Clear WaterLimit Screen Time After Concussion?Gastroenteritis in ChildrenDiagnosing Giant Cell ArteritisPOCUS and Ectopic PregnancyDetecting C diffVaccinating …
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LETTER FROM THE EDITOR-IN-CHIEF

When Walk-Ins Aren’t Welcome

Patient volume has always been a delicate topic between the clinical staff and administrators of urgent care centers. It’s no …
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An Underrecognized Epidemic: Toxic Positivity in Medicine

Joshua Russell, MD, MSc, FCUCM, FACEP A colleague, Dr. Mitchell we’ll call him, told me about a PA that he …
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Stepping Outside Yourself

Joshua Russell, MD, MSc, FACEP Until recently, I’ve had the rare luxury of working in busy urgent care centers where …
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The Last Hour Problem

It’s 8 pm and I’m 9 hours into a 10-hour shift when four new patients walk in. Even though I’m …
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The Unvaccinated Aren’t the Enemy

Taylor wore her embroidered sorority sweatshirt and a mask below her nose when she came to see me. She was …
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