Practice Management
Montefiore Health System is now the latest partner to hook its wagon to Amazon One Medical. In 2026, the health system will host the first One Medical brick-and-mortar primary care offices in New York’s Westchester County, according to a press release. With the affiliation, One Medical can refer patients to Montefiore for follow-up or additional health services. Montefiore and One Medical plan to open additional new facilities over the next several years as well. Some …
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Urgent Message: Patients may present with needs surrounding tuberculosis (TB) screening, testing, and treatment to urgent care centers. There is considerable nuance in the approach to these scenarios with consequences for both patient and public health. Urgent care centers should develop clear guidelines for ensuring clinicians select the appropriate TB test for each patient and interpret the results accurately. Erin Loo, PA-C; Lindsey E. Fish, MD Citation: Loo E, Fish LE. Clinical Review of Current …
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Urgent Message: Acute angle closure glaucoma can present with a variety of types of head and facial pain. Rapid identification of concern for elevated intraocular pressure (IOP) or confirmation of elevated IOP by tonometry is critical for preserving vision. Mackenzie Brown, MD; Joshua W. Russell, MD, MSc, ELS, FCUCM, FACEP; Alexander Branson, MD Citation: Brown M, Russell JW, Branson A. Looking Beyond the Mouth–A Rare Case of Acute Glaucoma Presenting with Dental Pain: A Case …
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A 16-year-old female presents to urgent care with her mother after soccer practice at school. She says she felt a “pop” in her left hip, immediately followed by posterior hip pain. Walking makes it worse, but resting makes the pain better. An x-ray is ordered. Review the image and consider what your diagnosis and next steps would be. Resolution of the case is described on the following page.
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A 74-year-old woman presents to urgent care with epistaxis, controlled on arrival. She is also complaining of lightheadedness and fatigue that’s been going on for the past 2 weeks. View the ECG captured above and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page.
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A 65-year-old woman presents to urgent care complaining of a growth that developed on her finger 2 months prior. She says it’s not painful or itchy and has not grown since she first noticed it. On examination, a solitary, smooth, pinkish papule with a tiny central crust is seen on her distal interphalangeal joint on her left index finger. The patient has a history of osteoarthritis. View the image below and consider what your diagnosis …
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Urgent Message: The vast majority of shoulder dislocations are anterior, occurring when stress is applied to an externally rotated and abducted shoulder. In most cases, immediate reduction is indicated, and urgent care clinicians should be familiar with situations that call for emergency department referral. Jennifer Hicks, DO; Matthew B. Baird, MD Citation: Hicks J, Baird MB. Urgent Care Assessment and Management of Shoulder Dislocations. J Urgent Care Med. 2025; 19(5):9-15 Questions for the Clinician at …
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Urgent Message: While legal under circumstances outlined by federal and state law, docking employee pay for violating an employer’s policies may be viewed as demoralizing and unethical versus punitive actions like warnings or suspension. Alan A. Ayers, MBA, MAcc Citation: Ayers AA. The Legality of Docking the Pay of Urgent Care Employees. J Urgent Care Med. 2025; 19(5):41-43 Workers frequently make mistakes on the job. Some are mere oversights that are quickly corrected, while others …
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It’s believed that Urgent Care (UC) was born early in the 1980s, likely as the brainchild of Bruce Irwin, MD. He was an emergency room physician who saw “many people were coming to the emergency room with problems that could have been cared for in a less expensive and more convenient manner.”1 He opened a facility to do just that, which became American Family Care, the nation’s largest Urgent Care provider. Dr. Bruce Irwin passed …
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Urgent Message: Today, there are very few market opportunities for urgent care that present no competition, so operators must assess not just the existence of local competition but also the nuanced qualities of each competitor. Heather Real Citation: Real H. Starting an Urgent Care in a New Era. J Urgent Care Med. 2025; 19(5)37-39 The urgent care industry has come a long way over the last several decades. With 2024 being the first year where …
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