Ashley Blachford, Author at Journal of Urgent Care Medicine

Urgent Care Evaluation and Management of De Quervain Tenosynovitis

Urgent Message: Patients presenting with radial wrist pain that is exacerbated by thumb and wrist motion may raise the suspicion for De Quervain tenosynovitis (DQT). Utilizing a clinically focused framework is important for the evaluation and management of DQT. Jacob Welch OMS-3,William O’Neal MD Keywords: wrist pain, De Quervain tenosynovitis, Finkelstein test, Eichhoff test Editor’s Note: The patient case scenario is hypothetical to enhance educational value. Abstract De Quervain tenosynovitis (DQT) is a frequent cause …

67-Year-Old Man With Dark Patch on Ankle

A 67-year-old man visits urgent care for a lesion on his right ankle that was first noticed 25 years ago. He reports that it has progressively grown larger over the past 6 months. The lesion is painless but is intermittently mildly pruritic. The patient denies any recent injury or past medical history besides chronic venous insufficiency. On dermatologic examination, a discrete dark brown plaque is noted posterior to the lateral malleolus with numerous surrounding spider …

84-Year-Old With Palpitations

An 84-year-old woman presents to urgent care with palpitations that have lasted for several hours. The patient is afebrile, slightly tachypneic on exam, with a blood pressure of 148/97 mm Hg. An ECG is obtained. View the ECG and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page.

The Effect of Computer Use in the Exam Room on Patient Satisfaction in Urgent Care

Urgent Message: The use of a computer in the urgent care examination room does not significantly impact patient satisfaction. As such, clinicians can use medical technologies in the exam room while maintaining confidence in the clinician-patient relationship. Justin Bowles, MD; Mitchell Lopes, MS4; Chaya Pflugeisen, MSc, MEd Keywords: electronic health records; physician-patient relations; patient satisfaction; ambulatory care facilities; communication; surveys and questionnaires Abstract Objectives: Primary care literature has shown that the use of technology in …

From Momentum to Action

May is a time to reflect, reset, and carry forward the momentum we’ve built over the first part of the year. Coming out of our 2026 Urgent Care Convention in Chicago, that momentum feels real and shared by all Urgent Care stakeholders. Over the past several months, we’ve talked about advocacy, about proving our value, and about the importance of showing up for one another as an industry. The Convention brought all of that into …

At Odds: Do Clinical Practice Metrics Incentivize Bad Medicine?

Justin R. Murphy, MMSc, PA-C We live in a world that revolves around data. If you have been in the medical field for a decade or longer, you have observed the trend toward increasingly data-driven medical practice. If you have been practicing more recently, you have lived it. Metrics continually shape our practice patterns and influence our care, and their utilization will only increase. Currently, analytics and artificial intelligence tools cannot directly process human cognition …

Amplify the Practice: Highlights from the 2026 UCA Convention

By Alan A. Ayers, MBA, MAcc — President of Urgent Care Consultants; Senior Editor of The Journal of Urgent Care Medicine The 2026 Urgent Care Association Convention convened in Chicago this April under the theme “Amplify” — and across roughly fifty clinical and practice management sessions, that word kept landing on the same point: amplify the clinician, don’t replace them. Artificial intelligence, the tonal undercurrent of nearly every track, was framed less as an autonomous …

QuikTrip Sells MedWise Urgent Care To Hospital System

The gas-station convenience store operator QuikTrip Corp. has sold off its 9 MedWise urgent care centers, according to Convenience Store News, effectively exiting the healthcare market. The Saint Francis Health System in Oklahoma has acquired the MedWise centers and will operate them within the health system’s network starting in June, retaining the current staff. While the centers earned Urgent Care Association (UCA) accreditation, growth stalled due to the lack of a hospital network and little …

Syphilis May Lead To Major Cardiovascular Conditions

Researchers who studied data from 1,469 U.S. adults with a syphilis diagnosis without prior cardiovascular disease found that syphilis was associated with higher rates of death and several major cardiovascular conditions, such as stroke and heart attack, over 15 years. The highest risk occurred for those in late-stage disease. Compared to 7,345 uninfected controls, patients with syphilis had about twice the risk of aortic aneurysm or dissection, a 53% higher risk of ischemic stroke, a …

AMA: Making Progress In Burnout Levels, But EM Docs Still Bear The Brunt

Physician burnout rates are declining nationwide, but overall, burnout is still a serious issue, according to the American Medical Association (AMA). The association’s data shows in 2025, 41.9% of physicians reported experiencing at least 1 symptom of burnout—which is an improvement from the 43.2% reporting burnout in 2024 and 48.2% in 2023. By specialty, the highest rates were reported in emergency medicine (49.8%), urological surgery (49.5%), hematology/oncology (49.3%), obstetrics and gynecology (45.7%), radiology (45.2%), and …

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