Practice Management
The Food and Drug Administration (FDA) has authorized the Visby Medical Women’s Sexual Health Test, the first at-home test for diagnosing 3 sexually transmitted infections (STIs) in females: chlamydia, gonorrhea, and trichomoniasis. The hope is that the option will increase the use of testing and thus help prevent transmission of these STIs. No prescription is required, and the test can be used for those with or without symptoms. Each single-use test kit includes a self-collected …
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Phyllis Dobberstein, CPC, CPMA, CPCO, CEMC, CCC Hard to believe that the new evaluation and management (E/M) guidelines have been in place for urgent care for 4 years. These guidelines created by the American Medical Association (AMA) were a complete shift from what was previously published by the Centers for Medicare & Medicaid Services. Instead of bullet points, levels are determined by the work involved in treating a patient. E/M codes can be leveled by …
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Alan Ayers, MBA, MAcc Urgent Message: Legislation for the licensure of urgent care centers has been enacted or proposed in 4 states for 2025, creating state administrative offices that can further define rules affecting operations. Citation: Ayers AA. State Legislation Could Impact Urgent Care Facilities. J Urgent Care Med. 2025; 19(7):43-45 Several states have recently proposed rules calling for the regulation of urgent care centers. While most of the bills have a long journey ahead …
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Urgent Message: Metronidazole, even during short courses of therapy, can result in disabling neuropsychiatric symptoms. It is important for clinicians to be knowledgeable about these relatively uncommon but serious adverse medication reactions. Faren Clum, MD; Joshua Russell, MD, MSc, ELS, FCUCM, FACEP Citation: Clum F, Russell J. Recurrent Neuropsychiatric Symptoms in a Patient With Repeated Exposure to Metronidazole: A Case Report. J Urgent Care Med. 2025; 19(7):37-41 Abstract Introduction: Metronidazole is a commonly prescribed antibiotic. …
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Urgent Message: Spontaneous pneumothorax (PTX) occurs unpredictably. Many patients with spontaneous pneumothorax may initially present to urgent care, so it is important for clinicians to include it in the differential diagnosis of patients presenting with acute chest pain and/or dyspnea. Rarely, a spontaneous pneumothorax can progress to a tension pneumothorax if the diagnosis is delayed. Vrunda Patel, BS; Kevin Radecki, MD Citation: Patel V, Radecki, K. Urgent Care Evaluation and Management of Spontaneous Pneumothorax. J …
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As many of you know, early last year we announced my plans to retire as CEO of the Urgent Care Association (UCA). While that’s still happening, I wanted to share why filling the role is taking such a long time. Hiring the CEO is one of the most important responsibilities of your elected Board of Directors, and it’s a responsibility they each take very seriously. They are committed to getting the best leader possible to …
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While patients and payers may expect urgent care to be available 7-days a week, approximately 20% of urgent care centers are closed on Saturdays, and approximately 30% are closed on Sundays, according to a February 2025 analysis of 14,301 centers by National Urgent Care Realty and Urgent Care Consultants. Of the centers open 7 days a week, 24% open and close at the same time every day. Otherwise, centers that are open weekends are likely …
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Evaluating Interventions for Improving Antibiotic Stewardship in Urgent Care Take Home Point: An antibiotic stewardship intervention was associated with reduced rates of antibiotic prescribing for patients with bronchitis, but not viral upper respiratory infections (URI). Citation: Park D, Roberts A, Hamdy R, et. al. Evaluating an urgent care antibiotic stewardship intervention: a multi-network collaborative effort. Infect Control Hosp Epidemiol. 2025; Jan 8:1-6. doi: 10.1017/ice.2024.213 Relevance: Antibiotic prescribing for conditions not caused by bacterial infection remains …
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A 28-year-old woman presents to urgent care after an indoor rock-climbing event. She fell 10 feet from the wall without any safety gear to break the fall. She describes deep pain in her left foot, and she is limping. An exam reveals dorsal and plantar midfoot tenderness and bruising across the dorsal foot. A 3-view x-ray series is ordered. Review the image and consider what your diagnosis and next steps would be. Resolution of the …
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A new oral antibiotic, gepotidacin, was approved by the Food and Drug Administration (FDA) this week for the treatment of uncomplicated urinary tract infections (UTIs). According to the manufacturer, GSK plc, gepotidacin is a first-in-class antibiotic with a novel mechanism that inhibits bacterial DNA replication to treat female adults and pediatric patients (≥12 years, ≥40 kg) with uncomplicated UTIs. It’s designed to target several of the most common UTI-causing bacteria such as E. coli and …
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