StuWilli, Author at Journal of Urgent Care Medicine

Global Healthcare Volunteering: What You Need to Know Before You Go

Author: Kenneth V. Iserson, MD, MBA, FACEP, FAAEM Kenneth V. Iserson, MD, MBA, FACEP, FAAEM, is a Fellow of the International Federation for Emergency Medicine and Professor Emeritus, Department of Emergency Medicine, The University of Arizona, Tucson. Why Global Medicine? Interest in practicing and teaching medicine and nursing around the world has increased exponentially. Some of our colleagues now have international experience and many others dream of following a path to remote regions. Yet most …

Developing Data: July/August, 2014

These data from the 2012 Urgent Care Industry Benchmarking Study are based on a sample of 1,732 urgent care centers; 95.2% of the respondents were UCA members. Among other criteria, the study was limited to centers that have a licensed provider onsite at all times; have two or more exam rooms; typically are open 7 days/week, 4 hours/day, at least 3,000 hours/year; and treat patients of all ages (unless specifically a pediatric urgent care). A …

E/M for Sinusitis and Pharyngitis

Q. The clinic I work at uses 99214 for most patients (50%) for sinusitis and pharyngitis. Is this a common code to use for these problems? A. The E/M levels of services recognize sevencomponents: History Examination Medical decision making Counseling Coordination of care Nature of presenting problem Time The history, examination, and medical decision making are considered to be the key components in selecting a level of E/M service. Counseling, coordination of care, and the …

Are we all ‘criminals’?

Show of hands…how many of you consider yourselves “compliant” with the array of regulations, laws and so-called “guidelines” you work under? Most of the time? Some of the time? Never? Now, let me pose the question a different way: How many of you think you can always, or even most of the time, remain in compliance and have a successful practice? Or, consider the question presented this way: How many of you think you can …

Clinical Challenge: July/August, 2014

THE CASE This patient presented with a sprained knee. View the image taken (Figure 1) and consider what your diagnosis would be.

Abstracts in Urgent Care: July/August, 2014

Clinical prediction rule for ureteral stones Key point: A new clinical score may predict the presence of uncomplicated ureteral stones and reduce the need for CT scan. Citation: Moore CL, Bomann S, Daniels B, et al. Derivation and validation of a clinical prediction rule for uncomplicated ureteral stone—the STONE score: Retrospective and prospective observational cohort studies. BMJ. 2014; 348:g2191. In this two-phase trial, five factors were identified and then prospectively validated for prediction of ureteral …

Acute Rheumatic Fever

Urgent message: Patients with seemingly unusual conditions do present to urgent care, underscoring the need to always take a thorough history for all “red flag” symptoms. LEE A. RESNICK, MD, FAAFP Introduction While the incidence of acute rheumatic fever has declined significantly in developed countries over the last several decades, sporadic cases do still occur. Diagnosis may be difficult due to the non-specific symptoms and the lack of experience with the condition amongst most urgent …

Expert Perspectives on Telemedicine in Urgent Care

Urgent message: Telemedicine—or “at-home” medicine—affords unique business opportunities to urgent care providers who can overcome barriers to adoption such as reimbursement. Introduction Telemedicine is a topic that frequently comes up among UCA’s membership as an area of interest. Some urgent care providers view telemedicine, or “at-home” medicine, as an opportunity; others see a threat. A lot of questions exist about telemedicine and with this roundtable, we’ve pulled together the unique experience of individuals who are …

Evaluation of Headaches in Urgent Care Part 2: Non-Emergent Headaches

Urgent message: Headaches are challenging chief complaints and being able to identify and differentiate among the non-emergent types of headaches will help with medical decision making and patient care. JACQUALINE DANCY, PA-C, MPAS In the conclusion of a two-part series, this article focuses on non-emergent headaches. For the purpose of this article, non-emergent headaches are classified as those that are not life-threatening and pose little to no risk of permanent functional disability. Most non-emergent headaches …

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