StuWilli, Author at Journal of Urgent Care Medicine

Integration of Pharmacologic and Non-pharmacologic Techniques to Enhance Pediatric Minor Procedures

Urgent message: Integration of various techniques when performing minor procedures on children can enhance clinical care for patients and families while bringing within reach administrative and financial goals. Emory Petrack, MD, FAAP, FACEP, Lisa S. Perry, CCLS, and Kristine Vehar, RN As the practice of urgent care medicine continues to grow, urgent care centers grapple with several important issues, among them the needs to provide optimal clinical care, reduce medical legal risk, and deliver excellence …

Public Speaking Skills Enhance Professional Standing and Proficiency

Whether you are a clinician or a sales professional—or both, as is often the case in the urgent care occupational medicine arena—it is likely that you will find yourself in front of an audience giving a talk at some point. The topic may be a clinical one or something intended to get the audience to employ your professional services; either way, proficiency as a public speaker will greatly improve your chance of making the most …

Insulating Your Practice from Sexual Harassment Claims

JOHN SHUFELDT, MD, JD, MBA, FACEP Merriam-Webster’s Dictionary of Law describes sexual harassment as a form of employment discrimination consisting of unwelcome verbal or physical conduct directed at an employee because of his or her sex. Quid pro quo sexual harassment occurs when a condition of future or current employment is predicated upon fulfilling sexual demands. Finally, hostile environment sexual harassment occurs when the harassment has the effect of interfering with the victim’s work performance …

Boosting Revenue by Working Harder—or Smarter?

Urgent message: With careful consideration and disciplined planning, ancillary services can add to your bottom line without significantly adding to your workload. Alan A. Ayers, MBA, MAcc Practice Velocity Could Charles Dickens’ discourse provide a better depiction of the urgent care business today? Unprecedented growth in recent years proves the value of a healthcare delivery model like urgent care, based on consumer needs for affordability and convenience. But urgent care is not immune from challenges …

A Field Guide to Evaluating Medical Literature

Lee A. Resnick, MD, FAAFP Urgent care medicine is a rapidly evolving discipline. Out of this evolutionary process, scientific skepticism is naturally born. It is the checks and balances of medicine, ensuring that what is purported to be true, is in fact based on evidence, not speculation. We welcome this inquiry and support the process necessary to lend legitimacy to what has been mere estimation and speculation, thus far, in the development of our discipline. …

A 4-Year-Old Who Fell from the Slide

Urgent message: Injuries sustained in playground falls are common presentations to emergency departments and urgent care centers alike. The urgent care physician should be alert to the keys to evaluation and management of traumatic neck pain. Muhammad Waseem, MD, Lalithambal Venugopalan, MD, and Gerard Devas, MD Cervical spine (C-spine) injuries occur infrequently in children. This is especially true for fractures of atlas vertebra, which is a rare injury in children. Its diagnosis may easily be …

55-year-old man with knee pain after fall

The patient is a 55-year-old man who presented complaining of pain after experiencing a fall on the street and a blow to the knee. View the x-ray taken and consider your diagnosis and next steps.

January 2008

The Physician’s Role in Occupational Health Sales and Marketing

When it comes to sales and marketing, the involvement of a physician can make or break an occupational health initiative. Physicians project credibility and can easily win the respect of employers and employees. In many cases, a sales effort can go “over the top” simply by bringing a physician into play. I know many physicians who exude charm and would be an asset in virtually any sales scenario. On the other hand, a physician who …

In Consideration of Binding Arbitration Agreements

JOHN SHUFELDT, MD, JD, MBA, FACEP Otter: Point of parliamentary procedure! Hoover: Don’t screw around, they’re serious this time! Otter: Take it easy, I’m pre-law. Boon: I thought you were pre-med. Otter: What’s the difference? Otter: Ladies and gentlemen, I’ll be brief. The issue here is not whether we broke a few rules, or took a few liberties with our female party guests—we did. In contrast to the dispute resolution procedure regarding the Delta house’s …

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