StuWilli, Author at Journal of Urgent Care Medicine

Urgent Care Occupational Medicine Defined

A joint International Labor Organization/World Health Organization committee defines occupational health as the “promotion and maintenance of the highest degree of physical, mental, and social well-being of workers in all occupations.” This article will refine that definition as it applies to urgent care occupational medicine (UCOM) and explore the rationale for incorporating products and services of value to employers within an urgent care clinic. Scope of Practice Clinics that offer occupational medicine services are uniquely …

Developing Data: January, 2008

As an emerging distinct practice environment, urgent care is in the early stages of building a data set specific to its norms and practices. In Developing Data, JUCM will offer results not only from UCA’s annual benchmarking surveys, but also from research conducted elsewhere to present an expansive view of the healthcare marketplace in which urgent care seeks to strengthen its presence. In this issue: How do the experiences of patients who sought treatment for …

The Case of a 17-Year-Old Male with Fever and Headache

This month, we will discuss Question III: What is the incidence of deaths in patients recently discharged from the ED? In May 2007, Sklar et al performed a very interesting study concerning deaths that occurred within seven days of ED discharge. A similar study had been done in 1994 by Kefer et al, looking at medical examiner cases. Sklar’s study, however, is more likely to have captured all unanticipated deaths because it was performed at …

CA-MRSA Abscess Care and Treatment Guidelines in Urgent Care Practice

Urgent message: In the absence of controlled outpatient trials, the author proposes urgent-care specific guidelines for treatment of community-acquired MRSA, informed by clinical experience and local and regional case reports. Michael Dickey, MD The goal of any treatment is to maximize the chance of a positive outcome for a patient. The purpose of a treatment guideline is to maximize the chance of positive outcomes in groups of patients that present with a similar disease states. …

Clinical Challenge: January, 2008

Quantifying Urgent Care, Defining Our Industry

Lee A. Resnick, MD, FAAFP Have you ever wondered how many urgent care centers there are in the U.S.? So did UCA. Partnering with researchers at Harvard University and Massachusetts General Hospital, UCA has completed the first-ever sampling frame of urgent care centers across the country. Our goal was to produce an objective, scientifically valid assessment of the size of the urgent care industry. Estimates have flown around the industry for years, but until now …

Clinical Challenge 2: December 2007

The patient is a 10-year-old boy who received a blow to the forearm when he fell at home. He presented with local swelling and tenderness on exam, complaining of severe pain in his wrist. View the x-rays taken (Figure 1 and Figure 2) and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page.

December 2007

A 20-Year-Old Male with Chest Pain

Urgent message: Atypical chest pain in a young male offers a challenge solved by ordering—and assessment—of the appropriate imaging. Shannon Dowler, MD The patient is a 20-year-old white male who presented to urgent care with a two-week history of mild dyspnea, with the onset of chest pain in the prior 24 hours. He denied wheezing, vomiting, and recent trauma, and reported that he has tried no medications for his symptoms. Further discussion with the patient …

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