Perspectives

Patrick O’Malley, MD; Albert Botchway, PhD; Laurel Stoimenoff, PT (ret.); and Lindsey E. Fish, MD, on behalf of the College of Urgent Care Medicine Over the past 15 years, there have been significant changes in urgent care (UC) medicine. First and foremost, this is a rapidly expanding field of medicine as urgent care centers now provide more than 200 million visits a year performed in more than 14,000 locations. Additionally, urgent care centers have transitioned from 54% physician owners to only 27% physician owners over the same time period.1 Urgent …
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Alan A. Ayers, MBA, MAcc My artificial intelligence (AI) awakening wasn’t a lightning bolt but a slow current—a series of small jolts. I kept encountering people who seemingly talked about AI all the time—fluent in the lingo and referred to by others as “AI gurus.” From their conversations, it was clear they were putting AI into real operations—analyzing data, streamlining tasks, even building custom AI tools and agents. But it was still as if they were harboring a secret. I realized these weren’t magicians. They simply had been quietly putting …
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Saji Rajasekharan Urgent care is no longer the healthcare industry’s understudy or stopgap solution—it’s become a primary point of access for millions. According to Urgent Care Association, more than 200 million visits are made to urgent care centers annually in the United States, reflecting patients’ growing demand for fast, reliable, and accessible care.[1] Patient expectations mirror those of retail: seamless digital check-ins, price transparency, and instant answers. Meeting these demands isn’t a value-add—it’s a strategic imperative. At the heart of this transformation to retail-level operations is the front desk. Tasked …
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Tatiana Havryliuk, MD Point-of-care ultrasound (POCUS) has become a cornerstone of emergency medicine, yet its uptake in urgent care has been slow. Despite the emergence of affordable handheld ultrasound devices, many urgent care clinics have yet to integrate POCUS into routine practice. The common barriers to adoption include limited provider competence, the cost of devices, archiving solutions, and training, as well as a lack of administrative resources to support a high-quality POCUS program. The growing capabilities of artificial intelligence (AI) could be the catalyst that accelerates adoption. Current POCUS Landscape …
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Consider the case of a pediatric patient who presents with recurrent sore throat, erythema, no tonsillar exudates, and a negative viral panel. The patient has a positive group A strep (GAS) PCR swab, however, was recently diagnosed with streptococcal pharyngitis a couple weeks ago and just finished a course of amoxicillin 7 days ago. Is this a false positive PCR test result? What is the next appropriate course of action? What is the overall incidence of failed outpatient therapy of GAS versus recurrence? Is repeat treatment indicated, and what would …
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