Family medicine has a long way to go in supporting the U.S. Department of Health and Human Services’ goal of tying fully half of traditional fee-for-service Medicare payments to value-based payment models by 2018, if a new survey from the American Academy of Family Medicine is any indication. Urgent care typically operates on a parallel, fee-for-service model, but the evolution of how other practice environments come to terms with the changing dynamics of the healthcare …Read More
A Defense of Family Medicine or an Indictment of Emergency Medicine?
I expected a firm retort from our colleagues in academic and traditional family medicine with regard to my column Is Urgent Care “Real” Family Medicine? (JUCM, October 2008). Unexpectedly, however, the column brought concern from one of our urgent care colleagues with roots in emergency medicine. In his letter—excerpts from which are presented here—Dr. Bryan Dunn of Boerne/Bulverde Urgent Care in Texas writes: “Your editorial came across as a slap in the face to emergency …Read More
Is Urgent Care “Real” Family Medicine?
Lee A. Resnick, MD, FAAFP I am acutely aware that urgent care medicine is practiced by a variety of specialties. However, family physicians make up the majority of those who practice in urgent care settings, and represent the most likely contingent of practitioners to fill the increasing demand for qualified practitioners in the future. As an organization, UCAOA has made several steps toward improving the competency of family physicians entering the field, from formal training …Read More