Sick of Sick Notes

Sick of Sick Notes

Adrienne Freese, RN, BSN, is a charge nurse at Denver Healthโ€™s Peรฑa Urgent Care in Denver, Colorado. For a patient, whatโ€™s worse than having a violent case of diarrhea? Obtaining an employer-required sick note proving said diarrhea. Do we, as healthcare workers, watch our patients on the toilet for evidence of diarrhea? Thankfully we donโ€™t. Unlike our patientsโ€™ employers, we take our patientsโ€™ word for it. A sick note may seem like a benign issue, …

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Urgent Care Clinician Procedural Benchmarking Survey Results

Urgent Care Clinician Procedural Benchmarking Survey Results

Patrick Oโ€™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 …

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My AI Journey and Practical Lessons You Can Use Now

My AI Journey and Practical Lessons You Can Use Now

Alan A. Ayers, MBA, MAcc My artificial intelligence (AI) awakening wasn’t a lightning bolt but a slow currentโ€”a series of small jolts. I kept encountering people who seemingly talked about AI all the timeโ€”fluent in the lingo and referred to by others as โ€œAI gurus.โ€ From their conversations, it was clear they were putting AI into real operationsโ€”analyzing data, streamlining tasks, even building custom AI tools and agents.  But it was still as if they …

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Artificial Intelligence With a Heart: How Front Desk Automation Is Rehumanizing Urgent Care

Artificial Intelligence With a Heart: How Front Desk Automation Is Rehumanizing Urgent Care

Saji Rajasekharan Urgent care is no longer the healthcare industryโ€™s understudy or stopgap solutionโ€”itโ€™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 patientsโ€™ 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 isnโ€™t a value-addโ€”itโ€™s a strategic …

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Rapid Molecular Diagnostics for Lower Respiratory Tract Infections in Urgent Care: Filling a Selective Gap

Rapid Molecular Diagnostics for Lower Respiratory Tract Infections in Urgent Care: Filling a Selective Gap

Barbara D. Alexander, MD, MHS; Kimberly E. Hanson, MD, MHS; Adriana E. Rosato, PhD; David B. Nash, MD; Maren S. Fragala, PhD; Steven E. Goldberg, MD, MBA Diagnostic uncertainty and error contribute to inappropriate treatments, which, in turn, can increase morbidity and the costs associated with care.1,2,3,4 Diagnostic errors can also contribute to unnecessary antibiotic prescribing, contributing to antimicrobial resistance (AMR).1,5 Lower respiratory tract infections (LRTI) are among the most common urgent care (UC) and …

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Documentation Excellence: The Trifecta

Documentation Excellence: The Trifecta

Brad Laymon, PA In the dynamic environment of urgent care (UC) medicine, precise, and thorough documentation serves as a cornerstone for both clinical and operational success. Beyond merely fulfilling regulatory requirements, documentation excellence has 3 critical functions, which I refer to as the โ€œtrifecta:โ€ 1. Improved patient outcomes through clear communication of care; 2. Mitigation of malpractice risk through clear and defensible explanation of medical decision making (MDM); and 3. Accurate description of complexity to …

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Are We Ready for a Day Without Urgent Care?

Are We Ready for a Day Without Urgent Care?

Rajesh Geria, MD; Patrick O’Malley, MD Every year, our nationโ€™s 14,000 urgent care (UC) clinics care for nearly 206 million patients, equating to 564,383 patients every day across the country.[1] Imagine what would happen if there was no urgent care for just a single day. Now imagine that if that possibility lasted not just a day, but indefinitely. Unfortunately, many communities are at risk for this reality coming to pass. Decreasing reimbursement, clinician burnout, and …

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Practical Advice for Clinicians on Interfacing with Social Media

Practical Advice for Clinicians on Interfacing with Social Media

Did you know the average person spends over 2 hours on social media every day?[1] While itโ€™s clear that social media is here to stay, the impacts of social media trends on clinicians and patients alike is probably less apparent to youโ€”but it is undoubtedly the reality we face. Today, 8 in 10 internet users search for health information online,[2] and 74% of these people use social media.[3] Perhaps more surprisingly, in a 2023 survey, …

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Expecting the Unexpected: Emergency Preparedness in the Urgent Care Setting

Expecting the Unexpected: Emergency Preparedness in the Urgent Care Setting

Lyndsie Watkins, PA-C, FCUCM Lyndsie Watkins, PA-C, FCUCM, is lead PA for Northwell Health GoHealth Urgent Care East Region, a director of its fellowship program, and co-director of the GoPrepare emergency preparedness programing. Picture this: Itโ€™s a busy day in your urgent care (UC). Youโ€™re moving along steadily, seeing patients back-to-back. Unexpectedly, there is a commotion as a woman is brought in from the neighborhood right in front of the building. She appears unconscious, and …

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How Changes in Team Composition Affect Performance: What Urgent Care Can Learn from the Sports World

How Changes in Team Composition Affect Performance: What Urgent Care Can Learn from the Sports World

Ivan Koay MBChB, MRCS, FRNZCUC, MD Optimal team dynamics play a key role in productivity and enterprise success. The importance of a well-functioning team is evident every day in urgent care centers (UCCs). Increasingly, rapid turnover of UC staff is becoming normative, and changes in team composition can have significant impact on how well a team functions. Whether from daily shift changes or staff joining or leaving the organization, such changes require adaptations both for …

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