Practice Management
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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Jeanne Marconi, MD Over the past 20 years, and more recently throughout the pandemic, suicide rates in the United States have generally been increasing; this has been especially true among adolescents and young adults.1 Despite improvements in recognition and appreciation of the impact of mental health issues, suicide rates continue to climb in America. Healthcare centers, whether inpatient or outpatient, have the unique opportunity to identify patients at-risk for self-harm and to intervene. These opportunities …
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Over the last 20 years, the Concussion in Sport Group has met periodically to develop statements guiding the assessment and management of sports related concussions. The most recent meeting of the group took place in Amsterdam, Netherlands, in October 2022 and produced updated and freely available, evidence-informed tools to assist in the detection and assessment of sports related concussion (SRC). These tools include: the Concussion Recognition Tool-6 (CRT6); Sport Concussion Assessment Tool-6 (SCAT6); Child SCAT6; …
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Ben Barlow, MD, is Chief Medical Officer of Experity As I’ve discussed before, urgent care medicine is ready for its next phase, and exceptional leadership is needed to make urgent care a shining light within a struggling house of medicine. Engaging your team and setting one priority goal is the best approach for solidifying a behavior change that leads to exceptional results. Picking one goal is the easy part. Getting all team members to engage …
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Urgent care medicine is still trying to find its place in the vast medical care landscape. At the same time, the whole “house of medicine” is going through yet another challenging time. Our journals and the media are reporting that medical providers are feeling demoralized and uncertain of the future. In some clinics, the medical staff shows up focused only on surviving the day. Considering these organizational issues, it can often feel overwhelming when leaders …
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Joanne P. Parker, MD Urgent message: High blood pressure is a common incidental finding in urgent care. Distinguishing patients who may need treatment from those who should be advised to follow up for further evaluation is well within the urgent care provider’s field of expertise. Click Here to download the article PDF Patients often present to urgent care with concerns about their blood pressure readings. Additionally, high blood pressure (BP) is frequently a very incidental …
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Tracey Quail Davidoff, MD, FCUCM I was scanning the tracking board during an urgent care shift the other day and, as usual, my brain was five steps ahead. I read the chief complaints and had already determined the questions I’d ask to guide the history based on the differential diagnoses I’d predicted. This is a regular occurrence in the UC and ED, whether we admit it or not. It’s part of how we move things …
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David Gahtan MS, PA-C and Joshua Russell, MD, MSc, FCUCM, FACEP Whether we like it or not, electronic medical records are here to stay. And their takeover has been swift. Over recent decades, the EMR has gone from an obscure, bare-bones, often clunky digital notepad to a ubiquitous and powerful tool which tracks enormous amounts of patient data. To continue to practice medicine, we’ve had no choice but to go along for the ride. It’s …
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Eric Ellis, MD Something is amiss in how smaller urgent care operators are reimbursed these days. This, likely, is not news to you and I’m sure my situation is not unique, but in the process of having opened a group of urgent care centers around Sacramento, CA over the past few years, I’ve been shocked about just how bad things are. When we opened our first center, I used a management company to help with …
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Guy Melrose, MB, ChB It was with great interest that I read Dr. Joshua Russell’s opinions on the value of repeating vital signs in the urgent care setting in the November 2022 issue of JUCM.1 Having stated that this does not seem to be common practice amongst his peers, he went on to highlight a couple of very reasonable scenarios in which he recommended repeating vital recordings. Importantly, he alluded to the often-underappreciated phenomenon of …
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