Journal of Urgent Care Medicine

A Historic Milestone for Urgent Care Nurse Practitioners: The Journey to Specialty Certification Begins

Lisa H. Bishop, DNP, MSN, MHA, FNP-BC, CDEO, FCUCM After years of persistence, collaboration, and advocacy, we have reached a historic milestone for the nurse practitioner profession and the specialty of urgent care. The American Academy of Nurse Practitioners Certification Board (AANPCB) has officially confirmed our petition to begin development of the first Urgent Care Nurse Practitioner Certification. This announcement represents far more than the creation of a new credential. It is the beginning of …

A Call for Physician Specialty Recognition and Improved Training Pathways in Urgent Care

Cesar Mora Jaramillo, MD, FAAFP, FCUCM, DABFM With more than 15,000 centers and 200 million visits a year, urgent care centers (UCCs) play a critical role in the U.S. healthcare ecosystem.[1] Despite its impact and rapid growth, urgent care (UC) remains a unique clinical field that has not yet been matched with a standardized training or certification pathway for physicians. This needs to change. Practicing high-quality UC medicine requires a distinct skill set, including rapid …

At Odds: Do Clinical Practice Metrics Incentivize Bad Medicine?

Justin R. Murphy, MMSc, PA-C We live in a world that revolves around data. If you have been in the medical field for a decade or longer, you have observed the trend toward increasingly data-driven medical practice. If you have been practicing more recently, you have lived it. Metrics continually shape our practice patterns and influence our care, and their utilization will only increase. Currently, analytics and artificial intelligence tools cannot directly process human cognition …

Potential Impact of Urgent Care Providers in Facilitating Lung Cancer Screening

Claire Katen; Cindy Lockett, MD It is well documented that Americans’ overall health lags behind that of other nations with the United States ranking 46th in life expectancy globally.1 This disparity is likely driven by multiple factors with limited access to healthcare services playing a significant role.2 As a premedical student, I, like many aspiring and active healthcare professionals, would like to close healthcare gaps and contribute to improving patient health outcomes. The urgent care …

Physician, Heal Thyself

Hal P. Kramer, MD After 41 years of clinical medicine, 2025 became my “physician, heal thyself” year. I became a patient with a story. Without challenge or feedback, many of us continue to repeat the same physical exams for a variety of complaints. We all develop our tools of the trade. However, we must remember that medicine is never all-known. Old ways can lead to new ways with a questioning and inquisitive mind. How many …

Sick of Sick Notes

Adrienne Freese, RN, BSN, is a charge nurse at Denver Health’s Peña Urgent Care in Denver, Colorado. For a patient, what’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 don’t. Unlike our patients’ employers, we take our patients’ word for it. A sick note may seem like a benign issue, …

Urgent Care Clinician Procedural Benchmarking Survey Results

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 …

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 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 …

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

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 …

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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